Emergency Room Provider Directory

[Pages:16]Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023 To make sure your benefits cover ER services at their highest level, use the following list to see if the ER physicians group serving our participating hospitals is in-network. The cost to you for receiving ER services from an out-of-network ER physicians group may be higher even when received at an in-network hospital.

Table of Contents: Section 1: Heritage and Heritage and Dental Choice Networks Section 2: Heritage Prime Network Section 3: Heritage Signature and Dental Choice, and Individual Signature Networks Section 4: Tahoma and Tahoma and Dental Choice Networks

Section 1: Heritage and Heritage and Dental Choice

City

Morton Sunnyside Toppenish Leavenworth Arlington Ephrata Astoria Wenatchee Wenatchee

State In-Network Hospital

WA Arbor Health - Morton Hospital WA Astria Sunnyside Hospital WA Astria Toppenish Hospital WA Cascade Medical Center WA Cascade Valley Hospital WA Columbia Basin Hospital OR Columbia Memorial Hospital WA Confluence Health Hospital ? Central Campus WA Confluence Health Hospital ? Mares Campus

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (10-04-2023)

ER Physician Group Servicing the Hospital

Arbor Health - Morton Hospital Sunnyside Emergency Group Olney Emergency Group Cascade Medical Center Northwest Emergency Physicians Envision Physicians Services Oregon Health & Science University (OHSU) Confluence Health Confluence Health

ER Physician Group Network Status

In-Network In-Network In-Network In-Network In-Network Out-of-Network Out-of-Network In-Network In-Network

Section 1 ? Heritage, Heritage and Dental Choice Networks 1

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

City

Grand Coulee Dayton Ritzville Kirkland Monroe Republic Forks Pomeroy Aberdeen Seattle Bremerton Anacortes Port Townsend Walla Walla Richland

Kennewick

Ellensburg Goldendale Coeur D'Alene Chelan Vancouver Davenport Pasco

State In-Network Hospital

ER Physician Group Servicing the Hospital

WA Coulee Medical Center

Coulee Medical Center

WA Dayton General Hospital

Dayton General Hospital

WA East Adams Rural Hospital

East Adams Rural Hospital

WA EvergreenHealth Medical Center

Evergreen Emergency Services

WA EvergreenHealth Monroe

North Sound Emergency Medicine

WA Ferry County Memorial Hospital

Ferry County Memorial Hospital

WA Forks Community Hospital

Forks Community Hospital

WA Garfield County Memorial Hospital

Garfield County Memorial Hospital

WA Grays Harbor Community Hospital

Northwest Emergency Physicians

WA Harborview Medical Center

Emergency Department at Harborview

WA Harrison Medical Center

West Sound Emergency Physicians

WA Island Hospital

Northwest Emergency Physicians

WA Jefferson Healthcare Hospital

Jefferson Healthcare Hospital

WA Jonathan M Wainwright Memorial VA Medical Center ER services are not offered at this facility.

WA Kadlec Regional Medical Center

Northwest Emergency Physicians

WA

Kadlec (Free-Standing) Emergency Room in Kennewick

Northwest Emergency Physicians

WA Kittitas Valley Community Hospital

Kittitas Valley Community Hospital

WA Klickitat Valley Hospital

Klickitat Valley Hospital

ID Kootenai Health

Kootenai Health

WA Lake Chelan Community Hospital

Lake Chelan Community Hospital

WA Legacy Salmon Creek Hospital

Northwest Acute Care Specialists

WA Lincoln Hospital

Lincoln Hospital

WA Lourdes Medical Center

Lourdes Medical Center

ER Physician Group Network Status

In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network

In-Network

In-Network In-Network In-Network In-Network Out-of-Network In-Network In-Network

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (10-04-2023)

Section 1 ? Heritage, Heritage and Dental Choice Networks 2

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

City

Shelton Omak Tacoma Auburn Olympia Covington Spokane

Spokane

Puyallup

Parkland

Tacoma

Tacoma Spokane Yakima Newport Tonasket Ilwaco Odessa

Port Angeles

Othello Bellevue

State In-Network Hospital

ER Physician Group Servicing the Hospital

WA Mason General Hospital

Mason General Hospital

WA Mid Valley Hospital

Mid Valley Hospital

WA MultiCare Allenmore Hospital

Tacoma Emergency Care Physician

WA MultiCare Auburn Medical Center

Cascade Emergency Physicians

WA MultiCare Capital Medical Center

Olympia Emergency Care Physicians

WA MultiCare Covington Medical Center

Tacoma Emergency Care Physician

WA MultiCare Deaconess Hospital

Spokane Emergency Care Physicians

WA

MultiCare Deaconess North (Free-Standing) Emergency Center

Spokane Emergency Care Physicians

WA MultiCare Good Samaritan Hospital

Mt. Rainier Emergency Physicians

WA

MultiCare Good Samaritan (Free-Standing) Emergency

Western Washington Emergency Physicians

WA

MultiCare Mary Bridge Children's Hospital and Health Center

Mary Bridge Emergency Department

WA MultiCare Tacoma General Hospital

Tacoma Emergency Care Physician

WA MultiCare Valley Hospital

Spokane Emergency Care Physicians

WA MultiCare Yakima Memorial Hospital

Yakima Memorial Physicians

WA Newport Community Hospital

Newport Community Hospital

WA North Valley Hospital

North Valley Hospital

WA Ocean Beach Hospital

Ocean Beach Hospital

WA Odessa Memorial Healthcare Center

Odessa Memorial Healthcare Center

WA Olympic Medical Center

Sound Physicians of Emergency Medicine of Washington

WA Othello Community Hospital

Othello Community Hospital

WA Overlake Hospital Medical Center

Puget Sound Physicians

ER Physician Group Network Status

In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network

In-Network

In-Network

In-Network

In-Network In-Network In-Network In-Network In-Network In-Network In-Network

Out-of-Network

In-Network In-Network

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (10-04-2023)

Section 1 ? Heritage, Heritage and Dental Choice Networks 3

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

City

Friday Harbor Vancouver Bellingham Longview Sedro Woolley Prosser Centralia Spokane Colville

Everett

Spokane

Chewelah Walla Walla Olympia Pullman Quincy

Moses Lake

Seattle Seattle Spokane Mount Vernon

State In-Network Hospital

WA PeaceHealth Peace Island Medical Center

WA PeaceHealth Southwest Medical Center

WA PeaceHealth St Joseph Medical Center

WA PeaceHealth St. John Medical Center

WA PeaceHealth United General Hospital

WA Prosser Memorial Hospital

WA Providence Centralia Hospital

WA Providence Holy Family Hospital

WA Providence Mount Carmel Hospital

WA

Providence Regional Medical Center Everett Colby Campus

WA

Providence Sacred Heart Medical Center and Children's Hospital

WA Providence St. Joseph's Hospital

WA Providence St. Mary Medical Center

WA Providence St. Peter Hospital

WA Pullman Regional Hospital

WA Quincy Valley Hospital

Samaritan Hospital WA

Out-of-Network on January 1, 2024

WA Fred Hutchinson Cancer Center WA Seattle Children's Hospital WA Shriners Hospital for Children WA Skagit Valley Hospital

ER Physician Group Servicing the Hospital

PeaceHealth Peace Island Medical Center Emergency Medicine Associates Northwest Emergency Physicians St John's Emergency Physicians Sound Physicians of Emergency Medicine of Washington Prosser Memorial Hospital Northwest Emergency Physicians Emergency Physician Services Providence Mount Carmel Hospital

North Sound Emergency Medicine

Spokane Emergency Physicians

Providence St. Joseph's Hospital Providence St. Mary Medical Center Olympia Emergency Service Pullman Regional Hospital Quincy Valley Hospital

Samaritan Hospital

ER services are not offered at this facility. Seattle Children's Hospital ER services are not offered at this facility. Northwest Emergency Physicians

ER Physician Group Network Status

In-Network In-Network In-Network In-Network Out-of-Network In-Network In-Network In-Network In-Network

In-Network

In-Network

In-Network In-Network In-Network In-Network In-Network In-Network Out-of-Network on January 1, 2024

In-Network

In-Network

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (10-04-2023)

Section 1 ? Heritage, Heritage and Dental Choice Networks 4

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

City

White Salmon Snoqualmie Spokane Burien Gig Harbor Lakewood Enumclaw Federal Way Tacoma Silverdale Elma Edmonds Seattle Seattle Seattle Issaquah

Mill Creek

Redmond

Brewster Clarkston Kennewick

Seattle

State In-Network Hospital

ER Physician Group Servicing the Hospital

WA Skyline Hospital

Skyline Hospital

WA Snoqualmie Valley Hospital

Snoqualmie Valley Hospital

WA Spokane VA Medical Center

ER services are not offered at this facility.

WA St. Anne Hospital

Highline Emergency Physicians

WA St. Anthony Hospital

Northwest Emergency Physicians

WA St. Clare Hospital

Envision Physicians Services

WA St. Elizabeth Hospital

Northwest Emergency Physicians

WA St. Francis Community Hospital

Northwest Emergency Physicians

WA St. Joseph Medical Center

Northwest Emergency Physicians

WA St. Michael Medical Center

West Sound Emergency Physicians

WA Summit Pacific Medical Center

Summit Pacific Medical Center

WA Swedish Edmonds

California Emergency Physicians

WA Swedish Medical Center Ballard

Ballard Emergency Physicians

WA Swedish Medical Center Cherry Hill

Seattle Emergency Physicians

WA Swedish Medical Center First Hill

Seattle Emergency Physicians

WA Swedish Medical Center Issaquah

Eastside Emergency Physicians

WA

Swedish Mill Creek Campus (Free-standing Emergency Room)

Eastside Emergency Physicians

WA

Swedish Redmond Campus (Free-standing Emergency Room)

Eastside Emergency Physicians

WA Three Rivers Hospital

Three Rivers Hospital

WA Tri-State Memorial Hospital

Tri-State Memorial Hospital

WA Trios Southridge Hospital

Washington Emergency Physicians Partners

WA

University of Washington Medical Center ? Montlake Campus

Emergency Department at UWMC

ER Physician Group Network Status

In-Network In-Network

In-Network In-Network Out-of-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network

In-Network

In-Network In-Network Out-of-Network

In-Network

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (10-04-2023)

Section 1 ? Heritage, Heritage and Dental Choice Networks 5

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

City

Seattle

Tacoma Seattle Renton Seattle Coupeville Colfax South Bend

State In-Network Hospital

WA

University of Washington Medical Center ? Northwest Campus

WA

VA Puget Sound Health Care Services - American Lake Division

WA VA Puget Sound Health Care System - Seattle

WA UW Medicine Valley Medical Center

WA Virginia Mason Hospital and Medical Center

WA WhidbeyHealth Medical Center

WA Whitman Hospital and Medical Center

WA Willapa Harbor Hospital

ER Physician Group Servicing the Hospital

Emergency Department at UWMC

ER services are not offered at this facility. ER services are not offered at this facility. Associated Emergency Physicians Virginia Mason Hospital and Medical Center WhidbeyHealth Medical Center Whitman Hospital and Medical Center Willapa Harbor Hospital

ER Physician Group Network Status

In-Network

In-Network In-Network In-Network In-Network In-Network

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (10-04-2023)

Section 1 ? Heritage, Heritage and Dental Choice Networks 6

Section 2: Heritage Prime Network

City

State Hospitals In-Network

ER Physician Group Servicing the Hospital

Morton Sunnyside Toppenish Leavenworth Arlington Ephrata Astoria Wenatchee Wenatchee Grand Coulee Dayton Ritzville Kirkland Monroe Republic Forks Pomeroy Aberdeen Seattle Bremerton Anacortes Port Townsend Walla Walla Ellensburg Goldendale Coeur D'Alene Chelan

WA Arbor Health - Morton Hospital

Arbor Health - Morton Hospital

WA Astria Sunnyside Hospital

Sunnyside Emergency Group

WA Astria Toppenish Hospital

Olney Emergency Group

WA Cascade Medical Center

Cascade Medical Center

WA Cascade Valley Hospital

Northwest Emergency Physicians

WA Columbia Basin Hospital

Envision Physicians Services

OR Columbia Memorial Hospital

Oregon Health & Science University (OHSU)

WA Confluence Health Hospital ? Central Campus

Confluence Health

WA Confluence Health Hospital ? Mares Campus

Confluence Health

WA Coulee Medical Center

Coulee Medical Center

WA Dayton General Hospital

Dayton General Hospital

WA East Adams Rural Hospital

East Adams Rural Hospital

WA EvergreenHealth Medical Center

Evergreen Emergency Services

WA EvergreenHealth Monroe

North Sound Emergency Medicine

WA Ferry County Memorial Hospital

Ferry County Memorial Hospital

WA Forks Community Hospital

Forks Community Hospital

WA Garfield County Memorial Hospital

Garfield County Memorial Hospital

WA Grays Harbor Community Hospital

Northwest Emergency Physicians

WA Harborview Medical Center

Harborview Medical Center Emergency Medicine

WA Harrison Medical Center

West Sound Emergency Physicians

WA Island Hospital

Northwest Emergency Physicians

WA Jefferson Healthcare Hospital

Jefferson Healthcare Hospital

WA Jonathan M Wainwright Memorial VA Medical Center ER services are not offered at this facility.

WA Kittitas Valley Community Hospital

Kittitas Valley Community Hospital

WA Klickitat Valley Hospital

Klickitat Valley Hospital

ID Kootenai Health

Kootenai Health

WA Lake Chelan Community Hospital

Lake Chelan Community Hospital

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (09-29-2023)

ER Physician Group Network Status In-Network In-Network In-Network In-Network In-Network Out-of-Network Out-of-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network In-Network In-Network In-Network

Section 2 ? Heritage Prime Network 7

City

State Hospitals In-Network

ER Physician Group Servicing the Hospital

Vancouver Davenport Pasco Shelton Omak Tacoma Auburn Olympia Covington Spokane

Spokane

Puyallup Parkland

Tacoma

Tacoma Spokane Yakima Newport Tonasket Ilwaco Odessa

Port Angeles

Othello Bellevue Friday Harbor Vancouver Longview

WA Legacy Salmon Creek Hospital

Northwest Acute Care Specialists

WA Lincoln Hospital

Lincoln Hospital

WA Lourdes Medical Center

Lourdes Medical Center

WA Mason General Hospital

Mason General Hospital

WA Mid Valley Hospital

Mid Valley Hospital

WA MultiCare Allenmore Hospital

Tacoma Emergency Care Physician

WA MultiCare Auburn Medical Center

Cascade Emergency Physicians

WA MultiCare Capital Medical Center

Olympia Emergency Care Physicians

WA MultiCare Covington Medical Center

Tacoma Emergency Care Physician

WA MultiCare Deaconess Hospital

Spokane Emergency Care Physicians

WA

MultiCare Deaconess North (Free-Standing) Emergency Center

Spokane Emergency Care Physicians

WA MultiCare Good Samaritan Hospital

Mt Rainier Emergency Physicians

WA MultiCare Good Samaritan (Free-Standing) Emergency Western Washington Emergency Physicians

WA

MultiCare Mary Bridge Children's Hospital and Health Center

Mary Bridge Emergency Department

WA MultiCare Tacoma General Hospital

Tacoma Emergency Care Physician

WA MultiCare Valley Hospital

Spokane Emergency Care Physicians

WA MultiCare Yakima Memorial Hospital

Yakima Memorial Physicians

WA Newport Community Hospital

Newport Community Hospital

WA North Valley Hospital

North Valley Hospital

WA Ocean Beach Hospital

Ocean Beach Hospital

WA Odessa Memorial Healthcare Center

Odessa Memorial Healthcare Center

WA Olympic Medical Center

Sound Physicians of Emergency Medicine of Washington

WA Othello Community Hospital

Othello Community Hospital

WA Overlake Hospital Medical Center

Puget Sound Physicians

WA PeaceHealth Peace Island Medical Center

PeaceHealth Peace Island Medical Center

WA PeaceHealth Southwest Medical Center

Emergency Medicine Associates

WA PeaceHealth St. John Medical Center

St John's Emergency Physicians

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association 019315 (09-29-2023)

ER Physician Group Network Status Out-of-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network

In-Network

In-Network In-Network

In-Network

In-Network In-Network In-Network In-Network In-Network In-Network In-Network

Out-of-Network In-Network In-Network In-Network In-Network In-Network

Section 2 ? Heritage Prime Network 8

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