Billing & Insurance

Reading Hospital is committed to providing affordable, quality healthcare to all patients. We understand that billing and payment for healthcare services can be confusing.

Knowing your insurance policy is important for you to receive the maximum benefits for your healthcare services. Your benefit coverage level for care provided by Reading Hospital is determined solely by your insurance. Reading Hospital is contracted with many health plans. A list of those plans can be found below. You can also call our Patient Financial Services office at 484-628-5683 for a complete list.

Please note: our list is not meant to be all-inclusive and is subject to change. Please check with your health plan to verify coverage.

Insurance Information

Reading Hospital has contracts with the following health insurance companies:

Commercial

  • Aetna (NOTE: Not PEBTF HMO or MarketPlace with "QHP" on the ID card)
  • AmeriHealth Administrators
  • Berkshire Health Partners
  • Capital Blue Cross (NOTE: NOT PPO Choice or Value HMO)
  • Cigna
  • Coventry
  • EHP Significa Network
  • First Health Network
  • Geisinger Health Plan
  • Great West
  • HealthAmerica/Health Assurance
  • Highmark Blue Shield (NOTE: standard tier)

We do not participate in the following Highmark plans:

    • Community Blue Medicare HMO
    • My Direct Blue EPO
  • Independence Blue Cross
  • Keystone Health Plan Central
  • Keystone Health Plan East
  • TriCare
  • United Healthcare
    • Unitedhealthcare Navigate
    • All Savers
    • Unitedhealthcare Catalyst
    • UHC Choice and Choice Plus
    • UHC Choice Advance and Choice Plus Advance
    • UHC Options PPO plans
    • UHC Tiered Benefit Plans
    • UHC MD-IPA Plan

    We do not participate in the following United Healthcare plans:

    • Oxford (unless the member has access to choice plus)
    • Heritage (unless the member has access to choice plus)
    • Erikson Advantage
  • UPMC Health Plans:
    • Premium Network Plans PPO and EPO Plans
    • UPMC Employees Out of Area PPO Plan
    • MyCare Advantage PPO Level 2 Providers

We do not participate in the following UPMC plans:

    • Partner Network Plans (HMO and EPO Plans)
    • Standard Network Plans (HMO Plans)
    • Partner Network Plans (HMO and EPO Plans)
    • UPMC Business Advantage HMO (Referral Required)
    • UPMC Business Advantage HMO (No Referral)
    • Enhanced Access (HMO and POS Plans)
    • UPMC Employees Advantage (EPO Plans)
    • Panther Gold Advantage HMO (For Pitt Employees)
    • Panther Gold HMO (For Pitt Employees)
    • FEHB Plans
    • UPMC Inside Advantage Level 1 Providers
    • MyCare Advantage HMO Level 1 Providers
    • MyCare Advantage HMO Level 2 Providers
    • MyCare Advantage PPO Level 1 Providers

CHIP

  • Aetna Better Health Kids
  • Capital Cares for Kids
  • GHP Kids (Geisinger)
  • Highmark PPO Plus
  • United Healthcare Community Plan for Kids
  • UPMC for Kids

Marketplace/ACA Plans

  • Capital Blue Cross
    • Bronze PPO 7350-0-60
    • Silver PPO 5000/10/30
    • Gold PPO 2000/10/20
  • ALL Geisinger Marketplace Plans, EXCEPT Geisinger Marketplace “Select” HMO (which says “Select Network” on the card)
  • Independence Blue Cross
    • Personal Choice Bronze Reserve IBC (Tier 3)
    • Personal Choice PPO Bronze IBC (Tier 3)
    • Keystone HMO Silver Proactive IBC (Tier 3)
    • Keystone HMO Gold Proactive IBC (Tier 3)
    • Personal Choie Silver Reserve IBC (Tier 3)
    • Keystone HMO Gold IBC (Tier 3)
    • Personal Choice PPO Silver IBC (Tier 3)
    • Personal Choice PPO Gold IBC (Tier 3)
    • Keystone HMO Platinum IBC (Tier 3)
    • Personal Choice Platinum IBC (Tier 3)
  • UPMC Health Plans
    • Tower UPMC Advantage Bronze
    • Tower UPMC Advantage Silver
    • Tower UPMC Advantage Gold

Medicaid HMO

  • Aetna Better Health
  • AmeriHealth Caritas
    • Pennsylvania
    • Northeast
  • Gateway Health Plan
  • Keystone First (except Tower Health Medical Group/hospital-based clinics, which are out of network)
  • United Healthcare Community Plan for Families
  • UPMC for You HMO

Medicare Advantage

Plans Offering Drug Coverage

  • AARP Medicare
    • Complete HMO
    • Complete Choice PPO
  • Aetna Medicare
    • Choice HMO
    • Silver HMO
    • Gold PPO
    • Premier HMO
    • Standard HMO
  • AmeriHealth Caritas VIP Care
  • Capital Blue Cross Medicare Advantage
    • BlueJourney HMO
  • Coventry Advantra
    • Gold PPO
    • Silver HMO
    • One PPO
  • Highmark Medicare Advantage
    • Freedom Blue PPO
    • Community Blue Medicare PPO
    • Community Blue Medicare PPO Plus – Clinton, Lycoming, Sullivan, and Tioga Counties only
  • Keystone 65
    • Basic Rx HMO
    • Preferred Rx HMO
    • Select Rx HMO
  • Personal Choice 65 Rx PPO
  • UPMC for Life
    • HMO
    • PPO

    We do not participate in the following UPMC plans:

    • UPMC for Life HMO Premier Rx

Plans without Drug Coverage

  • Keystone 65
    • Preferred Medical Only HMO
    • Select Medical Only HMO

Special Needs Plan

  • Gateway Health Medicare Assured
    • Diamond HMO
    • Ruby HMO
  • Keystone First VIP Choice HMO
  • United Healthcare 
    • AARP Medicare Complete
    • UHC Dual complete
    • UHC Group Medicare Advantage Plans
    • UHC Assisted Living Plan (PPO)
    • UHC Nursing Home Plan

We also accept Medicare and Medical Assistance.

Reading Hospital will gladly submit a bill to any insurance carrier on your behalf. However, that is not a guarantee that the insurance carrier will pay the claim.

It is important for you to be aware of your benefits and any restrictions that may apply to your specific plan. By being informed about what your health plan covers, you can be assured of receiving the maximum coverage to which you are entitled.

Payment and Contacts

  • Pay Online
  • Phone: Dial 484-628-5820 or toll-free 866-333-5820 between the hours of 8 a.m. and 5 p.m.
  • Via E-Mail
  • In Person: Visit the Patient Billing Services office located in C-Building on the second floor between the hours of 8 a.m. and 4:30 p.m. (Enter at the 6th Avenue Lobby)
  • Receive a price quote for services.

Billing and Payment: Reading Hospital

Billing and Payment: Reading Hospital Surgical Services