Quality choices, no trade-offs.

Blue PerformanceSM enhanced (twin Cities focused)

Key providers: Multicare Associates Fairview Lakes Tier 1* Apple Valley Medical North Clinic Fairview Northland Center Hospital North Memorial Clinics Center for Diagnostic Fairview Ridges Hospital Imaging St. Croix Orthopedic Fairview Southdale Fairview Clinics St. Paul Radiology Hospital Family Health Services Stillwater Medical Group Lakeview Hospital 97% Summit Orthopedic Maple Grove Hospital HealthPartners Clinics Twin Cities Orthopedic Covered providers North Memorial Hospital in Minnesota Midwest Radiology who are in Key : Minnesota Blue Performance Gastroenterology Amplatz Children’s Tier 1 or Tier 2 Hospital Medical Center, Fairview Minnesota Oncology

Key providers: St. Cloud Hospital Clinic Mercy Hospital Tier 2* Affiliated Community University of Minnesota Methodist Hospital Medical Centers Physicians Sanford Hospitals Allina Medical Clinics Key hospitals: St. Cloud Hospital Aspen Medical Group Abbott Northwestern St. Francis Regional CentraCare Clinics Hospital Medical Center Children’s Clinics Bethesda Hospital St. John’s Hospital Clinics Children’s Hospitals St. Joseph’s Hospital HealthEast Clinics Essentia Health – St. Luke’s Hospital St. Mary’s Hospital Hennepin Faculty United Hospitals Associates Hennepin County Medical Center Unity Hospital Mayo Clinics Rochester Woodwinds Hospital Park Nicollet Clinics Methodist Hospital Sanford Clinics Mayo Clinic St. Mary’s Hospital

Out of network/ nonparticipating OON

*Provider listings are not all-inclusive. For a complete list of providers, visit bluecrossmn.com. Blue Performance Regional (statewide)

Key providers: North Memorial Clinics Fairview Ridges Hospital Tier 1* Allina Medical Clinics Park Nicollet Clinics Fairview Southdale Hospital Apple Valley Medical Sanford Clinics Center Lakeview Hospital St. Cloud Hospital Clinic Aspen Medical Group Maple Grove Hospital St. Croix Orthopedic Center for Diagnostic Mercy Hospital Imaging St. Paul Radiology 97% Methodist Hospital CentraCare Clinics Stillwater Medical Group North Memorial Hospital Fairview Clinics Summit Orthopedic Covered providers Regions Hospital in Minnesota Twin Cities Orthopedic Family Health Services who are in Sanford Hospitals Minnesota Blue Performance Key hospitals: Tier 1 or Tier 2 HealthPartners Clinics St. Cloud Hospital Abbott Northwestern St. Francis Regional Midwest Radiology Hospital Medical Center Minnesota Amplatz Children’s United Hospitals Gastroenterology Hospital Unity Hospital Minnesota Oncology Fairview Lakes Hospital University of Minnesota Multicare Associates Fairview Northland Medical Center, Fairview North Clinic Hospital

Key providers: Key hospitals: St. John’s Hospital Tier 2* Affiliated Community Bethesda Hospital St. Joseph’s Hospital Medical Centers Children’s Hospitals Woodwinds Hospital Children’s Clinics Essentia Health – Essentia Health Clinics St. Mary’s Hospital HealthEast Clinics Hennepin County Medical Center Hennepin Faculty Associates Mayo Clinic Rochester Methodist Hospital Mayo Clinics Mayo Clinic St. Mary’s University of Minnesota Hospital Physicians

Out of network/ nonparticipating OON

*Provider listings are not all-inclusive. For a complete list of providers, visit bluecrossmn.com.

A HEALTHIER TOMORROW STARTS TODAY. For more information, contact your agent or visit bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. F9997 (3/12)