University of Hastings

Facility (within 15 miles of Sutter Facility) Sutter Provider Name Blue Shield (Note the providers listed below are still in-network UC Care Alternate Provider Health Savings (HSP) through 6/30/2015 and will be considered out-of PPO Tier Level and Core PPO Plans network effective 7/1/2015.) Seton Medical Center Preferred In-Network California Pacific Medical Center California Campus St. Francis Memorial Preferred In-Network UC Care: Preferred St. Mary Medical Center Preferred In-Network HSP/Core: In-Network UCSF Medical Center UC Select In-Network UCSF Mount Zion UC Select In-Network Seton Medical Center Preferred In-Network California Pacific Medical Center Castro Campus St. Francis Memorial Hospital Preferred In-Network UC Care: Preferred St. Mary Medical Center Preferred In-Network HSP/Core: In-Network UCSF Medical Center UC Select In-Network UCSF Mount Zion UC Select In-Network Seton Medical Center Preferred In-Network California Pacific Medical Center Pacific Campus St. Francis Memorial Hospital Preferred In-Network UC Care: Preferred St. Mary Medical Center Preferred In-Network HSP/Core: In-Network UCSF Medical Center UC Select In-Network UCSF Mount Zion UC Select In-Network Seton Medical Center Preferred In-Network California Pacific Medical Center St Luke's Campus St. Francis Memorial Hospital Preferred In-Network UC Care: Preferred St. Mary Medical Center Preferred In-Network HSP/Core: In-Network UCSF Medical Center UC Select In-Network UCSF Mount Zion UC Select In-Network Alta Bates Medical Center Herrick Campus Alameda Hospital Preferred In-Network UC Care: UC Select Children's Hospital and Research Center at Oakland UC Select In-Network HSP/Core: In-Network John Muir Medical Center Walnut Creek Campus Preferred In-Network Alta Bates Summit Medical Center Alta Bates Campus Alameda Hospital Preferred In-Network UC Care: UC Select Children's Hospital and Research Center at Oakland UC Select In-Network HSP/Core: In-Network John Muir Medical Center Walnut Creek Campus Preferred In-Network Alta Bates Summit Medical Center Summit Campus Alameda Hospital Preferred In-Network UC Care: UC Select Children's Hospital and Research Center at Oakland Preferred In-Network HSP/Core: In-Network John Muir Medical Center Walnut Creek Campus Preferred In-Network Novato Community Hospital Marin General Hospital Preferred In-Network UC Care: Preferred Petaluma Valley Hospital Preferred In-Network Sutter / Santa Rosa Regionalk Healdsburg District Hospital Preferred In-Network UC Care: Preferred Santa Rosa Memorial Hospital Preferred In-Network HSP/Core: In-Network

as of January 2015 1 San Francisco Hastings

Professional Physicians Please note: not all providers within a medical group participate in UC Select or Blue Shield PPO Network. Provider must have a Blue Shield of California PPO contract. Additional Blue Shield In-Network providers are available that are not listed below . Please contact either the UC Care Shield Concierge at 1-855-201-2087 or the HSP/Core Shield Concierge team at 1-855-201-8357 to confirm a provider's participation or assistance with locating an In- Network provider.

Sutter Provider Name Blue Shield (Note the providers listed below are still in-network UC Care Alternate Provider Health Savings (HSP) through 6/30/2015 and will be considered out-of PPO Tier Level and Core PPO Plans network effective 7/1/2015.) UCSF Providers UC Select In-Network Golden Gate Pediatrics UC Select In-Network Palo Alto Medical Foundation Mercy/Hill Physicians Medical Group - San Francisco UC Select In-Network UC Care: UC Select Dignity Health Medical Group St. Mary's UC Select In-Network HSP/Core: In-Network Dignity Health Medical Group Saint Francis UC Select In-Network Dignity Sister Mary Philippa Health Center UC Select In-Network Affinity Medical Group affiliated PPO Providers UC Select In-Network Brown and Toland- East Bay (Alta Bates Medical Group) UC Select In-Network Sutter East Bay Medical Foundation affiliated PPO providers UC Care: UC Select Hill Physicians Medical Group affiliated PPO providers UC Select In-Network HSP/Core: In-Network San Ramon Valle Family Practice UC Select In-Network San Ramon Valley Primary Care Medical Group UC Select In-Network ValleyCare Medical Foundation UC Select In-Network

as of January 2015 2