State County Facility name MyCare Advantage (tier) Partner Network PA Potter UPMC Cole 1 X PA Schuylkill Geisinger St. Luke’s Hospital 2 PA Schuylkill Lehigh Valley Hospital – Schuylkill, E. Norwegian St. 2 PA Schuylkill Lehigh Valley Hospital – Schuylkill, S. Jackson St. 2 PA Schuylkill St. Luke’s Miners Campus 2 PA Somerset Chan Soon–Shiong Medical Center at Windber 2 PA Somerset Conemaugh Meyersdale Medical Center 2 PA Somerset UPMC Somerset 1 X PA Susquehanna Barnes–Kasson Hospital 2 PA Susquehanna Endless Mountains Health System 2 PA Tioga UPMC Wellsboro 1 X PA Union Wellspan Evangelical Community Hospital 2 PA Venango UPMC Northwest 1 X PA Warren Warren General Hospital 1 PA Washington Penn Highlands Mon Valley 1 PA Washington UPMC Washington 1 X PA Wayne Wayne Memorial Hospital 2 PA Westmoreland Frick Hospital 1 PA Westmoreland Latrobe Hospital 1 PA Westmoreland Westmoreland Hospital 1 PA Westmoreland Select Specialty Hospital – Laurel Highlands 2 PA York OSS Orthopaedic Hospital 1 PA York Select Specialty Hospital – York 1 X PA York UPMC Hanover 1 X PA York UPMC Memorial 1 X MD Allegany UPMC Western Maryland 1 X MD Garrett Garrett Regional Medical Center 2 NJ Warren St. Luke’s Hospital – Warren Campus 2 NY Allegany Jones Memorial Hospital 2 NY Cattaragus Olean General Hospital 2 NY Chautauqua UPMC Chautauqua 1 X NY Cortland Guthrie Cortland Medical Center 2 NY Steuben Guthrie Corning Hospital 2 OH Cuyahoga Cleveland Clinic Children’s Hospital for Rehabilitation 1 OH Cuyahoga Cleveland Clinic Euclid Hospital 1 OH Cuyahoga Cleveland Clinic Fairview Hospital 1 OH Cuyahoga Cleveland Clinic Hillcrest Hospital 1 OH Cuyahoga Cleveland Clinic Lutheran Hospital 1 Facilities Outside of Pennsylvania
UPMC Health Plan Network Overview Page 3 Page 5