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.

Pottstown Physician Groups

Tower Health Medical Group Family Medicine - Douglassville
Tower Health Medical Group Family Medicine - Limerick
Tower Health Medical Group Family Medicine - Pottstown
Tower Health Medical Group Internal Medicine - Collegeville
Tower Health Medical Group Neurology - Limerick Lindfield-Trappe Rd
Tower Health Medical Group Physical Therapy - Pottstown
Tower Health Medical Group Pediatrics - Pottstown
Tower Health Medical Group Surgery - Pottstown

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

Commercial

Insurance through your employer

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:
    • PEBTF HMO

Cigna 

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

First Health Network

First Health

HealthAmerica/Advatra

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

Insurance for people over 65 years of age or with disabilities.

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

Health America/ Advantra

Health Partners

Humana (Choicecare Network)

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

Independence Blue Cross

PA Health and Wellness (Allwell to Wellcare)

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

Keystone 65

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

Keystone First VIP Choice HMO

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) 

  • 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

Children's Health Insurance Program through the state

Aetna Better Health Kids

HPP KidzPartners

UHC CHIP

Medicaid HMO

Insurance program through the state for those requiring financial assistance

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

Keystone First 

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

PA Health and Wellness

UHC Medicaid

UPMC Health Plans

  • UPMC (Community Health Choices)
  • UPMC for You HMO

Marketplace/ACA Plans

Independent insurance plans through the Affordable Care Act

PA Health and Wellness (Ambetter) 

Independence Blue Cross (Tier 1)

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