Your procedure is over, your stay with us has ended, but now you may have additional paperwork to fill out. We can help. From forms and financial questions to working with Medicare or your insurance provider, Pottstown Hospital is as passionate about assisting patients with what happens after a medical procedure or emergency as with the care that occurs during it. Use the information in this section to help the billing and payment process go smoothly.
Pottstown Hospital, Pottstown Oncology Associates, and Pottstown Obstetrical Associates accept most major insurance providers. Contact Patient Billing at 484-628-5683 if you have questions about accepted insurance providers.
For a list of insurances contracted-in-network by Pottstown Hospital's Tower Health Medical Group practices, please visit our Tower Health Medical Group, Pottstown Hospital page.
Pottstown Hospital has contracts with the following health insurance companies:
- 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
- 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
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 - Plans will be participating as of 5/1/24
- 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
Devon
Geisinger
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
- Unitedhealthcare Oxford - Choice or Core network only
- UHC Compass Rose PPO Plan
- We do not participate in the following United Healthcare plans:
- Oxford (unless the member has Choice or Core network)
- Heritage (unless the member has Choice Plus)
- Erikson Advantage
UPMC Health Plans - (through Cigna Network, will be participating as of 5/1/24)
- Premium Network Plans PPO and EPO Plans
- UPMC Employees Out of Area PPO Plan
- UPMC Out of Area Gold
- UPMC Out of Area Silver
- UPMC Total Advantage PPO
- MyCare Advantage PPO Level 2 Providers
- We do not participate in the following UPMC plans:
- Partner Network Plans (HMO and EPO Plans)
- Standard Network Plans (HMO Plans)
- Partner Network Plans (HMO and EPO Plans)
- UPMC Business Advantage HMO (Referral Required)
- UPMC Business Advantage HMO (No Referral)
- Enhanced Access (HMO and POS Plans)
- UPMC Employees Advantage (EPO Plans)
- Panther Gold Advantage HMO (For Pitt Employees)
- Panther Gold HMO (For Pitt Employees)
- FEHB Plans
- UPMC Inside Advantage Level 1 Providers
- MyCare Advantage HMO Level 1 Providers
- MyCare Advantage HMO Level 2 Providers
- MyCare Advantage PPO Level 1 Providers
- CHIP
ABH Kids
Capital Cares for Kids
Geisinger
HPP KidzPartners
IBC CHIP
Keystone HMO CHIP
UHC CHIP
UPMC for Kids
- Marketplace/ACA Plans
Capital Blue Cross
- Bronze PPO 7350-0-60
- Silver PPO 5000/10/30
- Gold PPO 2000/10/20
Geisinger
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 (through Cigna Network will be participating as of 5/1/24)
- Medicaid HMO
Highmark Wholecare (formerly Gateway Health Plan)
Geisinger
Health Partners
Keystone First
- Keystone First
- Keystone First Community Health Choices (CHC)
PA Health and Wellness
Point Comfort Underwriters
- Unaccompanied Minors
- Afghan Refugees
UHC Medicaid
UPMC for You
- Health Choices
- Community Health Choices
- Medicare Advantage
Plans Offering Drug Coverage
AARP Medicare
- Complete HMO
- Complete Choice PPO
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 - Plans will be participating as of 5/1/24
- True Choice (PPO)
- True Choice Plus (PPO)
- Preferred HMO
- Preferred Plus HMO
- Preventative Care HMO
- Total Care HMO
- Traditions HMO (I)
Achieve HMO - Advantage HMO
- We do not participate in the following Cigna plans:
- Alliance HMO
Coventry Advantra
- Gold PPO
- Silver HMO
- One PPO
Devoted Health
Geisinger
Health Partners/Jefferson Health Plans
Humana (Choicecare Network)
- Humana Gold Plus HMO
- Humana Choice PPO
- Humana Gold Choice PFFS
- Humana Gold Plus (HMO D-SNP)
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)
Independence Blue Cross
- IBC HMO Medicare Basic/Select
- IBC HMO Medicare
- IBC PPO Medicare
- Amerihealth HMO Medicare
Keystone 65
- Basic Rx HMO
- Preferred Rx HMO
- Select Rx HMO
- Focus HMO
PA Health and Wellness (Allwell to Wellcare)
- HMO DSNP
- HMO MAPD
- PPO MAPD
- PPO DSNP
Personal Choice 65 Rx PPO
Tricare for 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
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 (formery Gateway Health Medicare Assured)
- Diamond HMO
- Ruby HMO
Keystone First VIP Choice HMO
United Healthcare
- AARP Medicare Complete
- UHC Dual complete
- UHC Group Medicare Advantage Plans
- UHC Assisted Living Plan (PPO)
- UHC Nursing Home Plan
- Behavior Health Organization
Payor Product Lines Aetna Commercial, Medicare Community Care Behavioral Health (CCBH) Commercial, Medicare, Medicaid Magellan Commercial Optum Commercial Quest Commercial Please call Customer Service (at the number on the back of your insurance card) to determine your Behavioral Health insurance vendor.)
Understanding Your Financial Responsibility
When you are scheduled for a doctor’s appointment or other tests, study, or procedure at any of our Pottstown Hospital locations, the representative who checks you in will enter the information needed for your patient chart, and help us bill your insurance. At this time, we will:
- Discuss your portion of the financial responsibility. We will let you know how much your co-pay and deductible will be for the service we will be providing.
- Discuss any past-due balances you may have with Pottstown Hospital.
- Discuss payment options for your co-pay, deductible, and any past-due balances.
There are several payment options available to you at the time of registration. They include a credit card using our secure card swipe at your point of service registration, or you can pay with a check, money order, or cash.
If you cannot pay the patient responsibility portion of your bill, one of our patient financial service representatives will speak to you about options. This may include a partial payment at the time of service and arranging a payment plan.