Primary ChoiceSM Participating Hospitals - Massachusetts

2019 – 2020 PRIMARY CHOICE NON-PARTICIPATING If you need hospital care, please make sure your provider refers you to HOSPITALS – MASSACHUSETTS a hospital that participates in the Harvard Pilgrim Primary Choice network. Except in a medical emergency, care Anna Jaques Hospital (1) Lahey Clinic Hospital (2) you receive from hospitals that do Athol Memorial Hospital (1) Lawrence General Hospital (1) not participate in the Primary Choice Baystate Franklin Medical Center (2) Lowell General Hospital (1) network is not covered. Some non- Baystate Medical Center (2) Marlborough Hospital (1) participating acute care hospitals may Baystate Noble Hospital (1) Massachusetts Eye and Ear Infirmary (1) be participating behavioral health Baystate Wing Hospital (1) Mercy Medical Center (2) facilities. Please see the Primary Metrowest Medical Center – Beth Israel Deaconess Hospital – Milton (1) Choice/Independence Plan Provider Framingham Union Hospital (1) Beth Israel Deaconess Hospital – Needham (2) Directory for the list of participating Metrowest Medical Center – Beth Israel Deaconess Hospital – Plymouth (1) behavioral health facilities. Leonard Morse Hospital (1) Beth Israel Deaconess Medical Center (2) Milford Regional Medical Center (1) Berkshire Medical Center Boston Medical Center (2) Morton Hospital (2) Brigham & Women’s Faulkner Hospital Carney Hospital (2) Mount Auburn Hospital (2) Brigham & Women’s Hospital Charlton Memorial Hospital (1) Nashoba Valley Medical Center (2) Cape Cod Hospital Children’s Hospital (2) New England Baptist Hospital (1) Cooley Dickinson Hospital Dana-Farber Cancer Institute (2) Northeast Hospital Corporation – Fairview Hospital Emerson Hospital (1) Addison Gilbert Hospital (1) Falmouth Hospital Floating Hospital for Children Northeast Hospital Corporation – Martha’s Vineyard Hospital at Tufts Medical Center (2) Beverly Hospital (1) Massachusetts General Hospital Good Samaritan Medical Center (2) Norwood Hospital (1) Saint Anne’s Hospital (2) Nantucket Cottage Hospital Hallmark Health - Saint Vincent Hospital (2) Lawrence Memorial Hospital (2) Newton-Wellesley Hospital Signature Healthcare Brockton Hospital (1) Hallmark Health - Melrose Wakefield Hospital (2) North Shore Medical Center – Salem Hospital St. Elizabeth’s Medical Center (2) Harrington Memorial Hospital (1) North Shore Medical Center – Union Hospital St. Luke’s Hospital (1) South Shore Hospital HealthAlliance - Clinton Hospital (1) Sturdy Memorial Hospital (2) The Shriners Hospital for Children HealthAlliance Hospital, Burbank Campus (1) The Cambridge Health Alliance (1) (Boston and Springfield) HealthAlliance Hospital, Leominster Campus (1) Tobey Hospital (1) UMass Memorial Medical Center – Heywood Hospital (1) Tufts Medical Center (2) Hahnemann Campus Holy Family Hospital (1) Winchester Hospital (1) UMass Memorial Medical Center – Holyoke Medical Center (1) Memorial Campus

Please refer to the Primary Choice/Independence Plan Provider Directory for a list of UMass Memorial Medical Center – participating and non-participating hospitals in other states. University Campus

You pay a lower copay when you use Tier 1 hospitals. (1) = Tier 1 hospital; (2) = Tier 2 hospital. harvardpilgrim.org/gic Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care, Harvard Pilgrim Health Care of Connecticut, Harvard Pilgrim Health Care of New England and HPHC Insurance Company.

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