Tower Health Medical Group is committed to providing affordable, quality healthcare to all patients. We understand the billing and payment for healthcare services can be confusing. Knowing your insurance policy is important for you to receive the maximum benefits for your healthcare services. Your benefit coverage level for care provided by Tower Health Medical Group is determined solely by your insurance. Tower Health Medical Group is contracted with many health plans. A list of those plans can be found below.

Commercial

Aetna

  • Aetna HMO
  • Aetna HMO (Open Access)
  • Aetna HMO / Health Network Only
  • Aetna PEBTF PPO
  • Aetna QPOS
  • Aetna Savings Plus
  • Aetna Select
  • Aetna Signature
  • Aetna Value Performance Network
  • Aetna Voluntary Plans
  • Aetna Whole Health
  • Choice POS, Choice - POS (Aetna HealthFund), Choice POS II, Choice POS II (Aetna HealthFund)
  • Elect Choice EPO
  • Health Network Only & Health Network Option
  • International Medical
  • Managed Choice, Managed Choice - Open Access, Managed Choice POS
  • Mercy Preferred Choice POSII, Mercy Preferred Choice Select, Mercy Preferred Elect Choice EPO
  • Mercy Preferred Managed Choice & Mercy Preferred Open Choice (PPO)
  • Open Access - Elect Choice, Open Access EPO
  • Open Access POS, Open Access EPO Plus (Broad) & Open Access POS II (Broad)
  • Open Choice PPO & Open Choice PPO - Aetna HealthFund
  • Peak Preference Select HNOnly on the Altius Network and Peak Preference Select HNOption on the Altius Network
  • Preferred - Open Choice PPO, Preferred Choice POS II, Preferred Select
  • Preferred Elect Choice EPO, Preferred Managed Choice
  • Premier Care - Network & Premier Care Network Plus
  • TriCare
  • We do not participate in the following Aetna plans:
    • PEBTF HMO

Capital Blue Cross

  • CareConnect – PinnacleHealth ACA Network
  • Comprehensive
  • POS
  • PPO
  • Traditional
  • HMO
  • PPO Choice
  • We do not participate in the following Capital Blue Cross plans:
    • Valley Advantage EPO

First Health Network

Geisinger

Highmark Blue Shield (NOTE: standard tier)

  • We do not participate in the following Highmark plans:
    • Community Blue Medicare HMO
    • My Direct Blue EPO
      • Blue High-Performance Network (HPN)

Independence Blue Cross

  • Keystone HMO Proactive (Tier 3)
  • Keystone HMO/POS/Direct POS
  • Personal Choice PPO
  • Personal Choice EPO
  • Personal Choice Tiered (Tier 2)
  • National BlueCard PPO
  • IBC HMO Commercial tier 3 Standard
  • IBC PPO Commercial
  • AmeriHealth PPO & HMO Commercial
  • AmeriHealth Comprehensive Major Medical

TriCare

United Healthcare

  • Unitedhealthcare Navigate
  • All Savers
  • Unitedhealthcare Catalyst
  • Unitedhealthcare Choice and Choice Plus
  • Unitedhealthcare Choice Advance and Choice Plus Advance
  • Unitedhealthcare Options PPO plans
  • Unitedhealthcare Oxford  - Choice or Core network only
  • Unitedhealthcare Tiered Benefit Plans
  • Unitedhealthcare MD-IPA Plan
  • Unitedhealthcare Student Resources
  • UHC Compass Rose PPO Plan
  • We do not participate in the following United Healthcare plans:
    • Oxford (Oxford (unless the member has Choice or Core network)
    • Heritage (unless the member has Choice Plus)
    • Erikson Advantage

UPMC Health Plans

  • Premium Network Plans (PPO and EPO)
  • UPMC Employees Advantage Network (PPO and EPO) – Tier 1
  • UPMC Employees Out of Area Network
  • Panther Gold Advantage Network (For Pitt Employees) – Tier 1
  • UPMC Inside Advantage – Tier 1
  • MyCare Advantage PPO/EPO – Tier 1
  • Tower Network
  • We do not participate in the following UPMC plans:
    • Partner Network
    • Standard Network
    • Enhanced Access Network
    • Panther Gold Network (For Pitt Employees)
    • FEHB Employees
    • MyCare Advantage HMO
Medicare Advantage

Aetna 

  • Advantra
    • Premier Plus PPO, Gold HMO, Value HMO, Silver HMO & PPO, Silver Plus HMO & PPO, Credit Value PPO, and Core HMO
  • Aetna PEBTF PPO
  • Choice HMO
  • Silver HMO & PPO
  • Gold PPO
  • Premier HMO
  • Standard HMO
  • Basic HMO
  • We do not participate in the following Aetna plans:
    • PEBTF HMO

AmeriHealth Administrators

AmeriHealth Caritas VIP Care

Devoted Health

Geisinger

Health Partners

Highmark Medicare Advantage

  • Freedom Blue PPO
  • Community Blue Medicare PPO (including Signature Plan)
  • Community Blue Medicare PPO Plus – Clinton, Lycoming, Sullivan, and Tioga Counties only
  • We do not participate in the following Highmark plans:
    • Community Blue Medicare HMO (Signature Plan)

Highmark Wholecare (formerly Gateway Health Medicare Assured)

Humana (Choicecare Network)

  • Humana Gold Plus HMO
  • Humana Choice PPO
  • Humana Gold Choice PFFS

PA Health and Wellness (Allwell to Wellcare)

  • HMO DSNP
  • HMO MAPD
  • PPO MAPD 
  • PPO DSNP

United Healthcare

  • Unitedhealthcare Dual Complete
  • Unitedhealthcare Group Medicare Advantage Plan
  • Unitedhealthcare Assisted Living Plan (PPO)
  • Unitedhealthcare Nursing Home Plan

UPMC for Life

  • HMO & PPO (ALL)
  • All Plans Tower/UPMC Berks County

Vibra

  • Enhanced Complete Coverage PPO
  • Essential Coverage PPO
CHIP

ABH Kids

Capital Cares for Kids

Geisinger

Highmark CHIP

HPP KidzPartners

IBC CHIP

UHC CHIP

UPMC for Kids

Medicaid HMO

AmeriHealth Administrators

AmeriHealth Caritas

  • Pennsylvania
  • Community Health Choices

Geisinger

Health Partners/Jefferson Health Plans

Highmark Wholecare (formerly Gateway Health Plan)

PA Health and Wellness

Point Comfort Underwriters

  • Unaccompanied Minors
  • Afghan Refugees

UHC Medicaid

UPMC (Community Health Choices)

UPMC for You HMO

Marketplace/ACA Plans

Capital Blue Cross

  • Bronze PPO
  • Silver PPO
  • Gold PPO

Geisinger

PA Health and Wellness (Ambetter)

UPMC Health Plans

  • Premium Network
  • Inside Advantage for Individuals (Tier 1 – Gold, Silver, & Bronze)
  • Tower Network
  • We do not participate in the following UPMC plans:
    • Partner Network
    • Standard Network
    • Select Network
Hospice

  Grane

  Bayada

  Heartland

  Community Hospice

  Caring Hospice

  Compassus

  Holisticare


Reading Physician Groups

The groups listed below have contracts with the above health insurance companies:

Reading Hospital Endocrinology & Diabetes Center Wyomissing 
Reading Hospital Hematology Oncology - West Reading   
Reading Hospital Infectious Disease and Travel Medicine Suite 120 
Reading Hospital Neurology Suite 104 
Reading Hospital Neurology Suite 210 
Reading Hospital Neurology Suite 3020 
Reading Hospital Weight Loss Surgery and Wellness Center   
Tower Health Medical Group Addiction Medicine - Reading 
Tower Health Medical Group Cardiology - West Reading    
Tower Health Medical Group Cardiology - Wyomissing Broadcasting Rd    
Tower Health Medical Group Cardiology - Wyomissing Suite 107    
Tower Health Medical Group Cardiothoracic Surgery - West Reading    
Tower Health Medical Group Family Medicine - Bernville    
Tower Health Medical Group Family Medicine - Birdsboro    
Tower Health Medical Group Family Medicine - Boyertown    
Tower Health Medical Group Family Medicine - Elverson    
Tower Health Medical Group Family Medicine - Exeter    
Tower Health Medical Group Family Medicine - Gateway     
Tower Health Medical Group Family Medicine - Hamburg     
Tower Health Medical Group Family Medicine - Kenhorst     
Tower Health Medical Group Family Medicine - Kutztown  
Tower Health Medical Group Family Medicine - Rockland Hall 
Tower Health Medical Group Family Medicine - Sinking Spring     
Tower Health Medical Group Family Medicine - West Lawn     
Tower Health Medical Group Family Medicine - Womelsdorf     
Tower Health Medical Group Family Medicine - Wyomissing     
Tower Health Medical Group Gynecologic Oncology     
Tower Health Medical Group Gynecology - Exeter DeMoss Road   
Tower Health Medical Group Internal Medicine - Douglassville     
Tower Health Medical Group Internal Medicine - Exeter  
Tower Health Medical Group Internal Medicine - Muhlenberg  
Tower Health Medical Group Internal Medicine - Wyomissing 1st Floor  
Tower Health Medical Group Internal Medicine Residency - Wyomissing  
Tower Health Medical Group Maternal Fetal Medicine - West Reading   
Tower Health Medical Group Neurosurgery - West Reading     
Tower Health Medical Group Obstetrics & Gynecology - Exeter     
Tower Health Medical Group Obstetrics & Gynecology - West Reading Suite 245     
Tower Health Medical Group Obstetrics & Gynecology - West Reading Suite 380     
Tower Health Medical Group Obstetrics & Gynecology - Wyomissing Reed Ave     
Tower Health Medical Group Pain Management - West Reading     
Tower Health Medical Group Palliative Medicine - West Reading     
Tower Health Medical Group Pediatrics - Wyomissing     
Tower Health Medical Group Physical Medicine & Rehabilitation - Wyomissing     
Tower Health Medical Group Plastic Surgery     
Tower Health Medical Group Surgery - West Reading Suite 305     
Tower Health Medical Group Surgery - West Reading Suite 3070     
Tower Health Medical Group Urogynecology & Pelvic Health - West Reading      
Tower Health Medical Group Wound Healing and Hyperbaric Medicine - Wyomissing