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

Commercial

Aetna 

  • Aetna QPOS
  • Aetna Whole Health
  • Aetna Select
  • Aetna Value Performance Network
  • Aetna Voluntary Plans
  • Aetna Savings Plus
  • Aetna HMO
  • Aetna HMO (Open Access)
  • Aetna HMO / Health Network Only
  • International Medical
  • Premier Care - Network & Premier Care Network Plus
  • Choice POS, Choice - POS (Aetna HealthFund), Choice POS II, Choice POS II (Aetna HealthFund)
  • Elect Choice EPO
  • Health Network Only & Health Network Option
  • Open Access - Elect Choice, Open Access EPO
  • Open Access POS, Open Access EPO Plus (Broad) & Open Access POS II (Broad)
  • 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 Choice PPO & Open Choice PPO - Aetna HealthFund
  • Preferred - Open Choice PPO, Preferred Choice POS II, Preferred Select
  • Preferred Elect Choice EPO, Preferred Managed Choice
  • Peak Preference Select HNOnly on the Altius Network
  • 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

First Health Network

First Health

Geisinger

HealthAmerica/Advatra

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

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
  • We do not participate in the following United Healthcare plans:
    • Oxford (unless the member has Choice or Core)
    • 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
Medicare Advantage

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 - 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

Devoted Health

Geisinger

Health America/ Advantra

Health Partners/Jefferson Health Plans

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)

Humana (Choicecare Network)

  • Humana Gold Plus HMO
  • Humana Choice PPO
  • Humana Gold Choice PFFS

Independence Blue Cross

Keystone 65

  • Basic Rx HMO
  • Preferred Rx HMO
  • Select Rx HMO
  • Focus HMO

Keystone First VIP Choice HMO

PA Health and Wellness (Allwell to Wellcare)

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

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

HPP KidzPartners

UHC CHIP

Medicaid HMO

Geisinger

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

Keystone First 

  • Keystone First
  • Keystone First Community Health Choices (CHC)

PA Health and Wellness

Point Comfort Underwriters

  • Unaccompanied Minors
  • Afghan Refugees

UHC Medicaid

UPMC Health Plans

  • UPMC (Community Health Choices)
  • UPMC for You HMO
Marketplace/ACA Plans

Geisinger

Highmark

  • My Direct Blue EPO (Gold, Silver, and Bronze Silver)
  • My Blue Access PPO (Gold, Silver, and Bronze Silver)

Independence Blue Cross (Tier 1)

PA Health and Wellness (Ambetter) 

UPMC (through Cigna Network will be participating as of 5/1/24)

Hospice

Compassionate Care Hospice

Pottstown Physician Groups

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

Pottstown Hospital Physical & Speech Therapy 
Tower Health Medical Group Family Medicine - Douglassville     
Tower Health Medical Group Family Medicine - Limerick     
Tower Health Medical Group Family Medicine - Pottstown     
Tower Health Medical Group Internal Medicine - Collegeville     
Tower Health Medical Group Neurology - Limerick Lindfield-Trappe Rd     
Tower Health Medical Group Psychiatry - Collegeville    
Tower Health Medical Group Surgery - Pottstown