Participating insurances for the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Chester County Hospital, New Jersey facilities and PA & NJ physician groups (excluding Princeton Health). Some NJ physicians may have individual contract agreements with additional plans (including NJ Managed Medicaid plans), please call 800-789-7366 (PENN) to verify. The list below is for reference only and is subject to change.
You can access plan listings for other Penn Medicine hospitals at the following:
Please contact the member services department of your insurance company for specific details before receiving services, as our hospitals may participate in some, but not all, products offered by a health plan. Coverage limitations are dependent on individual group contracts. Your policy may have stipulations regarding authorization or laboratory location requirements. Call 800-789-7366 (PENN) with questions or to schedule an appointment.
Plans
(see further below for Medicare Advantage, Medicaid, ACA/Exchange, and Community HealthChoices)
NOTE: Contracts marked with an asterisk (*) are for Transplant services in our Philadelphia locations. Please call 800-789-7366 (PENN) for more information.
Medicare Advantage
- AARP MedicareComplete Plans - United Healthcare (PPO, HMO)
- Aetna
Silver, Premier, Premier Plus, Explorer Elite
Advantra: Value, Premier (Plus), Cares (SNP) - HMO
Value, Gold, Advantra Credit Value - PPO
- Blue Cross Blue Shield Association National Medicare Advantage (Blue Card PPO)
Blue Medicare Advantage (Blue MA), and Blue High Performance Network (HPN)
- Cigna Medicare (PA Only)
- Clover Health - Choice, Choice Value (PPO)
- Erickson Advantage Plans
- Erickson Advantage Champion/Guardian Plans
- Geisinger Health Plan - Gold Classic (HMO), Gold Secure (SNP), Gold Preferred (PPO)
- Highmark Wholecare - Assured Diamond, Ruby (HMO-SNP)
- Horizon Blue Cross Blue Shield of NJ
Blue Access Group, Blue Choice, Blue Select,
Braven: Group, Access Grouo - HMO
Blue, Blue Group
Braven: Choice, Freedom - PPO
(Chester County Hospital participates in the PPO/POS Blue Card program)
- Humana - PPO, HMO, DSNP, PFFS
- Independence Blue Cross - Personal Choice 65 (Prime, Saver, Elite), Blue MA
- Jefferson Health Plans - (aka Health Partners Plans) Complete, Prime, Special (SNP) - HMO, POS
(includes CHIP)
- Keystone First VIP Choice (HMO, SNP) (excludes Chester County Hospital)
- Keystone Health Plan East - Keystone65 Select, Preferred, Basic (HMO)
- Medicare - Traditional (Red, white and blue card)
- Mercy Life (Dual Eligible)
- Provider Partners Health Plan (PPHP)
- Trinity Life
- United Healthcare
AARP Medicare Advantage, Dual Complete ONE of PA & DE, Nursing Home Plan 2
- UnitedHealthcare (NJ residents will need to activate their Passport option, if available, to see PA providers)
- Wellcare by Allwell (HMO SNP)
NOTE: United Healthcare NJ residents will need to activate their Passport, if available, to see a PA provider. Dual eligible members are individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit.
Pennsylvania Medical Assistance Managed Care (Medicaid)
Important Information About Medicaid Enrollment
If you receive medical coverage through Medicaid or CHIP, you must complete an annual renewal to avoid disruption to your coverage. Don't wait; Help is available to complete your renewal.
For Pennsylvania residents
For New Jersey residents
Community HealthChoices (CHC)
Affordable Care Act (ACA) Exchange