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Blue Options v.4 and Hospital Choice Cost Sharing Tier Update

North Adams Regional Hospital announced its plans to close on Friday, March 28, 2014, for financial reasons. As a result, we are updating both Blue Options v.4 and Hospital Choice Cost Sharing benefit plans.

To provide geographic access to a full range of hospitals for our Berkshire County members, Berkshire Medical Center will be moved from the Basic Tier to the Standard Tier and will have the same modified member cost share as other geo-access hospitals. This change is effective as of March 28, 2014. This will result in lower out-of-pocket costs to members when they receive services at this hospital. The facility will be added as Lower Cost for Hospital Choice Cost Sharing.

In addition, Southwestern Vermont Medical Center will be added to the HMO Blue® network as Standard Tier and will have the same modified member cost share as Berkshire Medical for Blue Options. The facility will be added as Lower Cost for Hospital Choice Cost Sharing.

Hospital Name Previous Blue Options Tier New Blue Options Tier Previous HCCS Cost Share Level New HCCS Cost Share Level
Berkshire Medical Center Basic Benefits Tier Standard Benefits Tier1 Higher Cost Share Lower Cost Share
Southwestern Vermont Medical Center N/A Standard Benefits Tier1 N/A Lower Cost Share

1 With modified member cost share

If you have any questions, please contact your account executive.

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