Participating insurances for the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Chester County Hospital, Doylestown 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 (PENN) 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 (PENN) with questions or to schedule an appointment.
Accepted health plans
See below for participating plans, including Medicare Advantage, Medicaid, ACA/Exchange, and Community HealthChoices.
- Aetna
- Aetna Behavioral Health
- Amerihealth of NJ
- Amerihealth Administrators
- Blue Cross & Blue Shield Association
- Blue Cross & Blue Shield National Transplant Network*
- Centivo
- Cigna Health Plan
- Cigna Behavioral Health
- Cigna LifeSource*
- Claim Watcher (Plus)/Homestead (Pinpoint Health Benefits)
- Clover Health
- Community Behavioral Health
- Devoted Health Plan
- Eliance Health Solutions
- First Health, First Health Global
- Geisinger Health Plan
- HealthSpring
- Highmark Wholecare
- Horizon Blue Cross Blue Shield of NJ (Chester County Hospital participates in the PPO/POS Blue Card program)
- Humana Military (Tricare)
- Imagine Health
- Independence Blue Cross
- Interlink*
- Jefferson Health Plans
- Kaiser Permanente*
- Karna (World Trade Center Program)
- Keystone First
- Keystone Health Plan East
- Keystone Service Systems Inc.
- Magellan
- Oxford Health Plan (UnitedHealthcare)
- Optum* (Cancer, In Vitro Fertilization)
- Oscar Health Plan of PA
- PA Health & Wellness
- Perennial Advantage
- Pinpoint Health Benefits (Claim Watcher Plus/Homestead)
- Premier Network (Contigo Health employee group)
- Provider Partners Health Plans
- Qualcare
- Trinity Health/Mercy Life
- United Behavioral Health
- UnitedHealthcare
- United Healthcare Community Plan of PA
- UPMC (Medicaid only)
- US Family Health Plan
- Veteran’s Insurance/VA Community Care Network (Optum)/Champ VA
NOTE: Plans 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
- AARP Medicare Complete Plans - United Healthcare (PPO, HMO)
- Aetna Premier/Premier Plus, Advantra Value/Value Plus, Explorer Value, Advantra Cares (D-SNP), Advantra Eagle – HMO, POS, SNP; Freedom Core, Advantra Credit Value, Gold, Advantra Premier Plus - PPO
- Blue Cross Blue Shield Association National Medicare Advantage (Blue Card PPO)
- Cigna Medicare (PA Only)
- Clover Health - Choice, Choice Value (PPO)
- Devoted Health (Core PA, Dual Plus PA (DSNP), Giveback PA – HMO; Choice Giveback PA, Choice Plus PA, Choice PA – PPO)
- Erickson Advantage Plans
- Erickson Advantage Champion/Guardian Plans
- Geisinger Health Plan (All Gold plans)
- Highmark Blue Cross (Freedom Blue PPO Valor, Complete Blue PPO Choice Deluxe, Complete Blue PPO Premier)
- Highmark Wholecare - Assured Diamond, Ruby (HMO-SNP)
- Horizon Blue Cross Blue Shield of NJ (Chester County Hospital participates in the PPO/POS Blue Card program)
- Humana (PPO, HMO, DSNP, PFFS, POS)
- Independence Blue Cross - Personal Choice 65 (Prime, Saver, Elite)
- Jefferson Health Plans - aka Health Partners Plans - (Complete, Prime, Giveback, Silver, Platinum – HMO POS, Special, Dual Pearl SNP, Flex, Flex Plus – PPO)
- Keystone First VIP Choice
- Keystone Health Plan East - Keystone 65 Essential, Basic, Select, Liberty
- Medicare - Traditional (Red, white and blue card)
- Mercy Life (Dual Eligible)
- PA Health & Wellness (Wellcare by Allwell, Wellcare Assist, Wellcare Patriot Giveback)
- Perennial Advantage (effective Jan. 1, 2026)
- Provider Partners Health Plan (PPHP)
- Trinity Life
- United Healthcare PA & NJ Residents (All National PPO Members), AARP Medicare Advantage, Complete Care, Dual Complete, Group Medicare Advantage, Nursing Home Plan – HMO, POS, PPO, SNP
- 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.
Philadelphia area and Chester County Hospital - Pennsylvania Medical Assistance (Medicaid) plans
- Geisinger of PA (includes CHIP)
- Health Partners Plans (includes CHIP)
- Highmark Wholecare of PA (formerly Gateway Health Plan)
- Keystone First of PA
- Keystone Service Systems Inc.
- Medicaid, Pennsylvania Medicaid (Access card)
- United Healthcare Community Plan of PA (includes CHIP)
- UPMC for You
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
- Visit the state’s COMPASS website.
- Use the free mobile app, myCOMPASS PA. Download it from the App Store or Google Play.
- Call 866-550-4355.
- Visit your local County Assistance Office.
For New Jersey residents
- Call NJ Family Care at 800-701-0710 (TTY: 711)
- Visit the NJ Family Care website
Philadelphia area and Chester County Hospital - Community HealthChoices (CHC) plans
Philadelphia area and Chester County Hospital - Affordable Care Act (ACA) Exchange plans
- Amerihealth of NJ - Regional Preferred, Local Value Fully Insured Group
- Geisinger - All Access HMO/PPO, Extra HMO
- Highmark BCBS
- Horizon Blue Cross Blue Shield of NJ - Advantage EPO, OMNIA (NJ Tier 1, PA Tier 2)(Chester County Hospital participates in the PPO/POS Blue Card program)
- Independence Blue Cross - Keystone HMO, Personal Choice (PPO), Keystone Proactive (HMO)
- Oscar Health Plan of Pennsylvania
- PA Health & Wellness - Ambetter
Doylestown Hospital participates in most insurances and managed care plans. Please view the list of Doylestown Hospital's direct contractual relationships. If you have questions about Doylestown Hospital's insurance and managed care plans, please call 215-345-2443.
- AETNA, HMO and PPO (except Workers Comp and Auto), Aetna Leap, Aetna Medicare Advantage Doylestown Hospital is a Tier One Provider
- AETNA, Better Health, Inc. (Managed Medicaid – KIDS FIRST only)
- Allwell (PA Health & Wellness) Medicare Advantage
- AMBetter (PA Health & Wellness)
- Capital Blue Cross
- CIGNA (HMO & PPO) and Cigna Medicare
- First Health
- Highmark Blue Cross (includes Exchange Plans and Medicare Advantage)
- Horizon (NJ) Blue Cross, PPO, Managed Care, Medicare Advantage, Indemnity
- Humana Choice Care (Medicare) PPO
- Humana Medicare Advantage HMO
- Independence Blue Cross (Keystone, Personal Choice, Amerihealth HMO, PPO, TPA, Medicare Advantage Plans, Focus, Exchange Product Plans). Doylestown Hospital is a Tier One Provider.
- Jefferson Health Partners, Medicare Advantage and Medicaid Plans
- Keystone First (Managed Medicaid & Keystone Connect and Managed Medicare)
- Medicare Traditional
- Medicaid Traditional Pennsylvania
- Multiplan PPO
- Tricare
- United Health Care (Includes Medicare Advantage, Oxford, Evercare, Golden Rule, and Definity among others)
- UPMC Commercial, Medicare Advantage and Health Choices
- Valley Preferred
- VACCN Veterans Administration Insurance through United Health Care (only with referral)
NOTE: Tier One means that the insurance company has identified Doylestown Hospital as a low cost and cost efficient hospital.
See below for participating plans, including Medicare Advantage, Medicaid and ACA/Exchange and Community HealthChoices:
- Aetna
- AmeriHealth Administrators, Inc. (excluding Lebanon County Facilities and Providers)
- Capital Blue Cross/Capital Advantage Insurance Co.
- Carelon (Formerly Beacon)
- CHAMPVA
- CIGNA Health Plan
- Eliance Health Solutions
- First Health Network
- Geisinger Plan
- Highmark BCBS
- Humana (Choicecare Network)
- Humana Military (Tricare)
- Imagine Health
- Independence Blue Cross (excluding Lebanon County Facilities and Providers)
- Keystone Health Plan Central
- Keystone Health Plan East (excluding Lebanon County Facilities and Providers)
- Magellan Behavioral Health
- MHN (Behavioral Health only)
- MHNet Behavioral Health
- Optum / Veterans Administration Community Care Network (VA CCN)
- Optum Health/United Behavioral Health
- Oscar Health Plan of Pennsylvania
- PA Health & Wellness
- Preferred Health Care
- Prime Health
- Quest Behavioral Health
- United Healthcare
- UPMC Commercial HMO/PPO
Lancaster General Health - Medicare Advantage plans
- Aetna HMO: Advantra Signature, Premier, Value Care, Advantra Eagle Plus, Advantra Enhanced, Pinnacle Health Prime, Chronic Care Value (C-SNP), Community Health Choices (D-SNP), Advantra Dual Care (D-SNP), Longevity (I-SNP)
- Aetna PPO: Advantra Premier, Advantra Signature, Advantra Signature Extra, Advantra Signature Giveback, Enhanced, Signature, Signature Extra, Signature Giveback, Value Care, Pinnacle Health Prime
- AmeriHealth Caritas VIP Care (D-SNP)
- Capital Blue Cross PPO: Capital Blue Cross Basic, Capital Blue Cross Classic, Capital Blue Cross Complete, Capital Blue Cross Enhanced, Capital Blue Cross Prime, Capital Blue Cross Select, Capital Blue Cross Value
- Devoted PPO: Choice 007 PA, Choice Giveback 003 PA, Choice Giveback 008 PA, Choice Premium 002 PA
- Devoted HMO: Core 012 PA, Core 023 PA Giveback 013 PA, Devoted C-SNP Plus 021 PA (C-SNP), Devoted C-SNP Plus 022 PA (C-SNP), Devoted C-SNP Premium 016 PA (C-SNP), Devoted C-SNP Premium 019 PA (C-SNP), Devoted DUAL Full 025 PA (D-SNP), Devoted DUAL Full 026 PA (D-SNP), Devoted Full Plus 005 PA (D-SNP), Devoted Full Plus 07 PA (D-SNP)
- Geisinger Gold HMO: Classic Advantage Rx, Classic Complete Rx, Classic Essential Rx, Heritage, Value Rx, Secure Rx (D-SNP)
- Geisinger Gold PPO: Preferred Advantage Rx, Preferred Complete Rx
- HealthSpring HMO: Preferred, Preferred PA, Preferred Plus, Preferred Savings, Achieve (C-SNP), TotalCare Plus (D-SNP)
- HealthSpring PPO: True Choice
- Highmark HMO: Community Blue Medicare HMO Distinct, Community Blue Medicare HMO Signature
- Highmark PPO: Community Blue Medicare PPO Signature, Complete Blue PPO Distinct, Complete Blue PPO Merit, Freedom Blue PPO Basic, Freedom Blue PPO Deluxe, Freedom Blue PPO Standard, Freedom Blue PPO Valor, Freedom Blue PPO ValueRx
- Highmark Wholecare HMO: Diamond (D-SNP), Ruby (D-SNP)
- Humana HMO: Gold Plus H6622-035, Gold Plus H6632-037, Gold Plus SNP-DE H5377-003 (D-SNP), Gold Plus SNP-DE H6622-078 (D-SNP)
- Humana PFFS: Gold Choice H8145-052, Gold Choice H8145-055, Gold Choice H8145-163
- Humana PPO: Choice Giveback H5216-116, Choice Giveback H5525-085, Choice H5216-120, Choice H5525-005, Choice H5525-006, Choice H5525-086, Choice H5525-051, USAA Honor Giveback, USAA Honor Giveback with Rx, Choice SNP-DE H5216-227 (D-SNP), Choice SNP-DE H7617-048 (D-SNP)
- Humana PPO-Regional: Choice R0110-007, Choice R0110-008
- Independence Blue Cross HMO: Keystone 65 Basic Rx, Keystone 65 Liberty Medical Only, Keystone 65 Preferred Rx, Keystone 65 Preferred Medical Only, Keystone 65 Select Rx, Keystone 65 Select Medical Only
- Independence Blue Cross HMO-POS: Keystone 65 Essential Rx
- Independence Blue Cross PPO: Personal Choice 65 Achieve Rx, Personal Choice 65 Plus Rx, Personal Choice Rx
- Jefferson Health Plans HMO: Complete, Giveback, Prime, Dual Pearl (D-SNP), Select (D-SNP), Special (D-SNP)
- Jefferson Health Plans PPO: Flex, Flex Plus, Flex Pro
- Keystone Health Plan Central HMO: Capital Blue Cross Essential, Capital Blue Cross Premier, Capital Blue Cross Value
- Perennial HMO: Advantage Freedom, Advantage Premier (I-SNP), Advantage Strive (I-SNP)
- Providers Partners PA: Advantage Plan (I-SNP), Community Plan (I-SNP), Essential Plan (I-SNP)
- United Healthcare HMO-POS: AARP Medicare Advantage UHC PA-0001, AARP Medicare Advantage UHC PA-0002, AARP Medicare Advantage Essentials UHC PA-5, AARP Medicare Advantage Extras UHC PA-18, AARP Medicare Advantage Patriot No Rx PA-MA01, UHC Complete Care PA-17 (C-SNP), Dual Complete PA-S3 (D-SNP), Dual Complete PA-S002 (D-SNP), Dual Complete PA-V001 (D-SNP)
- United Healthcare PPO: AARP Medicare Advantage UHC PA-0007, AARP Medicare Advantage UHC PA-0008, AARP Medicare Advantage UHC PA-0009, AARP Medicare Advantage UHC PA-0010, AARP Medicare Advantage UHC PA-0011, AARP Medicare Advantage Giveback UHC PA-12, UHC Dual Complete PA-S001 (D-SNP), UHC Nursing Home Plan EX-F002 (I-SNP)
- UPMC HMO: UPMC for Life HMO Deductible Rx, UPMC for Life HMO No Rx, UPMC for Life HMO Premier Rx, UPMC for Life HMO Rx, UPMC for Life HMO Rx Choice, UPMC for Life Rx Enhanced, UPMC for Life Complete Care (D-SNP)
- UPMC PPO: UPMC for Life PPO Essential Care Rx, UPMC for Life PPO Rx Choice, UPMC for Life PPO Rx Enhanced, UPMC for Life PPO Premier Rx, UPMC for Life PPO Salute
- Wellcare HMO-POS: Assist, Patriot Giveback, Simple, Dual Liberty Sync (D-SNP), Dual Select (D-SNP)
Lancaster General Health – Medical Assistance/Medicaid plans
- AmeriHealth Caritas of PA (Physical Health and Community Health Choices participating)
- Community Care Behavioral Health Organization (Behavioral Health only. Berks, Chester, and York/Adams Counties)
- Geisinger of PA
- Highmark Wholecare (formerly Gateway Health Plan)
- Health Partners Plan
- Keystone Autism Service of PA
- Keystone First of PA (Limited PCP Participation. Excludes Community Health Choices and D-SNP products)
- PA Health & Wellness (Community Health Choices participating)
- PerformCare (Behavioral Health only)
- United Healthcare Community Plan (Limited PCP Participation)
- UPMC for You (Physical Health and Community Health Choices participating)
Lancaster General Health - ACA/Exchange plans
- Capital Blue Cross — Capital Advantage Assurance Company - Gold, Silver, Bronze PPOs
- Geisinger Marketplace - All Access HMOs & PPOs
- Highmark BCBS- my Blue Access PPOs & my Direct Blue EPOs
- Independence Blue Cross - Personal Choice and Keystone HMOs
- Oscar Health Plan of Pennsylvania - Gold, Silver, Bronze HMOs
- PA Health & Wellness - Ambetter Gold, Silver, Bronze HMOs
- UPMC Health Plan - UPMC Advantage - Gold, Silver, Bronze PPOs
Lancaster General Health – Community HealthChoices 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 PrincetonManagedCare@pennmedicine.upenn.edu. We will respond to your request and advise if we accept your plan.
- Aetna
- Amerihealth (includes IBC/Keystone)
- Beechstreet/Concentra/ppoNext
- Braven Health
- Centivo
- CHN
- Cigna/Great West
- Claim Watcher (Plus)/Homestead (Pinpoint Health Benefits)
- Clover
- Coventry Health Plans
- Devon
- Eliance Health Solutions
- Fidelis Care of NJ
- FirstMCO
- First Health
- Health Payers Organization
- HealthNetwork America
- Horizon
- Horizon NJ Health
- Horizon NJ TotalCare HMO SNP
- Humana Medicare
- Imagine Health
- Integrated Health Plan
- InterGroup Services
- Longevity Health Plan of NJ
- MagnaCare/ Magnacare WC&PIP
- NJ Medicare
- OSCAR
- Pinpoint Health Benefits (Claim Watcher Plus/Homestead)
- Oxford
- Prime Health Services
- QualCare
- Tricare Humana Military
- Three Rivers Provider Network
- United Healthcare
- USA Managed Care Organization
- Wellcare Medicaid (Fidelis Care of NJ)
- Wellcare NJ Medicare