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 Group

Psychiatry Tower Health Medical Group Vine Street

Tower-Drexel Academic Physician Group 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
  • 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

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

First Health Network

First Health

Geisinger

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 Oxford - Choice or Core network only
  • 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 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

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

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 Medicare Advantra Cares HMO D-SNP
  • 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 Partners/Jefferson Health Plans

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
CHIP

ABH Kids

Capital Cares for Kids

Geisinger

HPP KidzPartners

UHC CHIP

UPMC for Kids

Medicaid HMO

Geisinger

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

Keystone First

PA Health and Wellness

Point Comfort Underwriters

  • Unaccompanied Minors
  • Afghan Refugees

UHC Medicaid

UPMC For You

  • Health Choices
  • Community Health Choices
Marketplace/ACA Plans

Geisinger

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

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