Insurance Plans and Networks Accepted by TriValley

TVPC participates with any insurance cards with these logos, except as noted as of 4/28/2017

Not all insurance cards will have the InterGroup emblem, check your list of InterGroup insurances. Beech Street is part of InterGroup

All plans, except Workers Comp

EXCEPTIONS/NOTES

Aetna HMO- must be on capitation list. PEBTF-PPO Only

All Plans

AmeriHealth HMO - must be on Keystone capitation list

Must be paired with BC/BS logo

Front of card should be either: empty suitcase, suitcase w/PPO. Or back of card should specify that claims are submitted locally.

(Not participating, but will submit claims locally through Highmark under the Blue Card program)

All Plans EXCEPT Cigna Medicare Access

St Lukes Plans Only

HMO Plans- pt must be assigned to TVPC Office #308313. Includes First health Network. Does NOT include Advantra enrollees.

Must be on capitation list.

Must be on capitation list.

Must be "Fee for service"

Original Medicare and Railroad Medicare, Part B coverage

Keystone 65, Personal Choice 65, Aetna (Choice POS, Aetna MCR Gold POS, Standard & Premier), BS Freedom Blue PFFS, BS Select Advantage PFFS, Keystone Focus, UHC MCR ADV PPO ONLY. DO NOT ACCEPT: Evercare, Sterling Option 1, BRAVO, Geisinger Gold or any others

All Medigap plans and any Medicare supplemental plans that pay TVPC directly (most do) are accepted.

TVPC providers are non-network providers. They will accept assignment from TRICARE. No TRICARE prime HMO

Most commercial plans. Also Oxford Choice Plus Only DO NOT ACCEPT: Compass, SecureHorizons Medicare, Evercare, Community Plan, Medicare/CHIP; PA Benefit Medicaid, TRICARE benefit and other govt plans

We submit and balance bill the patients but do not participate