Insurance Plans and Networks Accepted by TriValley
As noted elsewhere, acceptance of networks and payor plans may change. Always check with the physician's office staff to see if your plan/network is acceptable. TriValley Primary Care continues to validate the insurance and payment plans it will accept.
INSURANCE PLANS/NETWORKS
TRIVALLEY PARTICIPATES WITH
as of January, 2010
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INSURANCE NETWORKS
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TVPC participates with any insurance cards with these logos, except as noted
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| Coventry Health |
See HealthAmerica |
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Devon Health & ULLICARE
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Great-West
Healthcare
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HealthAmerica
&
HealthAssurance |
Includes Coventry Health, HealthAmerica HMO, HealthAssurance CCPPO, and Coordinated Care PPO; but does NOT include Advantra enrollees |
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InterGroup
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Not all insurance cards will have the InterGroup emblem, check your list of InterGroup insurances.Beech Street is part of InterGroup
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Private Health Care Systems (PHCS)
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Not accepted after June 30, 2010
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INSURANCE PLANS
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EXCEPTIONS/NOTES
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Aetna
|
If Aetna HMO (or equivalent plan), must be on capitation list.
HMO patients selecting a TriValley office, please provide one of the following numbers to the Customer Service Rep. (on back of card):
Lower Salford 40050
Pennridge 40049
Upper Perkiomen 101
Franconia 40057
Lansdale 40030
Western Bucks 1289
Indian Valley 40055
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AmeriHealth Administrators/
Intercounty
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All Plans:
Note: VP AmeriHealth may be seen in-network
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Benefit Concepts, Inc. (BCI)
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Must be paired with BC/BS logo or Devon Health logo
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Blue Cross Blue Shield
or
Blue Shield
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Front of card shows an empty suitcase or a suitcase with PPO or back of card specifies that claims are submitted locally.
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Blue Choice
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Personal Choice
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Capital Blue Cross
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(Not participating but…) All physicians will submit claims locally through Highmark under the Blue Card program.
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CIGNA
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All plans EXCEPT CIGNA Medicare Access
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Highmark (Blue Shield)
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All Plans (Formerly Pennsylvania Blue Shield)
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Keystone Health Plan East
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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
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Keystone Mercy
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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
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Medical Assistance
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Must be "Fee for service"
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Medicare
|
Note: Medicare uses the term “Original Medicare”
Must have Part B coverage
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| Medicare Advantage Plans |
(formerly called Medicare + Choice Plans)
TriValley accepts the following Medicare Advantage Plans:
- Keystone 65
- Personal Choice 65
- Aetna Golden Choice and other Aetna Plans
- Blue Shield Freedom Blue PFFS
- BS Select Advantage PFFS
TriValley does NOT accept the following plans:
- Evercare
- Sterling
- Advantra Freedom
- Any other Medicare Advantage plans not listed above
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Medigap &
Medicare
Supplemental
Policies
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All Medigap plans and any Medicare supplemental plan that pays TriValley directly (most do) are accepted.
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PremierBlue Shield
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Railroad Medicare
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TRICARE
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TriValley providers are TRICARE-certified (authorized) Non-Network Providers. All TriValley providers will accept assignment from TRICARE.
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Veterans Administration
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We submit and balance bill the patients but do not participate
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