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Blue Options v.4 Tiering Updates

Effective January 1, 2014, as a one-day change for all accounts, Blue Options v.4 members will have lower out-of-pocket costs at two hospitals: Holyoke Medical Center and Athol Memorial Hospital.

Holyoke Medical Center Moving to Enhanced Benefits Tier
As a result of improvements in Holyoke Medical Center's quality performance, we will move the hospital to the Enhanced Tier in our Blue Options v.4 benefit designs. With this update, members will have lower out-of-pocket costs at this hospital.

Hospital Previous Blue Options Tier New Blue Options Tier Reason for Tier Improvement
Holyoke Medical Center Standard Benefits Tier Enhanced Benefits Tier Quality

Lower Member Cost Share at Athol Memorial Hospital
To provide geographic access to a full range of hospitals for our central Massachusetts members, Athol Memorial Hospital will remain in the Standard Benefits Tier, but it will now have the same modified member cost share as other geo-access hospitals. This will result in a lower out-of-pocket cost to members when they receive services at this hospital.

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