MVP Contracted Hospitals by Health Plan Line of Business HMO ASO EPO/PPO Medicare Advantage New York Individual Standard New York Individual Non- Standard New York Small Group Exchange Medicaid/ Child Health Plus Essential Plan Aurelia Osborn Fox Memorial Hospital Oneonta NY x x x x x x x Adirondack Medical Center Saranac Lake NY x x x x x x x Albany Medical Center Hospital Albany NY x x x x x x x x x Albany Memorial Hospital Albany NY x x x x x x x x x Alice Hyde Medical Center Malone NY x x x x x x x Arnot Ogden Medical Center Elmira NY x x x x x x x x x Auburn Community Hospital Auburn NY x x x x x x x Berkshire Medical Center Pittsfield MA x x x x Bertrand Chaffee Hospital Springville NY x x x x x x Blythedale Children's Hospital Valhalla NY x x x x x Bon Secours Community Hospital Port Jervis NY x x x x x x x x x Brattleboro Memorial Hospital Brattleboro VT x x x x Buffalo General Hospital Buffalo NY x x x x x x x x x Calvary Hospital Bronx NY x Canton Potsdam Hospital Potsdam NY x x x x x x x x x Carthage Area Hospital Carthage NY x x x x x x x x x Catskill Regional Medical Center Harris NY x x x x x x x x x Cayuga Medical Center at Ithaca Ithaca NY x x x x x x x Central Vermont Medical Center Berlin VT x x x x Champlain Valley Physicians Hospital Medical Center Plattsburgh NY x x x x x x Chenango Memorial Hospital Norwich NY x x x x x x x Claxton-Hepburn Medical Center Ogdensburg NY x x x x x x x x x Clifton Fine Hospital Star Lake NY x x x x x x x x x Clifton Springs Hospital Clifton Springs NY x x x x x x x x x Cobleskill Regional Hospital Cobleskill NY x x x x x x x Columbia Memorial Hospital Hudson NY x x x x x x x x x Community Memorial Hospital Hamilton NY x x x x x x x x x Copley Hospital Morrisville VT x x x x Corning Hospital Corning NY x x x x x x Cortland Regional Medical Center Cortland NY x x x x x x x x x Crouse Hospital Syracuse NY x x x x x x x x x DeGraff Memorial Hospital North Tonawanda NY x x x x x x x x x Delaware Valley Hospital Walton NY x x x x x x x x Eastern Niagara Hospital Lockport NY x x x x x x MVPPR0004 (Revised 02/2017) MVP Contracted Hospitals by Health Plan Line of Business Page 2 HMO ASO EPO/PPO Medicare Advantage New York Individual Standard New York Individual Non- Standard New York Small Group Exchange Medicaid/ Child Health Plus Essential Plan Elizabethtown Community Hospital Elizabethtown NY x x x x x x Ellenville Regional Hospital Ellenville NY x x x x x x x x x Ellis Hospital Schenectady NY x x x x x x x x x Ellis Hospital-McClellan Division Schenectady NY x x x x x x x x x Ellis Hospital -Bellevue Woman's Care Center Division Schenectady NY x x x x x x x x x Endless Mountains Health Systems Montrose PA x x x Erie County Medical Center Buffalo NY x x x Fairview Hospital Great Barrington MA x x x x Faxton-St. Lukes Healthcare New Hartford NY x x x x x x x x x FF Thompson Hospital Canandaigua NY x x x x x x x x x Geneva General Hospital Geneva NY x x x x x x x x x Gifford Medical Center Randolph VT x x x x Glens Falls Hospital Glens Falls NY x x x x x x x x x Good Samaritan Hospital Suffern NY x x x x x x x x x Gouverneur Hospital Gouverneur NY x x x x x x x x x Grace Cottage Hospital Townshend VT x x x x Guthrie Towanda Memorial Hospital Towanda PA x x x x Health Alliance Hospital Broadway Campus Kingston NY x x x x x x x x x Health Alliance Hospital Mary's Avenue Campus Kingston NY x x x x x x x x x Helen Hayes Hospital West Haverstraw NY x x x x x x x x x Highland Hospital Rochester NY x x x x x x x x x Hudson Valley Hospital Center Cortlandt Manor NY x x x x x x x x x Ira Davenport Memorial Hospital Bath NY x x x x x x x x x Jones Memorial Hospital Wellsville NY x x x x x x x x x Kenmore Mercy Hospital Buffalo NY x x x x x Lahey Clinic Hospital and Medical Center Burlington MA x x x x Lawrence Hospital Center Bronxville NY x x x x x x x x x Lewis County General Hospital Lowville NY x x x x x x x x x Little Falls Hospital Little Falls NY x x x x x x x Margaretville Hospital Margaretville NY x x x x x x x x x Mary Hitchcock Memorial Hospital Lebanon NH x x x Mary Imogene Bassett Hospital Cooperstown NY x x x x x x x Massena Memorial Hospital Massena NY x x x x x x x Medina Memorial Hospital Medina NY x x x x x x x x x Mercy Hospital Buffalo NY x x x x x Millard Fillmore Hospital Suburban Hospital Buffalo NY x x x x x x x x x MVP Contracted Hospitals by Health Plan Line of Business Page 3 HMO ASO EPO/PPO Medicare Advantage New York Individual Standard New York Individual Non- Standard New York Small Group Exchange Medicaid/ Child Health Plus Essential Plan Monroe Community Hospital Rochester NY x x x x x Montefiore Mount Vernon Hospital Mount Vernon NY x x x x x x Montefiore New Rochelle Hospital New Rochelle NY x x x x x x Moses Ludington Hospital Ticonderoga NY x x x x x x Mount St. Mary’s Hospital and Health Center Lewiston NY x x x x x Mount Ascutney Hospital and Health Center Windsor VT x x x x Nathan Littauer Hospital Gloversville NY x x x x x x x x Newark Wayne Community Hospital Newark NY x x x x x x x x x Niagara Falls Memorial Medical Center Niagara Falls NY x x x x x Nicholas H. Noyes Memorial Hospital Dansville NY x x x x x x x x x North Country Hospital Newport VT x x x x Northeastern Vermont Regional Hospital Saint Johnsbury VT x x x x Northern Dutchess Hospital Rhinebeck NY x x x x x x x x Northern Westchester Hospital Mount Kisco NY x x x x x x x x x Northwestern Medical Center Saint Albans VT x x x Nyack Hospital Nyack NY x x x x x x x x O'Connor Hospital Delhi NY x x x x x x x Oneida Healthcare Oneida NY x x x x x x x x x Orange Regional Medical Center Middletown NY x x x x x x x x x Oswego Hospital Oswego NY x x x x x x x Our Lady of Lourdes Memorial Hospital Binghamton NY x x x x x x x x x Phelps Memorial Hospital Center Sleepy Hollow NY x x x x x x Porter Hospital Middlebury VT x x x x Putnam Hospital Center Carmel NY x x x x x x x x River Hospital Alexandria Bay NY x x x x x x x x x Robert Packer Hospital Sayre PA x x x x x x Rochester General Hospital Rochester NY x x x x x x x x x Rome Memorial Hospital Rome NY x x x x x x x x x Roswell Park Cancer Institute Buffalo NY x x x x x x x x x Rutland Regional Medical Center Rutland VT x x x x Samaritan Hospital Troy NY x x x x x x x x x Samaritan Medical Center Watertown NY x x x x x x x x x Saratoga Hospital Saratoga Springs NY x x x x x x x x x Schuyler Hospital Montour Falls NY x x x x x x x Seton Health System Troy NY x x x x x x x x x Sharon Hospital Sharon CT x x x x x x x x x MVP Contracted Hospitals by Health Plan Line of Business Page 4 HMO ASO EPO/PPO Medicare Advantage New York Individual Standard New York Individual Non- Standard New York Small Group Exchange Medicaid/ Child Health Plus Essential Plan Sisters of Charity Hospital of Buffalo Buffalo NY x x x x x Sisters of Charity St. Joseph Campus Buffalo NY x x x x x SJRH-Park Care Pavillion Yonkers NY x x x x x x x Soldiers & Sailors Memorial Hospital of Yates County Penn Yan NY x x x x x x x x x Southwestern Vermont Medical Center Bennington VT x x x x x x x Springfield Hospital Springfield VT x x x x St. Anthony Community Hospital Warwick NY x x x x x x x x x St.