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 Orthopaedics - Pottstown
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:
- Not 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

Medicare Advantage

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

Plans Offering Drug Coverage

  • Aetna Medicare 
    • Choice HMO
    • Silver HMO
    • Gold PPO
    • Premier HMO
    • Standard 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 - Active in Berks, Chester, Montgomery and Philadelphia Counties.
    • HMO MAPD - Active in Berks, Chester, Montgomery and Philadelphia Counties.
    • PPO MAPD - Active in Berks, Chester, Montgomery and Philadelphia Counties.
    • PPO DSNP – Not active until 1/1/2023 at which time it will be active in Berks, Chester, Montgomery and Philadelphia Counties.
  • 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
  • Vibra
    • Enhanced Complete Coverage PPO
    • Essential Coverage PPO
Special Needs Plan
  • United Healthcare  
  • 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

CHIP

Children's Health Insurance Program through the state

  • HPP KidzPartners
  • UHC CHIP

Medicaid HMO

Insurance program through the state for those requiring financial assistance

  • Aetna Better Health
  • Health Partners
  • Keystone First 
    • Keystone First
    • Keystone First Community Health Choices (CHC)
  • PA Health and Wellness
    • PA Health and Wellness Community Health Choices (CHC): Active in Berks, Chester, Montgomery and Philadelphia Counties.
  • UHC Medicaid

Marketplace/ACA Plans

Independent insurance plans through the Affordable Care Act

PA Health and Wellness (Ambetter) : Going live in Berks 1/1/2023. It is currently active in Chester, Montgomery and Philadelphia counties.

  • Independence Blue Cross (Tier 1)