Insurance Plans and Networks Accepted by TriValley

As noted elsewhere, acceptance of networks and insurance plans may change. TriValley Primary Care continues to validate the insurance and payment plans it will accept. Always check with with your insurance plan that your TriValley provider is an enrolled provider. Note: Medicare beneficiaries are assured that all TriValley providers are participating providers with "original" Medicare.

TriValley Primary Care - Participating Insurance Companies

INSURANCE NETWORKS

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

TIMELY FILING

InterGroup

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

 

OneNet PPO

All plans, except Workers Comp

 

 

INSURANCE PLANS

EXCEPTIONS/NOTES

TIMELY FILING

Aetna

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
   
120 days

AmeriHealth Admin & InterCounty

All Plans

1 year

AmeriHealth HMO & PPO

AmeriHealth HMO- must be on Keystone capitation list

1 year

Benefit Concepts, Inc.  (BCI)

Must be paired with BC/BS logo

1 year

Blue Cross/Blue Shield or Blue Shield

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

1 year

Capital Blue Cross

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

1 year

Personal Choice

 

 

Cigna / Great West

All Plans EXCEPT Cigna Medicare Access

6 months

Health America, Health Assurance, Coventry Health

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

1 year

Independence Administrators

 

1 year

Keystone Health Plan East

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
   
1 year

Keystone First

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
   
6 months

Medical Assistance

Must be "Fee for service"

180 days

Medicare

Original Medicare and Railroad Medicare, Part B coverage

1 year

Medicare Advantage Plans

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

 

Medigap & Medicare Supplemental Policies

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

 

Premier Blue Shield

 

1 year

TRICARE

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

1 year

UnitedHealthcare

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

 

Veterans Administration

We submit and balance bill the patients but do not participate

1 year

Top of Page

Home     :     Mission Statement     :     Providers     :     TVPC FAQ     :     Contact     :     Non Discrimination

Copyright © 2017. All Rights Reserved