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

If Aetna HMO (or equivalent plan), must be on capitation list. PEBTF-PPO Only    HMO Patients selecting a TVPC office must provide one of the following numbers to the Customer Service Rep on the back of the card:

   Lower Salford      40050 
   Pennridge          40049 
   Upper Perkiomen      101 
   Franconia          40057 
   Lansdale           40030 
   Western Bucks       1289 
  Indian Valley      40055
   

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

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

Must be on capitation list.

If selecting a TriValley office, please provide one of the following numbers to the Customer Service Rep. (on back of card):

   Lower Salford      0751623004
   Pennridge          0751623005
   Upper Perkiomen    0751623008
   Franconia          0751623003
   Lansdale           0751623024
   Western Bucks      0751623006
   Indian Valley      0751623001
   

Must be on capitation list.

If selecting a TriValley office, please provide one of the following numbers to the Customer Service Rep. (on back of card):

   Lower Salford      1025928
   Pennridge          1025859
   Upper Perkiomen    1101199
   Franconia          1025948
   Lansdale           1155147
   Western Bucks      1025874
   Indian Valley      1025773
   

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