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Participating Insurance List

  • Aetna

  • Trustmark

  • CoreSource

  • Meritain

 

  • CHIP (Capital Blue Cross & Highmark)

 

  • Capital Blue Cross

    • Traditional Indemnity Network

    • Tower Health PPO (tier 1)

    • Keystone HealthPlan Central (HMO)

    • PPO Choice Select Network 2

    • PPO Network

    • POS Network 

    • Connect HMO

    • Care Connect Network

    • Performance PPO Select Network

 

  • Central Pennsylvania Teamsters Health & Welfare Fund (Aetna)

 

  • Highmark Blue Shield

    • Traditional Indemnity

    • Premier Blue Shield

    • Performance Blue

    • PA High Performance Network

    • PA National Performance Blue

    • ACA Select

    • Tiered Benefit Level:

      • Community Blue Flex Enhanced

      • Lehigh Valley Flex Blue Enhanced Central/NEPA

      • Choice Blue Enhanced

      • Performance Flex Blue Enhanced

 

  • Blue Cross / Blue Shield

  • Out-of-state plans

  • Federal Employee Plan (FEP)

  • CareFirst

  • Independence Blue Cross (“Premier Blue Specialist”)

  • Independence Administrators

  • TrustMark

 

 

 *We do not currently participate with Medicaid or Capital Blue Cross EPO network plans. 

 

PLEASE NOTE: The above list is NOT all inclusive. At times there are situations when we may be indirectly in network even though we are not directly a participating provider with an insurance company. We will assist in determining participating status.

 

IF WE DO NOT PARTICIPATE WITH YOUR INSURANCE PLAN, services can still be obtained privately. We will provide all of the necessary information (including diagnostic and billing codes) so that you can self-submit the claim directly to their insurance provider. "Prompt pay" rates will apply for all private services if paid at time of the visit.   Medicaid and HMO plans typically do not allow you to self-submit claims.

 

An insurance policy is a contract between the patient/member and their insurance company. It is ultimately the patient/member’s responsibility to understand their coverage. We will assist in verifying benefits to the best of our ability prior to services being rendered. However, this is not a guarantee that your insurance will cover the cost of services rendered. Any cost not covered by insurance is the patient/member’s responsibility with the exception of what we accept from insurance as the contracted rate for covered services. Co-pay is due at the time of service.  Co-insurance and deductible (estimated) will be collected at time of service or billed after the claim has been processed.

*This information was updated 2/16/23

~ We work VERY closely with our families to assist them in understanding their benefits so that they can make an informed decision about their child’s therapy services. ~

Understanding Your Insurance Benefits

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