Insurance Accepted by Reading Medical Group

Insurance Accepted

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

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