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

Geisinger

HealthAmerica/Advatra

Highmark Blue Shield (NOTE: Standard tier)

  • We do not participate in the following Highmark plans: 
    • Community Blue Medicare HMO
    • My Direct Blue EPO

Independence Blue Cross

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
  • We do not participate in the following United Healthcare plans:
    • Oxford (unless the member has Choice or Core)
    • Heritage (unless the member has Choice Plus)
    • Erikson Advantage
Medicare Advantage

Plans Offering Drug Coverage

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

Devoted Health

Geisinger

Health America/ Advantra

Health Partners/Jefferson Health Plans

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)
    • My Direct Blue EPO
      • Blue High-Performance Network (HPN)

Humana (Choicecare Network)

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

Independence Blue Cross

Keystone 65

  • Basic Rx HMO
  • Preferred Rx HMO
  • Select Rx HMO
  • Focus HMO

Keystone First VIP Choice HMO

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

HPP KidzPartners

UHC CHIP

Medicaid HMO

Geisinger

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

Keystone First 

  • Keystone First
  • Keystone First Community Health Choices (CHC)

PA Health and Wellness

Point Comfort Underwriters

  • Unaccompanied Minors
  • Afghan Refugees

UHC Medicaid

UPMC Health Plans

  • UPMC (Community Health Choices)
  • UPMC for You HMO
Marketplace/ACA Plans

Geisinger

Highmark

  • My Direct Blue EPO (Gold, Silver, and Bronze Silver)
  • My Blue Access PPO (Gold, Silver, and Bronze Silver)

Independence Blue Cross (Tier 1)

PA Health and Wellness (Ambetter)

Hospice

Compassionate Care Hospice

Crossroads Hospice

Seasons Hospice 


Phoenixville Physician Groups

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

Phoenixville Hospital Hematology Oncology
Tower Health Medical Group Breast Health Center - Phoenixville 
Tower Health Medical Group Cardiology - Limerick
Tower Health Medical Group Cardiology - Phoenixville 
Tower Health Medical Group Cardiothoracic Surgery - Phoenixville 
Tower Health Medical Group Family Medicine - Limerick   
Tower Health Medical Group Family Medicine - Phoenixville 
Tower Health Medical Group Orthopaedics - Limerick 
Tower Health Medical Group Orthopaedics - Phoenixville
Tower Health Medical Group Outpatient Therapy - Limerick 
Tower Health Medical Group - Palliative Medicine Phoenixville 
Tower Health Medical Group Physical Therapy - Phoenixville 
Tower Health Medical Group Surgery - Phoenixville Main St