Designated Hospitals and Outpatient Surgery Centers

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1 Allen: Digestive Health Endoscopy 375 N Eastown Rd Lima, OH Of West Central Ohio 2793 Shawnee Rd Lima, OH Of West Central Ohio 700 W High St Lima, OH Eye Surgical - RH/ Western Ohio 855 W Market St Lima, OH Ashtabula: UH Conneaut Medical 158 West Main Road Conneaut, OH UH Memorial Hospital of Geneva* 870 West Main Street Geneva, OH Athens: Athens 75 Hospital Dr STE 100 Athens, OH Doctors Hospital of Nelsonville* 1950 Mount Saint Marys Dr Nelsonville, OH O Bleness Memorial Hospital* 55 Hospital Dr Athens, OH Ohio and Northern Kentucky UnitedHealthcare Directory of Designated Hospitals and Outpatient s With Choice Plus Advanced with Hospital Tiering, UnitedHealthcare encourages members to make well-informed decisions about who to see and where to go for quality, cost-efficient care through the UnitedHealth Premium designation program, Place of Service and Hospital Tiering. This directory is a listing of the Designated hospitals and Outpatient s that offer services to UnitedHealthcare members enrolled in our Choice Plus Advanced with Hospital Tiering health plans in Ohio and Northern Kentucky. Members may pay lower co-payments and co-insurance amounts for services provided by Designated hospitals and surgery centers. The providers on this list may change. The Ohio Designated Hospitals and Outpatient s Belmont: Digestive Health Complex 300 W Main St Saint Clairsville, OH Valley STEwart Dr STE 202 Saint Clairsville, OH Butler: GI 257 N Breiel Blvd Middletown, OH HSC Surgical Associates Of Cincinnati 2990 Mack Rd STE 203 Fairfield, OH Southwest Ohio Ambulatory Surgery 295 N Breiel Blvd Middletown, OH Fort Hamilton Hospital* 630 Eaton Ave Hamilton, OH Mercy Hospital Fairfield* 3000 Mack Rd Fairfield, OH Clark: Gastro Care 2355 Derr Rd Springfield, OH Springfield 2685 E High St Springfield, OH Springfield Regional 100 Medical Drive Springfield, OH Mercy Memorial Hospital* 904 Scioto St Urbana, OH Clermont: Midwest Eye 4452 Eastgate Blvd STE 305 Cincinnati, OH Mercy Hospital Clermont 3000 Hospital Dr Batavia, OH Clinton: Clinton County Outpatient Surgery 1150 W Locust St STE 200 Wilmington 721 W Main St Wilmington Surgical Services 675 W Main St Cuyahoga: Big Creek Bagley Rd Cleveland, OH Brecksville 7001 S Edgerton Rd STE A Brecksville, OH Cleveland Association 5106 Wilson Mills Rd Richmond Heights, OH Cleveland For Digestive Health & Endoscopy 3700 Park East Dr STE 100A Cleveland Eye/Laser Fairview Dr Fairview Park, OH Mayfield Rd STE 424 Mayfield Heights, OH Landerbrook Dr STE 195 Cleveland, OH At Bainbridge 1611 S Green Rd Cleveland, OH North Ohio Clemens Rd North Shore Endoscopy East 850 Columbia Rd STE 200 North Shore Endoscopy East 1 Infinity Corp Dr STE 130 Cleveland, OH Page 1 of 5

2 The Ohio Designated Hospitals and Outpatient s continued Premier Physicians s Lorain Rd STE 303 Cleveland, OH Premier Physicians s 3665 W 117Th St Cleveland, OH Premier Physicians s Ridge Rd Bagley Rd Middleburg Heights, OH Pearl 6900 Pearl Rd Cleveland, OH Cleveland Commerce Park Unit 2 Vision 6355 Pearl Rd STE B Parma Heights, OH Wright 1611 S Green Rd South Euclid, OH MetroHealth 2500 MetroHealth Drive Cleveland, OH UH Parma 7007 Powers Blvd. Parma, OH St John Ridge Road St Vincent Charity 2351 East 22nd Street Cleveland, OH UH Ahuja 3999 Richmond Road UH Regional Hospital Bedford Campus* 44 Blaine Avenue Bedford, OH UH Regional Hospital Richmond Heights Campus* Chardon Road Richmond Hts., OH University Hospitals of Cleveland* Euclid Avenue Cleveland, OH UH Westlake 960 Clague Road University Hospitals Lyndhurst Surgery Ctr Cedar Road Lyndhurst, OH Delaware: CSD Association 428 County Line Rd W Ohio Ear Institute 387 County Line Rd W STE 115 Polaris 300 Polaris Pkwy STE 1400 Revision Advanced Surgery 1080 Polaris Parkway Columbus, OH Grady Memorial Hospital* 561 W Central Ave Delaware, OH The Hand 1210 Gemini PL Ste 111 Columbus, OH Westerville 300 Polaris Pkwy Ste 1500 Erie: Novamed Surgery Sandusky 2616 Hayes Ave Sandusky, OH Fairfield: Professional 670 Hill Rd N Pickerington, OH Diley Ridge 7911 Diley Rd Canal Winchester, OH Fairfield 401 N Ewing St Lancaster, OH Franklin: Affiliated Ambulatory 650 Shawan Falls Dr Dublin, OH Perimeter Dr STE 200 Dublin, OH Olentangy River Rd 85 McNaughten Rd STE W Broad St STE 220 Columbus, OH Central Ohio Surgical Institute 6520 W Campus Oval New Albany, OH Central Ohio Urology 701 Tech Drive Gahanna, OH Professional 99 N Brice Rd STE 210 Professional 5910 Cleveland Ave Columbus, OH Columbus Eye 5965 E Broad St STE 460 East Columbus 50 Mcnaughten Rd STE 102 Eastside 4850 E Main St Eye Of Columbus 262 Neil Ave STE 500 Grant Scope 700 East Broad St Knightsbridge 4845 Knightsbridge Blvd STE 110 Mid Ohio 99 N Brice Rd STE 160 Ohio Orthopedic Surgery Institute 4605 Sawmill Rd STE 101 Ohio 930 Bethel Rd Stoneridge 504 Havens Corners Rd STE A Columbus, OH Stoneridge 3900 Stone Ridge Ln Dublin, OH Taylor Station Surgical 275 Taylor Station Rd Upper Arlington 2240 Northbank Dr Mount Carmel Health* 793 W State St Columbus, OH Mount Carmel Health - Grove City 5300 N Meadows Dr Grove City, OH Mount Carmel Health* 6001 E Broad St Mount Carmel New Albany* Surgical Hospital 7333 Smiths Mill Road New Albany, OH St. Ann s Hospital* 500 S Cleveland Ave Westerville, OH Riverside Methodist Hospital* 3535 Olentangy River Rd Grant 111 S Grant Ave Doctors OhioHealth* Corporation 5100 W Broad St Columbus, OH Dublin Methodist Hospital* 7500 Hospital Dr Dublin, OH OhioHealth Rehab Hospital* 1087 Dennison Ave Columbus, OH Taylor Station 275 Taylor Station Rd Eastside / Whitehall Sc 4850 E Main St Upper Arlington Surgery /Rosc 2240 Northbank Dr Columbus, OH43220 Knightsbridge 4845 Knightsbridge Blvd Grant Scope 700 East Broad St Ohio Orthopedic Surgery Institute 4605 Sawmill Rd Ste 101 Page 2 of 5

3 The Ohio Designated Hospitals and Outpatient s continued Geauga: 510 5th Ave Chardon, OH At Bainbridge 8185 E Washington St STE 106 Chagrin Falls, OH UH Geauga Ravenna Road Chardon, OH Greene: Miami Valley Amb 1010 Woodman Dr Dayton, OH Greene Memorial Hospital* 1141 N Monroe Dr Xenia, OH Hamilton: Amend For Eye Surgery 5939 Colerain Ave Cincinnati, OH Campbell Surgical 2314 Auburn Ave Cincinnati Eye Institute 1945 Cei Dr West 3654 Werk Rd Cincinnati, OH HSC Surgical Associates Of Cincinnati 2925 Vernon Pl STE 101 CincinnatiOH45219 Kenwood 8250 Kenwood Crossing Way # 102 Norwood 4746 Montgomery Rd STE 100 Cincinnati, OH Skin Cancer 3024 Burnet Ave Bldg B Summit Surgical 501 E Business Way Cincinnati, OH Tri State For Sight 8044 Montgomery Rd STE 155 University 9275 Montgomery Rd Urology 2000 Joseph E Sanker Blvd Cincinnati, OH Christ Hospital* 2139 Auburn Ave Mercy Hospital Anderson* 7500 State Road Cincinnati, OH Mercy Hospitals West* 3300 Mercy Health Blvd Cincinnati, OH Jewish Hospital* - MHP 4777 E Galbraith Rd Bethesda North Hospital* Montgomery Rd Good Samaritan Hospital* 375 Dixmyth Ave Cincinnati, OH TriHealth Evendale Hospital* 3155 Glendale Milford Rd Evendale, OH TriHealth Hand 538 Oak Street Sutie 200 TriHealth Montgomery Rd Hancock: Findlay 1709 Medical Blvd Findlay, OH Hardin: Hardin Memorial Hospital* 921 E Franklin St Kenton, OH Jefferson: Valley 2323 Sunset Blvd SteubenvilleOH43952 Lake: CDH Ridge Rd STE B Euclid Ave STE Fredle Dr Painesville, OH Mentor Ave STE 210 Of Lake County 9614 Old Johnnycake Ridge Rd Page 3 of 5 Mentor 9485 Mentor Ave STE 1 Lake Health (TriPoint Medical )* 7590 Auburn Road Concord Township, OH Lake Health (West Medical )* Euclid Avenue UH Mentor 9000 Mentor Avenue Licking: Bloomberg Eye 1651 W Main St Newark, OH Lorain: Erie Shores 3600 Kolbe Rd STE 019 Lorain, OH Lorain 4804 Leavitt Rd Lorain, OH North Coast 1170 E Broad St STE 104 Premium 5319 Hoag Dr UH Elyria 630 E. River Street Lucas: NWO 4841 Monroe St STE 111 Optivue 2740 Navarre Ave Oregon, OH Optivue 485 W Dussel Dr MaumeeOH43537 Parkway 3500 Executive Pkwy Toledo, OH At Regency Park 2000 Regency Ct STE 101 Surgicare 5959 Monclova Rd Maumee, OH The Eye Institute Of Northwest 3509 Briarfield Blvd Maumee, OH Toledo Clinic Inc/Surgery 4235 Secor Rd West Central Surgical 7055 W Central Ave Toledo, OH Wildwood Surgical 2865 N Reynolds Rd STE 190 Toledo, OH Madison: Madison County Hospital 210 N Main St London, OH Mahoning: Belmont Eye 3020 Belmont Ave Youngstown, OH For Advanced Eye Surgery 1031 W Western Reserve Rd Poland, OH For Advanced Eye Surgery 10 Dutton Dr Youngstown, OH Mill Creek Endoscopy Suites 1210 Boardman Canfield Rd Youngstown, OH Orthopaedic 6505 Market St Youngstown, OH Of Canfield 4147 Westford Dr Canfield, OH Marion: Marion Area Health 1050 Delaware Ave New Horizons 1167 Independence Ave Marion General Hospital* 1000 McKinley Park Dr Medina: Of Northern Ohio 1299 Industrial Pkwy N Brunswick, OH Medina 3780 Medina Rd STE 120 Medina, OH Miami: Valley Regional 283 Looney Rd Piqua, OH 45356

4 The Ohio Designated Hospitals and Outpatient s continued Montgomery: Dayton Eye 81 Sylvania Dr DCR 245 W Elmwood Dr # 100 Dayton, OH Brandt Pike STE 1 Huber Heights, OH Needmore Rd STE 100 Dayton, OH Brubaker Dr STE 3 Dayton, OH Digestivecare Endoscopy 75 Sylvania Dr Of Dayton North 9000 N Main St STE 405 Dayton, OH Eye Laser And 4235 Indian Ripple Rd STE 110 Governors Place Ambulatory 3025 Governors Place Blvd Dayton, OH Kunesh Eye 2601 Far Hills Ave Dayton, OH Premiere Plastic, Cosmetic & Laser Surgery 3533 Southern Blvd STE 4400 Kettering, OH, PSI 9985 Dayton Lebanon Pke Dayton, OH, Kettering Medical Sycamore* 4000 Miamisburg-ville Rd Miamisburg, OH Grandview Hospital 405 W. Grand Ave Dayton, OH Kettering 3535 Southern Blvd Kettering, OH Soin Medical 3535 Pentagon Blvd Beavercreek, OH Medical at Elizabeth Place* 1 Elizabeth Place Dayton, OH Southview Hospital* 1997 Miamisburg-ville Rd ville, OH Muskingum: Alternacare 2951 Maple Ave Insight Surgery Laser 3973 N Pointe Dr STE 1 Genesis Healthcare System* 2951 Maple Ave Pickaway: Ohio Eye 210 Sharon Rd Physicians Ambulatory Surgery 1235 S Court St Berger Hospital* 600 N Pickaway St Portage: Western Reserve 1930 State Rt 59 Kent, OH Robinson Memorial Hospital* 6847 N Chestnut St Ravenna, OH44266 Richland: Advanced Eye Care 1991 Park Ave W Ontario, OH Ohio Eye Assocs Eye 466 S Trimble Rd Mansfield, OH Revision Advanced Surgery 240 W Cook Rd Mansfield, OH MedCentral Health System* 335 Glessner Ave Mansfield, OH MedCentral Health System -Shelby* 199 W Main St Shelby, OH Ross: Ross 50 N Plaza Blvd Chillicothe, OH Southern Ohio Eye 159 E 2nd St Chillicothe, OH Scioto: Portsmouth 1400 Gay St Portsmouth, OH Shelby: Valley Eye Institute Association 1118 Fairington Dr Sidney, OH Stark: CG 3722 Dressler Rd NW Digestive Wellness 4347 Portage St NW STE 102 North Canton, OH Eye Surgical 800 McKinley Ave NW Canton, OH Associates 4665 Belpar St NW Of Canton 4124 Munson St NW Specialists 2726 Fulton Dr NW Specialists 6046 Whipple Ave NW North Canton, OH Oasis 4889 Munson St NW Stark Ambulatory Surgery 4360 Fulton Dr NW STE C Surgery Alliance 975 Sawburg Ave Alliance, OH Mercy 1320 Mercy Drive NW Canton, OH Summit: Akron 4125 Medina Rd STE 104 Akron, OH For Surgery 789 Graham Rd Cuyahoga Falls, OH Digestive Health 570 White Pond Dr STE 150 Akron, OH Digestive Wellness 3939 S Cleveland Massillon Rd Barberton, OH Park West Surgical 1 Park West Blvd STE 26 Akron, OH Saint Clares 4441 Hudson Dr Stow, OH Hudson 5700 Darrow Rd STE 109 Hudson, OH Trumbull: Avamar For Endoscopy 9225 E Market St STE 200 Warren, OH Lippy 3893 E Market St Warren, OH Warren Gastrointestinal Endoscopy 1622 E Market St Warren, OH Tuscarawas: Tuscarawas Amb 320 Oxford St Dover, OH Union: Marysville Ohio Surgical 122 Professional Pkwy Marysville, OH Warren: 77 W Eleanor Dr STE 1 Springboro, OH Southwest Ohio Pain Management 5700 Gateway STE 100B Mason, OH Washington: Marietta 611 2Nd St STE B Marietta, OH Mid-Ohio Valley Medical 610 Washington Blvd STE 2 Belpre, OH Wayne: Eye Of Wooster 3519 Friendsville Rd Wooster, OH Wooster Ambulatory Surgical 3373 Commerce Pkwy STE 1 Wooster, OH Page 4 of 5

5 The Designated Northern Kentucky Hospitals and Outpatient s Boone: For Surgical Care 7575 US 42 Florence, KY St. Elizabeth* Healthcare-Florence 4900 Houston Rd Florence, KY Campbell: For Surgical Care 40 N Grand Ave STE 103 Fort Thomas, KY St. Elizabeth Healthcare - Ft. Thomas* 85 Norht Grand Ave FT. Thomas, KY Grant: St. Elizabeth Healthcare-Grant* 238 Barnes Rd Williamstown, KY Kenton: St Elizabeth Phys * 340 Thomas More Pkwy Crestview Hills, KY Tri-State Digestive Disorder 425 Centre View Blvd Crestview Hills, KY St Elizabeth Healthcare* 1 Medical Village Dr Edgewood, KY M / United HealthCare Services, Inc. Page 5 of 5

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