Common use of Higher Cost Share Hospitals Clause in Contracts

Higher Cost Share Hospitals. The Massachusetts hospitals listed below are the hospitals in which your cost share will be higher. Blue Cross Blue Shield will let you know if this list changes. • Baystate Medical Center • Boston Children’s Hospital • Xxxxxxx and Women’s Hospital • Cape Cod Hospital • Xxxx-Xxxxxx Cancer Institute • Fairview Hospital • Massachusetts General Hospital • North Shore Medical Center – Salem Campus • North Shore Medical Center – Union Campus • South Shore Hospital • Sturdy Memorial Hospital • UMass Memorial Medical Center – Memorial Campus • UMass Memorial Medical Center – University Campus All othernetworkhospitalswillcarry the lowercostshare, including network hospitals outside of Massachusetts.

Higher Cost Share Hospitals. The Massachusetts hospitals listed below are the hospitals in which your cost share will be higher. Blue Cross Blue Shield will let you know if this list changes. • Baystate Medical Center • Boston Children’s Hospital • Xxxxxxx and Women’s Hospital • Cape Cod Hospital • Xxxx-Xxxxxx Cancer Institute • Xxxx-Xxxxxx Cancer Institute • Fairview Hospital • Massachusetts General Hospital • North Shore Medical Center – –Salem Campus • North Shore Medical Center – –Union Campus • South Shore Hospital • Sturdy Memorial Hospital • UMass Memorial Medical Center – Memorial Campus • UMass Memorial Medical Center – University Campus All othernetworkhospitalswillcarry the lowercostshare, including network hospitals outside of Massachusetts.

Higher Cost Share Hospitals. The Massachusetts hospitals listed below are the hospitals in which your cost share will be higher. Blue Cross Blue Shield will let you know if this list changes. • Baystate Medical Center • Boston Children’s Hospital Childrenl Centerwil • Xxxxxxx Brigham and Women’s Hospital WomenCenterwill • Cape Cod Hospital • Xxxx-Xxxxxx Cancer Institute • Xxxx-Xxxxxx Cancer Institute • Fairview Hospital • Massachusetts General Hospital • North Shore Medical Center – –Salem Campus • North Shore Medical Center – –Union Campus • South Shore Hospital • Sturdy Memorial Hospital • UMass Memorial Medical Center – Memorial Campus • UMass Memorial Medical Center – University Campus All othernetworkhospitalswillcarry other network hospitals will carry the lowercostsharelower cost share, including network hospitals outside of Massachusetts.

Higher Cost Share Hospitals. The Massachusetts hospitals listed below are the hospitals in which your cost share will be higher. Blue Cross Blue Shield will let you know if this list changes. • Baystate Medical Center • Boston Children’s Hospital • Xxxxxxx and Women’s Hospital • Cape Cod Hospital • Xxxx-Xxxxxx Cancer Institute • Fairview Hospital • Massachusetts General Hospital • North Shore Medical Center – Salem Campus • North Shore Medical Center – Union Campus • South Shore Hospital • Sturdy Memorial Hospital • UMass Memorial Medical Center – Memorial Campus • UMass Memorial Medical Center – University Campus All othernetworkhospitalswillcarry other network hospitals will carry the lowercostsharelower cost share, including network hospitals outside of Massachusetts.

Higher Cost Share Hospitals. The Massachusetts hospitals listed below are the hospitals in which your cost share will be higher. Blue Cross Blue Shield will let you know if this list changes. • Baystate Medical Center • Boston Children’s Hospital • Xxxxxxx and Women’s Hospital • Cape Cod Hospital • Xxxx-Xxxxxx Cancer Institute • Xxxx-Xxxxxx Cancer Institute • Fairview Hospital • Massachusetts General Hospital • North Shore Medical Center – Salem Campus • North Shore Medical Center – Union Campus • South Shore Hospital • Sturdy Memorial Hospital • UMass Memorial Medical Center – Memorial Campus • UMass Memorial Medical Center – University Campus All othernetworkhospitalswillcarry the lowercostshare, including network hospitals outside of Massachusetts.