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Your Choice 2-Tier Option— a Tiered Provider Network Plan

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Your Choice 2-Tier Option— a Tiered Provider Network Plan Your Choice 2-Tier Option— A Tiered Provider Network Plan 2021 Hospital Tiering List Your Choice is a Tufts Health Plan tiered provider network comprised of primary care providers, specialists and hospitals. As part of our National Committee for Quality Assurance (NCQA) accreditation and our own quality standards, we are committed to contracting only with high-performing hospitals. Every doctor and every hospital in the Your Choice network has been carefully evaluated, and every provider and hospital in the Your Choice network meets our standard for quality of care. Because not all doctors and hospitals charge the same costs, we’ve factored in cost- efficiency in our evaluation, and we have separated Your Choice providers into two tiers. Provider groups and their primary hospital affiliation are in the same tier to reflect referral patterns that those physicians would make most often.* Below is a list of all the hospitals in Tufts Health Plan’s network and their tiers. In choosing a tier, members must consider how much they are willing to pay out-of- pocket for the doctor and/or hospital they prefer. If members want the most cost- effective option, they should choose a doctor or hospital from Tier 1. If the doctor or hospital is in Tier 2, they have the freedom to choose, but they will pay higher out-of- pocket costs. Members pay different levels of copayments, coinsurance, and/or deductibles depending on their plan design and the tier of the provider delivering a covered service or supply. Your plan may make changes to a provider’s tier annually. Please consult the Your Choice provider directory or visit the provider search tool at tuftshealthplan.com and click on Find a Doctor to determine the tier of providers in the Your Choice Tiered Provider Network. *We have created the provider tiers for Your Choice at the physician group level—not on an individual provider basis. A physician’s tier does not guarantee the quality of care that members might receive from a specific physician or practice group, or a certain health outcome. Members should always speak with their physician when making decisions about where to get care. Your-Choice-2-Tier-Hospital-10/20 HOSPITAL TIER STATE Alice Peck Day Hospital 1 NH Androscoggin Valley Hospital 1 NH Anna Jaques Hospital 1 MA Athol Hospital 1 MA Baystate Franklin Medical Center 1 MA Baystate Medical Center 1 MA Baystate Noble Hospital 1 MA Baystate Wing Memorial Hospital 1 MA Beth Israel Deaconess Medical Center - Milton 1 MA Beth Israel Deaconess Medical Center - Plymouth 1 MA Beth Israel Deaconess Medical Center Boston 1 MA Beth Israel Deaconess Medical Center Needham 1 MA Boston Medical Center 1 MA Brattleboro Memorial Hospital 1 VT Brockton Hospital (Signature) 1 MA Cambridge Health Alliance 1 MA Cape Cod Hospital 1 MA Carney Hospital 1 MA Catholic Medical Center 1 NH Charlton Memorial Hospital 1 MA HOSPITAL TIER STATE Cheshire Medical Center 1 NH Concord Hospital 1 NH Connecticut Children’s Medical Center 1 CT Cottage Hospital 1 NH Dana-Farber Cancer Institute 1 MA Elliot Hospital 1 NH Exeter Hospital 1 NH Falmouth Hospital 1 MA Franklin Regional Hospital 1 NH Frisbie Memorial Hospital 1 NH Good Samaritan Medical Center 1 MA Harrington Hospital 1 MA Heywood Hospital 1 MA Holy Family Hospital 1 MA Holy Family Hospital at Merrimack Valley Hospital 1 MA Holyoke Medical Center 1 MA Huggins Hospital 1 NH Kent County Hospital 1 RI Lahey Clinic Hospital 1 MA Lakes Region General Hospital 1 NH HOSPITAL TIER STATE Landmark Medical Center 1 RI Lawrence General Hospital 1 MA Littleton Regional Hospital 1 NH Lowell General Hospital 1 MA Maine Medical Center 1 ME Marlborough Hospital 1 MA Mary Hitchcock Memorial Hospital 1 NH Melrose Wakefield HealthCare Lawrence Memorial Hospital 1 MA Melrose Wakefield HealthCare Melrose Wakefield Hospital 1 MA Memorial Hospital NH 1 NH Mercy Medical Center 1 MA MetroWest Medical Center 1 MA Milford Regional Medical Center 1 MA Miriam Hospital 1 RI Monadnock Community Hospital 1 NH Morton Hospital and Medical Center 1 MA Mount Ascutney Hospital 1 VT Mount Auburn Hospital 1 MA Nashoba Valley Medical Center 1 MA New England Baptist Hospital 1 MA HOSPITAL TIER STATE New London Hospital 1 NH Newport Hospital 1 RI Northeast Hospital Corp (Addison Gilbert Hospital) 1 MA Northeast Hospital Corp (Beverly Hospital) 1 MA Norwood Hospital 1 MA Our Lady of Fatima Hospital 1 RI Parkland Medical Center 1 NH Portsmouth Regional Hospital 1 NH Rhode Island Hospital 1 RI Roger Williams Medical Center 1 RI South County Hospital 1 RI South Shore Hospital 1 MA Southern Maine Medical Center 1 ME Southern N.H. Medical Center 1 NH Southwestern Vermont Medical Center 1 VT Speare Memorial Hospital 1 NH Springfield Hospital 1 VT St. Anne's Hospital 1 MA St. Elizabeth's Medical Center 1 MA HOSPITAL TIER STATE St. Joseph Hospital (Nashua) 1 NH St. Luke's Hospital 1 MA St. Vincent Hospital 1 MA Sturdy Memorial Hospital 1 MA The Westerly Hospital 1 RI Tobey Hospital (Southcoast) 1 MA Tufts Medical Center 1 MA UMass Memorial HealthAlliance-Clinton Hospital 1 MA UMass Memorial Medical Center 1 MA Upper Connecticut Valley Hospital 1 NH Valley Regional Hospital 1 NH Weeks Medical Center 1 NH Wentworth-Douglass General Hospital 1 NH Winchester Hospital 1 MA Women and Infants Hospital 1 RI York Hospital 1 ME Berkshire Medical Center 2 MA Boston Children's Hospital 2 MA Brigham & Women's Faulkner Hospital 2 MA Brigham and Women's Hospital 2 MA HOSPITAL TIER STATE Cooley Dickinson Hospital 2 MA Emerson Hospital 2 MA Fairview Hospital 2 MA Martha's Vineyard Hospital 2 MA Massachusetts Eye and Ear Infirmary 2 MA Massachusetts General Hospital 2 MA Nantucket Cottage Hospital 2 MA Newton-Wellesley Hospital 2 MA North Shore Medical Center (Salem Hospital) 2 MA North Shore Medical Center (Union Hospital) 2 MA .
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