Effective - January 1, 2019 UPMC Inside Advantage (for employer groups of all sizes) UPMC Inside Advantage uses the Premium Network. The UPMC Erie Premium Network consists of Warren McKean Susquehanna Potter Bradford Tioga UPMC-owned hospitals, physician Crawford Wayne practices, and medical facilities as Forest Wyoming well as community-based doctors, Elk Cameron Sullivan Venango Lackawanna Lycoming hospitals, and other medical Mercer Clinton Pike providers. Members can obtain Clarion Jefferson Columbia Luzerne services as outlined in their plan Montour Lawrence Clearfield Union Monroe documents when they seek care Butler Centre Northum- Carbon Armstrong berland from participating providers within Snyder Beaver Northampton the Premium Network. Indiana Schuylkill Mifflin Juniata Lehigh Allegheny Cambria Blair Perry Dauphin Berks Bucks Lebanon Westmoreland Huntingdon Montgomery Washington Cumberland Bedford Lancaster Somerset Chester Philadelphia Fulton Fayette York Franklin Adams Delaware Greene Inside Advantage available to employers located in these counties Hospitals and facilities in purple are included in the Level 1 network. Level 2 facilities are indicated in black. (As of 7/15/2018) Premium Network Armstrong Centre Allegheny Armstrong County Memorial Mount Nittany Medical Center Curahealth Pittsburgh Hospital Chester Heritage Valley Health System – Beaver Brandywine Hospital Heritage Valley Sewickley Curahealth Hospital Bryn Mawr Rehab Hospital Jefferson Hospital Heritage Valley Jennersville Hospital LifeCare Behavioral Hospital of Heritage Valley Health System – Paoli Hospital Pittsburgh Heritage Valley Beaver Phoenixville Hospital LifeCare Hospitals of Pittsburgh – Bedford Clarion Main UPMC Bedford Memorial Clarion Hospital LifeCare Hospitals of Pittsburgh – Berks Clearfield Suburban Penn State Health St. Joseph Penn Highlands Clearfield Ohio Valley Hospital Reading Hospital Penn Highlands DuBois Select Specialty Hospital – Blair McKeesport Clinton Nason Hospital UPMC Susquehanna Select Specialty Hospital – Tyrone Hospital Lock Haven Hospital Pittsburgh UPMC UPMC Altoona St. Clair Hospital Columbia Berwick Hospital The Children’s Home of Pittsburgh Bradford Guthrie Robert Packer Hospital The Children’s Institute Crawford Guthrie Towanda Memorial Hospital Meadville Medical Center UPMC Children’s Hospital of Pittsburgh Guthrie Troy Community Hospital Titusville Area Hospital UPMC East UPMC Hillman Cancer Center Bucks Cumberland Doylestown Hospital Select Specialty Hospital UPMC Magee-Womens Hospital Jefferson Bucks Hospital – Camp Hill UPMC McKeesport UPMC Pinnacle Carlisle Butler UPMC Mercy UPMC Pinnacle West Shore UPMC Montefiore Butler Memorial Hospital UPMC Passavant – McCandless UPMC Passavant – Cranberry UPMC Presbyterian Cambria UPMC St. Margaret Conemaugh Memorial Medical Center UPMC Shadyside Conemaugh Miners Medical Center Western Psychiatric Institute To search for a participating and Clinic of UPMC Select Specialty Hospital – provider, please visit Johnstown www.upmchealthplan.com/find. Dauphin UPMC Pinnacle Community Osteopathic For emergency services in any emergency department, visits UPMC Pinnacle Harrisburg are covered at the in-network level. Delaware This information is subject to change. For the most up-to-date Bryn Mawr Hospital information, visit www.upmchealthplan.com/find. Riddle Hospital Select Coverage Though Your Employer and then Elk UPMC Inside Advantage for the plan name. Penn Highlands Elk Erie Corry Memorial Hospital Mifflin Warren Millcreek Community Hospital Geisinger Lewistown Hospital Warren General Hospital Saint Vincent Hospital Monroe Washington Select Specialty Hospital – Erie Lehigh Valley Hospital – Pocono Monongahela Valley Hospital UPMC Hamot Montgomery Washington Hospital Fayette Abington Hospital – Jefferson Westmoreland Highlands Hospital Health Excela Frick Hospital Uniontown Hospital Abington-Lansdale Hospital – Excela Latrobe Hospital Fulton Jefferson Health Excela Westmoreland Hospital Fulton County Medical Center Lankenau Medical Center Select Specialty Hospital – Greene Pottstown Hospital Laurel Highlands Washington Health System Greene Northampton Wyoming Huntingdon Coordinated Health Orthopedic Tyler Memorial Hospital J.C. Blair Memorial Hospital Hospital – Bethlehem York Indiana Lehigh Valley Hospital – Muhlenberg OSS Orthopaedic Hospital Indiana Regional Medical Center Northumberland UPMC Pinnacle Hanover Jefferson UPMC Susquehanna Sunbury UPMC Pinnacle Memorial Penn Highlands Brookville Philadelphia Punxsutawney Area Hospital Chestnut Hill Hospital Outside Pennsylvania Lackawanna Children’s Hospital of Philadelphia In Maryland: Moses Taylor Hospital Jefferson Frankford Hospital Garrett Regional Medical Center Regional Hospital of Scranton Jefferson Hospital Western Maryland Regional Medical Center Lancaster for Neuroscience Lancaster General Hospital Jefferson Torresdale Hospital In New York: UPMC Pinnacle Lancaster Methodist Hospital Guthrie Corning Hospital UPMC Pinnacle Lititz Thomas Jefferson Jones Memorial Hospital University Hospital Lawrence Olean General Hospital Ellwood City Hospital Potter UPMC Chautauqua UPMC Jameson UPMC Cole In Ohio: Schuylkill Lehigh Cleveland Clinic CH Hospital of Allentown Lehigh Valley Hospital – Schuylkill Lehigh Valley Hospital – 17th Street E. Norwegian Street In West Virginia: Lehigh Valley Hospital – Cedar Crest S. Jackson Street Mon General Hospital Ohio Valley Medical Center Luzerne Somerset Lehigh Valley Hospital – Hazleton Chan Soon-Shiong Medical Center Reynolds Memorial Hospital at Windber Wilkes-Barre General Hospital Sistersville General Hospital Conemaugh Meyersdale Weirton Medical Center Lycoming Medical Center Wetzel County Hospital UPMC Susquehanna – Somerset Hospital Divine Providence Hospital Wheeling Hospital Muncy Valley Hospital Susquehanna Barnes-Kasson Hospital Williamsport Regional Medical Center Endless Mountains Health System McKean Tioga Bradford Regional Medical Center UPMC Susquehanna Soldiers & Sailors Memorial Hospital UPMC Kane Union Mercer Evangelical Community Hospital Grove City Medical Center Venango Sharon Regional Health System UPMC Northwest UPMC Horizon – Greenville U.S. Steel Tower, 600 Grant Street UPMC Horizon – Shenango Valley Pittsburgh, PA 15219 www.upmchealthplan.com Copyright 2018 UPMC Health Plan Inc. All rights reserved. INS ADV MAP 1-1-19 18CG247480 (MJA) 7/30/18 7.10M SS.