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Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield

Association

Section 1 - Heritage, Heritage and Dental Choice Networks

019315 (10-04-2023)

1 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 State In-Network Hospital ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Morton WA Arbor Health - Morton Hospital Arbor Health - Morton Hospital In-Network Sunnyside WA Astria Sunnyside Hospital Sunnyside Emergency Group In-Network Toppenish WA Astria Toppenish Hospital Olney Emergency Group In-Network Leavenworth WA Cascade Medical Center Cascade Medical Center In-Network Arlington WA Cascade Valley Hospital Northwest Emergency Physicians In-Network

Ephrata

WA Columbia Basin Hospital Envision Physicians Services Out-of-Network Astoria OR Columbia Memorial Hospital Oregon Health & Science University (OHSU) Out-of-Network Wenatchee WA Confluence Health Hospital - Central Campus Confluence Health In-Network Wenatchee WA Confluence Health Hospital - Mares Campus Confluence Health In-Network

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield

Association

Section 1 - Heritage, Heritage and Dental Choice Networks

019315 (10-04-2023)

2 City State In-Network Hospital ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Grand Coulee WA Coulee Medical Center Coulee Medical Center In-Network Dayton WA Dayton General Hospital Dayton General Hospital In-Network Ritzville WA East Adams Rural Hospital East Adams Rural Hospital In-Network Kirkland WA EvergreenHealth Medical Center Evergreen Emergency Services In-Network Monroe WA EvergreenHealth Monroe North Sound Emergency Medicine In-Network Republic WA Ferry County Memorial Hospital Ferry County Memorial Hospital In-Network Forks WA Forks Community Hospital Forks Community Hospital In-Network Pomeroy WA Garfield County Memorial Hospital Garfield County Memorial Hospital In-Network Aberdeen WA Grays Harbor Community Hospital Northwest Emergency Physicians In-Network

Seattle WA Harborview Medical Center

Emergency Department at Harborview

In-Network

Bremerton WA Harrison Medical Center West Sound Emergency Physicians In-Network Anacortes WA Island Hospital Northwest Emergency Physicians In-Network Port Townsend WA Jefferson Healthcare Hospital Jefferson Healthcare Hospital In-Network

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

Richland WA Kadlec Regional Medical Center Northwest Emergency Physicians In-Network

Kennewick WA

Kadlec (Free-Standing) Emergency Room in

Kennewick

Northwest Emergency Physicians In-Network

Ellensburg WA Kittitas Valley Community Hospital Kittitas Valley Community Hospital In-Network Goldendale WA Klickitat Valley Hospital Klickitat Valley Hospital In-Network Coeur D"Alene ID Kootenai Health Kootenai Health In-Network Chelan WA Lake Chelan Community Hospital Lake Chelan Community Hospital In-Network Vancouver WA Legacy Salmon Creek Hospital Northwest Acute Care Specialists Out-of-Network Davenport WA Lincoln Hospital Lincoln Hospital In-Network Pasco WA Lourdes Medical Center Lourdes Medical Center In-Network

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield

Association

Section 1 - Heritage, Heritage and Dental Choice Networks

019315 (10-04-2023)

3 City State In-Network Hospital ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Shelton WA Mason General Hospital Mason General Hospital In-Network Omak WA Mid Valley Hospital Mid Valley Hospital In-Network Tacoma WA MultiCare Allenmore Hospital Tacoma Emergency Care Physician In-Network Auburn WA MultiCare Auburn Medical Center Cascade Emergency Physicians In-Network Olympia WA MultiCare Capital Medical Center Olympia Emergency Care Physicians In-Network Covington WA MultiCare Covington Medical Center Tacoma Emergency Care Physician In-Network Spokane WA MultiCare Deaconess Hospital Spokane Emergency Care Physicians In-Network

Spokane WA

MultiCare Deaconess North (Free

-Standing)

Emergency Center

Spokane Emergency Care Physicians In-Network

Puyallup WA MultiCare Good Samaritan Hospital Mt. Rainier Emergency Physicians In-Network

Parkland WA

MultiCare Good Samaritan (Free-Standing)

Emergency

Western Washington Emergency Physicians In-Network

Tacoma

WA MultiCare Mary Bridge Children"s Hospital and Health

Center

Mary Bridge

Emergency Department In-Network

Tacoma WA MultiCare Tacoma General Hospital Tacoma Emergency Care Physician In-Network Spokane WA MultiCare Valley Hospital Spokane Emergency Care Physicians In-Network Yakima WA MultiCare Yakima Memorial Hospital Yakima Memorial Physicians In-Network Newport WA Newport Community Hospital Newport Community Hospital In-Network Tonasket WA North Valley Hospital North Valley Hospital In-Network Ilwaco WA Ocean Beach Hospital Ocean Beach Hospital In-Network Odessa WA Odessa Memorial Healthcare Center Odessa Memorial Healthcare Center In-Network

Port Angeles WA Olympic Medical Center

Sound Physicians of Emergency Medicine of

Washington

Out-of-Network

Othello WA Othello Community Hospital Othello Community Hospital In-Network Bellevue WA Overlake Hospital Medical Center Puget Sound Physicians In-Network

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield

Association

Section 1 - Heritage, Heritage and Dental Choice Networks

019315 (10-04-2023)

4 City State In-Network Hospital ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Friday Harbor WA PeaceHealth Peace Island Medical Center PeaceHealth Peace Island Medical Center In-Network

Vancouver WA PeaceHealth Southwest Medical Center Emergency Medicine Associates In-Network Bellingham WA PeaceHealth St Joseph Medical Center Northwest Emergency Physicians In-Network Longview WA PeaceHealth St. John Medical Center St John's Emergency Physicians In-Network

Sedro Woolley WA PeaceHealth United General Hospital Sound Physicians of Emergency Medicine of Washington Out-of-Network

Prosser WA Prosser Memorial Hospital Prosser Memorial Hospital In-Network Centralia WA Providence Centralia Hospital Northwest Emergency Physicians In-Network Spokane WA Providence Holy Family Hospital Emergency Physician Services In-Network Colville WA Providence Mount Carmel Hospital Providence Mount Carmel Hospital In-Network

Everett WA

Providence Regional Medical Center Everett Colby

Campus

North Sound Emergency Medicine In-Network

Spokane WA

Providence Sacred Heart Medical Center and

Children"s Hospital

Spokane Emergency Physicians In-Network

Chewelah WA Providence St. Joseph"s Hospital Providence St. Joseph"s Hospital In-Network Walla Walla WA Providence St. Mary Medical Center Providence St. Mary Medical Center In-Network Olympia WA Providence St. Peter Hospital Olympia Emergency Service In-Network Pullman WA Pullman Regional Hospital Pullman Regional Hospital In-Network Quincy WA Quincy Valley Hospital Quincy Valley Hospital In-Network

Moses Lake WA Samaritan Hospital

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

Out-of-Network on

January 1, 2024

Seattle WA Fred Hutchinson Cancer Center ER services are not offered at this facility. Seattle WA Seattle Children"s Hospital Seattle Children"s Hospital In-Network Spokane WA Shriners Hospital for Children ER services are not offered at this facility. Mount Vernon WA Skagit Valley Hospital Northwest Emergency Physicians In-Network

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield

Association

Section 1 - Heritage, Heritage and Dental Choice Networks

019315 (10-04-2023)

5 City State In-Network Hospital ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

White Salmon WA Skyline Hospital Skyline Hospital In-Network Snoqualmie WA Snoqualmie Valley Hospital Snoqualmie Valley Hospital In-Network Spokane WA Spokane VA Medical Center ER services are not offered at this facility. Burien WA St. Anne Hospital Highline Emergency Physicians In-Network Gig Harbor WA St. Anthony Hospital Northwest Emergency Physicians In-Network Lakewood WA St. Clare Hospital Envision Physicians Services Out-of-Network Enumclaw WA St. Elizabeth Hospital Northwest Emergency Physicians In-Network Federal Way WA St. Francis Community Hospital Northwest Emergency Physicians In-Network

Tacoma

WA St. Joseph Medical Center Northwest Emergency Physicians In-Network Silverdale WA St. Michael Medical Center West Sound Emergency Physicians In-Network Elma WA Summit Pacific Medical Center Summit Pacific Medical Center In-Network Edmonds WA Swedish Edmonds California Emergency Physicians In-Network Seattle WA Swedish Medical Center Ballard Ballard Emergency Physicians In-Network Seattle WA Swedish Medical Center Cherry Hill Seattle Emergency Physicians In-Network Seattle WA Swedish Medical Center First Hill Seattle Emergency Physicians In-Network Issaquah WA Swedish Medical Center Issaquah Eastside Emergency Physicians In-Network

Mill Creek

WA

Swedish Mill Creek Campus (Free-standing

Emergency Room)

Eastside Emergency Physicians In-Network

Redmond WA

Swedish Redmond Campus (Free-standing

Emergency Room)

Eastside Emergency Physicians In-Network

Brewster WA Three Rivers Hospital Three Rivers Hospital In-Network Clarkston WA Tri-State Memorial Hospital Tri-State Memorial Hospital In-Network Kennewick WA Trios Southridge Hospital Washington Emergency Physicians Partners Out-of-Network

Seattle WA

University of Washington Medical Center - Montlake

Campus

Emergency Department at UWMC In-Network

Emergency Room Provider Directory

Premera Blue Cross Member Plans

Last updated October 4, 2023

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield

Association

Section 1 - Heritage, Heritage and Dental Choice Networks

019315 (10-04-2023)

6 City State In-Network Hospital ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Seattle WA

University of Washington Medical Center -

Northwest Campus

Emergency Department at UWMC In-Network

Tacoma

WA

VA Puget Sound Health Care Services

- American

Lake Division

ER services are not offered at this

facility. Seattle WA VA Puget Sound Health Care System - Seattle ER services are not offered at this facility. Renton WA UW Medicine Valley Medical Center Associated Emergency Physicians In-Network

Seattle WA Virginia Mason Hospital and Medical Center Virginia Mason Hospital and Medical Center In-Network

Coupeville WA WhidbeyHealth Medical Center WhidbeyHealth Medical Center In-Network Colfax WA Whitman Hospital and Medical Center Whitman Hospital and Medical Center In-Network South Bend WA Willapa Harbor Hospital Willapa Harbor Hospital In-Network Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association

Section 2 - Heritage Prime Network

019315 (09-29-2023)

7

Section 2: Heritage Prime Network

City State Hospitals In-Network ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Morton WA Arbor Health - Morton Hospital Arbor Health - Morton Hospital In-Network Sunnyside WA Astria Sunnyside Hospital Sunnyside Emergency Group In-Network Toppenish WA Astria Toppenish Hospital Olney Emergency Group In-Network Leavenworth WA Cascade Medical Center Cascade Medical Center In-Network Arlington WA Cascade Valley Hospital Northwest Emergency Physicians In-Network Ephrata WA Columbia Basin Hospital Envision Physicians Services Out-of-Network Astoria OR Columbia Memorial Hospital Oregon Health & Science University (OHSU) Out-of-Network Wenatchee WA Confluence Health Hospital - Central Campus Confluence Health In-Network Wenatchee WA Confluence Health Hospital - Mares Campus Confluence Health In-Network Grand Coulee WA Coulee Medical Center Coulee Medical Center In-Network Dayton WA Dayton General Hospital Dayton General Hospital In-Network Ritzville WA East Adams Rural Hospital East Adams Rural Hospital In-Network Kirkland WA EvergreenHealth Medical Center Evergreen Emergency Services In-Network Monroe WA EvergreenHealth Monroe North Sound Emergency Medicine In-Network Republic WA Ferry County Memorial Hospital Ferry County Memorial Hospital In-Network Forks WA Forks Community Hospital Forks Community Hospital In-Network Pomeroy WA Garfield County Memorial Hospital Garfield County Memorial Hospital In-Network Aberdeen WA Grays Harbor Community Hospital Northwest Emergency Physicians In-Network Seattle WA Harborview Medical Center Harborview Medical Center Emergency Medicine In-Network Bremerton WA Harrison Medical Center West Sound Emergency Physicians In-Network Anacortes WA Island Hospital Northwest Emergency Physicians In-Network Port Townsend WA Jefferson Healthcare Hospital Jefferson Healthcare Hospital In-Network

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

Ellensburg WA Kittitas Valley Community Hospital Kittitas Valley Community Hospital In-Network Goldendale WA Klickitat Valley Hospital Klickitat Valley Hospital In-Network Coeur D"Alene ID Kootenai Health Kootenai Health In-Network Chelan WA Lake Chelan Community Hospital Lake Chelan Community Hospital In-Network Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association

Section 2 - Heritage Prime Network

019315 (09-29-2023)

8 City State Hospitals In-Network ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Vancouver WA Legacy Salmon Creek Hospital Northwest Acute Care Specialists Out-of-Network

Davenport

WA Lincoln Hospital Lincoln Hospital In-Network

Pasco WA Lourdes Medical Center Lourdes Medical Center In-Network Shelton WA Mason General Hospital Mason General Hospital In-Network Omak WA Mid Valley Hospital Mid Valley Hospital In-Network

Tacoma

WA MultiCare Allenmore Hospital Tacoma Emergency Care Physician In-Network Auburn WA MultiCare Auburn Medical Center Cascade Emergency Physicians In-Network Olympia WA MultiCare Capital Medical Center Olympia Emergency Care Physicians In-Network Covington WA MultiCare Covington Medical Center Tacoma Emergency Care Physician In-Network Spokane WA MultiCare Deaconess Hospital Spokane Emergency Care Physicians In-Network

Spokane WA

MultiCare Deaconess North (Free

-Standing)

Emergency Center

Spokane Emergency Care Physicians In-Network

Puyallup WA MultiCare Good Samaritan Hospital Mt Rainier Emergency Physicians In-Network

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

Tacoma

WA MultiCare Mary Bridge Children's Hospital and Health

Center

Mary Bridge Emergency Department In-Network

Tacoma WA MultiCare Tacoma General Hospital Tacoma Emergency Care Physician In-Network Spokane WA MultiCare Valley Hospital Spokane Emergency Care Physicians In-Network Yakima WA MultiCare Yakima Memorial Hospital Yakima Memorial Physicians In-Network Newport WA Newport Community Hospital Newport Community Hospital In-Network Tonasket WA North Valley Hospital North Valley Hospital In-Network Ilwaco WA Ocean Beach Hospital Ocean Beach Hospital In-Network Odessa WA Odessa Memorial Healthcare Center Odessa Memorial Healthcare Center In-Network

Port Angeles WA Olympic Medical Center

Sound Physicians of Emergency Medicine of

Washington Out-of-Network

Othello WA Othello Community Hospital Othello Community Hospital In-Network Bellevue WA Overlake Hospital Medical Center Puget Sound Physicians In-Network

Friday Harbor WA PeaceHealth Peace Island Medical Center PeaceHealth Peace Island Medical Center In-Network

Vancouver WA PeaceHealth Southwest Medical Center Emergency Medicine Associates In-Network Longview WA PeaceHealth St. John Medical Center St John's Emergency Physicians In-Network Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association

Section 2 - Heritage Prime Network

019315 (09-29-2023)

9 City State Hospitals In-Network ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Bellingham WA PeaceHealth St Joseph Medical Center Northwest Emergency Physicians In-Network Sedro Woolley WA PeaceHealth United General Hospital

Sound Physicians of Emergency Medicine of

Washington

Out-of-Network

Prosser WA Prosser Memorial Hospital Prosser Memorial Hospital In-Network

Everett WA

Providence Regional Medical Center Everett Colby

Campus (special arrangements in place to treat as in- network)

North Sound Emergency Medicine

Special arrangements in

place to treat as in- network Pullman WA Pullman Regional Hospital Pullman Regional Hospital In-Network Quincy WA Quincy Valley Hospital Quincy Valley Hospital In-Network

Moses Lake WA Samaritan Hospital

Out-of Network January 1, 2024 Samaritan Hospital In-Network

Out-of-Network January

1, 2024

Seattle WA Fred Hutchinson Cancer Center ER services are not offered at this facility. Seattle WA Seattle Children's Hospital Seattle Children's Hospital In-Network Spokane WA Shriners Hospital for Children ER services are not offered at this facility. Mount Vernon WA Skagit Valley Hospital Northwest Emergency Physicians In-Network White Salmon WA Skyline Hospital Skyline Hospital In-Network Snoqualmie WA Snoqualmie Valley Hospital Snoqualmie Valley Hospital In-Network Spokane WA Spokane VA Medical Center ER services are not offered at this facility. Silverdale WA St. Michael Medical Center West Sound Emergency Physicians In-Network Elma WA Summit Pacific Medical Center Summit Pacific Medical Center In-Network Edmonds WA Swedish Edmonds (special arrangements in place to treat as in network) California Emergency Physicians

Special arrangements in

place to treat as in- network Brewster WA Three Rivers Hospital Three Rivers Hospital In-Network Clarkston WA Tri-State Memorial Hospital Tri-State Memorial Hospital In-Network Kennewick WA Trios Southridge Hospital Washington Emergency Physicians Partners Out-of-Network

Seattle WA

University of Washington Medical Center - Montlake

Campus

Emergency Department at UWMC

In-Network

Seattle WA

University of Washington Medical Center - Northwest

Campus

Emergency Department at UWMC

In-Network

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association

Section 2 - Heritage Prime Network

019315 (09-29-2023)

10 City State Hospitals In-Network ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Tacoma

WA

VA Puget Sound Health Care Services

- American Lake

Division

ER services are not offered at this facility.

Seattle WA VA Puget Sound Health Care System - Seattle ER services are not offered at this facility. Renton WA Valley Medical Center Associated Emergency Physicians In-Network

Seattle WA Virginia Mason Hospital and Medical Center Virginia Mason Hospital and Medical Center In-Network

Coupeville WA WhidbeyHealth Medical Center WhidbeyHealth Medical Center In-Network Colfax WA Whitman Hospital and Medical Center Whitman Hospital and Medical Center In-Network South Bend WA Willapa Harbor Hospital Willapa Harbor Hospital In-Network

Section 3

- Heritage Signature and Dental Choice, and Individual Signature Networks Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association

019315 (09-29-2023)

11 Section 3: Heritage Signature and Dental Choice, and Individual Signature Networks City State Hospitals In-Network ER Physician Group Servicing the Hospital

ER Physician Group

Network Status

Morton WA Arbor Health - Morton Hospital Arbor Health - Morton Hospital In-Network Sunnyside WA Astria Sunnyside Hospital Sunnyside Emergency Group In-Network Toppenish WA Astria Toppenish Hospital Olney Emergency Group In-Network Leavenworth WA Cascade Medical Center Cascade Medical Center In-Network Arlington WA Cascade Valley Hospital Northwest Emergency Physicians In-Network Ephrata WA Columbia Basin Hospital Envision Physicians Services Out-of-Network Astoria OR Columbia Memorial Hospital Oregon Health & Science University (OHSU) Out-of-Network Wenatchee WA Confluence Health Hospital - Central Campus Confluence Health In-Network Wenatchee WA Confluence Health Hospital - Mares Campus Confluence Health In-Network Grand Coulee WA Coulee Medical Center Coulee Medical Center In-Network Dayton WA Dayton General Hospital Dayton General Hospital In-Network Ritzville WA East Adams Rural Hospital East Adams Rural Hospital In-Network Kirkland WA EvergreenHealth Medical Center Evergreen Emergency Services In-Network Monroe WA EvergreenHealth Monroe North Sound Emergency Medicine In-Network Republic WA Ferry County Memorial Hospital Ferry County Memorial Hospital In-Network Forks WA Forks Community Hospital Forks Community Hospital In-Network Pomeroy WA Garfield County Memorial Hospital Garfield County Memorial Hospital In-Network Aberdeen WA Grays Harbor Community Hospital Northwest Emergency Physicians In-Network Seattle WA Harborview Medical Center Harborview Medical Center Emergency Medicine In-Network Bremerton WA Harrison Medical Center West Sound Emergency Physicians In-Network Anacortes WA Island Hospital Northwest Emergency Physicians In-Network Port Townsend WA Jefferson Healthcare Hospital Jefferson Healthcare Hospital In-Network

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

Richland WA Kadlec Regional Medical Center Northwest Emergency Physicians In-Network

Kennewick WA

Kadlec (Free-Standing) Emergency Room in

Kennewick

Northwest Emergency Physicians In-Network

Ellensburg WA Kittitas Valley Community Hospital Kittitas Valley Community Hospital In-Network

Section 3

- Heritage Signature and Dental Choice, and Individual Signature Networks Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association

019315 (09-29-2023)

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