Accepted insurance plans

Penn Medicine primary care doctors, specialists and hospitals accept most health plans, including the ones listed here.

Participating insurances for the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Chester County Hospital, Lancaster General Health, Penn Medicine Princeton Health, and PA & NJ physician groups are listed below. Some NJ physicians may have individual contract agreements with additional plans (including NJ Managed Medicaid plans), please call 800-789-7366 to verify. The list below is for reference only and is subject to change.

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 from 8:30 a.m. to 5 p.m., Monday to Friday, with questions or to schedule an appointment. .

Philadelphia area and Chester County Hospital accepted health plans

See below for participating plans, including 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 for more information.

Philadelphia area and Chester County Hospital - Medicare Advantage plans

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.

Philadelphia area and Chester County Hospital - Pennsylvania Medical Assistance (Medicaid) plans

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

Philadelphia area and Chester County Hospital - Community HealthChoices (CHC) plans

Philadelphia area and Chester County Hospital - Affordable Care Act (ACA) Exchange plans

Lancaster General Health accepted health plans

See below for participating plans, including Medicare Advantage, Medicaid and ACA/Exchange and Community HealthChoices:

Lancaster General Health - Medicare Advantage plans

  • Aetna HMO: Advantra Value, Eagle, Premier; Philly Suburban Value, Premier (Plus), Silver, Value Plus, Advantra Cares (SNP), PinnacleHealth Prime
  • Aetna PPO: Freedom Core, Value, Gold, Advantra Credit Value, Advantra Premier Plus, Advantra Silver, Gold Plan, Silver Back, Value (Plus), PinnacleHealth Prime
  • AmeriHealth Caritas VIP Care (SNP)
  • Capital Blue Cross PPO: Blue Journey Classic, Prime; Capital Blue Cross Select, Wellspan Health Advantage (Plus), Wellspan Health Value, Wellspan Health Advantra, Capital Blue Cross Select
  • Cigna HMO: Courage, Preferred, Preferred Plus, Total Care Plus (SNP)
  • Geisinger Gold HMO: Classic Advantage Rx, Complete Rx, Essential Rx, 360 Rx; Heritage, Value RX, Secure Rx (SNP)
  • Geisinger Gold PPO: Preferred Advantage Rx, Complete Rx, Enhanced Rx
  • Highmark HMO: Community Blue Medicare HMO Signature
  • Highmark PPO: Community Blue Medicare PPO Distinct, Premier, Signature; Freedom Blue PPO Basic, Deluxe, Standard, Valor, ValueRx
  • Highmark Wholecare HMO: Diamond (SNP), Ruby (SNP)
  • Humana Choice HMO: Gold Plus, Gold Plus SNP
  • Humana Choice PFFS: Gold Choice, Choice, USAA
  • Humana Choice PPO: Choice, USAA Honor (with Rx), Value Plus, Choice SNP
  • Independence Blue Cross HMO: Keystone 65, (Basic, Liberty Medical only, Preferred, Preferred Medical Only, Select, Select Medical Only) **Not all locations participate**
  • Independence Blue Cross PPO: Personal Choice 65, (Elite, Prime, Saver)
  • Jefferson Health Plans HMO: Complete, Prime, Special (SNP)
  • Jefferson Health Plans PPO: Flex, Flex Plus
  • Keystone Health Plan Central Blue Journey Essential, Premier, Value, Wellspan Health Inspire
  • United Healthcare AARP Medicare Advantage from UHC, AARP Medicare Advantage Patriot no Rx, Dual Complete (SNP)
  • UPMC HMO: UPMC for Life HMO Deductible w/Rx, no Rx, Premier Rx, Rx, Rx Choice, Rx Enhanced
  • UPMC PPO: UPMC for Life PPO Rx Choice, Rx Enhanced, Premier Rx, Salute
  • Wellcare HMO: Wellcare by Allwell - Assist, Giveback, No Premium, Patriot Giveback, Dual Access (SNP)
  • Wellcare PPO: Wellcare Assist Open, Giveback Open, Low Premium Open, No Premium Open, Dual Access Open (SNP)

Lancaster General Health – Medical Assistance/Medicaid plans

Lancaster General Health - ACA/Exchange plans

Lancaster General Health – Community HealthChoices plans

Penn Medicine Princeton Medical Center accepted health plans

This list only reflects the insurers and managed care organizations that have contracts with Princeton Medical Center. Your physician may or may not have contracts with these plans.

If you are a Penn Medicine Princeton Medical Center patient and do not see your plan listed here, please email our Managed Care department at Donna.Heringes@pennmedicine.upenn.edu. We will respond to your request and advise if we accept your plan.

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