Billing and Insurance – Tower Health Medical Group, Pottstown Hospital
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. You can also call our Patient Financial Services office at 484-628-5683 for a complete list.
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.
Insurance Information
Tower Health Medical Group at Pottstown Hospital consists of:
- Berks Family Care
- Berks Medical Associates
- Coventry Psychiatry
- Collegeville Internal Medicine
- Coventry Family Care
- Coventry Foot and Ankle Surgery
- Coventry Pediatrics
- Pottstown Critical Care
- Pottstown Pathology
- Surgical Partners of Pottstown
- Tri-County Neurology
- Tri-County Physical Therapy
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 Network
- Preferred - Open Choice PPO, Preferred Choice POS II, Preferred Select
- Preferred Elect Choice EPO, Preferred Managed Choice
- Premier Care - Network & Premier Care Network Plusk
We do not participate in the following Aetna plans:
- Cigna
- ChoiceFund OA Plus
- Open Access Plus
- OA Plus
- ChoiceFund OA Plus with CareLink PPO
- Choice Fund PPO Network
- HMO
- POS
- First Health Network
- First Health
- 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
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 PPO
- Basic HMO
- Choice HMO
- Gold PPO
- Premier HMO
- Silver HMO & PPO
- Standard HMO
We do not participate in the following Aetna plans:
We do not participate in the following Cigna Health Spring plans:
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
- 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 CHIP
- UHC CHIP
- UPMC for Kids
Medicaid Plans (Insurance program through the state for those requiring financial assistance)
- Aetna Better Health
- AmeriHealth Caritas
- Keystone First
- UHC Medicaid
- UPMC for You
- Health Choices
- Community Health Choices
Marketplace/ACA Plans (Independent insurance plans through the Affordable Care Act)
