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
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 - Audubon
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
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
- Advantra
- 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