Insurance Information

We have contracts with the following health insurance companies:

Commercial Plans

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 Plans

Insurance for people over 65 years of age or with disabilities

Plans Offering Drug Coverage
  • Aetna Coventry
    • Advantra Gold PPO (1/1/20 new name - Aetna Medicare Advantra Premier Plus PPO)
    • Advantra Northern Pennsylvania Gold HMO (1/1/20 new name - Aetna Medicare Advantra Gold HMO)
    • Advantra Southeast Prime HMO (1/1/20 new name - Aetna Medicare Advantra Value HMO)
    • Advantra Silver HMO & PPO (1/1/20 new name - Aetna Medicare Advantra Silver HMO & PPO)
    • Advantra Silver Plus HMO & PPO (1/1/20 new name - Aetna Medicare Advanta Silver Plus HMO & PPO)
    • Advantra One PPO (1/1/20 new name - Aetna Medicare Advantra Credit Value PPO)
    • Advantra Basic Medical HMO (1/1/20 new name - Aetna Medicare Advantra Core HMO)
  • Aetna Medicare
    • Aetna PEBTF HMO
    • Basic HMO
    • Choice HMO
    • Gold PPO
    • Premier HMO
    • Silver HMO & PPO
    • Standard HMO

We do not participate in the following Aetna plans:
 - Not PEBTF HMO

  • Cigna Health Spring

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

  • Health America/ Advantra
  • 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
  • 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)
  • 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 Plans 

Children's Health Insurance Program through the state

  • Aetna Better Health
  • UHC CHIP
  • UPMC for Kids
Medicaid Plan

Insurance program through the state for those requiring financial assistance

  • Aetna Better Health
  • Keystone First
  • 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
  • UPMC Health Plans
  • Personal Choice PPO Catastrophic
    • 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