Participating insurances for the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Chester County Hospital, New Jersey facilities and PA & NJ physician groups (excluding Princeton Health). 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.
You can access plan listings for other Penn Medicine hospitals at the following:
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.
Plans
NOTE: Contracts marked with an asterisk (*) are for Transplant services in our Philadelphia locations. Please call 800-789-7366 (PENN) for more information.
Medicare Advantage
- AARP MedicareComplete - United Healthcare (PPO/HMO)
- Aetna
Silver, Premier, Premier Plus, Explorer Elite Advantra: Value, Premier (Plus), Cares (SNP) - HMO Value, Gold, Advantra Credit Value - PPO
- AmeriHealth (NJ)
Core, Enhanced, Secure, Ultimate (PPO)
- Blue Cross Blue Shield Association National Medicare Advantage (Blue Card PPO)
Blue Medicare Advantage (Blue MA), and Blue High Performance Network (HPN)
- Cigna Medicare (PA Only)
- Clover Health - Choice, Choice Value (PPO) (excludes Chester County Hospital)
- Erickson Advantage Plans
- Erickson Advantage Champion/Guardian Plans
- Geisinger Health Plan - Gold Classic (HMO), Gold Secure (SNP), Gold Preferred (PPO) (excludes Chester County Hospital)
- Highmark Wholecare - Assured Diamond, Ruby (HMO-SNP)
- Horizon Blue Cross Blue Shield of NJ
Blue Access Group, Blue Choice, Blue Select, Braven: Group, Access Grouo - HMO Blue, Blue Group Braven: Choice, Freedom - PPO (Chester County Hospital participates in the PPO/POS Blue Card program)
- Humana (excludes organ transplant)
PPO, HMO, DSNP, PFFS
- Independence Blue Cross - Personal Choice 65 (Prime, Saver, Elite) (Blue MA)
- Jefferson Health Plans (aka Health Partners Plans) – Complete, Prime, Special (SNP) – HMO, POS (includes CHIP)
- Keystone First VIP Choice (HMO, SNP) (excludes Chester County Hospital)
- Keystone Health Plan East - Keystone65 Select, Preferred, Basic (HMO)
- Medicare - Traditional (Red, white and blue card)
- Mercy Life (Dual Eligible)
- Provider Partners Health Plan (PPHP)
- Trinity Life
- United Healthcare
AARP Medicare Advantage, Dual Complete ONE of PA & DE, Nursing Home Plan 2
- UnitedHealthcare (NJ residents will need to activate their Passport option, if available, to see PA providers)
- 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.
Pennsylvania Medical Assistance Managed Care (Medicaid)
Health Insurance Marketplace/Exchange
Community Healthchoices (CHC)
Affordable Care Act (ACA) Exchange
Effective April 26, 2024