Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017 When seeking Emergency Room (ER) services 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: Foundation, Foundation Plus 1, Heritage, and Heritage Plus 1 Networks Section 2: Heritage Prime and Heritage Signature Networks Section 1: Foundation, Foundation Plus 1, Heritage, and Heritage Plus 1 Networks City Tacoma Sandpoint

State WA ID

ER Physician Group Network Status

In-Network Hospital

ER Physician Group Servicing the Hospital

Allenmore Hospital

Allenmore Emergency

In-Network

Bonner General Hospital

Bonner General Hospital

In-Network

Olympia

WA

Capital Medical Center

Thurston Emergency Group

Tukwila

WA

Cascade Behavioral Hospital

ER Services are not offered at this Facility

Leavenworth

WA

Cascade Medical Center

Cascade Medical Center

In-Network

Arlington

WA

Cascade Valley Hospital

Northwest Emergency Physicians

In-Network

Wenatchee

WA

Central Washington Hospital

Central Washington Hospital

In-Network

Ephrata

WA

Columbia Basin Hospital

Beezley Springs Inpatient Services

In-Network

Astoria

OR

Columbia Memorial Hospital

North Coast Emergency Physicians Group

Grand Coulee

WA

Coulee Medical Center

Coulee Medical Center

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

Out-of-Network

Out-of-Network In-Network

1

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017 When seeking Emergency Room (ER) services City

State

In-Network Hospital

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

Dayton

WA

Dayton General Hospital

Dayton General Hospital

In-Network

Spokane

WA

Deaconess Medical Center

Spokane Emergency Group

In-Network

Ritzville

WA

East Adams Rural Hospital

East Adams Rural Hospital

In-Network

Medical Lake

WA

Eastern State Hospital

ER Services are not offered at this Facility

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

Puyallup

WA

Good Samaritan Hospital

Mt Rainier Emergency Physicians

In-Network

Aberdeen

WA

Grays Harbor Community Hospital

Grays Harbor Emergency Physicians

In-Network

Gritman Medical Center

In-Network

Moscow

ID

Seattle

WA

Harborview Medical Center

Gritman Medical Center Emergency Department at Harborview and Harborview Medical Center Emergency Medicine

Bremerton

WA

Harrison Medical Center

West Sound Emergency Physicians

In-Network

Silverdale

WA

Harrison Medical Center

West Sound Emergency Physicians

In-Network

Burien

WA

Highline Medical Center Main Campus

Highline Emergency Physicians

In-Network

Anacortes

WA

Island Hospital

Northwest Emergency Physicians

In-Network

Port Townsend

WA

Jefferson Healthcare Hospital

In-Network

Walla Walla

WA

Jonathan M Wainwright Memorial VA Medical Center

Jefferson Healthcare Hospital 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

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

In-Network

2

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017 When seeking Emergency Room (ER) services City

State

In-Network Hospital

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

Kootenai Medical Center

Kootenai Medical Center

In-Network

Chelan

WA

Lake Chelan Community Hospital

Lake Chelan Community Hospital

In-Network

Davenport

WA

Lincoln Hospital

Lincoln Hospital

In-Network

Pasco

WA

Lourdes Medical Center

Northwest Emergency Physicians

In-Network

Tacoma

WA

Mary Bridge Children’s Hospital and Health Center

Mary Bridge Emergency Department

In-Network

Shelton

WA

Mason General Hospital

Mason General Hospital

In-Network

The Dalles

OR

Mid Columbia Medical Center

Healthcare for the Mid Columbia Region

Omak

WA

Mid Valley Hospital

Okanogan Emergency Physicians

In-Network

Morton

WA

Morton General Hospital

Morton General Hospital

In-Network

Auburn

WA

MultiCare Auburn Medical Center

Cascade Emergency Physicians

In-Network

Newport

WA

Newport Community Hospital

Newport Community Hospital

In-Network

Tonasket

WA

North Valley Hospital

Okanogan Emergency Physicians

In-Network

Seattle

WA

Northwest Hospital

Northwest 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

Olympic Medical Center

In-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

Peace Island Medical Center

Peace Island Medical Center

Vancouver

WA

PeaceHealth Southwest Medical Center

Emergency Medicine Associates

Out-of-Network

Bellingham

WA

PeaceHealth St Joseph Medical Center

Northwest Emergency Physicians

In-Network

Sedro Woolley

WA

PeaceHealth United General Hospital

Cedra Emergency Physicians

In-Network

Prosser

WA

Prosser Memorial Hospital

Prosser Memorial Hospital

In-Network

Centralia

WA

Providence Centralia Hospital

Northwest Emergency Physicians

In-Network

Coeur D’Alene

ID

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

Out-of-Network

In-Network

3

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017 When seeking Emergency Room (ER) services City

State

In-Network Hospital

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

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

Everett

WA

Providence Regional Medical Center Everett Pacific Campus

Spokane

WA

Providence Sacred Heart Medical Center and Children’s Hospital

Spokane Emergency Physicians

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

Wenatchee Emergency Physicians

In-Network

Seattle

WA

Seattle Cancer Care Alliance

ER Services are not offered at this Facility

Seattle

WA

Seattle Children’s Hospital

Seattle Children’s Hospital

Spokane

WA

Shriners Hospital for Children

ER Services are not offered at this Facility

Mount Vernon

WA

Skagit Valley Hospital and Health

Skagit Valley Hospital and Health Emergency Room

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

Gig Harbor

WA

St Anthony Hospital

Northwest Emergency Physicians

In-Network

Lakewood

WA

St Clare Hospital

Northwest Emergency Physicians

In-Network

Enumclaw

WA

St Elizabeth Hospital

Northwest Emergency Physicians

In-Network

Federal Way

WA

St Francis Community Hospital

Northwest Emergency Physicians

In-Network

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

In-Network

ER Services are not offered at this Facility In-Network

In-Network

4

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017 When seeking Emergency Room (ER) services City

State

In-Network Hospital

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

Longview

WA

St John Medical Center

Cascade Emergency Associates

In-Network

Tacoma

WA

St Joseph Medical Center

Northwest Emergency Physicians

In-Network

Elma

WA

Summit Pacific Medical Center

Summit Pacific Medical Center

In-Network

Sunnyside

WA

Sunnyside Community Hospital

Sunnyside Emergency Group

Out-of-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

Tacoma

WA

Tacoma General Hospital

Tacoma General Emergency

In-Network

Brewster

WA

Three Rivers Hospital

Three Rivers Hospital

In-Network

Toppenish

WA

Toppenish Community Hospital

Washington Emergency Physician Partners

Clarkston

WA

Tri State Memorial Hospital

Tri State Memorial Hospital

In-Network

Kennewick

WA

Trios Health Kennewick General Hospital

Trios Health Kennewick General Hospital Emergency Department

In-Network

Kennewick

WA

Trios Southridge Hospital

Trios Health Kennewick General Hospital Emergency Department

In-Network

Seattle

WA

University of Washington Medical Center

UW Medical Center Emergency Medicine Svc

In-Network

Tacoma

WA

VA Puget Sound HCS American Lake Division

ER Services are not offered at this Facility

Seattle

WA

VA Puget Sound Health Care System

ER Services are not offered at this Facility

Spokane

WA

Valley Hospital and Medical Center

Sterling Emergency Services of Washington

In-Network

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

Walla Walla

WA

Walla Walla General Hospital

Walla Walla General Hospital

In-Network

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

Out-of-Network

5

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017 When seeking Emergency Room (ER) services City

State

In-Network Hospital

ER Physician Group Servicing the Hospital

ER Physician Group Network Status In-Network

Wenatchee

WA

Wenatchee Valley Hospital

Wenatchee Valley Hospital

Tacoma

WA

Western State Hospital

ER Services are not offered at this Facility

Coupeville

WA

Whidbey General Hospital

Whidbey General Hospital

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

Yakima

WA

Yakima Regional Hospital

Washington Emergency Physician Partners

Yakima

WA

Yakima Valley Memorial Hospital

Yakima Valley Memorial Hospital

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

Out-of-Network In-Network

6

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017

Section 2: Heritage Prime and Heritage Signature Networks City

State

Hospitals In-Network

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

Tacoma

WA

Allenmore Hospital

Allenmore Emergency

Olympia

WA

Capital Medical Center

Thurston Emergency Group

Tukwila

WA

Cascade Behavioral Hospital

ER Services are not offered at this Facility

Leavenworth

WA

Cascade Medical Center

Cascade Medical Center

In-Network

Arlington

WA

Cascade Valley Hospital

Northwest Emergency Physicians

In-Network

Wenatchee

WA

Central Washington Hospital

Central Washington Hospital

In-Network

Ephrata

WA

Columbia Basin Hospital

Beezley Springs Inpatient Services

In-Network

Astoria

OR

Columbia Memorial Hospital

North Coast Emergency Physicians Group

Grand Coulee

WA

Coulee Medical Center

Coulee Medical Center

In-Network

Dayton

WA

Dayton General Hospital

Dayton General Hospital

In-Network

Spokane

WA

Deaconess Medical Center

Spokane Emergency Group

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

Puyallup

WA

Good Samaritan Hospital

Mt Rainier Emergency Physicians

In-Network

Aberdeen

WA

Grays Harbor Community Hospital

Grays Harbor 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

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

In-Network Out-of-Network

Out-of-Network

7

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017

City

State

Hospitals In-Network

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

Silverdale

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

Chelan

WA

Lake Chelan Community Hospital

Lake Chelan Community Hospital

In-Network

Davenport

WA

Lincoln Hospital

Lincoln Hospital

In-Network

Tacoma

WA

Mary Bridge Children's Hospital and Health Center

Mary Bridge Emergency Department

In-Network

Shelton

WA

Mason General Hospital

Mason General Hospital

In-Network

The Dalles

OR

Mid Columbia Medical Center

Healthcare for the Mid Columbia Region

Omak

WA

Mid Valley Hospital

Okanogan Emergency Physicians

In-Network

Morton

WA

Morton General Hospital

Morton General Hospital

In-Network

Auburn

WA

MultiCare Auburn Medical Center

Cascade Emergency Physicians

In-Network

Newport

WA

Newport Community Hospital

Newport Community Hospital

In-Network

Tonasket

WA

North Valley Hospital

Okanogan Emergency Physicians

In-Network

Seattle

WA

Northwest Hospital

Northwest 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

Olympic Medical Center

In-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

Peace Island Medical Center

Peace Island Medical Center

In-Network

Vancouver

WA

PeaceHealth Southwest Medical Center

Emergency Medicine Associates

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

Out-of-Network

Out-of-Network

8

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017

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

Cedra Emergency Physicians

In-Network

Prosser

WA

Prosser Memorial Hospital

Prosser Memorial Hospital

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

Wenatchee Emergency Physicians

In-Network

Seattle

WA

Seattle Cancer Care Alliance

ER Services are not offered at this Facility

Seattle

WA

Seattle Children's Hospital

Seattle Children's Hospital

Spokane

WA

Shriners Hospital for Children

ER Services are not offered at this Facility

Mount Vernon

WA

Skagit Valley Hospital and Health

Skagit Valley Hospital and Health Emergency Room

In-Network

WA

Skyline Hospital

Skyline Hospital

In-Network

Snoqualmie Valley Hospital

Snoqualmie Valley Hospital

In-Network

White Salmon Snoqualmie

WA

In-Network

Spokane

WA

Spokane VA Medical Center

ER Services are not offered at this Facility

Longview

WA

St John Medical Center

Cascade Emergency Associates

Elma

WA

Summit Pacific Medical Center

Summit Pacific Medical Center

In-Network

Sunnyside

WA

Sunnyside Community Hospital

Sunnyside Emergency Group

Out-of-Network

Tacoma

WA

Tacoma General Hospital

Tacoma General Emergency

In-Network

Brewster

WA

Three Rivers Hospital

Three Rivers Hospital

In-Network

Toppenish

WA

Toppenish Community Hospital

Washington Emergency Physician Partners

Clarkston

WA

Tri State Memorial Hospital

Tri State Memorial Hospital

In-Network

Kennewick

WA

Trios Health Kennewick General Hospital

Trios Health Kennewick General Hospital Emergency Department

In-Network

Kennewick

WA

Trios Southridge Hospital

Trios Health Kennewick General Hospital Emergency Department

In-Network

Seattle

WA

University of Washington Medical Center

UW Medical Center Emergency Medicine Svc

In-Network

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

In-Network

Out-of-Network

9

Emergency Room Provider Directory Premera Blue Cross Member Plans Last updated January 1, 2017

City

State

Hospitals In-Network

ER Physician Group Servicing the Hospital

ER Physician Group Network Status

Tacoma

WA

VA Puget Sound HCS American Lake Division

ER Services are not offered at this Facility

Seattle

WA

VA Puget Sound Health Care System

ER Services are not offered at this Facility

Spokane

WA

Valley Hospital and Medical Center

Sterling Emergency Services of Washington

In-Network

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

Walla Walla

WA

Walla Walla General Hospital

Walla Walla General Hospital

In-Network

Wenatchee

WA

Wenatchee Valley Hospital

Wenatchee Valley Hospital

In-Network

Coupeville

WA

Whidbey General Hospital

Whidbey General Hospital

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

Yakima

WA

Yakima Regional Hospital

Washington Emergency Physician Partners

Yakima

WA

Yakima Valley Memorial Hospital

Yakima Valley Memorial Hospital

Out-of-Network In-Network

Disclaimer: Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the list of providers displayed is up to date and accurate. If possible, please verify with the hospital or the physician that they continue to be a member of the network. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receives care from a provider listed in this Web site. A provider listing in the locator Web site is not an indication that the provider’s services are eligible for benefits. Please consult your Summary Plan Description, contact customer service at 800-7221471, or have the provider submit a Benefit Advisory to determine available benefits. Important note: Providers in our network may have more than one medical group affiliation, so a provider’s network participation can vary depending upon where he/she is providing services. Be sure to confirm the provider's network participation at the location you plan to visit. Also note, not all members have out of area coverage. Please call Customer Service or check your Benefit Summary Plan to verify.

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

10

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

11

An Independent Licensee of the Blue Cross Blue Shield Association 019315 (01-01-2017)

12