Phoenixville Medical Group

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.

Phoenixville Physician Groups

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

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

Cigna

ChoiceFund OA Plus
Open Access Plus
OA Plus
ChoiceFund OA Plus with CareLink PPO
Choice Fund PPO Network
HMO
POS

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 Tiered Benefit Plans
Unitedhealthcare MD-IPA Plan
We do not participate in the following United Healthcare plans:
- Oxford (unless the member has access to choice plus)
- Heritage (unless the member has access to choice plus)
- Erikson Advantage

UPMC Health Plans (now uses Cigna PPO Network)

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

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

Cigna Health Spring

Devoted Health

Geisinger

Health America/ Advantra

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)

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

United Healthcare AARP Medicare Complete

UPMC for Life

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

Vibra

Enhanced Complete Coverage PPO
Essential Coverage PPO

Special Needs Plan

Highmark Wholecare (formerly Gateway Health Medicare Assured, not participating for Collegeville Primary Care)

Diamond HMO
Ruby HMO

United Healthcare

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

UPMC Health Plans

UPMC for Life Options
UPMC for Life Dual

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)

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

Compassionate Care Hospice

Crossroads Hospice

Seasons Hospice