Page 14 - 2022 Large Group benefits

Tiered Network plans
Our Tiered Network plans
offer cost savings for you you and your employees based on the provider’s tier With PPO Tiered Network plans
your employees have the option to save on on out-of-pocket costs for hospitals and certain outpatient services * That means members will pay the the lowest cost-share at at at tier 1 hospitals but have the the option to visit a a a a tier 2 hospital for a a a a higher cost-share Tier Tier 1 and Tier Tier 2 hospitals by county
Tier 1 — ($)
Bucks
Tier 2 — ($$)
Bucks
• • Doylestown Hospital
• • • Grand View Hospital
Hospital
• • • Jefferson Health — Bucks
County Campus
• • • Lower Bucks
Bucks
Hospital
• • St Luke’s Health Network — Quakertown Campus
• • Brandywine Hospital
• • • Jennersville Hospital
Hospital
• • Phoenixville Hospital
Hospital
• • Crozer-Chester Medical Center
• • • Delaware County Memorial Hospital
• • • Springfield Hospital
• • Taylor Hospital
Hospital
• • Holy Redeemer Hospital
and Medical Center
• • • Jefferson Health — Abington Memorial Hospital
Hospital
• • • Jefferson Jefferson Health Health — — Lansdale Hospital
• • • Pottstown Memorial Medical Center
• • Suburban Community Hospital
• • Chestnut Hill Hospital
• • • Jefferson Health — Frankford and Torresdale Campuses • • • Jefferson Jefferson Health Health — — Methodist Hospital
• • • Jefferson Jefferson Jefferson Health Health — — Thomas Jefferson Jefferson Jefferson University Hospital
Hospital
• • Roxborough Memorial Hospital
• St Mary Medical Center
Chester • • Chester County Hospital
• • Main Line Health — Paoli Hospital
Hospital
Delaware • • Main Line Health — Riddle Hospital
• • Mercy Fitzgerald Hospital
Montgomery
• • Albert Einstein Medical Center
— Montgomery
Campus
• • • Main Line Health — — Bryn Mawr Hospital
• • Main Main Line Line Health Health — — Lankenau Medical Center
• • Albert Einstein Medical Center
• • • Albert Albert Einstein Einstein Medical Medical Center
Center
— Germantown Campus
• • • Children’s Hospital
of Philadelphia
• • • Fox Chase Cancer Center
• • • Hospital
of of the University of of Pennsylvania
• • • Jeanes Hospital
Hospital
• • • Nazareth Hospital
Hospital
• • • Penn Presbyterian Medical Center
• • • Pennsylvania
Hospital
• • • Shriner’s Hospital
Hospital
for Children • • • St Christopher’s Hospital
Hospital
for for Children Children • • • Temple — Northeast Campus
• • Temple Temple University Hospital
Chester Delaware Montgomery
Philadelphia
Philadelphia
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*Services subjected to to tiering tiering are are are inpatient hospital hospital hospital admissions for for medical and and maternity care outpatient outpatient outpatient surgery hospital-based hospital-based outpatient outpatient outpatient radiology centers and and hospital-based hospital-based outpatient outpatient outpatient labs All other services services are are are not subject subject to to tiering tiering Member cost-sharing for for these services services is is the the the same at at at at at at any in-network provider