UPMC Access in Western PA for Western Region Commercial and ACA Products Effective July 1, 2019

Broad Network Narrow Network Products Products

Large/National: PPO Blue, Large/National: Community EPO Blue, Keystone Blue Blue PPO/EPO/HMO, HMO, Direct Blue, Classic Community Blue Flex EPO/PPO, Blue, Signature 65, FEP Connect Blue, Conemaugh Standard, FEP Basic, FEP Blue Region Flex Blue, Pennsylvania Focus Mountain Healthcare Region

Small Group: PPO Blue, EPO Small Group: Community Blue Blue, Keystone Blue HMO, PPO, Premier Balance PPO a Premier Balance PPO, Community Blue Flex Plan, Balance PPO, Health Savings Balance PPO a Community Blue PPO, High Deductible Flex Plan, Health Savings PPO a Qualified PPO, Keystone Community Blue Flex Plan, HMO, Shared Cost PPO Connect Blue EPO, Flex PPO Pennsylvania Mountain Individual Markets: Healthcare Region a Community Complete Care, KeystoneBlue Blue Flex Plan HMO, Shared Cost Blue PPO Individual Markets: Major Events PPO a Community Blue Plan, my Direct Blue EPO, my Direct Blue HMO, my Direct Blue Erie HMO, my Direct Blue Conemaugh EPO UPMC Non-Exception Hospitals & Affiliated Providers . Magee-Women’s Hospital of UPMC . UPMC East . UPMC Mercy . UPMC McKeesport . UPMC Passavant In-network Out-of-network . UPMC Presbyterian Shadyside . UPMC St. Margaret . UPMC Hamot . Doctors affiliated with hospitals above UPMC Exception Hospitals & Affiliated Providers . UPMC Altoona . UPMC Bedford . UPMC Cole . UPMC Horizon In-network . UPMC Jameson In-network . UPMC Kane . UPMC Northwest . UPMC Somerset . Western Psychiatric Institute and Clinic of UPMC . Doctors affiliated with hospitals above Childrens Hospital of Pittsburgh of UPMC (including oncology and all affiliated In-network In-network pediatric practices) UPMC JVs at Community Hospitals . Butler Health System Medical Oncology . Butler Health System Radiation Oncology . Excela Arnold Palmer Cancer Center – Greensburg (Medical & Radiation Oncology) . Excela Arnold Palmer Medical Oncology - Mt. Pleasant . Excela Arnold Palmer Medical Oncology – Norwin . Grove City Medical Oncology . Heritage Valley Radiation Oncology - Moon . Heritage Valley Radiation Oncology - Beaver . John P. Murtha Regional Cancer Center - Johnstown (Radiation Oncology) . The Regional Cancer Center – Erie (Radiation Oncology) . St. Clair Cancer Center . IRMC Cancer Center In-network In-network . UPMC Cancer Center at UPMC Horizon Medical & Radiation Oncology Center . UPMC Cancer Center at UPMC Northwest . UPMC Hillman Cancer Center - Altoona (Medical & Radiation Oncology) . UPMC Hillman Cancer Center - Beaver (Medical Oncology) . UPMC Hillman Cancer Center - Greenville (Medical Oncology) . UPMC Hillman Cancer Center - Johnstown (Medical Oncology) . UPMC Hillman Cancer Center - Moon (Medical Oncology) . UPMC Hillman Cancer Center – New Castle (Medical Oncology) . UPMC Hillman Cancer Center - Uniontown (Medical Oncology) . UPMC Hillman Cancer Center - Washington (Medical Oncology) . UPMC Hillman Cancer Center - Windber (Medical Oncology) . UPMC Uniontown Hospital Radiation Oncology . Washington Health System Radiation Oncology

Updated as of July 16,2019 UPMC Hillman Cancer Center . Mary Hillman Jennings Radiation Oncology at UPMC Shadyside . The Mario Lemieux Center for Blood Cancers . UPMC Hillman Cancer Center at Magee-Womens Hospital of UPMC . UPMC Hillman Cancer Center at UPMC East . UPMC Hillman Cancer Center at UPMC Hamot . UPMC Hillman Cancer Center (West 12th Street, Erie) . UPMC Hillman Cancer Center at UPMC McKeesport . UPMC Hillman Cancer Center at UPMC Mercy In-network Out-of-network . UPMC Hillman Cancer Center at UPMC Natrona Heights . UPMC Hillman Cancer Center at UPMC Passavant McCandless . UPMC Hillman Cancer Center at UPMC Passavant North . UPMC Hillman Cancer Center at UPMC St. Margaret . UPMC Hillman Cancer Center in Bethel Park . UPMC Hillman Cancer Center in Monroeville . UPMC Hillman Cancer Center in Shadyside . UPMC Hillman Cancer Center in West Mifflin Specialty Services In-network In-network (e.g., Cystic Fibrosis, Certain Transplants)

Updated as of July 16,2019