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Changes to Premera's Heritage Prime Network Affects WEA Select Health

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Changes to Premera's Heritage Prime Network Affects WEA Select Health Changes to Premera’s Heritage Prime Network affects WEA Select Health Plans On Nov. 1, 2016, the WEA Select EasyChoice Plan B will change from the Premera Heritage network to the Heritage Prime network. Heritage Prime includes major medical facilities and providers across Washington that work closely with Premera to manage healthcare costs and quality. To help ensure Heritage Prime continues to offer the best combination of choice and value, there will be a change starting in the New Year. This will affect WEA Select EasyChoice B and Basic Plans. Some doctors, hospitals, and clinics in the Swedish, Providence, and CHI Franciscan Health systems will no longer be in- network for Heritage Prime as of January 1, 2017. Some will remain in-network in areas where there are few or no other options to get medical care. (Please see the list on the back page.) With Heritage Prime, Premera strives to keep health plans affordable while giving access to quality care High-quality Care — The medical professionals in Heritage Prime share Premera’s commitment to the highest levels of quality, safety, and enrollee experience. Cost-effective Care — The doctors and hospitals in Heritage Prime have contracts with Premera to keep the total cost of care as low as possible. Choice — Some of the major medical systems in Heritage Prime include: • EvergreenHealth Medical Center • The Everett Clinic • Overlake Hospital Medical Center • Deaconess Hospital (Rockwood • MultiCare Health System • UW Medicine Health System) • Northwest Physicians Network • Virginia Mason Remember, if you choose a doctor or hospital in the network, your out-of-pocket costs will be lower. Tips • Beginning January 1, 2017, if you choose to use a provider that will no longer be in Heritage Prime, you could pay higher costs. • To avoid paying higher costs, use doctors and facilities in Heritage Prime. Use the “Find a Doctor” tool at premera.com/wea. • Call Premera’s WEA Select Customer Service at 800-932-9221 if you have questions about the changes to the Heritage Prime network. We’re here to help. For questions please call Premera’s Heritage Prime Network WEA Select Customer Service at Effective January 1, 2017 800-932-9221. Western Washington In-Network Out-of-Network Seattle Hospitals—Virginia Mason, Northwest, Seattle Children’s, Hospitals— Swedish Health Services (First Hill, Cherry Hill, University of Washington, Harborview, Seattle Cancer Care Ballard, Mill Creek, Redmond), Pacific Medical Center Alliance Practices—Polyclinic, Virginia Mason, Northwest Medical Clinics, Practices—Swedish Physicians, Providence Health Systems Children’s University Medical Group Eastside Hospitals—Evergreen, Overlake Hospitals—Swedish Issaquah Practices—Evergreen Medical Group, Overlake Medical Clinic, Practices—Swedish Physicians Children’s University Medical Group, Overlake Internal Medicine Snohomish Hospitals—Cascade, Valley General, Providence Regional Medical Hospitals—Pacific Medical Center Center–Everett (Colby & Pacific), Swedish Edmonds Practices—The Everett Clinic, Western Washington Medical Practices—Swedish Physicians Group, Cascade Valley Physicians, Edmonds Family Medicine South Puget Sound, Pierce and Kitsap Counties Hospitals—Valley Medical (Renton), MultiCare (Auburn), Harrison Hospitals—Highline Medical Center, St. Francis Hospital, Pacific Medical Center (Bremerton) Medical Center Practices—Valley Medical Center, MultiCare Professional Groups, Practices—Franciscans Health System Providers and Medical Harrison Medical Center, The Doctors Clinic Groups Olympia area Hospitals—Capital, Providence St. Peter Hospital, Providence Hospitals—No change Hospital (Centralia) Practices—Capital Physicians Practices—Providence Medical Groups Central Washington Yakima Hospitals—Yakima Valley Memorial Hospital, Yakima Regional Hospitals—No change Medical & Cardiac Center Practices—Yakima Memorial Physicians Practices—No change Tri-Cities / Walla Walla Hospitals—Kennewick General Hospital, Providence St. Mary Hospitals—No change Medical Center, Walla Walla General Practices—Kennewick General Hospital Physician Clinics, TriCity Practices—Kadlec Clinic LLC, Our Lady of Lourdes Medical Orthopedic, Walla Walla Medical Group Clinics, Columbia Basin Oncology & Hematology, Providence SE Washington (Providence Medical Group – Walla Walla) Eastern Washington Spokane area Hospitals—CHS (Deaconess and Valley Hospital), Providence Hospitals—Providence Sacred Heart Medical Center & Children’s St. Joseph’s Hospital (Stevens County), Providence Mt. Carmel Hospital, Providence Holy Family Hospital, Kootenai Medical Hospital (Ferry County) Center Practices—Rockwood Clinic, Cancer Care Northwest, Pediatrix, Practices—Providence Health & Services PMG (Providence Columbia Medical Associates, Spokane Digestive Disease Medical Groups) includes Stevens County and Ferry County providers This is not an exhaustive list of all practices and hospitals participating in the Heritage Prime Network throughout Washington. This information is subject to change. For additional hospital and practice information please call Premera’s WEA Select Customer Service at 800-932-9221. Premera Blue Cross is an independent licensee of the Blue Cross Blue Shield Association 037319 (07-2016).
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