Winchester Hospital Tiered Hospital List

As a Winchester Hospital Choice Tiered Plan member, you can choose between three levels of coverage: Coverage at the Tier 1 level of benefits,a higher level of benefits, when you receive covered services from Winchester Hospital and Lahey Health. Coverage at the Tier 2 level of benefits,a preferred level of benefits, when you receive covered services from a community hospital within the Tufts Health Plan network or at Tufts Medical Center. Coverage at the Tier 3 level of benefits,a lower level of benefits, when you receive covered services from a tertiary hospital within the Tufts Health Plan network.

TIER 1

Winchester Hospital Northeast Hospital Corp. Lahey Clinic Hospital - Addison Gilbert Hospital - Beverly Hospital

TIER 2

Anna Jaques Hospital Falmouth Hospital Memorial Hospital of RI Athol Memorial Hospital Faulkner Hospital Mercy Medical Center Baystate Medical Center Franklin Medical Center Merrimack Valley Hospital Berkshire Medical Center Good Samaritan Medical Center Metrowest Medical Center Beth Israel Deaconess Hospital Hallmark Health Systems Milford Regional Medical Center - Needham Campus - Lawrence Memorial Hospital Milton Hospital Beth Israel Deaconess - Melrose Wakefield Hospital Morton Hospital & Medical Center Medical Center Harrington Memorial Hospital Mount Auburn Hospital Brockton Hospital HealthAlliance Hospitals Nantucket Cottage Hospital Cambridge Hospital Henry Heywood Memorial Hospital Nashoba Valley Medical Center Cape Cod Hospital Holy Family Hospital Newport Hospital Carney Hospital Holyoke Medical Center Newton-Wellesley Hospital Catholic Medical Center Jordan Hospital Noble Hospital Charlton Memorial Hospital Kent County Hospital North Adams Regional Hospital Clinton Hospital Landmark Medical Center North Shore Medical Center Cooley Dickinson Hospital Lawrence General Hospital - Salem Hospital Elliot Hospital Lowell General Hospital - Union Hospital/Atlanticare Emerson Hospital Marlborough Hospital Norwood Hospital Exeter Hospital Martha’s Vineyard Hospital Parkland Medical Center Fairview Hospital Mary Lane Hospital Portsmouth Regional Hospital TIER 2 (continued)

Quincy Medical Center Southwestern Vermont St. Luke’s Hospital Roger Williams Medical Center Medical Center St. Vincent Hospital Saints Memorial Hospital St. Anne’s Hospital Sturdy Memorial Hospital South Shore Hospital St. Elizabeth’s Medical Center The Westerly Hospital Southern N.H. Regional St. Joseph Hospital Tobey Hospital Medical Center St. Joseph’s Hospital Tufts Medical Center (including Fatima Hospital) Wing Memorial Hospital

TIER 3

Boston Medical Center Massachusetts General Hospital South County Hospital Brigham and Women’s Hospital Miriam Hospital UMass Memorial Medical Center Children’s Hospital New England Baptist Hospital Women and Infants Hospital Dana-Farber Cancer Institute Rhode Island Hospital Mary Hitchcock Memorial Hospital - Including Hasboro Children’s Massachusetts Eye and Ear Infirmary Hospital

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