2016 Hospital Tiered Network

Effective 4/1/2016

Providing access to quality, affordable healthcare for our customers is our mission. With the continued increase in healthcare cost, it is critical that we continue to improve the information we provide our customers about the most efficient, cost-effective hospitals, so they can make informed choices about their healthcare providers. One of these initiatives is our Hospital Tiered Network. We have collaborated with hospitals on this program and utilize some of the same criteria that the Centers for Medicare and Medicaid Services (CMS) uses to measure hospitals. The program measures and ranks our in-network hospitals on the criteria of quality, patient experience and cost.

Below is a list of our in-network hospitals which shows both their current tier ranking and their new tier ranking, which will become effective April 1, 2016.

Note: Though a hospital may not be considered a Tier 1 facility, they are still classified as an in-network provider. You will maximize your hospital benefits by visiting in-network, Tier 1 providers.

Certain Alabama general acute care hospitals are exempted from the list of Hospital Tiered Network facilities. These facilities will be treated as Tier 1. Hospitals exempt from tiering are:

  • Children’s Hospital
  • Choctaw General Hospital
  • Red Bay Hospital
  • St. Vincent’s Blount
  • USA Children’s and Women’s Hospital
  • Washington County Hospital
Hospital Name 2015 2016 City County
Andalusia Regional Hospital Tier 1 Tier 1 Andalusia Covington
Athens-Limestone Hospital Tier 1 Tier 1 Athens Limestone
Atmore Community Hospital Tier 2 Tier 1 Atmore Escambia
Baptist Medical Center East Tier 1 Tier 1 Montgomery Montgomery
Baptist Medical Center South Tier 1 Tier 2 Montgomery Montgomery
Bibb Medical Center Tier 1 Tier 1 Centreville Bibb
Brookwood Medical Center Tier 1 Tier 1 Birmingham Jefferson
Bryan W. Whitfield Memorial Hospital Tier 2 Tier 2 Demopolis Marengo
Bullock County Hospital Tier 1 Tier 1 Union Springs Bullock
Cherokee Medical Center Tier 1 Tier 2 Centre Cherokee
Citizens Baptist Medical Center Tier 1 Tier 1 Talladega Talladega
Clay County Hospital Tier 1 Tier 2 Ashland Clay
Community Hospital Tier 1 Tier 1 Tallassee Elmore
Coosa Valley Medical Center Tier 1 Tier 1 Sylacauga Talladega
Crenshaw Community Hospital Tier 1 Tier 2 Luverne Crenshaw
Crestwood Medical Center Tier 1 Tier 1 Huntsville Madison
Cullman Regional Medical Center Tier 1 Tier 1 Cullman Cullman
D.W. McMillan Memorial Hospital Tier 1 Tier 1 Brewton Escambia
Dale Medical Center Tier 1 Tier 1 Ozark Dale
DCH Regional Medical Center Tier 1 Tier 1 Tuscaloosa Tuscaloosa
Decatur Morgan Hospital Tier 1 Tier 1 Decatur Morgan
DeKalb Regional Medical Center Tier 1 Tier 1 Fort Payne DeKalb
East Alabama Medical Center Tier 2 Tier 2 Opelika Lee
Eliza Coffee Memorial Hospital Tier 1 Tier 1 Florence Lauderdale
Elmore Community Hospital Tier 2 Tier 1 Wetumpka Elmore
Evergreen Medical Center Tier 1 Tier 2 Evergreen Conecuh
Fayette Medical Center Tier 1 Tier 1 Fayette Fayette
Flowers Hospital Tier 1 Tier 1 Dothan Houston
Gadsden Regional Medical Center Tier 1 Tier 1 Gadsden Etowah
Georgiana Medical Center Tier 1 Tier 1 Georgiana Butler
Grandview Medical Center Tier 1 Tier 1 Birmingham Jefferson
Greene County Hospital Tier 1 Tier 1 Eutaw Greene
Grove Hill Memorial Hospital Tier 2 Tier 1 Grove Hill Clarke
Hale County Hospital Tier 2 Tier 1 Greensboro Hale
Helen Keller Hospital Tier 1 Tier 1 Sheffield Colbert
Highlands Medical Center Tier 2 Tier 1 Scottsboro Jackson
Hill Hospital of Sumter County Tier 1 Tier 2 York Sumter
Huntsville Hospital Tier 1 Tier 1 Huntsville Madison
J. Paul Jones Hospital Tier 1 Tier 1 Camden Wlicox
Jack Hughston Memorial Hospital Tier 1 Tier 1 Phenix City Russell
Jackson Hospital & Clinic Tier 1 Tier 1 Montgomery Montgomery
Jackson Medical Center Tier 1 Tier 2 Jackson Clarke
Jacksonville Medical Center Tier 1 Tier 2 Jacksonville Calhoun
L.V. Stabler Memorial Hospital Tier 1 Tier 1 Greenville Butler
Lake Martin Community Hospital Tier 2 Tier 1 Dadeville Tallapoosa
Lakeland Community Hospital Tier 1 Tier 2 Haleyville Winston
Lawrence Medical Center Tier 1 Tier 1 Moulton Lawrence
Marshall Medical Center Tier 1 Tier 1 Boaz Marshall
Medical Center Barbour Tier 1 Tier 1 Eufala Barbour
Medical Center Enterprise Tier 1 Tier 1 Enterprise Coffee
Medical West Tier 1 Tier 1 Bessemer Jefferson
Mizell Memorial Hospital Tier 1 Tier 2 Opp Covington
Mobile Infirmary Tier 1 Tier 2 Mobile Mobile
Monroe County Hospital Tier 1 Tier 1 Monroeville Monroe
North Baldwin Infirmary Tier 1 Tier 1 Bay Minette Baldwin
North Mississippi Medical Center - Hamilton Tier 1 Tier 2 Hamilton Marion
NE Alabama Regional Medical Center Tier 1 Tier 1 Anniston Calhoun
Northwest Medical Center Tier 1 Tier 1 Winfield Marion
Pickens County Medical Center Tier 1 Tier 1 Carrollton Pickens
Prattville Baptist Hospital Tier 1 Tier 1 Prattville Autauga
Princeton Baptist Medical Center Tier 1 Tier 1 Birmingham Jefferson
Providence Hospital Tier 1 Tier 1 Mobile Mobile
Riverview Regional Medical Center Tier 2 Tier 2 Gadsden Etowah
Russell Medical Center Tier 2 Tier 1 Alexander City Tallapoosa
Russellville Hospital Tier 1 Tier 2 Russellville Franklin
Shelby Baptist Medical Center Tier 1 Tier 1 Alabaster Shelby
Shoals Hospital Tier 1 Tier 2 Muscle Shoals Colbert
South Baldwin Regional Medical Center Tier 1 Tier 1 Foley Baldwin
Southeast Alabama Medical Center Tier 1 Tier 1 Dothan Houston
Springhill Memorial Hospital Tier 1 Tier 1 Mobile Mobile
St. Vincent's Birmingham Tier 1 Tier 1 Birmingham Jefferson
St. Vincent's East Tier 1 Tier 1 Birmingham Jefferson
St. Vincent's St. Clair Tier 1 Tier 1 Pell City St. Clair
Stringfellow Memorial Hospital Tier 2 Tier 2 Anniston Calhoun
Thomas Hospital Tier 1 Tier 1 Fairhope Baldwin
Troy Regional Medical Center Tier 1 Tier 1 Troy Pike
University of South Alabama Medical Center Tier 1 Tier 1 Mobile Mobile
University of Alabama Hospital Tier 1 Tier 2 Birmingham Jefferson
Vaughan Regional Medical Center Tier 1 Tier 1 Selma Dallas
Walker Baptist Medical Center Tier 1 Tier 1 Jasper Walker
Wedowee Hospital Tier 2 Tier 2 Wedowee Russell
Wiregrass Medical Center Tier 2 Tier 1 Geneva Geneva