Insurance Accepted by Reading 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.

Commercial

Aetna

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

Cigna

Choice Fund OA Plus
Open Access Plus
OA Plus
Choice Fund OA Plus with Care Link PPO
Choice Fund PPO Network
HMO
POS
Great West

First Health Network

Geisinger

Highmark Blue Shield (NOTE: standard tier)

We do not participate in the following Highmark plans:
- Community Blue Medicare HMO
- My Direct Blue EPO
- Blue High-Performance Network (HPN)

Independence Blue Cross

Keystone HMO Proactive (Tier 3)
Keystone HMO/POS/Direct POS
Personal Choice PPO
Personal Choice EPO
Personal Choice Tiered (Tier 2)
National BlueCard PPO
IBC HMO Commercial tier 3 Standard
IBC PPO Commercial
AmeriHealth PPO & HMO Commercial
AmeriHealth Comprehensive Major Medical

TriCare

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
Unitedhealthcare Student Resources
UHC Compass Rose PPO Plan
We do not participate in the following United Healthcare plans:
- Oxford (Oxford (unless the member has Choice or Core network)
- Heritage (unless the member has Choice Plus)
- Erikson Advantage

UPMC Health Plans

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

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

AmeriHealth Administrators

AmeriHealth Caritas VIP Care

Devoted Health

Geisinger

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)

Highmark Wholecare (formerly Gateway Health Medicare Assured)

Diamond HMO
Ruby HMO

Humana (Choicecare Network)

Humana Gold Plus HMO
Humana Choice PPO
Humana Gold Choice PFFS

PA Health and Wellness (Allwell to Wellcare)

HMO DSNP
HMO MAPD
PPO MAPD
PPO DSNP

Senior Life

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

Highmark CHIP

HPP KidzPartners

IBC CHIP

IBC: Keystone HMO CHIP

UHC CHIP

UPMC for Kids

Medicaid

AmeriHealth Administrators

AmeriHealth Caritas

Pennsylvania
Community Health Choices

Geisinger

Health Partners/Jefferson Health Plans

Highmark Wholecare (formerly Gateway Health Plan)

PA Health and Wellness

Point Comfort Underwriters

Unaccompanied Minors
Afghan Refugees

UHC Medicaid

UPMC (Community Health Choices)

UPMC for You HMO

Marketplace/ACA Plans

Capital Blue Cross

Bronze PPO
Silver PPO
Gold PPO

Geisinger

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

Grane

Bayada

Heartland

Community Hospice

Caring Hospice

Compassus

Holisticare

Reading Physician Groups

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