DIRECTORY OF HEALTHCARE NETWORK PROVIDERS

Similar documents
1989/90 Division I - Bowling Green State University

Aetna "Select Provider" Listing - Ambulatory Surgery Cleveland - January, CSA St. Vincent Charity Hospital

Aetna "Select Provider" Listing - Ambulatory Surgery Cleveland - January, 2013

OHIO TURNPIKE SERVICE PLAZA ADVERTISING

OHIO TURNPIKE TOLL PLAZA ADVERTISING

Midwest Athletic Conference All-Time Football Records

Midwest Athletic Conference All-Time Football Records

LODGE NAME INST. CLOSED REMARKS

Ohio Airport Classifications

Lehigh Valley Physician Group

Townships Eligible to Apply for Township Sign Grant 2018

Greene...6:30 P.M. Athens...5:00 P.M. Athens...12:00 P.M. Ross...12:00 P.M. Richland...5:00 P.M. Champaign...6:30 P.M.

Participating Ancillary Providers

Turnpike Advertising PA NJ MD WV

FORM G-37. Name of Regulated Entity: Sudsina & Associates, LLC. Report Period: Second Quarter of 2017

Woodlan Jr./Sr. High School Direction Book for Area Schools 2012

OHIO TURNPIKE ATTRACTIONS LOGO PROGRAM

7. Thrifty Outlet, MI 4677 Alpine Ave NW, Comstock Park, MI Norton Shores, MI 700 W Norton Ave, Muskegon, MI 49441

OHIO MAJOR CITIES: OHIO CLIMATE

MEDICAL FACILITIES/LOCATIONS

UAW Retiree Medical Benefits Trust. State-by-state Informational Meeting Schedule

Location Test Date Start Time. Dec 9, Dec 12, Dec 16, Dec 18, Dec 10, Dec 17, 2014

ADAMS BISHOP BLACKHAWK

OHIO TURNPIKE LODGING LOGO PROGRAM

retail construction experience

County Location Entity City State MI-Lenawee Stair Public Library Morenci MI MI-Lenawee Lenawee District Lbrary Adrian MI MI-Lenawee Adrian Township

Buckeye Health Plan Community Solutions Allwell Medicare 2018 Preferred Pharmacy Listing

2 nd Roe LLC 3-D Feed & Supply Monroeville, OH Limerick Rd CR Fremont, OH

NTAC Database Ohio Department of Job and Family Services

Public Water Systems with Endorsed Drinking Water Source Protection Plans (as of October 23, 2014)

UMHS Proposed Mail Routes/Schedule May, Community Health Services and Comprehensive Gender Services 2435 NCAC Building M,W,F E

Field Inspection Clients

Bulletin June 25, 2010 COUNTY VOTED 2009 PROPERTY TAX LEVIES BY PROGRAM CATEGORY, COUNTY AND RATE

Endorsed Drinking Water Source Protection Plans (as of November 6, 2017)

01 Central Akron: State Route 8 on the east. I-76 on the south, west on I-76 to East Blvd,

Continuing Care and Retirement Communities within 30 Miles of Elkhorn

Bulletin October 15, COUNTY VOTED 2013 PROPERTY TAX LEVIES BY PROGRAM CATEGORY, COUNTY AND RATE (For collection in 2014)

Provider and Pharmacy Directory

Meeting guide. Enhanced Care PPO (ECP) for non-medicare UAW Trust members All states. New

Florida Pharmacies Enrolled in Emergency Prescription Assistance Program (EPAP) by County

LIHTC Properties in Illinois 15th District (John Shimkus

Hospital Group Quirónsalud in Málaga

2011 OHSAA Boys Ice Hockey Tournament - Division I, State Championships

Hamilton, Clermont, Butler, Warren, Brown & Clinton Counties

Federal State PID Number. Letting Date BRIDGE REPAIR DBE Goal 9/16/2010

County Location Entity Address Address2 City State Zip MI-Lenawee Stair Public Library 228 W. Main Street Morenci MI MI-Lenawee Lenawee

Federal State PID Number. Letting Date 8/9/ /19/2019 E170(418) Ashland HUR /HUR CHIP FY2019. CHIP SEAL DBE Goal

Crestwood Dr Thornhill Terrace Sub., S from Spielman Rd Alexander - Bus AMS 5/6 - Bus AMS 7/8 - Bus High School - Bus

x x x x x X X X X X X X X X X X Business Name & Address x x X x x 288 Lafayette St., London, Ohio Services Offered

Public Health Quality Indicators. Annual Report / July 2016

Timesheets Clients. Fayette County GA. Carroll County AR. Gwinnett County GA. Pulaski County AR. Cook County IL. Brevard County FL.

Macy s North and Macy s Midwest Home Store Update

2 Construction Program

Blue Precision HMO. Provider Directory. bcbsil.com

CONSTRUCTION PROJECTS IN CUYAHOGA COUNTY CLEVELAND EUCLID 3/9/18 RICHMOND MAYFIELD HIGHLAND HEIGHTS HEIGHTS SOUTH EAST MAYFIELD EUCLID CLEVELAND

STOCKING DEALERS ALABAMA. Werts Welding & Tank Service, Inc.- Birmingham Location 2330 Balsam Ave Birmingham, AL

PID Number. Letting Date. Federal State BRIDGE REPAIR 7/9/2008. Federal State Letting Date. PID Number

Draft Committed List 2/19/2015

Construction Update. ODOT District Two Construction Update. For Immediate Release Thursday, October 18, Lucas County

Human Resources Clients

IN OUR PRIME! Prime Network vs. Select Care Network for Small Groups in New York

Airport Compliance Evaluation

RSVP now! Space is limited!

Macy s Midwest Conversion to Federated Systems

2012 Hoosier Classic Tournaments

STORES ADDRESS TUES WED THURS FRI SAT ACME #15 AKRON 3979 MEDINA RD, AKRON, OH X X #20 PARMA 1225 PLEASANT VALLEY RD.

LPA Location Federal Funds Awarded to LPA. Fairfield Avenue, SR 101 and Oxford Pike

Store Phone # Address City State Zip Code W. NORTON AVE. MUSKEGON MI ALPINE AVE NW GRAND RAPIDS MI

Blue Precision HMO. Provider Directory. bcbsil.com

Defiance Defiance Farmers' Market Northtown Mall (SR66 south of SR 24- Defiance) Tues 2 pm- 6 pm, Thurs 11 am-3 pm & Sat 9 am-1 pm.

Institutes of Quality

Carrier: Verizon New York Inc., 140 West Street, New York, NY 10007

2 nd Roe LLC 3-D Feed & Supply Monroeville, OH Limerick Rd CR Fremont, OH

Bulletin August 2013 COUNTY, MUNICIPAL & TOWNSHIP PERMISSIVE MOTOR VEHICLE LICENSE TAX REVENUE RECEIVED BY TYPE OF JURISDICTION IN 2012

Case 3:05-cv Document 34 Filed 10/10/2005 Page 1 of 13

STREET ADDRESS RANGE LOCATION Transportation Eligibility Book - March 2015

MHSFCA Academic All-State Nominations Greg Dolson Tecumseh High School

FBI Drug Demand Reduction Coordinators

Public Water Systems with Endorsed Drinking Water Source Protection Plans (as of January 9, 2019)

LIHTC Properties in 2016) (Donald Norcross Through 2016

Outpatient Services Guide

U.S. Family Retreats 2018 Schedule

Dunham's Sports 2013 Black Friday Store Hours

Population Estimates for U.S. Cities Report 1: Fastest Growing Cities Based on Numeric Increase,

OUR U.S. FULL SERVICE OFFICES:

Area Sales Comparison Report

The Pittsburgh, Cincinnati, Chicago & St. Louis Railway Leased by Pennsylvania Railroad July 10, 1922 (FD 1466)

PID Number. Letting Date. Federal State /26/2018 FOUR LANE RESURFACING DBE Goal

PID Number. Letting Date. Federal State BRIDGE REPAIR DBE Goal 10/20/2016

, 8:30 to 4:30 Monday - Friday 2375 Gordon Road Alpena Service Agency. 706 Chippewa Square, Suite

Advantage-Plus Meridian (PDP) 2016 Pharmacy Directory

Summer Café Site Locations

Don t know who represents you? Call aldermanic offices in your area or City Hall at (312) to find out.

Forecast of Aviation Demand

LIHTC Properties in Iowa's 2nd District LIHTC (1997 to. (Dave Loebsack - D) 2016) Source: HUD LIHTC Through 2016

Cabot Industrial Value Fund III

2 nd Roe LLC 3-D Feed & Supply Monroeville, OH Limerick Rd CR Fremont, OH

Molina Healthcare of Ohio Inc. Participating Radiology and Lab Providers Last Updated: 10/3/2012

Advocate Trinity Hospital Cardiac/Pulmonary Rehabilitation 2320 E. 93 rd St. Chicago, IL Ph: (773) , ext Fax: (773)

ARIZONA YUMA COUNTY. Designated Primary Care/Cedar Centers. Sunset Community Health Center. Sunset Community Health Center

Transcription:

DIRECTORY OF HEALTHCARE NETWORK PROVIDERS 2018-2019 Due to limited update capabilities of a printed directory. Please use this directory as a guide only. Always verify FrontPath Health Coalition network providers through the FrontPath website, or by calling the Customer Service Representatives at 419-891-5206, Option 5, or toll free 1-888-232-5800

INTRODUCTION Welcome to the FrontPath Health Coalition Provider Network! Your employer, together with other employers located within northwest Ohio, northeast Indiana and Southeastern Michigan, have developed a network of hospitals, medical facilities and professionals to provide your health care needs. Your employer s participation in the FrontPath Health Coalition Provider Network (FrontPath) enables you to take advantage of FrontPath s contractual arrangements when you utilize the FrontPath providers who are listed in this Directory. By obtaining medical services from a FrontPath provider, you gain several advantages. For example: FrontPath Providers have agreed not to balance bill employees or their dependents for amounts exceeding their plan s deductible or co-pay requirements. When using a FrontPath provider, you need no longer be concerned with charges which might exceed your plan s reasonable and customary fee limits. FrontPath Providers will file your claim forms. You no longer have to worry about filing claim forms if you use a FrontPath Network Provider. Your out of pocket expenses will typically be lower if you obtain treatment from a FrontPath Network Provider, due to FrontPath s negotiated fee arrangements. Your employer will provide you with specific information as to how your Plan of Benefits coordinates with the FrontPath network. Remember, the choice of health care provider is always yours to make. Please note that this Directory is intended to offer general information with regard to the FrontPath Health Coalition Provider Network and contains a listing of the FrontPath Network Providers. This directory does not guarantee that all services or providers listed in this directory will be covered under your health care plan of benefits. You must refer to your Plan of Benefits for specific information regarding the details of your employer s Plan, such as levels of coverage, exclusions, eligibility and cost containment procedures. In addition, your employer s Plan may limit coverages regardless of whether they are provided in or out of the FrontPath network, and it is that Plan which determines whether or not a particular medical service is covered, and at what level. 1

HOW TO USE THIS DIRECTORY This Directory is designed to help you identify the Network Providers who are members of the FrontPath Health Coalition. It is arranged in a number of convenient ways to assist you in quickly locating a particular hospital, medical facility or physician. As with any organization, the list of Network Providers may change from time to time between editions of the Directory. Your employer may provide you with periodic updates to the directory which will include any changes in the provider panel. You may also review Network Providers on FrontPath s website, www.frontpathcoaltion.com. Directory listings should not be construed as endorsements of practitioners and/or facilities, or as statements regarding their abilities. If you have any questions, please call FrontPath customer service, 419-891-5210, option 5 or toll free 1-888-232-5800, option 5. PHYSICIANS This section of the Directory includes the name, address, telephone number and hospital affiliation of FrontPath Network physician members. A key to the hospital affiliation codes can be found immediately preceding the Primary Care Physicians section. The physicians are listed first by their area of specialization and then alphabetically by last name. An index listing of all physicians alphabetically by the last name, regardless of practice specialty, is provided in the back of the directory. 2

ADDITIONAL INFORMATION Sometimes you may need additional information beyond that provided in this Directory. For example, you may want to choose a Network facility, or learn which physician s area of specialization is appropriate for your condition. In these cases, you may want to consult with your primary care physician. In addition, there are other sources of help available through the FrontPath Network s participating hospitals you might wish to consider: Mercy HealthLink ProMedica Call Center 2200 Jefferson Avenue 2142 North Cove Boulevard Toledo, Ohio 43624 Toledo, Ohio 43606 (419) 251-4000 (419) 291-5899 St. Luke s Hospital MedMatch 5911 Monclova Road Maumee, Ohio 43537 (419) 893-5993 3

Table of Contents INTRODUCTION...1 PARTICIPATING HOSPITALS...5 PARTICIPATING FACILITIES...9 Ambulatory Surgery Center...9 Audiology & Hearing Centers...10 Cardiology...11 Cardiovascular/Thoracic...11 Dialysis Centers...11 DME (Durable Medical Equipment)...11 Extended Care Facilities...16 Family Practice...19 Health Department...19 Home Care - Infusion, Nursing & Hospice...19 Laboratory...22 LTAC (long term acute care facility)...23 Mental Health/Substance Abuse...23 Misc. Inpatient Services...26 Misc. Outpatient Services...26 Miscellaneous Services & Supplies...27 Multi-Specialty Group...28 Occupational Medicine...28 Oncology...29 Outpatient Laboratory...29 Outpatient Radiology...33 Outpatient Rehab....36 Pain Management...43 Pathology...44 Psychiatry, Adults & Children...44 i September, 2018

Table of Contents Radiology/Oncology...44 Rehabilitation...44 Reproductive Endocrinology...44 Sleep Disorders Centers...45 Urgent Care Center...45 Walk-in Care...47 Wound Care/Hyperbaric Medicine...51 HOSPITAL AFFILIATION CODES...53 PRIMARY CARE PHYSICIANS...55 Family Practice...55 Family Practice/Pediatrics...80 Gynecology...80 Hospitalist...81 Internal Medicine...81 OB/GYN...89 Pediatrics...99 Pediatrics/Child Abuse...105 SPECIALIST PHYSICIANS...107 Addictionology...107 Allergy/Immunology...107 Bariatric Surgery...108 Cardiology...108 Cardiology/Electrophysiology...122 Cardiovascular/Thoracic...123 Chiropractic...124 Clinical Neurophysiology...130 Colon/Rectal Surgery...130 Dermatology...131 ii September, 2018

Table of Contents Endocrinology...133 ENT...134 Female Pelvic Med & Reconstructive Surge...136 Foot & Ankle Surgery...137 Gastroenterology...137 General Surgery...139 Genetics...145 Geriatrics...145 Gynecologic Oncology...145 Hematology/Oncology...145 Infectious Disease...149 Maternal Fetal Medicine...150 Neonatology...150 Nephrology...150 Neuro Ophthalmology...155 Neuro-Endovascular Surgery...155 Neurology...155 Neuropsychology...160 Neurosurgery...161 Occupational Medicine...162 Oncology...163 Ophthalmology...164 Oral Maxillofacial Surgery...169 Orthopedics...169 Otolaryngology/Neurotology...180 Pain Management...180 Palliative...182 Pediatric Allergy/Immunology...183 Pediatric Cardiology...183 iii September, 2018

Table of Contents Pediatric Critical Care...183 Pediatric Endocrinology...183 Pediatric Gastroenterology...184 Pediatric Hematology...184 Pediatric Infectious Disease...184 Pediatric Nephrology...184 Pediatric Neurology...185 Pediatric Ophthalmology...185 Pediatric Orthopedic Surgery...185 Pediatric Pulmonary Medicine...185 Pediatric Surgery...186 Pediatric Urology...186 Pediatrics Hematology/Oncology...186 Pediatrics/Developmental...186 Phlebology...187 Physical Medicine & Rehab....187 Plastic Surgery...189 Podiatry...190 Proctology...195 Psychiatry, Adult...195 Psychiatry, Adult & Children...197 Psychiatry, Adults & Children...197 Psychiatry, Child...198 Psychiatry/Neurology...199 Psychology, Adult...199 Psychology, Adults & Children...201 Psychology, Child...203 Pulmonary Medicine...203 Radiology/Oncology...207 iv September, 2018

Table of Contents Reproductive Endocrinology...212 Rheumatology...212 Sleep Medicine...213 Sports Medicine...213 Surgery -Trauma/Critical Care...214 Surgery/Cardiac...214 Surgery/Vascular...214 Surgical Oncology...217 Urogynecology...217 Urology...217 Vascular Surgery...222 Wound Care/Hyperbaric Medicine...222 ALPHABETICAL INDEX...223 v September, 2018

INTRODUCTION Welcome to the FrontPath Health Coalition Provider Network! Your employer, together with other employers located within northwest Ohio, northeast Indiana and Southeastern Michigan, have developed a network of hospitals, medical facilities and professionals to provide your health care needs. Your employer s participation in the FrontPath Health Coalition Provider Network (FrontPath) enables you to take advantage of FrontPath s contractual arrangements when you utilize the FrontPath providers who are listed in this Directory. By obtaining medical services from a FrontPath provider, you gain several advantages. For example: FrontPath Providers have agreed not to balance bill employees or their dependents for amounts exceeding their plan s deductible or co-pay requirements. When using a FrontPath provider, you need no longer be concerned with charges which might exceed your plan s reasonable and customary fee limits. FrontPath Providers will file your claim forms. You no longer have to worry about filing claim forms if you use a FrontPath Network Provider. Your out of pocket expenses will typically be lower if you obtain treatment from a FrontPath Network Provider, due to FrontPath s negotiated fee arrangements. Your employer will provide you with specific information as to how your Plan of Benefits coordinates with the FrontPath network. Remember, the choice of health care provider is always yours to make. Please note that this Directory is intended to offer general information with regard to the FrontPath Health Coalition Provider Network and contains a listing of the FrontPath Network Providers. This directory does not guarantee that all services or providers listed in this directory will be covered under your health care plan of benefits. You must refer to your Plan of Benefits for specific information regarding the details of your employer s Plan, such as levels of coverage, exclusions, eligibility and cost containment procedures. In addition, your employer s Plan may limit coverages regardless of whether they are provided in or out of the FrontPath network, and it is that Plan which determines whether or not a particular medical service is covered, and at what level. 1

HOW TO USE THIS DIRECTORY This Directory is designed to help you identify the Network Providers who are members of the FrontPath Health Coalition. It is arranged in a number of convenient ways to assist you in quickly locating a particular hospital, medical facility or physician. As with any organization, the list of Network Providers may change from time to time between editions of the Directory. Your employer may provide you with periodic updates to the directory which will include any changes in the provider panel. You may also review Network Providers on FrontPath s website, www.frontpathcoaltion.com. Directory listings should not be construed as endorsements of practitioners and/or facilities, or as statements regarding their abilities. If you have any questions, please call FrontPath customer service, 419-891-5210, option 5 or toll free 1-888-232-5800, option 5. PHYSICIANS This section of the Directory includes the name, address, telephone number and hospital affiliation of FrontPath Network physician members. A key to the hospital affiliation codes can be found immediately preceding the Primary Care Physicians section. The physicians are listed first by their area of specialization and then alphabetically by last name. An index listing of all physicians alphabetically by the last name, regardless of practice specialty, is provided in the back of the directory. 2

ADDITIONAL INFORMATION Sometimes you may need additional information beyond that provided in this Directory. For example, you may want to choose a Network facility, or learn which physician s area of specialization is appropriate for your condition. In these cases, you may want to consult with your primary care physician. In addition, there are other sources of help available through the FrontPath Network s participating hospitals you might wish to consider: Mercy HealthLink ProMedica Call Center 2200 Jefferson Avenue 2142 North Cove Boulevard Toledo, Ohio 43624 Toledo, Ohio 43606 (419) 251-4000 (419) 291-5899 St. Luke s Hospital MedMatch 5911 Monclova Road Maumee, Ohio 43537 (419) 893-5993 3

.

PARTICIPATING HOSPITALS Akron General Medical Center 1 Akron General Ave Akron, OH 44307 (330) 344-6000 Bellevue Hospital 1400 W Main St Bellevue, OH 44811 (419) 483-4040 Bixby Medical Center 818 Riverside Ave Adrian, MI 49221 (517) 265-0900 Blanchard Valley Hospital 1900 S Main St Findlay, OH 45840 (419) 423-4500 Bluffton Hospital 139 Garau St Bluffton, OH 45817 (419) 358-9010 Bucyrus Community Hospital 629 N Sandusky Ave Bucyrus, OH 44820 (419) 562-4677 Cameron Memorial Community Hospital 416 E Maumee St Angola, IN 46703 (260) 665-2141 Cleveland Clinic Avon Hospital 33300 Cleveland Clinic Blvd Avon, OH 44011 (440) 695-5000 Cleveland Clinic Children's Hospital for Rehabilit 2801 Martin Luther King Jr Dr Cleveland, OH 44104 (216) 721-5400 Cleveland Clinic Foundation 9500 Euclid Ave Cleveland, OH 44195 (216) 444-2200 Community Hospitals & Wellness Centers 121 Westfield Dr Archbold, OH 43502 (419) 445-4415 433 W High St Bryan, OH 43506 (419) 636-1131 909 E Snyder Ave Montpelier, OH 43543 (419) 485-3154 DeKalb Memorial Hospital 1316 E 7th St Auburn, IN 46706 (260) 925-4600 Dupont Hospital 2520 E Dupont Rd Fort Wayne, IN 46825 (260) 416-3000 Euclid Hospital 18901 Lake Shore Blvd Euclid, OH 44119 (216) 531-9000 Fairview Hospital 18101 Lorain Ave Cleveland, OH 44111 (216) 476-7000 Firelands Regional Medical Center Main Campus 1111 Hayes Ave Sandusky, OH 44870 (419) 626-7400 Firelands Regional Medical Center South Campus 1912 Hayes Ave Sandusky, OH 44870 (419) 557-7400 Fisher-Titus Medical Center 272 Benedict Ave Norwalk, OH 44857 (419) 668-8108 Fulton County Health Center 725 S Shoop Ave Wauseon, OH 43567 (419) 335-2015 Greene Memorial Hospital 1141 N Monroe Dr Xenia, OH 45385 (937) 372-8011 Henry County Hospital 1600 E Riverview Ave Napoleon, OH 43545 (419) 592-4015 Henry Ford Allegiance Health 205 N East Ave Jackson, MI 49201 (517) 788-4800 Hicksville Community Memorial Hospital 208 Columbus St Hicksville, OH 43526 (419) 542-6692 Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 5

Participating Hospitals Hillcrest Hospital 6780 Mayfield Rd Mayfield Hts, OH 44124 (440) 312-4500 Hillsdale Hospital 168 S Howell St Hillsdale, MI 49242 (517) 437-4451 Institute for Orthopaedic Surgery 801 Medical Dr Ste B Lima, OH 45804 (419) 224-7586 James Cancer Hospital 460 W 10th Ave Columbus, OH 43210 (800) 293-5066 Lakewood Hospital 14519 Detroit Ave Lakewood, OH 44107 (216) 521-4200 Lima Memorial Hospital 1001 Bellefontaine Ave Lima, OH 45804 (419) 228-3335 Lodi Community Hospital 225 Elyria St Lodi, OH 44254 (330) 948-1222 Lutheran Hospital 1730 W 25th St Cleveland, OH 44113 (216) 696-4300 Lutheran Hospital of Indiana 7950 W Jefferson Blvd Fort Wayne, IN 46804 (260) 435-7001 Magruder Hospital 615 Fulton St Port Clinton, OH 43452 (419) 734-3131 Marymount Hospital 12300 McCracken Rd Garfield Heights, OH 44125 (216) 581-0500 Mayo Clinic 200 1st St SW SW Rochester, MN 55905 (507) 284-2511 600 Hennepin Ave Ste 350 Minneapolis, MN 55403 (507) 663-7545 Mayo Clinic Hospital - Rochester 1216 2nd St SW SW Rochester, MN 55902 (507) 255-5123 201 W Center St Rochester, MN 55902 (507) 266-7890 Medina Hospital 1000 E Washington St Medina, OH 44256 (330) 725-1000 Mercy Allen Hospital 200 W Lorain St Oberlin, OH 44074 (440) 775-1211 Mercy Children's Hospital 2213 Cherry St Toledo, OH 43608 (419) 251-8210 Mercy Hospital of Defiance 1404 E 2nd St Defiance, OH 43512 (419) 782-8444 Mercy Regional Medical Center 3700 Kolbe Rd Lorain, OH 44053 (440) 960-4000 Mercy St. Anne Hospital 3404 W Sylvania Ave Toledo, OH 43623 (419) 407-2663 Mercy St. Charles Hospital 2600 Navarre Ave Oregon, OH 43616 (419) 696-7200 Mercy St. Vincent Medical Center 2213 Cherry St Toledo, OH 43608 (419) 251-3232 Mercy Tiffin Hospital 45 St Lawrence Dr Tiffin, OH 44883 (419) 447-3130 Mercy Willard Hospital 1100 Neal Zick Rd Willard, OH 44890 (419) 964-5000 Nationwide Children's Hospital 100 Coleman's Crossing Blvd Marysville, OH 43040 (937) 578-7600 700 Childrens Dr Columbus, OH 43205 (614) 722-2000 Ohio State University Medical Center 410 W 10th Ave Columbus, OH 43210 (614) 293-8000 Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 6

Participating Hospitals Orthopaedic Hospital at Parkview North 11130 Parkview Circle Dr Fort Wayne, IN 46845 (260) 672-5000 11420 Parkview Circle Dr Entrance 6 Fort Wayne, IN 46845 (260) 672-5000 OSU University Hospitals East 1492 E Broad St Columbus, OH 43205 (614) 257-3285 Parkview Hospital 2200 Randallia Dr Fort Wayne, IN 46805 (260) 373-4000 Parkview Huntington Hospital 2001 Stults Rd Huntington, IN 46750 (260) 356-3000 Parkview Lagrange Hospital 207 N Townline Rd Lagrange, IN 46761 (260) 463-2143 Parkview Noble Hospital 326 N Sawyer Rd Kendallville, IN 46755 (260) 347-8016 401 N Sawyer Rd Kendallville, IN 46755 (260) 347-8700 Parkview Regional Medical Center 11109 Parkview Plaza Dr Fort Wayne, IN 46845 (260) 672-4000 Parkview Warsaw Hospital 1355 Mariners Dr Warsaw, IN 46582 (574) 372-0000 Parkview Whitley Hospital 1260 E State Road 205 Columbia City, IN 46725 (260) 248-9000 Paulding County Hospital 1035 W Wayne St Paulding, OH 45879 (419) 399-4080 ProMedica Bay Park Hospital 2801 Bay Park Dr Oregon, OH 43616 (419) 690-7900 ProMedica Coldwater Regional Hospital 274 E Chicago St Coldwater, MI 49036 (517) 279-5200 ProMedica Defiance Regional Medical Center 1200 Ralston Ave Defiance, OH 43512 (800) 477-6955 ProMedica Flower Hospital 5200 Harroun Rd Sylvania, OH 43560 (419) 824-1444 ProMedica Fostoria Hospital 501 Van Buren St Fostoria, OH 44830 (419) 435-7734 ProMedica Herrick Hospital 500 E Pottawatamie St Tecumseh, MI 49286 (517) 424-3000 ProMedica Memorial Hospital 715 S Taft Ave Fremont, OH 43420 (419) 332-7321 ProMedica Monroe Regional Hospital 740 N Macomb St Monroe, MI 48162 (734) 240-8400 Rehabilitation Hospital of Fort Wayne 7970 W Jefferson Blvd Fort Wayne, IN 46804 (260) 435-6100 Rehabilitation Hospital of Northwest Ohio, LLC 1455 W Medical Loop Toledo, OH 43614 (419) 214-6600 South Pointe Hospital 20000 Harvard Ave Warrensville Heights, OH 44122 (216) 491-6000 St. Joseph Hospital 700 Broadway Fort Wayne, IN 46802 (260) 425-3000 St. Lukes Hospital 5901 Monclova Rd Maumee, OH 43537 (419) 893-5911 St. Rita's Medical Center 730 W Market St Lima, OH 45801 (419) 227-3361 The Orthopaedic Hospital of Lutheran Health Networ 7952 W Jefferson Blvd Fort Wayne, IN 46804 (260) 435-2999 The Toledo Hospital 2142 N Cove Blvd Toledo, OH 43606 (419) 291-4000 Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 7

Participating Hospitals Toledo Children's Hospital 2142 N Cove Blvd Toledo, OH 43606 (419) 471-4000 University of Michigan Hospitals 1500 E Medical Center Dr Ann Arbor, MI 48109 (734) 936-4000 University of Toledo Medical Center 3000 Arlington Ave Toledo, OH 43614 (419) 383-4000 Van Wert County Hospital 1250 S Washington St Van Wert, OH 45891 (419) 238-2390 Wildwood Orthopaedic & Spine Hospital:division of 2901 N Reynolds Rd Toledo, OH 43615 (419) 578-7700 Wood County Hospital 950 W Wooster St Bowling Green, OH 43402 (419) 354-8900 Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 8

Ambulatory Surgery Center - Ambulatory Surgery Center PARTICIPATING FACILITIES Name Address City St Zip Phone AMBULATORY SURGERY CENTER Digestive Health & Endoscopy Center, LLC 375 N Eastown Rd Lima OH 45807 (419) 228-3500 Endoscopy Center of West Central Ohio, LLC 2793 Shawnee Rd Lima OH 45806 (419) 204-1501 Eye Institute of Northwestern Ohio 3509 Briarfield Blvd Maumee OH 43537 (419) 865-3866 Eye Surgical Center of Fort Wayne, LLC 321 E Wayne St Fort Wayne IN 46802 (260) 422-5976 Findlay Surgery Center 1709 Medical Blvd Findlay OH 45840 (419) 429-0409 Firelands Outpatient Surgery Center 2800 Hayes Ave Bldg E Sandusky OH 44870 (419) 627-8557 Mercy Digestive Health Center 1120 E Broad St Lower Level Elyria OH 44035 (440) 366-2239 3600 Kolbe Rd Ste 019 Lorain OH 44053 (440) 960-7277 Mercy Eye Center Surgery 5085 Monroe St Ste B Toledo OH 43623 (419) 776-4000 Mercy St. Vincent Surgery Center 1360 Arrowhead Dr Maumee OH 43537 (419) 794-0001 Midwest Eye Consultants Ohio Inc. 2740 Navarre Ave Oregon OH 43616 (419) 693-4444 5733 Lewis Ave Toledo OH 43612 (419) 693-4444 Nationwide Children's Hospital Westerville Surgery 455 Executive Campus Dr Westerville OH 43082 (614) 355-6100 Northern Ohio Surgical Center 2800 Hayes Ave Bldg E Sandusky OH 44870 (419) 627-8557 Northwest Ohio Endoscopy Center 4841 Monroe St Toledo OH 43623 (419) 474-3949 NovaMed Surgery Center 2616 Hayes Ave Sandusky OH 44870 (419) 626-2800 Parkview Ambulatory Surgery Center 1818 Carew St Fort Wayne IN 46805 (260) 484-6636 Parkview Endoscopy Center 11104 Parkview Circle Dr Entrance 11 Fort Wayne IN 46845 (260) 266-4600 3415 Hobson Rd Fort Wayne IN 46805 (260) 482-8001 Parkview Inverness Surgery Center 8004 Carnegie Blvd Fort Wayne IN 46804 (260) 434-3600 Parkview Premier Surgery Center 11141 Parkview Plaza Dr Ste 200 Fort Wayne IN 46845 (260) 266-9070 Parkway Surgery Center 2120 W Central Ave Toledo OH 43606 (419) 531-8349 Reconstructive and Aesthetic Surgery, Ltd. 2865 N Reynolds Rd Ste 250 Toledo OH 43615 (419) 534-6551 Surgery Center at Regency Park 2000 Regency Ct Ste 101 Toledo OH 43623 (419) 882-0003 Surgery Center of Ophthalmology Consultants 7232 Engle Rd Fort Wayne IN 46804 (260) 436-7205 Surgi+Care 5959 Monclova Rd Maumee OH 43537 (419) 897-5501 Surgical Institute of Monroe 1051 S Telegraph Rd Ste 100 Monroe MI 48161 (734) 244-5383 The Endoscopy Center 5700 Monroe St Ste 103 Sylvania OH 43560 (419) 843-7996 West Central Ohio Surgery & Endoscopy Center 770 W High St Ste 100 Lima OH 45801 (419) 226-8700 West Central Surgical Center 7055 W Central Ave Toledo OH 43617 (419) 843-1370 846 S Coy Rd Oregon OH 43616 (419) 693-9459 West Central Surgical Center - Bayside 846 S Coy Rd Oregon OH 43616 (419) 843-1370 White Fence Surgical Suites 7277 Smiths Mill Rd Ste 300 New Albany OH 43054 (614) 289-6282 Wildwood Surgical Center 2865 N Reynolds Rd Ste 190 Toledo OH 43615 (419) 578-7500 9

Participating Facilities Audiology & Hearing Centers - Audiology & Hearing Centers AUDIOLOGY & HEARING CENTERS Audiology Associates, Inc. 214 E Elm Ave Ste 111 Monroe MI 48162 (734) 241-4080 Audiology Associates, Ltd. 5236 Monroe St Unit C Toledo OH 43623 (419) 842-0664 Audiology Clinic of Northwest Ohio, Ltd. 1411 Scott St Ste B Napoleon OH 43545 (419) 592-0338 Audiology Services Company USA LLC dba: Your Hear 1317 Hull Rd Sandusky OH 44870 (888) 234-7804 140 Hill St Bucyrus OH 44820 (888) 234-7804 1490 W River Rd N Elyria OH 44035 (888) 234-7804 5933 E State Blvd Fort Wayne IN 46815 (888) 234-7804 85 Benedict Ave Ste 109 Norwalk OH 44857 (888) 234-7804 Beltone Hearing Centers 13123 Eureka Rd Southgate MI 48195 (734) 282-7991 320 Louisiana Ave Perrysburg OH 43551 (419) 517-6371 5318 Heatherdowns Blvd Toledo OH 43614 (419) 517-6371 5393 Monroe St Toledo OH 43623 (419) 471-0906 Connect Hearing Inc. 18600 Bagley Rd Ste 203 Middlebrg Hts OH 44130 (440) 333-0606 21732 Lorain Rd Fairview Park OH 44126 (440) 333-0606 3925 Roosevelt Blvd Ste C Middletown OH 45044 (513) 424-7006 5380 Pleasant Ave Ste B Fairfield OH 45014 (513) 863-2938 5660 Monroe St Sylvania OH 43560 (419) 882-5950 629 E Springhill Dr Terre Haute IN 47802 (812) 232-4700 7801 Beechmont Ave Ste 3 Cincinnati OH 45255 (513) 474-4109 9525 Kenwood Rd Ste 2 Blue Ash OH 45242 (513) 791-0728 Defiance Hearing Aid Center, Inc. 1021 Revere Dr Bowling Green OH 43402 (419) 352-7399 118 E Clinton St Ste A Napoleon OH 43545 (419) 592-3463 123 E Bryan St Bryan OH 43506 (419) 636-6157 7300 State Route 108 Wauseon OH 43567 (419) 335-5155 836 E 2nd St Defiance OH 43512 (419) 782-0836 Great Lakes Audiology LLC 3780 King Rd Ste 2C Toledo OH 43617 (419) 327-2273 Hearing Center of Northwest Ohio 1075 N Shoop Ave Ste 5 Wauseon OH 43567 (419) 335-3277 1318 E High St Bryan OH 43506 (419) 636-8959 Hearing Solutions 442 W High St Bryan OH 43506 (419) 924-2341 Hyman Speech Language & Hearing Services Inc 5950 Airport Hwy Ste 17 Toledo OH 43615 (419) 865-7500 J.C. Kenwood & Associates 217 W Wayne St Fort Wayne IN 46802 (260) 426-3409 Kenwood Hearing Center, Inc. 3450 W Central Ave Ste 134 Toledo OH 43606 (419) 534-3111 725 S Shoop Ave Wauseon OH 43567 (419) 534-3111 960 W Wooster St Ste 206 Bowling Green OH 43402 (419) 353-4545 LMH - Speech Therapy & Audiology 1001 Bellefontaine Ave Lima OH 45804 (419) 226-5070 Michigan Ear Institute 18181 Oakwood Blvd Ste 201 Dearborn MI 48124 (248) 865-4135 26850 Providence Pkwy Ste 130 Novi MI 48374 (248) 865-4135 30055 Northwestern Hwy Ste 101 Farmington Hills MI 48334 (248) 865-4135 3535 W 13 Mile Rd Ste 444 Royal Oak MI 48073 (248) 865-4135 5757 Monclova Rd Unit 22 Maumee OH 43537 (248) 865-4135 Northwest Ohio Hearing Clinic 1125 Hospital Dr Ste 50 Toledo OH 43614 (419) 383-4012 900 W S Boundary Bldg 9 Perrysburg OH 43551 (419) 873-4327 10

Participating Facilities Audiology & Hearing Centers - DME (Durable Medical Equipment) Perrysburg Hearing Center, LLC 12725 Eckel Junction Rd Perrysburg OH 43551 (419) 873-1783 Portage Valley Hearing, LLC 133 E Front St Pemberville OH 43450 (419) 287-2201 ProMedica Hearing Center 5300 Harroun Rd Ste 218 Sylvania OH 43560 (419) 824-1958 St. Rita's Medical Center Audiology 770 W High St Ste 230 Lima OH 45801 (419) 226-9341 Toledo Audiology 5700 Monroe St Sylvania OH 43560 (419) 578-7555 6005 Monclova Rd Ste 320 Maumee OH 43537 (419) 578-7555 CARDIOLOGY LMH - Cardiac Treatment Center at HINO 951 Commerce Pkwy Ste 100A Lima OH 45804 (419) 879-6495 Mercy Defiance Cardiopulmonary and Neuroscience Te 1400 E 2nd St Ste 102 Defiance OH 43512 (419) 783-3309 CARDIOVASCULAR/THORACIC Cardiovascular Diagnostic Group 2409 Cherry St Toledo OH 43608 (419) 251-4169 DIALYSIS CENTERS Blanchard Valley Dialysis Services 1717 Medical Blvd Findlay OH 45840 (419) 420-1633 Firelands Outpatient Dialysis 290 Progress Dr Ste A Bellevue OH 44811 (419) 483-2070 904 Pierce St Sandusky OH 44870 (419) 557-7228 St. Rita's Hemodialysis 730 W Market St Lima OH 45801 (419) 227-3361 U S Renal Care Briarfield Home LLC 3214 Briarfield Blvd Maumee OH 43537 (567) 297-4282 U S Renal Care Northwest Ohio Dialysis 1037 Conneaut Ave Bowling Green OH 43402 (419) 353-1080 1787 Indian Wood Cir Ste B Maumee OH 43537 (419) 887-0729 200 S East Ave Jackson MI 49201 (517) 788-8727 220 Stadium Dr Defiance OH 43512 (419) 784-2100 2249 N Reynolds Rd Toledo OH 43615 (419) 535-7415 2400 Enterprise St Fremont OH 43420 (419) 332-9104 3829 Woodley Rd C-12 Toledo OH 43606 (419) 473-9900 4447 Talmadge Rd Ste E Toledo OH 43623 (419) 475-3000 5719 Jackman Rd Toledo OH 43613 (419) 471-1710 7635 Sylvania Ave Sylvania OH 43560 (419) 517-2002 DME (DURABLE MEDICAL EQUIPMENT) 1 Natural Way, LLC 4064 Technology Dr Maumee OH 43537 (888) 977-2229 Access One by MSG, Inc. 5120 Speedway Dr Fort Wayne IN 46825 (260) 485-7007 11

Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) Advanced Home Medical 4730 W Bancroft St Ste 13 Toledo OH 43615 (419) 537-0116 Advanced Home Medical, LLC 6665 Huntley Rd Ste N Columbus OH 43229 (866) 433-9011 American HomePatient 1220 S Defiance St Archbold OH 43502 (419) 636-6951 4444 Keystone Dr Unit G Maumee OH 43537 (419) 866-3767 929 Ashland Rd Mansfield OH 44905 (419) 529-5454 Apria Healthcare 2327 Crowne Point Dr Sharonville OH 45241 (513) 772-1907 Apria Healthcare LLC 120 Sunrise Center Dr Zanesville OH 43701 (740) 452-0645 2029 Lyons Rd Miamisburg OH 45342 (937) 312-9298 2213 Cherry St Toledo OH 43608 (419) 251-4904 2600 Navarre Ave Oregon OH 43616 (419) 696-5880 311 Industrial Dr Minster OH 45865 (419) 628-4496 4062 Technology Dr Maumee OH 43537 (419) 471-1919 5480 Cloverleaf Pkwy Ste 4 and Ste 5 Valley View OH 44125 (216) 485-1180 6387 Technology Ave Ste D Kalamazoo MI 49009 (269) 342-0022 8073 Leavitt Rd Amherst OH 44001 (440) 986-2777 Apria Healthcare, LLC 36 Eagle Dr Lexington OH 44904 (419) 884-0802 6413 Cross Creek Blvd Fort Wayne IN 46818 (260) 489-7722 6533 Promler St NW North Canton OH 44720 (330) 319-2000 B&K Home Medical Services 11 Jackson St Tiffin OH 44883 (419) 448-4040 116 S Sandusky Ave Bucyrus OH 44820 (419) 563-0101 Breg, Inc. 2885 Loker Ave E Carlsbad CA 92010 (877) 848-0706 Cole Orthotics & Prosthetics Center 723 Phillips Ave Bldg F Toledo OH 43612 (419) 476-4248 Compression Solutions LLC 817 E 4th St Tulsa OK 74120 (800) 994-0464 Darah Medical Equipment & Supplies, LLC 6465 Wheatstone Ct Ste A Maumee OH 43537 (844) 552-7867 DASCO Home Medical Equipment 1054 Bellefontaine Ave Ste A Lima OH 45804 (419) 224-1135 1228 N Monroe Dr Ste A Xenia OH 45385 (937) 374-3150 1322 Mount Vernon Ave Marion OH 43302 (740) 386-5199 1626 E State Road 44 Ste D Shelbyville IN 46176 (317) 392-3760 1656 Eagle Way Ashland OH 44805 (419) 289-6489 270 E State St Ste 130 Alliance OH 44601 (330) 829-0565 375 N West St Westerville OH 43082 (614) 901-2226 653 McCorkle Blvd Ste F Westerville OH 43082 (614) 901-2226 Diabetes Care & Education (Edwards Health Care) 39209 6 Mile Rd Ste 205 Livonia MI 48152 (734) 462-3685 DJO, LLC 1430 Decision St Vista CA 92081 (800) 321-9549 390 Old Hook Rd Westwood NJ 07675 (201) 358-1979 5310 Merchandise Dr Fort Wayne IN 46825 (260) 969-6354 668 N 44th St Ste 220E Phoenix AZ 85008 (760) 597-8434 735 S Shoop Ave Ste A Wauseon OH 43567 (419) 335-0245 Dynasplint Systems, Inc. 770 Ritchie Hwy Ste W21 Severna Park MD 21146 (800) 638-6771 EBI LLC 100 Interpace Pkwy Parsippany NJ 07054 (800) 526-2579 Edgepark Medical Supplies 1810 Summit Commerce Park Twinsburg OH 44087 (800) 321-0591 Mail Order DME Supplies (800) 321-0591 Edwards Health Care Services Inc. 5640 Hudson Industrial Pkwy Hudson OH 44236 (888) 344-3434 Enhanced Living Solutions, LLC 8177 Secor Rd Lambertville MI 48144 (734) 568-6008 Erie Drug 4502 Lewis Ave Toledo OH 43612 (419) 476-4322 12

Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) Findlay American Prosthetic-Orthotic Centre, Inc. 12474 County Road 99 Findlay OH 45840 (419) 424-4162 Fostoria HomeCare 601 Parkway Dr Fostoria OH 44830 (419) 435-1832 FTMC Home Health 257 Benedict Ave Norwalk OH 44857 (419) 668-8101 Hanger Prosthetics & Orthotics Inc. 1357 Dublin Rd Columbus OH 43215 (614) 481-8338 255 Taylor Station Rd Ste 200 Columbus OH 43213 (614) 471-8210 29101 Health Campus Dr Ste 104 Westlake OH 44145 (440) 892-6665 4000 Highland Rd Ste 108 Waterford MI 48328 (248) 683-8142 6001 Landerhaven Dr Ste A Mayfield Hts OH 44124 (440) 605-0232 6789 Ridge Rd Ste 104 Parma OH 44129 (440) 842-4251 720 Michigan Ave Ste B Holland MI 49423 (616) 396-4693 Hanger Prosthetics & Orthotics, Inc. 1054 Bellefontaine Ave Ste B Lima OH 45804 (419) 229-9267 1136 Independence Ave Marion OH 43302 (740) 383-4390 32975 8 Mile Rd Livonia MI 48152 (248) 615-0600 4666 W Jefferson Blvd Ste 140 Fort Wayne IN 46804 (260) 432-9190 5551 Monroe St Sylvania OH 43560 (419) 841-9852 744 W Michigan Ave Ste 100A Jackson MI 49201 (517) 783-1313 Health Care Solutions dba HealthLink Medical Equip 543 Liberty St Jackson MI 49203 (517) 782-3528 Health Care Solutions, Inc. 3741 Plaza Dr Ann Arbor MI 48108 (800) 336-9800 5673 State Route 15 Bryan OH 43506 (800) 336-9800 745 Capital Commons Dr Ste 1 Toledo OH 43615 (800) 336-9800 Henry Ford Allegiance Home Medical 700 E Michigan Ave Jackson MI 49201 (517) 768-8873 Hicksville Pharmacy & Home Medical, Inc. 116 E High St Hicksville OH 43526 (419) 542-6218 Hillsdale Home Oxygen 451 Hidden Meadows Dr Ste 250 Hillsdale MI 49242 (517) 437-8371 Hometown - Professional Village Pharmacy 15521 S Dixie Hwy Monroe MI 48161 (734) 243-5656 Hygeia II Medical Group, DBA A Breast Pump and Mor 6005 Hidden Valley Rd Ste 230 Carlsbad CA 92011 (714) 515-7571 InfuSystem, Inc. 31700 Research Park Dr Madison Hts MI 48071 (800) 962-9656 JACE Systems 5 Rockhill Rd Ste 2 Cherry Hill NJ 08003 (800) 800-4276 Kahler Pharmacy 1941 Airport Hwy Toledo OH 43609 (419) 382-2911 KCI USA, Inc. 12796 Currie Ct Livonia MI 48150 (800) 245-2795 17830 Englewood Dr Ste 21 & 22 Middlebrg Hts OH 44130 (440) 260-0135 3315 Centennial Rd Unit C Sylvania OH 43560 (800) 245-2795 4190 Fisher Rd Columbus OH 43228 (800) 245-2795 4495 Salzman Rd Middletown OH 45044 (800) 245-2795 55235 Mayflower Rd South Bend IN 46628 (800) 245-2795 Key Seating & Mobility LLC 2016 E Perkins Ave Ste D Sandusky OH 44870 (419) 357-6060 Landra Prosthetics & Orthotics, Inc. 14725 Northline Rd Southgate MI 48195 (734) 281-8144 526 N Telegraph Rd Monroe MI 48162 (734) 242-4050 Leimkuehler Orthotic & Prosthetic Center, Inc. 1807 W Perkins Ave Sandusky OH 44870 (419) 625-5373 205 N Leavitt Rd Amherst OH 44001 (440) 988-5770 28350 Lorain Rd North Olmsted OH 44070 (440) 979-9226 Leimkuehler, Inc. 4625 Detroit Ave Cleveland OH 44102 (216) 651-7788 Lima Brace & Limb, Inc. 1000 Bellefontaine Ave Lima OH 45804 (419) 224-4841 120 E Ervin Rd Van Wert OH 45891 (419) 238-6300 Lincare, Inc. 1200 Airport North Office Park Ste C&D Fort Wayne IN 46825 (260) 489-0481 1216 W Robb Ave Lima OH 45801 (419) 228-5632 13

Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) Lincare, Inc. 1233 Pole Lane Rd Marion OH 43302 (740) 382-1611 148 E Garfield Rd Ste A Coldwater MI 49036 (517) 279-2409 1501 Milan Rd Ste 2 Sandusky OH 44870 (419) 621-7380 16144 Middlebelt Rd Livonia MI 48154 (734) 524-0982 2948 Centennial Rd Toledo OH 43617 (419) 841-7711 3059 Dryden Rd Moraine OH 45439 (937) 299-1141 624 N Leavitt Rd Amherst OH 44001 (440) 988-7707 961 N Main St Mansfield OH 44903 (419) 774-9595 Macino's Comfort Shoes & Orthotics, LLC 3140 W Sylvania Ave Toledo OH 43613 (419) 475-3996 Mantel Home Health Care 442 W High St Bryan OH 43506 (419) 636-8010 Marina Home Health LLC 709 W Washington St Sandusky OH 44870 (419) 271-1761 Marshall-Kloene Ortho, Inc. 419 Tomahawk Dr Maumee OH 43537 (419) 893-0748 McKesson Patient Care Solutions 12725 State Route 15 Montpelier OH 43543 (800) 451-6510 McKesson Patient Care Solutions, Inc. 540 Lindbergh Dr Moon Twp PA 15108 (800) 451-6510 Medical Service Company 1740 Harmon Ave Ste G Columbus OH 43223 (866) 907-5337 24000 Broadway Ave Cleveland OH 44146 (866) 907-5337 4685 Interstate Dr West Chester OH 45246 (866) 907-5337 5151 Monroe St Ste 103 Toledo OH 43623 (866) 907-5337 7682 McEwen Rd Dayton OH 45459 (866) 907-5337 Mercy Defiance Clinic DME 1400 E 2nd St Defiance OH 43512 (419) 784-1414 Mercy Willard Home Health 1100 Neal Zick Rd Willard OH 44890 (419) 964-5000 Mitchell Home Medical, Inc. 2770 Carpenter Rd Ste 100 Ann Arbor MI 48108 (734) 477-0202 455 E Grand River Ave Ste 206 Brighton MI 48116 (810) 229-9200 4811 Carpenter Rd Ypsilanti MI 48197 (734) 320-7900 MLK Associates, Inc. 11128 Luschek Dr Blue Ash OH 45241 (888) 701-0050 Mobile Medical Maintenance 15027 State Road 1 Leo IN 46765 (260) 627-5108 Monroe Home Care Shoppe 474 N Telegraph Rd Monroe MI 48162 (734) 241-7873 National Seating & Mobility, Inc. 1087 N Meridian Rd Youngstown OH 44509 (844) 887-4845 306 E 5th Ave Columbus OH 43201 (614) 294-5585 6501 Angola Rd Unit P Holland OH 43528 (419) 867-6857 6773 Industrial Pkwy North Olmsted OH 44070 (440) 471-7973 Northwest Ohio Medical Equipment 1204 W Wooster St Bowling Green OH 43402 (419) 352-7021 1466 Oak Harbor Rd Fremont OH 43420 (419) 332-4938 1749 Tiffin Ave Findlay OH 45840 (419) 423-9712 5757 Monclova Rd Ste 22 Maumee OH 43537 (419) 891-4046 855 W Main St Bellevue OH 44811 (419) 483-3424 Numotion 10381 Citation Dr Ste 300 Brighton MI 48116 (248) 446-3040 1901 Production Rd Fort Wayne IN 46808 (260) 471-0206 2301 N Bendix Dr Ste 700 South Bend IN 46628 (574) 251-0300 2323 Crowne Point Dr Cincinnati OH 45241 (513) 923-3300 412 W Dussel Dr Maumee OH 43537 (866) 251-9349 6171 Huntley Rd Ste M Columbus OH 43229 (614) 515-2156 783 Crossroads Ct Vandalia OH 45377 (877) 333-2202 850 Resource Dr Brooklyn Heights OH 44131 (216) 539-5792 O.E. Meyer Co. Homecare 1005 Everett Rd Fremont OH 43420 (419) 332-6931 14

Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) O.E. Meyer Co. Homecare 30595 Tracy Rd Walbridge OH 43465 (419) 382-1262 3303 Tiffin Ave Sandusky OH 44870 (419) 625-1256 424 Wentz St Tiffin OH 44883 (419) 447-1104 Okuley's Pharmacy and Home Medical Inc. 1201 E 2nd St Defiance OH 43512 (419) 784-4800 Okuley's Pharmacy Inc. 102 S Main St Continental OH 45831 (419) 596-3898 Orthofix Inc. 3451 Plano Pkwy Lewisville TX 75056 (800) 535-4492 Orthotic Prosthetic Center, Inc. 1224 W Wooster St Ste A Bowling Green OH 43402 (419) 352-8161 419 N Reynolds Rd Toledo OH 43615 (419) 531-2222 860 Ansonia St Ste 4 Oregon OH 43616 (419) 690-2653 Paulding County Durable Medical Equipment 1035 W Wayne St Paulding OH 45879 (419) 399-4080 Perry Prosthetics, Inc. 26580 Dixie Hwy Ste 101 Perrysburg OH 43551 (419) 872-7336 Pharmacy Counter 1661 Holland Rd Ste 400 Maumee OH 43537 (419) 720-2005 Pharmacy Counter, The 1515 S Byrne Rd Toledo OH 43614 (419) 382-3475 2655 W Central Ave Toledo OH 43606 (419) 474-7140 Physician Diagnostics Sleep Technology Specialists 900 W S Boundary Bldg 10 Perrysburg OH 43551 (419) 872-3660 Pierce Medical Products, Inc. 8535 Secor Rd Lambertville MI 48144 (734) 854-7864 Positive Sleep Solutions, LLC 3450 W Central Ave Ste 118 Toledo OH 43606 (419) 534-4185 Primary Medical Equipment Inc. 14930 Laplaisance Rd Ste 137 Monroe MI 48161 (586) 201-6765 28800 Ryan Rd Ste 110A Warren MI 48092 (586) 558-8133 ProMedica Home Health Care 5855 Monroe St Sylvania OH 43560 (419) 824-7529 ProMedica Home Medical Equipment 100 Stadium Dr Ste F Defiance OH 43512 (419) 783-6973 1070 N Monroe St Ste C Monroe MI 48162 (734) 240-8888 2070 E US Highway 223 Ste B Adrian MI 49221 (517) 266-2568 ProMedica Monroe DME 700 Ste art Rd Monroe MI 48162 (734) 240-8888 ProMedica Pharmacy Counter 5700 Monroe St Ste 112 Sylvania OH 43560 (567) 585-0025 Reflection Medical, Inc. 3200 W Temperance Rd Ste B Temperance MI 48182 (734) 850-0777 Renee's Survivor Shop 1325 Conference Dr Toledo OH 43614 (419) 383-5243 Schmidt & Sons 120 E Chicago Blvd Tecumseh MI 49286 (517) 423-3250 Sleep Solutions Inc. 1280 E Big Beaver Rd Troy MI 48083 (248) 688-9095 3927 Bay Rd Saginaw MI 48603 (989) 401-4800 Solara Medical Supplies, Inc. 35275 Plymouth Rd Livonia MI 48150 (888) 568-8145 SRT Prosthetics & Orthotic LLC 8936 Southpointe Dr Indianapolis IN 46227 (317) 534-2852 SRT Prosthetics & Orthotics LLC 1900 N Meridian St Indianapolis IN 46202 (866) 633-3961 217 E Southway Blvd Ste 100 Kokomo IN 46902 (765) 865-3668 3301 W Bethel Ave Muncie IN 47304 (866) 866-3961 4109 W Jefferson Blvd Fort Wayne IN 46804 (260) 432-8886 618 N High School Rd Ste B Indianapolis IN 46214 (866) 633-3961 SRT Prosthetics & Orthotics, LLC 408 E Washington St Butler IN 46721 (419) 633-3961 SRTProsthetics & Orthotics LLC 618 N High School Rd Ste B Indianapolis IN 46214 (866) 633-3961 St. Rita's Home Medical Equipment 770 W North St Lima OH 45801 (419) 226-9581 Swanson Orthotic & Prosthetic Center 124 Cole Rd Monroe MI 48162 (734) 241-8473 3048 Navarre Ave Oregon OH 43616 (419) 690-0026 3148B W Central Ave Toledo OH 43606 (419) 472-8910 735 S Shoop Ave Ste 3 Wauseon OH 43567 (419) 335-6400 Team Post-Op, Inc 17256 Red Hill Ave Irvine CA 92614 (800) 339-9295 15

Participating Facilities DME (Durable Medical Equipment) - Extended Care Facilities Team Post-Op, Inc 4126 Waxwing Trl Stow OH 44224 (330) 688-3302 That Special Woman, Inc. 2461 N Reynolds Rd Toledo OH 43615 (419) 536-6206 The Convalescent Shop 603 N Wayne St Ste 1A Angola IN 46703 (260) 665-1800 7501 W Jefferson Blvd Fort Wayne IN 46804 (260) 436-8881 The Toledo Clinic Pharmacy 4235 Secor Rd Toledo OH 43623 (419) 479-5800 Tri-State Medical Supply 1255 Scott St Ste 340 Napoleon OH 43545 (419) 599-2273 732 S Shoop Ave Wauseon OH 43567 (419) 337-2399 Wright & Filippis 212 W Milham Ave Portage MI 49024 (800) 343-4944 27678 Middlebelt Rd Farmington Hills MI 48334 (800) 343-4944 3330 Washtenaw Ave Ann Arbor MI 48104 (800) 343-4944 Young Medical 2213 Cherry St Toledo OH 43608 (419) 251-4904 2600 Navarre Ave Oregon OH 43616 (419) 696-5880 4060 Technology Dr Maumee OH 43537 (419) 471-1919 Z Med LLC 1133 Corporate Dr Ste C Holland OH 43528 (888) 994-9633 2059 N Monroe St Ste B1 Monroe MI 48162 (888) 994-9633 EXTENDED CARE FACILITIES Arbors at Oregon 904 Isaac Streets Dr Oregon OH 43616 (419) 691-2483 Arbors at Sylvania 7120 Port Sylvania Dr Toledo OH 43617 (419) 841-2200 Autumn Court 1925 E 4th St Ottawa OH 45875 (419) 523-4370 Avalon by Otterbein at Monclova 5069 Otterbein Way Monclova OH 43542 (419) 306-3065 Avalon by Otterbein at Perrysburg 3525 Rivers Edge Dr Perrysburg OH 43551 (419) 306-3065 Avon Oaks Nursing Home 37800 French Creek Rd Avon OH 44011 (440) 934-5204 Bennington Glen Nursing and Rehabilitation 825 State Route 61 Marengo OH 43334 (419) 253-0144 Birchaven Village 15100 Birchaven Ln Findlay OH 45840 (419) 424-3000 Bowling Green Care Center 850 W Poe Rd Bowling Green OH 43402 (419) 352-7558 Bowling Green Manor 1021 W Poe Rd Bowling Green OH 43402 (419) 352-4694 Briarwood Village 100 Don Desch Dr Coldwater OH 45828 (419) 678-2311 Brookview Healthcare Center 214 Harding St Defiance OH 43512 (419) 784-1014 Bryan Care and Rehabilitation Center 1104 Wesley Ave Bryan OH 43506 (419) 636-5071 Celina Manor 1001 Myers Rd Celina OH 45822 (419) 586-6645 Chapel Hill Community 12200 Strausser St NW Canal Fulton OH 44614 (330) 854-4177 Coghlin Rehabilitation Center 3000 Arlington Ave Toledo OH 43614 (419) 383-5064 Columbus Alzheimer Care Center 700 Jasonway Ave Columbus OH 43214 (614) 459-7050 Communicare at Waterford Commons 955 Garden Lake Pkwy Toledo OH 43614 (419) 382-2200 Convalarium at Indian Run 6430 Post Rd Dublin OH 43016 (614) 761-1188 Court House Manor 250 Glenn Ave Wshngtn Ct Hs OH 43160 (740) 335-6391 Covington Manor Health & Rehabilitation Center 5700 Wilkie Dr Fort Wayne IN 46804 (260) 432-7556 Cridersville Healthcare Center 603 E Main St Cridersville OH 45806 (419) 645-4468 Darlington Nursing & Rehabilitation Center 2735 Darlington Rd Toledo OH 43606 (419) 531-4465 Eden Springs Nursing and Rehabilitation East 430 N Broadway St Green Springs OH 44836 (419) 639-2581 Eden Springs Nursing and Rehabilitation West 401 N Broadway St Green Springs OH 44836 (419) 639-2626 16

Participating Facilities Extended Care Facilities - Extended Care Facilities Edgewood Manor Nursing Center 1330 Fulton St Port Clinton OH 43452 (419) 734-5506 Elizabeth Scott Community 2720 Albon Rd Maumee OH 43537 (419) 865-3002 Evergreen Manor Nursing Home 924 Charlies Way Montpelier OH 43543 (419) 485-8307 Fairhaven Community 850 Marseilles Ave Upper Sandusky OH 43351 (419) 294-4973 Fairlawn Haven 407 E Lutz Rd Archbold OH 43502 (419) 446-2699 Fairview Skilled Nursing & Rehabilitation Center 4420 South Ave Toledo OH 43615 (419) 531-4201 Fostoria Community Hospital Advanced Rehab. 610 Plaza Dr Fostoria OH 44830 (419) 436-8320 Fox Run Manor 11745 Township Road 145 Findlay OH 45840 (419) 924-0832 Franciscan Care Center 4111 N Holland Sylvania Rd Toledo OH 43623 (419) 824-2647 Gardens of Celina 1301 Myers Rd Celina OH 45822 (419) 584-0100 Gardens of Paulding 199 Road 103 Paulding OH 45879 (419) 399-4940 Gardens of St. Henry 522 Western Ave SR 119 Saint Henry OH 45883 (419) 678-9800 Goerlich Center for Alzeimer 5320 Harroun Rd Sylvania OH 43560 (419) 824-1250 Good Shepherd Home 725 Columbus Ave Fostoria OH 44830 (419) 937-1801 Harmar Place 401 Harmar St Marietta OH 45750 (740) 376-5600 Heartland at ProMedica Flower Hospital 5360 Harroun Rd Sylvania OH 43560 (419) 540-6000 Heartland of Bellefontaine OH LLC 221 School St Bellefontaine OH 43311 (937) 599-5123 Heartland of Bucyrus OH LLC 1170 W Mansfield St Bucyrus OH 44820 (419) 562-9907 Heartland of Marion OH LLC 400 Barks Rd W Marion OH 43302 (740) 387-1225 Heartland of Oregon OH LLC 3953 Navarre Ave Oregon OH 43616 (419) 698-4521 Heartland of Perrysburg OH LLC 10540 Fremont Pike Perrysburg OH 43551 (419) 874-3578 Heartland of Waterville OH LLC 8885 Browning Dr Waterville OH 43566 (419) 878-8523 Heartland of Wauseon OH LLC 303 W Leggett St Wauseon OH 43567 (419) 337-3050 Heartland-Holly Glen of Toledo OH LLC 4293 Monroe St Toledo OH 43606 (419) 474-6021 Heartland-Indian Lake of Lakeview OH LLC 14442 US Highway 33 Lakeview OH 43331 (937) 843-4929 Heatherdowns Nursing & Rehab 2401 Cass Rd Toledo OH 43614 (419) 382-5050 Heritage Corner Nursing Home 1069 Klotz Rd Ste B Bowling Green OH 43402 (419) 353-3759 Hilty Memorial Home 304 Hilty Dr Pandora OH 45877 (419) 384-3218 Independence House 1000 Independence Ave Fostoria OH 44830 (419) 435-8505 Kingston Care Center of Fort Wayne 1010 W Washington Center Rd Fort Wayne IN 46825 (260) 489-2552 Kingston Care Center of Sylvania 4121 King Rd Sylvania OH 43560 (419) 517-8200 Kingston of Ashland 20 Amberwood Pkwy Ashland OH 44805 (419) 289-3859 Kingston of Miamisburg 1120 Dunaway St Miamisburg OH 45342 (937) 866-9089 Kingston of Vermilion 4210 Telegraph Ln Vermilion OH 44089 (440) 967-1800 Kingston Rehabilitation of Perrysburg 345 E Boundary St Perrysburg OH 43551 (419) 873-6100 Lakeland Skilled Nursing & Rehabilitation 500 Williams St Angola IN 46703 (260) 665-2161 Laurel Lake Retirement Community 200 Laurel Lake Dr Hudson OH 44236 (330) 650-2100 Laurels of Defiance 1701 Jefferson Ave Defiance OH 43512 (419) 782-7879 Laurels of Toledo 1011 N Byrne Rd Toledo OH 43607 (419) 536-7600 Lima Convalescent Home 1650 Allentown Rd Lima OH 45805 (419) 224-9741 Lima Manor 750 Brower Rd Lima OH 45801 (419) 227-2611 Lima Memorial Rehab Care Unit 1001 Bellefontaine Ave Lima OH 45804 (419) 226-5039 LMH - Transitional Care Center 1001 Bellefontaine Ave Lima OH 45804 (419) 998-4503 Lutheran Home at Napoleon 1036 S Perry St Napoleon OH 43545 (419) 592-1688 Lutheran Home at Toledo 131 N Wheeling St Toledo OH 43605 (419) 724-1414 17

Participating Facilities Extended Care Facilities - Extended Care Facilities Lutheran Memorial Home 795 Bardshar Rd Sandusky OH 44870 (419) 625-4046 Lutheran Village at Wolf Creek 2001 Perrysburg Holland Rd Holland OH 43528 (419) 861-2233 Lynwood Manor 730 Kimole Ln Adrian MI 49221 (517) 263-6771 Mac McGuire Skilled Nursing Facility 168 S Howell St Hillsdale MI 49242 (517) 437-5439 Manor at Perrysburg 250 Manor Dr Perrysburg OH 43551 (419) 874-0306 Marion Rehabilitation & Assisted Living Center 614 W 14th St Marion IN 46953 (765) 662-3701 Mennonite Memorial Home 410 W Elm St Bluffton OH 45817 (419) 358-1015 Monroe Skilled Care & Rehab 700 Ste art Rd Monroe MI 48162 (734) 240-1820 Norwood Health & Rehabilitation Center 3720 N Norwood Rd Huntington IN 46750 (260) 356-1252 Oak Grove Healthcare Center 620 E Water St Deshler OH 43516 (419) 278-6921 Ohio Eastern Star Health Care Center Inc. 1451 Gambier Rd Mount Vernon OH 43050 (740) 397-1706 Ohio Living Dorothy Love 3003 Cisco Rd Sidney OH 45365 (937) 498-2391 Ohio Living Swan Creek 1650 Swan Creek Ln Toledo OH 43614 (419) 865-4445 Orchard Villa 2841 Munding Dr Oregon OH 43616 (419) 697-4101 Otterbein Cridersville 100 Red Oak Cir Cridersville OH 45806 (419) 645-5114 Otterbein North Shore 9400 E Northshore Blvd Lakeside OH 43440 (419) 798-8203 Otterbein Portage Valley 20311 Pemberville Rd Pemberville OH 43450 (419) 833-8917 Otterbein Saint Marys 11230 State Route 364 Saint Marys OH 45885 (419) 394-2366 Park View Nursing Center 328 W Vine St Edgerton OH 43517 (419) 298-2321 Parkvue Community 3800 Boardwalk Blvd Sandusky OH 44870 (419) 621-1900 Patriot Ridge Community 789 Stoneybrook Trl Fairborn OH 45324 (937) 878-0262 Perrysburg Care and Rehabilitation Center 28546 Starbright Blvd Perrysburg OH 43551 (419) 666-0935 Piqua Manor 1840 W High St Piqua OH 45356 (937) 773-0040 Point Place Care and Rehabilitation Center 6101 N Summit St Toledo OH 43611 (419) 727-7870 Provincial House Rehabilitation and Nursing Care C 700 Lakeshire Trl Adrian MI 49221 (517) 263-0781 Roselawn Manor 420 E 4th St Spencerville OH 45887 (419) 647-4115 Sarah Jane Living Center 328 W 2nd St Delphos OH 45833 (419) 692-6618 Shawnee Manor 2535 Fort Amanda Rd Lima OH 45804 (419) 999-2055 Sprenger Health Care of Massillon 205 Rohr Ave NW Massillon OH 44646 (330) 837-2100 St. Catherine's Manor Findlay 2101 Greendale Ave Findlay OH 45840 (419) 424-0832 St. Catherine's Manor of Washington Court House 555 N Glenn Ave Wshngtn Ct Hs OH 43160 (740) 335-9290 St. Catherine's of Fostoria 25 Christopher Dr Fostoria OH 44830 (419) 435-8112 St. Clare Commons 12469 Five Point Rd Perrysburg OH 43551 (419) 931-0050 St. Marys Living Center 1209 Indiana Ave Saint Marys OH 45885 (419) 394-7611 Swanton Health Care & Retirement Center 214 S Munson Rd Swanton OH 43558 (419) 825-1145 Swanton Valley Care and Rehabilitation Center 401 W Airport Hwy Swanton OH 43558 (419) 825-1111 Sylvania Care & Rehabilitation Center 5757 Whiteford Rd Sylvania OH 43560 (419) 882-1875 The Village at St. Edward 3131 Smith Rd Fairlawn OH 44333 (330) 666-1183 Twin Rivers Care and Rehabilitation Center 395 Harding St Defiance OH 43512 (419) 784-1450 University Park Health & Retirement Center 1400 Medical Park Dr Fort Wayne IN 46825 (260) 484-1558 Van Wert Manor 160 Fox Rd Van Wert OH 45891 (419) 238-6655 Vancrest of Convoy 510 E Tully St Convoy OH 45832 (419) 749-2194 Vancrest of Delphos 1425 E 5th St Delphos OH 45833 (419) 695-2871 Vancrest of Holgate 600 Joe E Brown Ave Holgate OH 43527 (419) 264-0700 Vancrest of Van Wert 10357 Van Wert Decatur Rd Van Wert OH 45891 (419) 238-4646 18