Tower Health Medical Group is committed to providing affordable, quality healthcare to all patients. We understand that 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 in-network with many health plans. A list of those plans can be found below.

Please note: our list is not meant to be all-inclusive and is subject to change. Please check with your health plan to verify coverage.

Tower-Drexel Academic Physician Groups

Tower Health Medical Group Family Medicine - Manayunk
Psychiatry Tower Health Medical Group Vine Street

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

Commercial

Insurance through your employer

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
  • 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 Networ
  • Preferred - Open Choice PPO, Preferred Choice POS II, Preferred Select
  • Preferred Elect Choice EPO, Preferred Managed Choice
  • Premier Care - Network & Premier Care Network Plus
  • 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

Devon

First Health Network

First Health

Health Net

HealthAmerica/Advatra

Highmark (Premier Blue)

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
  • UHC Compass Rose PPO 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

  • Enhanced Access Network
  • FEHB Employees
  • MyCare Advantage PPO/EPO – Tier 2
  • Panther Gold Advantage Network (For Pitt Employees) – Tier 1
  • Panther Gold Network (For Pitt Employees)
  • Premium Network Plans (PPO and EPO)
  • Tower Network
  • UPMC Employees Advantage Network (PPO and EPO) – Tier 1
  • UPMC Employees Out of Area Network
  • UPMC Inside Advantage – Tier 1
  • UPMC Total Advantage PPO
  • We do not participate in the following UPMC plans:
    •  MyCare Advantage HMO
    •  Partner Network
    •  Standard Network

VA CCN (VA Community Care Network) administered by Optum/United Healthcare

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

  • We do not participate in the following Cigna Health Spring plans:
    •  Alliance HMO

Devoted Health

Health America/ Advantra

Health Partners

Highmark (Freedom Blue)

Humana (Choicecare)

  • Humana Gold Plus HMO
  • Humana Choice PPO
  • Humana Gold Choice PFFS
  • Humana Gold Plus (HMO D-SNP)

Independence Blue Cross

Keystone First

PA Health and Wellness

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

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)
  • We do not participate in the following UPMC plans:
    •  HMO Premier Rx Western PA
    •  HMO Premier Rx Lycoming & Tioga
    •  HMO Premier Rx Excela Health
    •  All Plans Tower/UPMC Berks County

Vibra

  • Enhanced Complete Coverage PPO
  • Essential Coverage PPO
Special Needs Plan

Aetna Coventry

  • Advantra Cares (HMO SNP) -(1/1/20 new name - Aetna Medicare Advantra Cares HMO D-SNP)

Highmark Wholecare (formerly Gateway Health Medicare Assured)

  • Diamond HMO
  • Ruby HMO

Sunrise Advantage PA (Spartan)

United Healthcare

  • Unitedhealthcare Dual Complete
  • Unitedhealthcare Group Medicare Advantage Plan
  • Unitedhealthcare Assisted Living Plan (PPO)
  • Unitedhealthcare Nursing Home Plan

UPMC for Life Dual

UPMC for Life Options

CHIP

Children's Health Insurance Program through the state

Aetna Better Health

HPP KidzPartners

UHC CHIP

UPMC for Kids

Medicaid HMO

Insurance program through the state for those requiring financial assistance

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

Keystone First

PA Health and Wellness

UHC Medicaid

UPMC For You

  • Health Choices
  • Community Health Choices

Marketplace/ACA Plans

Independent insurance plans through the Affordable Care Act

Highmark

Independence Blue Cross (Tier 1)

  • Keystone HMO Platinum
  • Keystone HMO Gold
  • Keystone HMO Gold Proactive (tiered network plan)
  • Keystone HMO Silver
  • Keystone HMO Silver Proactive (tiered network plan)
  • Keystone HMO Bronze
  • Personal Choice® PPO Platinum
  • Personal Choice PPO Gold
  • Personal Choice PPO Silver
  • Personal Choice PPO Silver Reserve
  • Personal Choice PPO Bronze
  • Personal Choice PPO Bronze Reserve
  • Personal Choice PPO Catastrophic

PA Health and Wellness (Ambetter)

UPMC Health Plans

  • Inside Advantage for Individuals (Tier 1 – Gold, Silver, & Bronze)
  • Premium Network
  • Tower Network
  • We do not participate in the following UPMC plans:
    •  Partner Network
    •  Select Network
    •  Standard Network