Coventry Health Care of Georgia

Transcription

1 Provider Directory Table of Contents UNDERSTANDING YOUR HEALTH PLAN...2 SERVICE AREA MAP...3 PARTICIPATING HOSPITALS...4 URGENT CARE CENTERS...7 CONVENIENCE CARE CLINICS...9 ANCILLARY PROVIDERS...10 PARTICIPATING PHYSICIANS...39 CHIROPRACTIC PROVIDERS ROUTI VISION PROVIDERS PARTICIPATING PHARMACIES MENTAL HEALTH/SUBSTANCE ABUSE PROVIDER INDEX...317

2 CHOOSING YOUR PRIMARY CARE PHYSICIAN Your Primary Care Physician (PCP) acts as your personal physician coordinating all of your health care needs. If your benefit plan documents indicate a PCP is required, you must choose a PCP for yourself and each member of your family. You have the right to designate any primary care provider who participates in our network and who is available to accept you or your family members. If applicable to your plan, the name and phone number of the PCP you select will be listed on your member identification (ID) card. For information on how to select a primary care provider, and for a list of the participating primary care providers, contact Customer Service at the phone number listed on your member identification (ID) card. PCPs in this directory begin on Page 39 and are listed by county. If you do not see your PCP listed in this Directory, please refer to our website at for a current listing. WHAT IF I ED TO SEE A SPECIALIST? Consult your benefit plan to see if a referral is required. Most of our plans are Open Access and do not require a referral to see an in-network specialist. However, we recommend keeping your PCP informed whenever you seek care from other providers even if a referral is not required. You do not need prior authorization from Coventry or from any other person (including a PCP) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. You also do not need prior authorization to see a dermatologist, ophthalmologist or optometrist. The health care professional you see, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals. For a list of participating specialists, go to Page 39 (search by county). You may also refer to our website at or contact Customer Service at the number on your member ID card. WHAT IF I ED HOSPITAL CARE? Your participating physician and admitting facility are responsible for obtaining authorization from Coventry and arranging hospital care for you. Before an elective admission, it is your responsibility to ensure that you are receiving covered services and the authorization has been obtained. To confirm your authorization, please contact Customer Service at the number listed on your member ID card. Please be aware that your financial responsibility will depend upon the participation status of the facility. WHAT SHOULD I DO IN AN EMERGENCY? You are covered for medical emergencies that occur when you are in or out of our service area. A medical emergency is any medical condition that would cause a prudent person, having average medical knowledge, to believe that a failure to obtain immediate medical help would place their health in serious jeopardy or result in a serious impairment or dysfunction of bodily functions, organs or parts. In a medical emergency, go to the nearest emergency room, or dial 911. for treatment. We recommend following up with your PCP after receiving emergency services. (To receive benefits, follow-up care should be coordinated within the Coventry network.) CONVENIENCE AND URGENT CARE Some illnesses and injuries do not require an emergency room visit. Before seeking treatment for conditions like sprains, sore throat, cold, flu, minor cuts, rashes, or stomach problems, call your doctor first to find out whether a trip to an emergency room is necessary or if you could be treated at the doctor s office, local convenience care clinic or urgent care center. Refer to Page 9 in the Directory for network Convenience Care Clinics and refer to Page 7 for a list of network Urgent Care Centers. DO I ED MY IDENTIFICATION CARD? To receive full benefits, you must show your member ID card at the time you receive medical services. This will help avoid confusion and billing problems. Failure to present your member ID card to your provider may result in you being responsible for all charges at the time of service. Also, when you make an appointment, be sure to identify yourself as a member. WHEN DO I PAY MY COPAYMENT/ COINSURANCE/ DEDUCTIBLE? Please pay your copayment at the provider s office when you receive medical care. Your provider may choose to collect some or all of your coinsurance or deductible payments at the time of service. QUESTIONS? Customer Service is available to assist you whenever you have a question about our network of providers or your benefits. Please note that providers have been added or deleted since this directory was printed. For the most current listings, please visit our website at You may also call Customer Service at the phone number listed on your member ID card. Representatives are available to answer your questions Monday through Friday from 7 a.m. 6 p.m. Eastern. 2

3 Heard Floyd Haralson Polk Bartow Cherokee Dawson White Paulding Cobb Douglas Coweta Fulton Spalding Henry Newton Morgan Walton Barrow Jackson Banks Hall Gwinnett DeKalb Clayton Rockdale Fayette Forsyth Oconee Clarke Madison Oglethorpe Effingham Chatham Bryan Liberty Lumpkin Gordon Pickens Gilmer Carroll Butts Jasper Monroe Lamar Jones Bibb Crawford Peach Houston Twiggs Bleckley Columbia Richmond Screven Evans Long Appling Brantley Pierce Ware Atkinson Chattooga Emanuel Candler Greene Toombs Montgomery Treutlen Tattnall CHC_ Brooks Lowndes Lanier Echols Muscogee Chattahoochee McIntosh Pike Pulaski Dooly Harris Talbot Taylor Marion Stewart Webster Bulloch Wayne Glynn Camden Putnam Upson Habersham Lincoln McDuffie Warren Jefferson Jenkins Wheeler Coffee Glascock Burke Commercial Group Marketing Area

4 Participating Hospitals AIKEN COUNTY, SC Aiken Regional Medical Centers 302 University Pkwy Aiken, SC (803) APPLING COUNTY, Appling Healthcare System 163 E Tollison St Baxley, (912) BARROW COUNTY, Barrow Community Hospital 316 N Broad St Winder, (770) BARTOW COUNTY, Cartersville Medical Center 960 Joe Frank Harris Pkwy SE P.O. Box Cartersville, (770) BIBB COUNTY, Coliseum Medical Centers 350 Hospital Dr Macon, (478) Coliseum Northside Hospital 400 Charter Blvd Macon, (478) Medical Center of Central Georgia (478) BLECKLEY COUNTY, Bleckley Memorial Hospital 408 Peacock St Cochran, (912) BULLOCH COUNTY, East Georgia Regional Med Ctr 1499 Fair Rd Statesboro, (912) BURKE COUNTY, Burke Medical Center 351 S Liberty St Waynesboro, (706) BUTTS COUNTY, Sylvan Grove Hospital 1050 McDonough Rd Jackson, (770) CALHOUN COUNTY, Calhoun Memorial Hospital 55 Re Jennings Ave SE Arlington, (229) CAEN COUNTY, Camden Medical Center 2000 Dan Proctor Dr Saint Marys, (912) CANDLER COUNTY, Candler County Hospital 400 Cedar St Metter, (912) CARROLL COUNTY, Tanner Medical Center 705 Dixie St (770) Tanner Medical Ctr-Villa Rica 601 Dallas Hwy Villa Rica, (770) CHATHAM COUNTY, Candler Hospital 5353 Reynolds St (912) St. Joseph's/Candler Hlth Syst Mercy Blvd Savannah, (912) CHEROKEE COUNTY, Northside Hospital - Cherokee 201 Hospital Rd (770) CLARKE COUNTY, Athens Regional Medical Center 1199 Prince Ave (706) St. Mary's Hospital 1230 Baxter St (706) CLAYTON COUNTY, Southern Crescent Hospital for Specialty Care 11 Upper Riverdale Rd SW Riverdale, (770) Southern Regional Medical Center 11 Upper Riverdale Rd SW Riverdale, (770) COBB COUNTY, Emory-Adventist Hospital 3949 S Cobb Dr SE Smyrna, (770) WellStar Cobb Hospital 3950 Austell Rd (770) WellStar Kennestone Hospital 677 Church St (770) WellStar Windy Hill Hospital 2540 Windy Hill Rd SE Marietta, (770) COFFEE COUNTY, Coffee Regional Medical Center 1101 Ocilla Rd Douglas, (912) COWETA COUNTY, Piedmont Newnan Hospital 60 Hospital Rd Newnan, (770) DEKALB COUNTY, Children's Healthcare of Atlanta at Egleston 1405 Clifton Rd (404) Decatur Hospital 450 N Candler St Decatur, (404) DeKalb Medical Center 2701 N Decatur Rd (404) DeKalb Medical Center - Hillandale 2801 Dekalb Medical Pkwy Lithonia, (404) Emory University Hospital 1364 Clifton Rd (404) DODGE COUNTY, Dodge County Hospital 901 Griffin Ave Eastman, (478) DOUGLAS COUNTY, WellStar Douglas Hospital 8954 Hospital Dr Frnt (770) EFFINGHAM COUNTY, Effingham Hospital 459 Highway 119 S Springfield, (912) EMANUEL COUNTY, Emanuel Medical Center 117 Kite Rd Swainsboro, (478) EVANS COUNTY, Evans Memorial Hospital 200 N River St Claxton, (912) FANNIN COUNTY, Fannin Regional Hospital 2855 Old Highway 5 South Blue Ridge, (706) FAYETTE COUNTY, Piedmont Fayette Hospital 1255 Hwy 54, W (770) FLOYD COUNTY, Floyd Medical Center 304 Turner McCall Blvd SW (706) Redmond Regional Medical Ctr 501 Redmond Rd NW (706) FORSYTH COUNTY, Northside Hospital Forsyth 1200 Northside Forsyth Dr (770) FULTON COUNTY, Atlanta Medical Center 303 Parkway Dr Atlanta, (404) Children's Healthcare of Atlanta 1001 Johnson Ferry Rd (404) Emory Johns Creek Hospital 6325 Hospital Pkwy Duluth, (678) Emory University Hospital Midtown 550 Peachtree St (404)

5 Participating Hospitals Participating Hospitals Grady Health System 80 Jesse Hill Jr Dr (404) Grady Memorial Hospital 80 Butler Street SE (404) Hughes Spalding Children's Hospital 35 Jesse Hill Jr Dr SE (404) Northside Hospital 1000 Johnson Ferry Rd (404) Piedmont Hospital 1968 Peachtree Rd NW (404) Saint Joseph's Hosp of Atlanta 5665 Peachtree Dunwoody Rd (404) South Fulton Medical Center 1170 Cleveland Ave Atlanta, (404) GILMER COUNTY, North Georgia Medical Center 1362 S Main St Ellijay, (706) GLYNN COUNTY, Southeast Georgia Reg Med Ctr 2415 Parkwood Dr Brunswick, (912) GORDON COUNTY, Gordon Hospital 1035 Red Bud Rd Calhoun, (706) GREE COUNTY, Saint Joseph's East Georgia 1201 Siloam Rd Greensboro, (706) GWINTT COUNTY, Emory Eastside Medical Center 1700 Medical Way (770) Glancy Rehabilitation Center 3215 McClure Bridge Rd (678) Gwinnett Hospital System 1000 Medical Center Blvd (678) Gwinnett Medical Center 3620 Howell Ferry Rd (678) HABERSHAM COUNTY, Habersham County Medical Center 541 Hwy. 441 North Demorest, (706) HALL COUNTY, Northeast Georgia Medical Ctr 743 Spring St (770) HARALSON COUNTY, TMC/Higgins General Hospital 200 Allen Memorial Dr Bremen, (770) HENRY COUNTY, Henry Medical Center 1133 Eagles Landing Pkwy (678) HOUSTON COUNTY, Houston Medical Center 1601 Watson Blvd Warner Robins, (478) Perry Hospital 1120 Morningside Dr Perry, (478) JACKSON COUNTY, Northridge Medical Center 70 Medical Center Dr Commerce, (706) JASPER COUNTY, Jasper Memorial Hospital 898 College St Monticello, (706) JEFFERSON COUNTY, Jefferson Hospital 1067 Peachtree St Louisville, (478) JENKINS COUNTY, Jenkins County Hospital 515 E Winthrope Ave Millen, (478) LANIER COUNTY, Louis Smith Memorial Hospital 852 W Thigpen Ave Lakeland, (229) LIBERTY COUNTY, Liberty Regional Medical Center 462 Elma G Miles Pkwy Hinesville, (912) LOWNDES COUNTY, Smith Northview Hospital 4280 N Valdosta Rd Valdosta, (229) South Georgia Medical Center 2501 N Patterson St Valdosta, (229) LUMPKIN COUNTY, Chestatee Regional Hospital 227 Mountain Dr Dahlonega, (706) MERIWETHER COUNTY, Warm Springs Medical Center 5995 Spring St Warm Springs, (706) MONROE COUNTY, Monroe County Hospital 88 Martin Luther King Jr Dr Forsyth, (912) MORN COUNTY, Morgan Memorial Hospital 1077 S Main St Madison, (706) MUSCOGEE COUNTY, Doctors Hospital th St Columbus, (706) Hughston Hospital 100 Frist Ct Columbus, (706) St. Francis Hospital, Inc 2122 Manchester Expy Columbus, (706) The Medical Center 710 Center St Columbus, (706) WTON COUNTY, Newton Medical Center 5126 Hospital Dr Covington, (770) PAULDING COUNTY, WellStar Paulding Hospital 600 W Memorial Dr Dallas, (770) PEACH COUNTY, Peach Regional Medical Center 601 N Camellia Blvd Fort Valley, (478) PICKENS COUNTY, Piedmont Mountainside Hospital, Inc 1266 Highway 515 S Jasper, (706) POLK COUNTY, Polk Medical Center 424 N Main St Cedartown, (770) PULASKI COUNTY, Taylor Regional Hospital 222 Perry Hwy Hawkinsville, (912) PUTNAM COUNTY, Putnam General Hospital 101 Lake Oconee Parkway Eatonton, (706) RICHMOND COUNTY, Doctors Hospital 3651 Wheeler Rd (706) Medical College of Georgia Hosp (706) Trinity Hospital of Augusta 2260 Wrightsboro Rd Augusta, (706) University Health Care System 1350 Walton Way (706) ROCKDALE COUNTY, Rockdale Medical Center 1412 Milstead Ave (770) RUSSELL COUNTY, AL Jack Hughston Memorial Hospital 4401 River Chase Dr Phenix City, AL (334) SCREVEN COUNTY, Screven County Hospital 215 Mims Rd Sylvania, (912)

6 Participating Hospitals Participating Hospitals SPALDING COUNTY, Spalding Regional Hospital 601 S 8th St Griffin, (770) STEPHENS COUNTY, Stephens County Hospital 163 Hospital Dr Toccoa, (706) STEWART COUNTY, Stewart-Webster Hospital 580 Alston St Richland, (229) WAY COUNTY, Wayne Memorial Hospital 865 S 1st St Jesup, (912) WHEELER COUNTY, Lower Oconee Community Hospital 111 N Third St Glenwood, (912) WILKES COUNTY, Wills Memorial Hospital 120 Gordon St Washington, (706) TATTNALL COUNTY, The Doctors Hospital of Tattnall 247 S Main St Reidsville, (912) TOOMBS COUNTY, Meadows Regional Medical Ctr 1703 Meadows Ln Vidalia, (912) UPSON COUNTY, Upson Regional Medical Center 801 W Gordon St Thomaston, (706) WALTON COUNTY, Walton Medical Center 330 Alcovy St Monroe, (770) WARE COUNTY, Satilla Regional Medical Ctr 410 Darling Ave Waycross, (912)

7 Urgent Care Centers BARROW COUNTY, Regional First Care 340 Exchange Blvd Bethlehem, (678) BIBB COUNTY, Med Center - East 1339 Gray Hwy Macon, (478) Med Center - North 3400 Riverside Dr Macon, (478) Med Center - West 711 Eisenhower Pkwy Macon, (478) Med Center-Northwest 5925 Zebulon Rd Macon, (478) BRANTLEY COUNTY, Brantley Family Care Center Hwy 82, E Nahunta, (912) BRYAN COUNTY, The Urgent Care Center of Richmond Hill 60 Exchange St -7 Richmond Hill, (912) CAEN COUNTY, Woodbine Family Care Center 308 Bedell Ave Woodbine, (912) CARROLL COUNTY, Physicians Family Medicine, LLC 209 Cooley Dr Villa Rica, (770) CHATHAM COUNTY, Concentra Urgent Care 109 Minis Ave -10 Savannah, (912) CHEROKEE COUNTY, Minor Emergency & Family Medicine 720 Transit Ave (770) WellStar Urgent Care at Towne Lake 120 Stonebridge Pkwy Ste 310 (678) Woodstock Urgent Care, LLC Highway 92 0 Woodstock, (770) CLARKE COUNTY, Regional First Care 485 Highway 29 N Athens, (706) CLAYTON COUNTY, Concentra Medical Center 1368 Southlake Plaza Dr Morrow, (678) Moreland Ave Conley, (404) Clark Howell Hwy Atlanta, (404) Concentra Urgent Care 1368 Southlake Plaza Dr Morrow, (678) Moreland Ave Conley, (404) Clark Howell Hwy Atlanta, (404) COBB COUNTY, Acworth Immediate Care LLC 4450 Calibre Xing NW 4 Acworth, (770) Concentra Urgent Care 220 Cobb Pkwy N Ste 400 Marietta, (770) Physician Immediate Med of Cobb County 2481 George Busbee Pky Kennesaw, (770) Physicians Immediate Med of Acworth 3540 Cobb Pkwy NW Acworth, (770) Urgent Care Xpress, LLC 3316 S Cobb Dr SE Suite 187 Smyrna, (770) WellStar Urgent Care at Cooper Lake 4480 N Cooper Lake Rd SE Ste 100 Smyrna, (770) WellStar Urgent Care in Kennesaw 3805 Cherokee St NW Kennesaw, (770) Wellstar Urgent Care on Delk Road 2890 Delk Rd SE Marietta, (770) WellStar Urgent Care on Sandy Plains Road 3600 Sandy Plains Rd Marietta, (770) COLUMBIA COUNTY, Med Now Urgent Care, LLC 104 N Belair Rd Evans, (706) University Hospital Prompt Care Columbia County 447 N Belair Rd Ste 101 Evans, (706) COWETA COUNTY, Summit Urgent Care Center, LLC 1825 Highway 34 E Ste 1200 Newnan, (770) DAWSON COUNTY, Physicians' Immediate Med of Dawsonville, P.C. 91 Nordson Overlook Dawsonville, (706) DEKALB COUNTY, Emory Student Health Center 2711 Irvin Way Suite 111 Decatur, (404) Hillandale Occupational Medicine 8225 Mall Pkwy Lithonia, (770) North Atlanta Urgent Care 2700 Clairmont Rd Atlanta, (404) DOUGLAS COUNTY, Physicians' Immediate Med of Douglasville PC 9390 the Landing Dr Douglasville, (770) TMC Immediate Care, Inc. 101 Quartz Dr Villa Rica, (770) EFFINGHAM COUNTY, Rincon Medical Center 119 Chimney Rd Rincon, (912) FANNIN COUNTY, Immediate Medcare of Riverstone, LLC 101 Riverstone Vis Ste 111 Blue Ridge, (706) FAYETTE COUNTY, Peachtree City Urgent Care 8 Eastbrook Bnd Peachtree City, (770) Peachtree Immediate Care And Occupational Medicine 1275 Highway 54 W Ste 201 (770) FORSYTH COUNTY, Children's Healthcare of Atlanta at Forsyth 410 Peachtree Pkwy (404)

8 Urgent Care Centers Forsyth Physicians Immediate Med of Johns Creek 2575 Peachtree Pkwy (770) FULTON COUNTY, AeroClinic, Inc 6000 N Terminal Pkwy Atrium, Level 3, Ste 315 Atlanta, (770) Concentra Medical Center 3580 Atlanta Ave Hapeville, (404) Fulton Industrial Blvd SW Atlanta, (404) Spring St NW (888) Concentra Urgent Care 3580 Atlanta Ave Atlanta, (404) Fulton Industrial Blvd SW Atlanta, (404) Spring St NW (404) Doctors Express Crabapple Rd Suite 108 Alpharetta, (770) Doctors Express of Atlanta 1800 Howell Mill Rd NW Suite 130 Atlanta, (404) Georgia Urgent Care- Alpharetta, LLC 1360 Upper Hembree Rd Ste 100 (678) MedHelp Urgent Care & Family Medicine 5304 Windward Pkwy Suite 103 Alpharetta, (770) Physicians' Immediate Med Haynes Bridge Rd Alpharetta, (770) Roswell Urgent Care Center, LLC 660 W Crossville Rd Roswell, (770) South Atlanta Urgent Care Clinic 5185 Old National Hwy Atlanta, (404) US Healthworks Medical Group of Georgia PC 880 Holcomb Bridge Rd Ste 150 B (770) GILMER COUNTY, Immediate MedCare 174 Highland Xing S Ellijay, (706) GLYNN COUNTY, Glynco Immediate Care Center 15 Gable Ct Brunswick, (912) Glynn Immediate Care Center 3400 Parkwood Dr Brunswick, (912) Island Health Pavilion 351 Hamilton Rd Saint Simons Island, (912) GREE COUNTY, Regional First Care 1010 Village Dr Watkinsville, (706) GWINTT COUNTY, Concentra Medical Center 1905 Beaver Ruin Rd Ste 175 Norcross, (770) Jimmy Carter Blvd Ste 200 Norcross, (770) Lawrenceville Suwanee Rd Suite 1600 Lawrenceville, (770) Concentra Urgent Care 1905 Beaver Ruin Rd Ste 175 Norcross, (770) Jimmy Carter Blvd Norcross, (770) Duluth Hwy Suite 1600 Lawrenceville, (770) North Georgia Urgent Care 1630 Pleasant Hill Rd Suite 340 (678) Physicians' Immediate Med 3551 Satellite Blvd (770) Holcomb Bridge Rd Norcross, (770) Premier Immediate Care of Georgia, PC 2696 Lawrenceville Suwanee Rd (678) Grayson Hwy (678) Southeast Urgent Care 2118 Scenic Highway Suite H-J (678) Urgent Care-RiverPlace 5875 Thompson Mill Rd Hoschton, (678) HALL COUNTY, Guilford Immediate Care 1250 Jesse Jewell Pkwy SE Suite 400 (770) Old Winder Hwy Braselton, (770) HENRY COUNTY, Brightpoint Urgent Care, LLC 1365 Rock Quarry Rd (770) HOUSTON COUNTY, Houston Lake Med Stop 2510 Hwy 127 Kathleen, (478) Houston Lake Med- Stop 2510 Hwy 127 Kathleen, (478) Pavillion Med-Stop 233 N Houston Rd Warner Robins, (478) JACKSON COUNTY, Regional FirstCare 528 Panther Dr Jefferson, (706) LOWNDES COUNTY, Convenient Care - Valdosta 2330 N Ashley St Valdosta, (229) Convenient Care South 520 Griffin Ave Valdosta, (229) Occupational Industrial Medicine Center 520 Griffin Ave Valdosta, (229) Valdosta Urgent Care, LLC 415 Woodrow Wilson Dr Valdosta, MCINTOSH COUNTY, Darien Family Care Center 509 Hwy 251 Darien, (912) MUSCOGEE COUNTY, Acute Care Express 7901 Veterans Pkwy Columbus, (706) Concentra Urgent Care 1051 Talbotton Rd Columbus, (706) Pediatric Acute Care of Columbus 5555 Whittlesey Blvd Suite L-1 Columbus, (706) Regional Urgent Care th Ave Ste F Columbus, (706) Urgent Care and Occupational Medicine 4328 Armour Rd Columbus, PAULDING COUNTY, New Hope Urgent Care, LLC 49 Hosiery Mill Rd Suite 124 Dallas, (770) Physicians' Immediate Med of Hiram PC 3827 Jimmy Lee Smith Pkwy Hiram, (770) ROCKDALE COUNTY, Concentra Medical Center 1157 West Ave SW (770) Concentra Urgent Care 1157 West Ave SW (770)

9 Convenience Care Clinics BARTOW COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 965 Joe Frank Harris Pkwy SE Cartersville, (866) BRYAN COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 2324 US Highway 17 Corner Of Highway 144 Richmond Hill, (866) CARROLL COUNTY, Take Care Health Georgia, PC 794 S Park St (866) CHEROKEE COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 1600 Towne Lake Pkwy (866) Sixes Rd (866) Hickory Flat Hwy Canton, (866) COBB COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 2994 Atlanta Rd SE Smyrna, (866) N Main St NW Kennesaw, (866) Due West Rd NW Marietta, (866) Paces Ferry Rd SE Atlanta, (866) Paces Ferry Rd SE Ste 170 Atlanta, (866) Johnson Ferry Rd Marietta, (866) E West Connector (866) Take Care Health Georgia, PC 1762 Mars Hill Rd NW Acworth, (866) Roswell Rd Marietta, (866) Cobb Pkwy SE Smyrna, (866) Cobb Pkwy NW Kennesaw, (866) Shallowford Rd Marietta, (866) Austell Rd (866) COWETA COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 2305 Highway 34 E Newnan, (866) DEKALB COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 2738 N Decatur Rd (866) Peachtree Industrial Blvd Atlanta, (866) Rockbridge Rd Stone Mountain, (866) Take Care Health Georgia, PC 2945 Panola Rd Lithonia, (866) Memorial Dr Stone Mountain, (866) DOUGLAS COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 6031 Fairburn Rd (866) Take Care Health Georgia, PC 9465 Highway 5 Douglasville, (866) FAYETTE COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 101 Lexington Cir Peachtree City, (866) FORSYTH COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 5370 Laurel Springs Pkwy (866) FULTON COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy Alpharetta Hwy (866) Peachtree St Georgia Pacific Bldg (866) Woodstock Rd Roswell, (866) Martin Luther King Jr Dr SW Atlanta, (866) Old National Hwy Riverdale, (866) N Highland Ave Atlanta, (866) Take Care Health Georgia, PC 3003 Old Alabama Rd Alpharetta, (866) Roswell Rd Atlanta, (866) GWINTT COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 3027 Jim Moore Rd Dacula, (866) Peachtree Pkwy Norcross, (866) Sugarloaf Pkwy Lawrenceville, (866) Take Care Health Georgia PC 1490 Pleasant Hill Rd (866) Take Care Health Georgia, PC 181 S Clayton St (866) Five Forks Trickum Rd Lawrenceville, (866) Peachtree Pkwy Norcross, (866) HALL COUNTY, Take Care Health Georgia PC 649 Shallowford Rd NW Gainesville, (866) HENRY COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 2 N Zack Hinton Pkwy Mcdonough, (866) Mount Zion Pkwy (866) Take Care Health Georgia, PC 1855 Hudson Bridge Rd (866) LOWNDES COUNTY, Healthsource Medical Clinic, PC 1733 Gornto Rd -C Valdosta, (229) WTON COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 4192 Salem Rd Covington, (866) PAULDING COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 495 Marietta Hwy Dallas, (866) ROCKDALE COUNTY, Take Care Health Georgia PC 1510 Milstead Ave (866) WALTON COUNTY, MinuteClinic the Medical Clinic in CVS pharmacy 2720 Loganville Hwy Loganville, (866)

10 Ancillary Providers AIKEN COUNTY, SC ANDERSON COUNTY, SC ATKINSON COUNTY, Hospice United Home Care of Winder 349 Resource Pkwy Winder, (770) Home Health Agency Durable Medical Equipment Medical Services Of America 959 ByPass 123 Seneca, SC (864) Home Health Agency University Home Health 109 Railroad Ave W Wagener, SC (803) University Home Health Services 1501 Whiskey Rd Aiken, SC (803) Earle St N Wagener, SC (803) W Martintown Rd North Augusta, SC (803) Physical Therapy Georgialina Physical Therapy Associates 401 W Martintown Rd Suite 169 North Augusta, SC (803) Skilled Nursing Facility UniHealth Post-Acute Care- Aiken 830 Laurens St Aiken, SC (803) UniHealth Post-Acute Care- North Augusta 1200 Talisman Dr North Augusta, SC (803) ALAMANCE COUNTY, NC Durable Medical Equipment Pediatric Services of America, Inc 2579 Eric Ln Suite. F Burlington, NC (336) Home Health Agency Pediatric Services of America, Inc 114 Commons Blvd Suite. C Piedmont, SC (864) Physical Therapy Dosher Physical Therapy 3150 Highway 153 Piedmont, SC Dosher Physical Therapy Associates 1118 Cornelia Rd Anderson, SC Highway 153 Piedmont, SC APPLING COUNTY, Ambulance Appling EMS 471 Fair St Baxley, Dialysis Center Baxley Dialysis 539 Fair St Baxley, (912) Durable Medical Equipment Certified Respiratory Services, Inc. 88 Heritage St Baxley, (912) Home Health Agency Altamaha HomeCare, Inc. 68 N Oak St Baxley, (912) Appling Co. Health Dept. Home Care Services 355 S Main St PO Box Baxley, Home Health Agency Atkinson Co. Health Dept. Home Care Services 906 Main St N PO Box 222 Pearson, (912) BACON COUNTY, Home Health Agency Bacon Co. Health Dept. Home Care Services. 213 E 16th St Alma, (912) Sleep Disorders ALMA Sleep Center 113 E 15th St Alma, (912) BALDWIN COUNTY, Durable Medical Equipment Georgia Medical Equipment and Respiratory Services, Inc N Columbia St Suite 109 Milledgeville, (478) Respitory Homecare 631 N Cobb St Milledgeville, (478) Home Health Agency Amedisys Home Health of Milledgeville 521 W Montgomery St Suite 5 Milledgeville, (478) CareSouth Homecare Professionals 521 W Montgomery St Milledgeville, (478) Hospice Care Options, Inc 811 N Cobb St Suite 3 Milledgeville, (478) Medical Imaging A Diagnostic Radiology Network Facility 1850 N Columbia St Suite 3 Milledgeville, (800) Physical Therapy Serenity Wellness Spa 107 Sportsman Club Rd Milledgeville, (478) BANKS COUNTY, Skilled Nursing Facility The Oaks At Scenic View, LLC 205 Peach Orchard Rd Baldwin, (706) Sleep Disorders Community Sleep Solutions, LLC 1226 Historic Homer Hwy Homer, (706) BARROW COUNTY, Dialysis Center Barrow County Dialysis Center 189 W Athens St Suite 9 Winder, (770) Home Health Agency Central Home Health Care, an Amedisys Company 30 Piedmont Dr Winder, (770) Physical Therapy Atlanta Falcons Physical Therapy Centers 367 Resource Pkwy Winder, (770) Speech Therapy Jannie Jennings Turn Around Therapy Services 80 Church St Winder, (770) BARTOW COUNTY, Ambulatory Surgery Center Georgia Advanced Surgery Center for Women 958 Joe Frank Harris Pkwy SE Suite 107A Cartersville, (678) Georgia Pain Spine Center 15 Medical Dr Suite 302 Cartersville, (678) Durable Medical Equipment American Medical Equipment, Inc 129 E Felton Rd Cartersville, (770) Apria Healthcare, Inc. 945 Joe Frank Harris Pkwy SE Cartersville, (770) Fuller Rehabilitation Independent Living Aids- Cartersville 440 Cherokee Pl Cartersville, (770) Georgia Extended Medical 83 Peeples Valley Rd SE Cartersville, (770) Health Care Solutions, Inc 321 N Main St Adairsville, Apria Healthcare, Inc. 945 Joe Frank Harris Pkwy SE Cartersville, (770) Coosa Valley Home Health, an Amedisys Company 12 Felton Pl Suite E Cartersville, (770) Hospice Amedisys Hospice of Cartersville 1217 Joe Frank Harris Pkwy SE Cartersville, (770) In Home Health, Inc 20 Collins Dr Cartersville, (770) Laboratory Quik Labs Cartersville 112 Merchants Square Dr Cartersville, (678) Medical Imaging Cartersville Diagnostic Center, LLC 21 Pointe North Dr Suite 105 Cartersville, (770) Reed Imaging Services LLC 15 Medical Dr Cartersville, (678) Occupational Therapy Hand Therapy Services 5 Medical Dr Cartersville, (706) Physical Therapy Advance Rehabilitation & Consulting, Inc Adairsville Hwy Adairsville, (770) Advance Rehabilitation of Adairsville 10 Legacy Way Suite E Adairsville, (770) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 10

11 Ancillary Providers Bladen Home Health Agency BenchMark Physical Therapy 939 Joe Frank Harris Pkwy SE Cartersville, (770) Center for Athletic and Industrial Rehabilitation 695 Henderson Dr Cartersville, (770) Physical, Speech, Occup Therapy Education Play Station, Inc. 127 Summer St Adairsville, (770) Prosthetics/Orthotics Apria Healthcare, Inc. 945 Joe Frank Harris Pkwy SE Cartersville, (770) Hanger Prosthetics & Orthotics, Inc. 17B Felton Pl Cartersville, (770) Skilled Nursing Facility Cartersville Heights Care and Rehabilitation Center 78 Opal St Cartersville, (770) Sleep Disorders American Wellness Diagnostics 31 Pointe North Dr Suite 105 Cartersville, (713) BEAUFORT COUNTY, SC Durable Medical Equipment Crutches & Such As 990 Ribaut Rd Beaufort, SC (843) BEN HILL COUNTY, Ambulatory Surgery Center Georgia Sports Med & Ortho Clinic 182 Perry House Rd Fitzgerald, (800) Durable Medical Equipment MRS Homecare, Inc 104 Norman Dorminy Dr Fitzgerald, (229) Occupational Therapy Southern Physical & Occupational Therapy Services Inc 305 Benjamin H. Hill Drive SW P O Box 557 Fitzgerald, (229) Physical Therapy Southern Physical & Occupational Therapy Services Inc 305 Benjamin H. Hill Drive SW P O Box 557 Fitzgerald, (229) BERKELEY COUNTY, SC Dialysis Center Gambro Healthcare-Moncks Corner 642 RC Dennis Blvd Moncks Corner, SC (843) BIBB COUNTY, Ambulatory Surgery Center Associates Surgery Center 864 1st St (478) Central Georgia Head & Neck Surgery Center 540 Hemlock St (478) Endoscopy Center of Middle Georgia, LLC 610 3rd St (478) Macon Outpatient Surgery, LLC 3708 Northside Dr Macon, (478) Medical Eye Associates, Inc Oglethorpe St (478) Dialysis Center Dialysis Center of Middle Georgia-Macon 747 2nd St (912) Fresenius Medical Care Pine Street Dialysis 745 Pine St (478) Kidney Dialysis Center, LLC 640 Martin Luther King Jr Blvd (478) Durable Medical Equipment Apria Healthcare, Inc. 182 Steven Dr Macon, (478) C.H. Martin 130 College St (478) ChiChesters Homecare Inc Gray Hwy Macon, (478) DJO, LLC 291 Plantation Centre Dr N Suite 1907 Macon, (800) Health Care Solutions, Inc 4480 Riverside Dr Suite 25 Macon, (478) Lincare, Inc 770 Baconsfield Dr Bldg 1, Macon, (478) Mediquip Rehabilitative Equipment & Supplies PLUS 808 Pio Nono Ave Macon, (478) MRS Homecare, Inc 4921 Riverside Dr Suite 2 Macon, (478) Option Care of Middle Georgia 151 College St (478) Orthopod Poplar St Suite 2H (478) Pediatric Services of America 770 Baconsfield Dr Bldg 1, Macon, (478) Pediatric Services of America, Inc 770 Baconsfield Dr Building 1, Suite. 100 Macon, (478) Sleep Med Therapies 750 Baconsfield Dr Suite 120 Macon, (478) Home Health Agency APremium Healthcare Solution, LLC 2012 Riverside Dr Macon, (888) CareSouth Homecare Professionals 5233 Riverside Dr Macon, (478) Lincare, Inc 770 Baconsfield Dr Bldg 1, Macon, (478) Option Care of Middle Georgia 151 College St (478) Pediatric Services of America, Inc 770 Baconsfield Dr Building 1, Suite. 100 Macon, (478) Physician Support Associates, Inc 1021 Daisy Pk (478) Home IV Infusion Agency Option Care of Middle Georgia 151 College St (478) Hospice Hospice Care Options, Inc 1125 Walnut St (478) In Home Health, Inc 200 Northside Xing Macon, (478) Long Term Care Facility Regency Hospital Of Central Georgia 700 Spring St (478) Medical Imaging Central Georgia MRI 770 Pine St Suite 240 (478) Children's Radiology of Atlanta 833 Walnut St (877) MedCross Imaging, PC 1818 Forsyth St (770) Open MRI of Macon 1504 Hardeman Ave (478) Hardeman Ave (478) Occupational Therapy Kinetix Physical Therapy, Inc 2129 Riverside Dr Macon, (478) Physical Therapy Kinetix Physical Therapy, Inc 2129 Riverside Dr Macon, (478) Macon Physical Therapy Inc 1445 Georgia Ave (478) Macon Rebabilitation & Performance Center 125 Plantation Centre Dr S Bldg 900 Macon, (478) Physical, Speech, Occup Therapy The Speech Path 4116 Arkwright Rd Suite 2 Macon, (478) Prosthetics/Orthotics Apria Healthcare, Inc. 182 Steven Dr Macon, (478) DJO, LLC 291 Plantation Centre Dr N Suite 1907 Macon, (800) Skilled Nursing Facility American Homecare and Medical Services, LLC 841 Mulberry St (478) Heritage Healthcare of Macon, LLC 2225 Anthony Rd Macon, (478) The Oaks at Peake, LLC 6190 Peake Rd Macon, (478) Sleep Disorders Atlantic Sleep Lab, Inc 560 1st St (478) Sleep Services of America, Inc 215 Sheraton Blvd & B Macon, (478) SleepMed Therapies, Inc 800 1st St (978) BLADEN COUNTY, NC Durable Medical Equipment Pediatric Services of America, Inc 312 S Poplar Street Elizabethtown, NC (910) Home Health Agency Pediatric Services of America, Inc 312 S Poplar Street Elizabethtown, NC (910) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 11

12 Ancillary Providers Bladen Home IV Infusion Agency Home IV Infusion Agency Dialysis Center Medical Imaging CALDWELL COUNTY, NC CANDLER COUNTY, Endoscopy Center Pediatric Services of America, Inc 312 S Poplar Street Elizabethtown, NC (910) BRANTLEY COUNTY, Home Health Agency Brantley Co. Health Dept. Home Care Services 5 Church St Suite 400 Nahunta, (912) BRYAN COUNTY, Occupational Therapy West Rehab Services, Inc US Highway 17 Bldg 2A Richmond Hill, (912) Physical Therapy Rehab Services Richmond Hill 1203 Gandy Dancer Richmond Hill, (912) West Rehab Services, Inc. 205 E Bacon St Pembroke, (912) US Highway 17 Bldg 2A Richmond Hill, (912) Physical, Speech, Occup Therapy Coastal Therapy, Inc 60 Exchange St Richmond Hill, (912) BULLOCH COUNTY, Ambulatory Surgery Center Bulloch County Endoscopy Center, LLC 1555 Brampton Ave Statesboro, (912) FMC of Bullouch County 1355 Brampton Ave Statesboro, (912) Durable Medical Equipment Apria Healthcare, Inc. 16 College Plz Statesboro, (912) East Georgia Home Health Center & Infusion Therapy 373 Savannah Ave Statesboro, (912) Georgia Home Medical 606 S Zetterower Ave Statesboro, (912) Hanger Prosthetics & Orthotics East, Inc 144 Northside Dr E Statesboro, (912) Medical Equipment Professionals 150 Northside Dr E Statesboro, (912) Walker Home Medical 206 Northside Dr W Suite 1 Statesboro, (912) Home Health Agency Bulloch Co. Health Dept. Home Care Services 204 N College St PO Box 1273 Statesboro, (912) Ogeechee Home Health Agency, Inc Fair Rd Statesboro, (912) Hospice Ogeechee Area Hospice, Inc 200 Donehoo St Statesboro, (912) Laboratory East Georgia Regional Medical Center 1499 Fair Rd Statesboro, (912) Statesboro Imaging Center, PC 8 Lester Rd Statesboro, (912) Physical Therapy Southern Sports Medicine & Rehabilitation 911 E Inman St Statesboro, (912) Southern Wellness and Rehab B. Highway 80 East Statesboro, (912) Prosthetics/Orthotics Apria Healthcare, Inc. 16 College Plz Statesboro, (912) BURKE COUNTY, Home Health Agency University Home Health 225 Old Millen Hwy Waynesboro, (706) BUTTS COUNTY, Dialysis Center Grovepark Dialysis 794 McDonough Rd Jackson, (770) Physical Therapy HealthSouth Sports Medicine & Rehab. Center 464 W 3rd St Suite 107 Jackson, (770) Select Physical Therapy 464 W 3rd St Suite 107 Jackson, (770) Durable Medical Equipment Pediatric Services of America 2024 Connley Springs Road Lenoir, NC (828) Home IV Infusion Agency Pediatric Services of America 2024 Connley Springs Road Lenoir, NC (828) CAEN COUNTY, Dialysis Center St. Marys Dialysis 2714 Osborne Rd Saint Marys, (912) Physical Therapy Advance Rehabilitation of Kingsland 100 Lindsey Ln Kingsland, (912) Physical, Speech, Occup Therapy Advance for Kids, Inc 100 Lindsey Ln Kingsland, (912) Skilled Nursing Facility Senior Care Center - St. Mary's 805 Dilworth St Saint Marys, (912) Sleep Disorders Reliance Sleep Centers of America, Inc. 87 Lindsey Ln Kingsland, (912) Dialysis Center Candler County Dialysis 325 Cedar St Metter, (912) Home Health Agency Candler Co. Health Dept. Home Care Services 38 SE Broad St PO Box 665 Metter, (912) University Home Health Services 1 SW Broad St Metter, (912) CARROLL COUNTY, Ambulatory Surgery Center Carrollton Eye Clinic Ambulatory Surgery Center 158 Clinic Ave (770) Plastic Surgery Center of West Georgia 150 Henry Burson Ave (770) Dialysis Center Bio-Medical Applications of Carrollton 195 Parkwood Cir (770) Fresenius Medical Care- Carroll County 157 Clinic Ave (770) North Carrollton Dialysis 195 Parkwood Cir (770) Durable Medical Equipment Matrix Mobility and Healthcare Products, LLC 505 Berry Dr Villa Rica, (770) West Georgia Endoscopy Center 160 Clinic Ave (770) Home Health Agency Central Home Health Care, an Amedisys Company 1124 N Park St Suite I (770) Tanner Medical Center Home Health, Inc Henry Burson Ave Suite 105B (770) Hospice Tanner Medical Center Hospice Care, Inc Clinic Ave Medical Imaging Children's Radiology of Atlanta 805 Dixie St (770) Occupational Therapy Physiotherapy Associates, Inc. 100 Professional Pl Suite 108 (770) Physical Therapy Accel Physical Therapy 2000 Mirror Lake Blvd Suite S Villa Rica, (770) Matrix Rehab - Georgia, Inc 1004 Bankhead Hwy Bldg A #5 (770) Matrix Rehabilitation- Georgia, Inc 1004 Bankhead Hwy Bldg A Suite 5 (770) Physiotherapy Associates, Inc. 100 Professional Pl Suite 108 (770) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 12

13 Ancillary Providers Chatham Occupational Therapy Physical, Speech, Occup Therapy Southern Therapy Service 812 S Park St (770) Southern Therapy Services 690 Dallas Hwy Suite 203 Villa Rica, (770) Prosthetics/Orthotics American Prosthetics Inc 1004 Bankhead Hwy Suite 14 (770) Skilled Nursing Facility The Oaks of Carrollton, LLC 921 Old Newnan Rd Carrollton, (770) CATOOSA COUNTY, Durable Medical Equipment American HomePatient 435 Cloud Springs Rd Rossville, (706) Eddie Test's Home Medical Equipment 7768 Nashville St Ringgold, (706) Fuller Rehabilitation Independent Living Aids 529 Rollins Industrial Blvd Ringgold, (706) Hi-Tech Healthcare, Inc 11 S Commerce Dr Ringgold, (770) Premier Medical Equipment, LLC 89 Crye Leike Dr Fort Oglethorpe, (706) Home Health Agency North Georgia Home Health Agency, an Amedisys Company 122 Battlefield Crossing Ct Ringgold, (706) United Home Care of Ft. Oglethorpe 85 Crye Leike Dr Fort Oglethorpe, (706) Physical Therapy BenchMark Physical Therapy 1394 Battlefield Pkwy Fort Oglethorpe, (706) Skilled Nursing Facility Heritage Healthcare of Ft. Oglethorpe, LLC 1067 Battlefield Pkwy Fort Oglethorpe, (706) CHARLTON COUNTY, Home Health Agency Charlton Co. Health Sept. Home Care Services 302 First St Folkston, (912) Physical Therapy Advance Rehabilitation of Folkston 1203 N 3rd St Folkston, (912) Skilled Nursing Facility Folkston Park Care and Rehabilitation Center 401 N Okefenokee Dr Folkston, (912) CHATHAM COUNTY, Ambulatory Surgery Center Doctors Hospital of Tattnall (ASC) 210 E De Renne Ave (912) ENT Surgical Center Abercorn St Suite 2 Savannah, (912) Georgia Center for Digestive Diseases, LLC 501 Eisenhower Dr Savannah, (912) Georgia Eye Institute Surgery Center, LLC 4720 Waters Ave Savannah, (912) Neurological Institute Ambulatory Surgery Center LLC 1 E Jackson Blvd (912) Operating Room Services, LLC 8 Stephenson Ave (912) Plastic Surgery Centerland 5361 Reynolds St (912) Schulze Surgery Center 728 E 67th St (912) Shankliln Plastic Surgery Center, LLC 900 Mohawk St Savannah, (912) Urology Surgery Center of Savannah, LLLP 230 E De Renne Ave (912) Diabetic Durable Medical Equipment Savannah Diabetic Supplies 7025 Hodgson Memorial Dr Savannah, (866) Dialysis Center Abercorn Dialysis Mercy Blvd Suite 9 Savannah, (912) Pooler Dialysis 54 Traders Way Pooler, (912) RAI Drayton Savannah 1020 Drayton St Savannah, (912) West Chatham Dialysis Center 343 Main St Savannah, (912) Williams Street Dialysis 2812 Williams St Savannah, (912) Durable Medical Equipment American HomePatient 7602 Waters Ave Savannah, (912) American Homepatient 7602 Waters Ave Savannah, (229) Apria Healthcare, Inc. 901 E 65th St (912) C.H. Martin 7135 Hodgson Memorial Dr Suite 1-B Savannah, (912) Coastal Home Respiratory 409 E Montgomery Xrd Suite 5A Savannah, (912) Fuller Rehabilitation Independent Living Aids- Savannah Mercy Blvd Bldg 3 Savannah, (912) Health Care Solutions, Inc 329 Commercial Dr Suite 130 Savannah, (912) MBA Diabetic Footwear Solution 7505 Waters Ave Savannah, (912) Medi Home Advantage 5353 Reynolds St Suite 107 (912) Medi Home Care 4131 Ogeechee Rd Suite 123 (912) Chatham Center Dr Suite 2200 (912) Medical Infusion Technologies, Inc 115 Echols Ave Savannah, (912) Parker & Noble Therapeutic Supplies Inc 6409 Abercorn St -1 (912) Peachtree Medical Equipment 3326 Skidaway Rd Savannah, (912) Pediatric Services of America, Inc 37 W Fairmont Ave Unit 207 Savannah, (912) Savannah Health Services 613 Stephenson Ave Suite 103 (912) Savannah Orthotics & Prosthetics, Inc. 906 E 68th St (912) Sleep Well, LLC 340 Hodgson Ct Bldg 200 Suite 2 Savannah, (912) Transformation Station 225 Candler Dr Walker Home Medical 1100 Eisenhower Dr Suite 19 Savannah, (912) Wilmington Island DME, Inc. 140 Johnny Mercer Blvd Suite 15 Savannah, (877) Endoscopy Center Endoscopy Center of Coastal Georgia 519 Stephenson Ave (912) The Endoscopy Center, LLC 1139 Lexington Ave Savannah, (912) Hearing Aid, Sales & Repair Savannah Speech and Hearing Center 1206 E 66th St Savannah, (912) Home Health Agency Amedisys Home Health 7135 Hodgson Memorial Dr Suite 12A Savannah, (912) American HomePatient 7602 Waters Ave Savannah, (912) Island Health Care, Inc 4 Skidaway Village Walk Savannah, Island Health Care, Inc. 3 W Perry St Savannah, (912) Pediatric Services of America, Inc 37 W Fairmont Ave Unit 207 Savannah, (912) Secure Care, Inc. 351 Commercial Dr Savannah, (912) St. Joseph's Candler Home Healthcare 5510 Paulsen St (912) Home IV Infusion Agency American HomePatient 7602 Waters Ave Savannah, (912) Infusion Partners 1000 Business Center Dr Suite 120 (912) Medical Infusion Technologies, Inc 115 Echols Ave Savannah, (912) Hospice IHC Hospice, Inc. PO Box Savannah, (843) Island Health Care, Inc 4 Skidaway Village Walk Savannah, Island Health Care, Inc. 3 W Perry St Savannah, (912) United Hospice of Savannah 9100 White Bluff Rd Suite 303 Savannah, (912) Laboratory Quest Diagnostics 6555 Abercorn St (866) Medical Imaging Boland Women's Imaging PC 1615 E Montgomery Xrd Savannah, (912) Open MRI of Savannah 4815 Waters Ave Savannah, (912) PET Imaging Center of Savannah, LLC 617 Stephenson Ave (912) Savannah Chatham Imaging Services Mercy Blvd Savannah, (912) Occupational Therapy West Rehab Services, Inc. 100 Blue Fin Cir Suite 3 Savannah, (912) Westcross Rd Savannah, (912) Hodgson Memorial Dr Suite 1A Savannah, (912) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 13

14 Ancillary Providers Chatham Physical Therapy Physical Therapy Big Talkers Speech Pathology, LLC 106 Oglethorpe Professional Ct Savannah, (941) Coastal Therapy, Inc. 911 E 70th St (912) Horizon Rehabilitation & Sports Medicine 6715 Forest Park Dr Savannah, (912) Islands Spine & Sport 119 Charlotte Church Rd Suite G Savannah, (912) Ledesma Sports Medicine 340 Eisenhower Dr Bldg 1400 Savannah, (912) Spine & Sport Downtown 22 W Oglethorpe Ave Savannah, (912) West Rehab Services, Inc. 100 Blue Fin Cir Suite 3 Savannah, (912) Westcross Rd Savannah, (912) Hodgson Memorial Dr Suite 1A Savannah, (912) West Rehabilitation Services Inc. 107 Charlotte Dr Savannah, (912) E 67th St (912) E 67th St (912) Physical, Speech, Occup Therapy St. Josephs Outpatient Rehabilitation Center Mercy Blvd Suite 2C Savannah, (912) Prosthetics/Orthotics Apria Healthcare, Inc. 901 E 65th St (912) Rehabilitation Hospital Select Specialty Hospital of Savannah, Inc Reynolds St (912) Skilled Nursing Facility Heritage Healthcare of Savannah, LLC White Bluff Rd Savannah, (912) Savannah Rehabilitation and Nursing Center 815 E 63rd St (912) Savannah Specialty Care Center Abercorn St Savannah, (912) St. Joseph's/Candler Hlth Syst Mercy Blvd Savannah, (912) The Place at Pooler 508 S Rogers St Pooler, (912) Sleep Disorders SleepCare Institute, Inc 836 E 65th St Bldg 2 (912) The Sleep Disorders Center at St. Josephs Hospital Mercy Blvd Suite 4 Savannah, (912) Speech Therapy Pamela A Thompson 532 Stephenson Ave (912) CHATTOO COUNTY, Dialysis Center Harbin Clinic Summerville Dialysis Center Highway 27 Summerville, (706) Home Health Agency North Georgia Home Health Agency, an Amedisys Company Highway 27 Summerville, (706) Physical Therapy Advance Rehabilitation & Consulting, Inc Highway 27 Suite 1 Summerville, (706) CHEROKEE COUNTY, Audiology Progressive Audiology Center, Inc Towne Lake Pkwy Bldg 800, (770) Dialysis Center FMC Dialysis Services Woodstock 110 Londonderry Ct Woodstock, (770) RCC Northern Georgia 411 Hospital Rd (770) Durable Medical Equipment BioKinetics, Inc 3013 High Vista Walk (770) DJO, LLC 1131 Etowah Valley Ln (800) Endoscopy Center Woodstock Endoscopy Center, LLC 2001 Professional Way Suite 270 Woodstock, (770) Home Health Agency Amedisys Northwest Home Health 147 Reinhardt College Pkwy Suite 3 (770) Community Home Health, an Amedisys Company 400 Churchill Ct Suite 400 Woodstock, (770) Laboratory WellStar Towne Lake Urgent Care 120 Stonebridge Pkwy (678) Medical Imaging Atlantic Diagnostic Center, LLC 720 Transit Ave (770) Children's Radiology of Atlanta 2001 Professional Pky Suite 160 Woodstock, (770) Open Woodstock Imaging Center 2001 Professional Way Suite 160 Woodstock, (770) Woodstock Diagnostic Imaging 300 Parkbrooke Pl Suite 170 (678) Occupational Medicine Physiotherapy Associates, Inc. 655 Molly Ln (770) Occupational Therapy - Pediatric All About Kids, Inc 2137 Summerchase Dr (404) Physical Therapy BenchMark Physical Therapy 2230 Towne Lake Pkwy Bldg 1200, & 110 (770) Ctr for Athletic & Industrial Rehab 1300 Oakside Dr Suite 2 (770) HealthSouth Sports Medicine & Rehab. Center 230 Marietta Hwy Suite 120 (770) Physiotherapy Associates, Inc. 655 Molly Ln (770) Select Physical Therapy 230 Marietta Hwy Suite 120 (770) Soar Physical Therapy 6768 Hickory Flat Hwy Canton, (770) Woodstock Physical Therapy & Performance Institute, LLC 1816 Eagle Dr Bldg 100, (770) Physical Therapy - Pediatric All About Kids, Inc 2137 Summerchase Dr (404) Prosthetics United Artificial Limb 95 Hickory Springs Industrial Dr Canton, (770) Prosthetics/Orthotics DJO, LLC 1131 Etowah Valley Ln (800) Skilled Nursing Facility Brian Center Health & Rehabilitation -Canton 150 Hospital Cir (770) Speech Therapy Word of Mouth, LLC 257 Cedarhurst Dr Canton, (404) CLARKE COUNTY, Ambulatory Surgery Center American Eye Surgery Center 651 S Milledge Ave Athens, (706) Georgia Lithotripsy & Laser Center 120 Trinity Pl Athens, (706) Dialysis Center Athens East Dialysis 2026 S Milledge Ave 2 Athens, (706) Athens West Dialysis 2047 Prince Ave (706) Dialysis Center of Athens 210 Hawthorne Park (706) Fresenius Medical Care Clarke County 5105 Jefferson Rd Athens, (706) Gambro Healthcare-Athens West 2047 Prince Ave (706) RCG Clarke County 850 Prince Ave (706) Durable Medical Equipment Apria Healthcare, Inc Jefferson Rd Athens, (706) Fuller Rehabilitation Independent Living Aids 3190 Atlanta Hwy Suite 15-A (706) Hanger Prosthetics & Orthotics East, Inc. 698 S Milledge Ave Athens, (800) Home Medical Professional 191 Alps Rd Suite 8 (706) Lincare, Inc 2440 W Broad St Suite 9 (706) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 14

15 Ancillary Providers Cobb Ambulatory Surgery Center Home Health Agency Physical Therapy CLAYTON COUNTY, Hospice 5044 Clark Howell Hwy Atlanta, (404) Speech Therapy Apria Healthcare, Inc Jefferson Rd Athens, (706) Athens Regional Home Health & Home Infusion 1199 Prince Ave (706) CareSouth Homecare Professionals 624 S Milledge Ave Suite 103 Athens, (706) Home Medical Professional 191 Alps Rd Suite 8 (706) Lincare, Inc 2440 W Broad St Suite 9 (706) Home IV Infusion Agency Athens Regional Home Health & Home Infusion 1199 Prince Ave (706) Hospice Hospice Advantage 135 Athens West Pkwy (706) United Hospice of Athens 435 Hawthorne Ave (706) Medical Imaging Athens Diagnostic Center 1063 Baxter St (706) Open MRI & Imaging of Athens LLC 845 Prince Ave (706) Occupational Therapy Physiotherapy Associates, Inc. 788 Prince Ave (706) Advance Rehabilitation of Athens 1000 Hawthorne Ave Suite S (706) East Athens Physical Therapy 665 Gaines School Rd Athens, (706) HealthSouth Sports Medicine & Rehab. Center 1000 Hawthorne Ave Suite J (706) Horizon Physical Therapy and Rehabilitation, Inc Prince Ave (706) Physiotherapy Associates, Inc. 788 Prince Ave (706) Regional Rehabilitation & Regional Sports Care 1199 Prince Ave (706) The Morris Center for Sports Medicine 1500 Oglethorpe Ave Bldg 500 (706) Prosthetics/Orthotics Apria Healthcare, Inc Jefferson Rd Athens, (706) Hanger Prosthetics & Orthotics, Inc Prince Ave (706) Skilled Nursing Facility Heritage Healthcare at Grandview, LLC 165 Winston Dr Athens, (706) Heritage Healthcare of Athens 139 Alps Rd (706) UniHealth Post-Acute Care- Athens Heritage, LLC 960 Hawthorne Ave (706) Sleep Disorders Athens Regional Sleep Lab 1199 Prince Ave (706) Ambulatory Surgery Center Akstein Eye Center 86 Upper Riverdale Rd Riverdale, (770) Clayton Cataract and Laser Surgery Center 1000 Corporate Center Dr Suite 180 Morrow, (770) Spivey Station Surgery Center 7813 Spivey Station Blvd Jonesboro, (770) Dialysis Center Renal Care Group Clayton County 335 Upper Riverdale Rd -1 Jonesboro, (770) Endoscopy Center Atlanta South Endoscopy Center 34 Upper Riverdale Rd Riverdale, (678) G.I. Endoscopy Center 6555 Professional Pl Riverdale, (770) Southern Crescent Endoscopy Center 7402 Davidson Pkwy S (770) Home Health Agency Central Home Health Care, an Amedisys Company 1590 Adamson Pkwy Suite 360 Morrow, (678) Faith Staffing Agency, Inc 1590 Phoenix Blvd Suite 260 Atlanta, (770) Olive Home Care Services, Inc. 808 Commerce Blvd Suite E Riverdale, (770) SunCrest Home Health 29 Upper Riverdale Rd SW Suite 130 Riverdale, (770) Healthfield Hospice Services, Inc. 34 Upper Riverdale Road Riverdale, (888) Long Term Care Facility Southern Crescent Hospital for Specialty Care 11 Upper Riverdale Rd SW Riverdale, (770) Medical Imaging Ammed Medical Imaging 34 Upper Riverdale Rd SW Riverdale, (800) Upper Riverdale Road Riverdale, (770) Children's Radiology of Atlanta 237 Medical Way Riverdale, (770) Healthsouth Diagnostic Imaging 7454 Hannover Pkwy S (678) Open MRI Centers of Georgia 6584 Professional Pl Riverdale, (770) Riverdale Radiology Center, LLC 237 Medical Way Riverdale, (770) South Atlanta Radiology Associates, P.C. 119 Upper Riverdale Rd SW Riverdale, (770) Occupational Medicine Physiotherapy Associates, Inc Phoenix Pkwy Atlanta, (770) Occupational Therapy Concentra Medical Center 1368 Southlake Plaza Dr Morrow, (678) Moreland Ave Conley, (404) Physical Therapy Concentra Medical Center 1368 Southlake Plaza Dr Morrow, (678) Moreland Ave Conley, (404) Clark Howell Hwy Atlanta, (404) Excel Physical therapy 1883 McDonough Rd Bldg 200 Hampton, (770) HealthSouth Sports Medicine & Rehab. Center 6319 A Jonesboro Rd Morrow, (770) Matrix Rehabilitation- Georgia 335 Upper Riverdale Rd 10 Jonesboro, (770) Physiotherapy Associates, Inc Phoenix Pkwy Atlanta, (770) Upper Riverdale Rd 10 Jonesboro, (770) Select Physical Therapy 1590 Adamson Pkwy Suite 130 Morrow, (770) Prosthetics/Orthotics Hanger Prosthetics & Orthotics, Inc. 155 Medical Way Riverdale, (770) Skilled Nursing Facility Riverdale Place Care and Rehabilitation Center 315 Upper Riverdale Rd SW Riverdale, (770) Sleep Disorders Sleep Med of at Riverdale 6572 River Park Dr Riverdale, (770) The Sleep Disorders Centers of Southeastern Lung Care in South Atlanta 181 Upper Riverdale Rd SW Building A, Suite 2 Riverdale, (770) Children's Healthcare of Atlanta at Mt. Zion 2201 Mount Zion Pkwy Morrow, (404) CLINCH COUNTY, Home Health Agency Clinch Co. Health Dept. Home Care Services 105 E Dame Ave Homerville, (912) COBB COUNTY, Ambulatory Surgery Center Ambulatory Foot & Leg Surgical Center 1652 Mulkey Rd (770) Cobb Foot & Leg Surgery Ctr 792 Church St Ext #102 (770) East West Surgery Center, LP 2041 Mesa Valley Way Suite 125 (678) Foot & Leg Health Care Specialists 3515 Dallas Hwy SW Upper Level Marietta, (770) Windy Hill Rd SE Smyrna, (770) Georgia Pain Spine Center 400 Tower Rd Suite 375 (678) Georgia Urology Marietta Ambulatory Surgery Center 790 Church St Suite 430 Marietta Eye Clinic DBA Marietta Eye Surgery 895 Canton Rd Bldg 200 (678) Marietta Surgical Center 780 Canton Rd (770) Nonsurgical Orthopaedic Pain Center 335 Roselane St NW (770) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 15

16 Ancillary Providers Cobb Ambulatory Surgery Center Northwest Endoscopy Center 488 Kennesaw Ave NW (770) Northwest Georgia Orthopeadic Surgery Center 2550 Windy Hill Rd SE Suite 218 Marietta, (770) NW Georgia Orthopedic Surgery Ctr 2550 Windy Hill Rd SE Suite 218 Marietta, (770) The Center for Spine Procedures, PC 335 Roselane St NW (770) WellStar Kennestone Surgery Center-Outpatient 677 Church St (770) Audiology Children's Healthcare of Atlanta in Cobb 1371 Church Street Ext (404) Progressive Audiology Center, Inc Shallowford Rd Marietta, (770) Dialysis Center Bio-Medical Applications of South Cobb 3565 Austell Rd SW Suite 13 Marietta, (770) Colonial Springs Dialysis 2840 East West Connector Suite 350 (770) Kennestone Dialysis 200 Cobb Pkwy N Suite 318 Bldg 300 Marietta, (678) RCC Marietta 1277 Kennestone Cir Suite 600 Marietta, (770) Renal Care Group Smyrna 2700 Highlands Pkwy SE Smyrna, (678) Durable Medical Equipment Access Homecare Services, Inc 2211 New Market Pkwy SE Suite 156 Marietta, (678) Ada Medical Supply 4954 Austell Rd (678) Advanced Home Medical 1395 S Marietta Pkwy SE Bldg 100, Suite 106 Marietta, (770) Ambient Healthcare of Georgia, Inc 805 Franklin Ct SE Marietta, (770) Apria Healthcare, Inc New Market Pkwy SE Suite 156 Marietta, (770) Barnes Healthcare Services 2030 Powers Ferry Rd SE Suite 368 Atlanta, (877) Byram Healthcare 220 Cobb Pkwy N Marietta, (877) C.H. Martin 472 N Sessions St NW (770) Chronic Health Management, LLC 3745 Cherokee St NW Kennesaw, (678) Cobb Foot & Leg Surgery Ctr 792 Church St Ext #102 (770) Diabetic Medic, LLC 2265 Roswell Rd Marietta, (770) DJO, LLC 707 Whitlock Ave Suite F3 Marietta, (800) Dynamic Orthotics & Prosthetics 4599 Somerset Rd SW Smyrna, (770) Dynamic Orthotics & Prosthetics, Inc The Exchange SE Suite 375 Atlanta, (770) Georgia Medical Resources 600 Kirk Rd NW (770) Health Care Solutions, Inc 1395 S Marietta Pkwy SE Suite 900 Marietta, (770) Riverwood Pkwy SE Atlanta, Hi-Tech Healthcare, Inc 718 Cherokee St (770) Lincare, Inc 4451 Atlanta Rd SE Suite 106 Smyrna, (770) Medi-Source Home Medical Inc 91 Margaret Ave (770) SleepMed Inc, 60 Chastain Center Blvd NW Suite 66 Kennesaw, (770) Source One Medical Inc New Market Pkwy SE Suite 108 Marietta, (770) WellStar Home Medical Equipment 805 Sandy Plains Rd Marietta, (770) Endoscopy Center GI Diagnostics Endoscopy Center, LLC 2550 Windy Hill Rd SE Suite 302 Marietta, (770) Westside Endoscopy Center 3825 Medical Park Dr (770) Home Health Agency Accessible Health Care of Cobb County 2870 Johnson Ferry Rd B Marietta, (678) Alere Women's and Children's Health, LLC 1850 Parkway Pl SE Marietta, (770) Brightstar Healthcare 1290 Kennestone Cir -205 Marietta, (678) Central Home Health Care, an Amedisys Company 4255 Wade Green Rd NW Suite 420 Kennesaw, (770) Community Home Health, an Amedisys Company 3200 Highlands Pkwy SE Suite 120 Smyrna, (770) Coram Alternate Site Services, Inc New Market Pkwy SE Suite 106 Marietta, (770) Firstline Homecare & Medical Services, Inc 3411 Austell Rd SW Building 1 Marietta, (770) Lincare, Inc 4451 Atlanta Rd SE Suite 106 Smyrna, (770) Pediatric Services of America, Inc 2217 Roswell Rd 100 Marietta, (770) SunCrest Home Health 520 W Atlanta St SE (770) United Home Care of Cobb 1676 Mulkey Rd &E (770) WellStar Home Health 805 Sandy Plains Rd Marietta, (770) WellStar Private Homecare Services 805 Sandy Plains Rd Marietta, (770) Home Infusion Pharmaceuticals Ambient Healthcare of Georgia, Inc 805 Franklin Ct SE Marietta, (770) Home IV Infusion Agency Accessible Health Care of Cobb County 2870 Johnson Ferry Rd B Marietta, (678) Ambient Healthcare of Georgia, Inc 805 Franklin Ct SE Marietta, (770) Lacey's Vital Care 790 Church St Suite 170 (770) Premier Healthcare Solutions, LLC 5375 Oakdale Rd SE Smyrna, (770) Hospice Amedisys Hospice Care of Kennesaw 1701 Barrett Lakes Blvd NW Suite 280 Kennesaw, (770) Healthfield Hospice Services Inc 1395 S Marietta Pkwy SE Suite 902 Marietta, (770) Heritage Hospice, Inc Hilltop Dr Marietta, (770) Hospice Advantge, Inc 1925 Vaughn Rd NW Kennesaw, (770) United Hospice - Cobb 1676 Mulkey Rd (770) WellStar Community Hospice 4040 Hospital West Dr (770) Hyperbaric/Undersea Treatment Center Cobb Hyperbaric Medicine 61 Whitcher St Suite 2150 Hyperbaric Physicians of 61 Whitcher St Suite 2150 (404) Laboratory Quest Diagnostics 1700 Hospital South Dr Suite 408 (866) WellStar 700 Building 700 Church St (770) WellStar Austell 1605 Mulkey Rd (770) WellStar Cooper Lake 4480 N Cooper Lake Rd SE Smyrna, (770) WellStar Kennestone 4900 Ivey Rd NW Building 1200 Acworth, (678) Whitcher St Suite 440 (770) WellStar Marietta Primary Care 700 Church St (770) WellStar North West Women's Center 833 Campbell Hill St NW Suite 400 (770) WellStar Plaza Way 50 Plaza Way NW (770) Long Term Care Facility WellStar Windy Hill Hospital 2540 Windy Hill Rd SE Marietta, (770) Medical Imaging A Diagnostic Radiology Network Facility 2501 Chastain Meadows Pkwy Marietta, (800) Atlantic Diagnostic Center, LLC 1620 Mulkey Rd (770) Cardiac CT Imaging Center at 55 Witcher Street 55 Whitcher St (678) East Cobb MRI Center LLC 1197 Johnson Ferry Rd Marietta, (770) East West Surgery Center, LP 2041 Mesa Valley Way Suite 125 (678) Kennestone Imaging the 700 Building 700 Church St (770) Marietta Diagnostic Center 790 Church St NW (770) Marietta Imaging Center 780 Canton Rd Suite 230 (770) Open Magnetic Imaging 2501 Chastain Meadows Pkwy Marietta, (770) Open MRI & Imaging of Atlanta 3200 Cobb Galleria Pkwy Suite 120 Atlanta, (770) Resurgens Imaging 2041 Mesa Valley Way (770) Saint Joseph's Imaging Center at East Cobb 137 Johnson Ferry Rd Suite 1201 Marietta, (678) WellStar Kennestone Hospital-Medical Imaging/ Radiology 677 Church St (678) West Cobb Health Imaging, LLC 3824 Austell Rd SW Marietta, (770) Occupational Medicine Physiotherapy Associates, Inc S Cobb Dr SE Smyrna, (770) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 16

17 Ancillary Providers Colquitt Skilled Nursing Facility Occupational Therapy Atlanta Falcons Physical Therapy Centers 1809 Canton Rd Suite 600 Marietta, (678) Johnson Ferry Rd -12 Marietta, (770) Physiotherapy Associates, Inc White Cir Suite 120 Marietta, (770) Creekside Village Dr NW Kennesaw, (678) Resurgens Rehabilitation Services 61 Whitcher St Suite 1150 (678) Venture Hand Therapy 5041 Dallas Hwy Bldg 1 Powder Springs, (770) Physical Therapy Atlanta Falcons Physical Therapy Centers 1809 Canton Rd Suite 600 Marietta, (678) Johnson Ferry Rd -12 Marietta, (770) BenchMark Physical Therapy 1025 E West Connector Suite 406 (770) Windy Hill Rd SE Marietta, (770) Cobb Pkwy NW Suite 140 Acworth, (770) Tower Rd Suite 140 (770) Chastain Rd NW Suite 428 Kennesaw, (770) Children's Healthcare of Atlanta at Town Center 2985 George Busbee Pkwy NW Kennesaw, (404) Children's Rehabilitation Center at Sandy Plains 3618 Sandy Plains Rd Marietta, (404) East Cobb Hand Therapy, LLC 3901 Roswell Rd B Marietta, (770) East Cobb Physical Therapy, LLC 1230 Johnson Ferry Pl Suite H-20 Marietta, (678) East West Surgery Center, LP 2041 Mesa Valley Way Suite 125 (678) HealthSouth Sports Medicine & Rehab. Center 440 Ernest W Barrett Pkwy NW Suite 58 Kennesaw, (770) Cherokee St (770) HyOx Medical Treatment Center, Inc 2550 Windy Hill Rd SE Marietta, (678) Matrix Rehabilitation- Georgia, Inc 335 Roselane St NW (770) Peachtree Women's Physical Therapy, Inc 780 Canton Rd Suite 410 (770) Physiotherapy Associates, Inc White Cir Suite 120 Marietta, (770) N Park Pl SE Suite 230 Atlanta, (770) Post Oak Tritt Rd Suite 400 Marietta, (770) Creekside Village Dr NW Kennesaw, (678) S Cobb Dr SE Smyrna, (770) Pinnacle Orthopaedics and Sports Medicine 3672 Marathon Cir (770) Resurgens Rehabilitation Services 61 Whitcher St Suite 1150 (678) Select Physical Therapy 1100 Johnson Ferry Rd Suite 425 Marietta, (770) Johnson Ferry Rd Suite 210 Marietta, (770) Ernest W Barrett Pkwy NW Suite 58 Kennesaw, (770) Cherokee St (770) Canton Rd Suite 230 (770) Chastain Rd NW Kennesaw, (770) Venture Hand Therapy 631 Campbell Hill St NW (770) Physical, Speech, Occup Therapy Building Blocks Pediatric Therapy, Inc Johnson Ferry Rd -50 Marietta, (404) Cassandra E. Wright, OT PO Box 2528 Acworth, (678) Concentra Medical Center 220 Cobb Pkwy N Suite 400 Marietta, (770) Remobility, Inc 3901 Roswell Rd A Marietta, (770) Christacy Way Marietta, (770) Prosthetics/Orthotics Apria Healthcare, Inc New Market Pkwy SE Suite 156 Marietta, (770) Children's Healthcare of Atlanta in Cobb 1371 Church Street Ext (404) DJO, LLC 707 Whitlock Ave Suite F3 Marietta, (800) Hanger Prosthetics & Orthotics, Inc. 124 Powers Ferry Rd SE Marietta, (770) Rehabilitation Therapy Facility Children's Healthcare of Atlanta in Cobb 1371 Church Street Ext (404) Children's Rehabilitation at Sandy Plains 3618 Sandy Plains Rd Marietta, (404) Skilled Nursing Facility Anderson Mill Health and Rehabilitation Center 2130 Anderson Mill Rd BrightStar 1290 Kennestone Cir Suite. D-205 Marietta, (678) Golden LivingCenter- Kennestone 613 Roselane St NW (770) Manor Care Rehabilitation Center _ Marietta # Johnson Ferry Pl Marietta, (770) Signature Healthcare of Marietta 811 Kennesaw Ave NW (770) Specialty Care of Marietta 26 Tower Rd (770) UniHealth Post- Acute Care- Austell 1700 Mulkey Rd (770) Sleep Disorders SleepMed Inc, 60 Chastain Center Blvd NW Suite 66 Kennesaw, (770) WellStar Sleep Disorder Center at Windy Hill Hospital 2540 Windy Hill Rd SE Marietta, (770) Speech Therapy ABC Pediatric Therapy Services, Inc Dallas Hwy SW Suite 320 Marietta, (404) Wound Care Facility HyOx Medical Treatment Center, Inc 2550 Windy Hill Rd SE Marietta, (678) COFFEE COUNTY, Dialysis Center Douglas Dialysis 190 Westside Dr Douglas, (912) Gambro Healthcare-Douglas 190 Westside Dr Douglas, (912) Durable Medical Equipment Austin Respiratory & Medical Equipment, Inc 502 Ward St W Douglas, (912) Walkers Home Health 1200 Ocilla Rd Douglas, (912) Home Health Agency Amedisys Home Health 190 Westside Dr Suite E Douglas, (912) Coffee Co. Health Dept Home Care Services 101 Bowens Mill Rd Suite H Douglas, (912) Medical Imaging Open MRI of Douglas 1315 Ocilla Rd Douglas, (912) Occupational Therapy Douglas Physical Therapy 1150 Ward Street Ext W Ext B-1 Douglas, (912) Physical Therapy Douglas Physical Therapy 1150 Ward Street Ext W Ext B-1 Douglas, (912) Rehabilitation Services of Coffee, Inc. 808 Ward St W Douglas, (912) Sleep Disorders Douglas SLeep Specialists, LLC 1214B Peterson Ave N Douglas, (912) COLQUITT COUNTY, Durable Medical Equipment Health Star 301 1st Ave SE Moultrie, (229) Lincare, Inc 1908 S Main St Moultrie, (229) MRS Homecare, Inc 2467 S Main St Moultrie, (229) Respi-Care, Inc S Main St Moultrie, (229) Home Health Agency Amedisys Home Health 220 Highway 33 S Unit 7 Moultrie, (229) Lincare, Inc 1908 S Main St Moultrie, (229) Physical, Speech, Occup Therapy Regional Therapy Services, Inc. 300 Sunset Cir Moultrie, (229) Skilled Nursing Facility Heritage Healthcare at Sunrise, LLC 2709 S Main St Moultrie, (229) Heritage Healthcare of Moultrie, LLC 233 Sunset Cir Moultrie, (229) UniHealth Post-Acute Care- Moultrie 233 Sunset Cir Moultrie, (229) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 17

18 Ancillary Providers Columbia Ambulatory Surgery Center COLUMBIA COUNTY, Ambulatory Surgery Center Augusta Endoscopy Center 393 N Belair Rd Evans, (706) Surgery Center of Columbia County 4300 University Pkwy Evans, (706) Durable Medical Equipment American HomePatient 108 N Belair Rd Suite 9 Evans, (706) Flowing Wells Rd -2 Augusta, (229) Lincare Inc 4806 Technology Dr Augusta, Lincare,Inc 4005 Enterprise Ct Augusta, (706) Medi Home Care 4314 Belair Frontage Rd (706) Pediatric Specialists 507 Cdp Industrial Blvd Suite 4 Grovetown, (706) Home Health Agency American HomePatient 108 N Belair Rd Suite 9 Evans, (706) Pediatric Services of America, Inc 444 Park 20 W Grovetown, (706) Pediatric Specialists 507 Cdp Industrial Blvd Suite 4 Grovetown, (706) University Home Health 4106 Columbia Rd Augusta, (706) University Home Health Services 515 S Louisville St Harlem, (706) Home IV Infusion Agency American HomePatient 108 N Belair Rd Suite 9 Evans, (706) Hospice United Hospice of Augusta 620 Ponder Place Dr Suite 1A Evans, (706) Occupational Medicine Physiotherapy Associates, Inc. 400 Town Park Blvd Evans, (706) Occupational Therapy Kidnetic Energy 536 Grand Slam Dr Evans, (706) Physical Therapy Georgialina Physical Therapy Associates 4272 Washington Rd Suite 6 Evans, (706) Georgialina Physical Therapy Assocs 4274 Washington Rd Evans, (706) Kidnetic Energy 536 Grand Slam Dr Evans, (706) Physiotherapy Associates, Inc. 400 Town Park Blvd Evans, (706) Women's Physical Therapy of Evans 621 Ponder Place Dr Suite 1 Evans, (706) Physical, Speech, Occup Therapy Georgialina Physical Therapy Associates 4274 Washington Rd Suite 3 Evans, (706) Peak Rehabilitation Fitness and Performance Center 4321 University Pkwy Evans, (706) Speech Therapy Kidnetic Energy 536 Grand Slam Dr Evans, (706) COOK COUNTY, Durable Medical Equipment 1st Choice Home Medical 102 James St Adel, (229) Home Health Agency Memorial Home Health 706 N Parrish Ave Adel, (229) SunCrest Home Health 305 N Hutchinson Ave Bld B. Adel, (229) COVINGTON COUNTY, AL Durable Medical Equipment Lincare 811 W Bypass Andalusia, AL (334) COWETA COUNTY, Ambulatory Surgery Center Southern Bone & Joint Ambulatory Surgical Center, LLC 1755 Highway 34 E 0 Newnan, (770) Dialysis Center Newnan Dialysis 1565 Highway 34 E Suite 130 Newnan, (770) Durable Medical Equipment Absolute Medical Equipment, Inc 30 E Gordon Rd Newnan, (678) Apria Healthcare, Inc. 68 Bullsboro Dr Newnan, (770) Health Care Solutions, Inc 10 Bledsoe Rd Newnan, (678) Bledsoe Rd Suite 105 Newnan, (770) Level Four Orthotics & Prosthetics, Inc Highway 34 E Suite 15 Newnan, (770) Lincare, Inc 186 Jefferson Pkwy Newnan, (770) Home Health Agency Apria Healthcare, Inc. 68 Bullsboro Dr Newnan, (770) Central Home Health Care, an Amedisys Company 1825 Highway 34 E Suite 2400 Newnan, (678) Lincare, Inc 186 Jefferson Pkwy Newnan, (770) Unite Home Care of Newnan 770 Greison Trl &C Newnan, (770) Hospice Amedisys Hospice Care of Newnan 1825 Highway 34 E Suite 2200 Newnan, (770) Healthfield Hospice Services, Inc. 10 Bledsoe Rd Newnan, (888) United Hospice of Newnan 770 Greison Trl &C Newnan, (770) Wiregrass Hospice, LLC 2525 Highway 34 E Newnan, (770) Laboratory Papp Clinical Laboratory 15 Cavender St Newnan, (770) Medical Imaging Newnan Health Imaging LLC 1565 Highway 34 E Newnan, (770) Newnan MRI 1565 Highway 34 E Newnan, (770) Outpatient Imaging, LLC 60 Oak Hill Blvd Newnan, (770) Occupational Medicine Physiotherapy Associates, Inc Highway 34 E -10 Newnan, (770) Physical Therapy Physiotherapy Associates, Inc Highway 34 E -10 Newnan, (770) Prosthetics/Orthotics Apria Healthcare, Inc. 68 Bullsboro Dr Newnan, (770) CRISP COUNTY, Dialysis Center Cordele Dialysis Center 1013 E 16th Ave Cordele, (229) Durable Medical Equipment Crisp Medical Equipment 403 E 4th Ave Cordele, (229) MRS Homecare, Inc 716 E 16th Ave Cordele, (229) Hospice United Hospice Inc- Cordele 708 E 16th Ave Cordele, (229) Physical Therapy Southwest Georgia Rehab, Inc 1107 Greer St Cordele, (229) Physical, Speech, Occup Therapy The Hughston Clinic, PC 910 N 5th St # F Cordele, (229) The Speech Path 408 E 3rd Ave Cordele, (478) DADE COUNTY, Home Health Agency North Georgia Home Health Agency, an Amedisys Company 5006 Highway 136 Trenton, (706) Physical Therapy BenchMark Physical Therapy 5395 Highway 136 Trenton, (706) DALE COUNTY, AL Physical Therapy Advanced Rehabilitation 1254 Andrews Ave Suite G Ozark, AL (334) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 18

19 Ancillary Providers DeKalb Physical Therapy DAVIDSON COUNTY, TN Durable Medical Equipment American HomePatient 5211 Linbar Dr Suite 400 Nashville, TN (877) Fuller Rehabilitation Independent Living Aids- Nashville 1135 Bell Rd Suite 316 Antioch, TN (615) DAWSON COUNTY, Occupational Therapy Physiotherapy Associates, Inc. 400 Dawson Commons Cir Suite 430 Dawsonville, (706) Physical Therapy Physiotherapy Associates, Inc. 400 Dawson Commons Cir Suite 430 Dawsonville, (706) Physical, Speech, Occup Therapy The Rehabilitation Institute 5959 Highway 53 E Dawsonville, (706) DECATUR COUNTY, Dialysis Center RCG Bainbridge 703 E Shotwell St Bainbridge, (229) Hospice Wiregrass Hospice, LLc 432 E Shotwell St Bainbridge, (229) Physical, Speech, Occup Therapy Regional Therapy Services, Inc. 713 E Shotwell St Bainbridge, (229) DEKALB COUNTY, Ambulatory Surgery Center Emory Clinic Ambulatory Surg Ctr & Card Cath Lab 1365 Clifton Rd (404) Emory Clinic Ambulatory Surgery Center & Cardiac Cath Lab 59 Executive Park South Atlanta, (404) EPS Surgical Center, LLC 1457 Scott Blvd Decatur, (404) Georgia Urology Ambulatory Surgery Center, LLC 2685 Milscott Dr (404) Winn Ct Decatur, (404) Northlake Surgical Center 1491 Montreal Rd Tucker, (770) Northside Women's Clinic 3543 Chamblee Dunwoody Rd Atlanta, (770) Dialysis Center Central Atlanta Dialysis 22 Executive Park West Suite 2200 Atlanta, (404) Dialysis of Lithonia 2485 Park Central Blvd Decatur, (678) East Atlanta Dialysis 1308 Moreland Ave SE Atlanta, (404) East Dekalb 2801 Candler Rd Suite 203 Decatur, (404) East Dekalb Dialysis 2801 Candler Rd Suite 203 Decatur, (404) Eastlake Dialysis 1757 Candler Rd Decatur, (404) Emory Dialysis at Candler 2726 Candler Rd Decatur, (404) Fresnius Medical Care Stone Mountain 5723 Memorial Dr Stone Mountain, (678) Gambro Healthcare-Decatur 1840 Southern Ln (404) Gambro Healthcare-East Atlanta 1308 Moreland Ave SE Atlanta, (404) Gambro Healthcare-Emory 1364 Clifton Rd Suite 5-D (404) Gambro Healthcare-South DeKalb 1757 Candler Rd Decatur, (404) Mountain Park Dialysis Center 5235 Memorial Dr Stone Mountain, (404) Snapfinger Dialysis 5255 Snapfinger Park Dr Decatur, (770) Snapfinger Dialysis Center 5255 Snapfinger Park Dr Suite 115 Decatur, (770) Southern Lane Dialysis 1840 Southern Ln (404) Tucker Dialysis 4434 Hugh Howell Rd Tucker, (770) Durable Medical Equipment Advanced Sleep Laboratory Dunwoody 24 Perimeter Park Dr Bldg 24, Atlanta, (404) American Prosthetics Inc 2754 N Decatur Rd (404) Custom Healthcare of Georgia 3097 Presidential Dr Suite F Atlanta, (770) Hanger Prosthetics & Orthotics 2258 Northlake Pkwy Tucker, (770) Hanger Prosthetics & Orthotics East, Inc 2258 Northlake Pky Tucker, (770) Hanger Prosthetics & Orthotics East, Inc Northlake Pkwy Tucker, (770) Home Medical Professionals 3420 Oakcliff Rd Suite 109 Atlanta, (678) Mobility Designs 3715 Northcrest Rd Suite 28 Atlanta, (770) Endoscopy Center Atlanta Endoscopy Center, Ltd 2665 N Decatur Rd Suite 545 (404) Gastro Specialists Endoscopy Center 3292 Mountain Dr Decatur, (404) Northlake Endoscopy Center 1459 Montreal Rd Suite 204 Tucker, (770) Health Department Emory Student Health and Counseling Services, LLC 1525 Clifton Rd 2nd Floor Home Health Agency Central Home Health Care, an Amedisys Company 1990 Lakeside Pkwy Suite 210 Tucker, (770) Home Medical Professionals 3420 Oakcliff Rd Suite 109 Atlanta, (678) Staff Builders Home Health, an Amedisys Company 2310 Parklake Dr Bldg 11, Suite 350 Atlanta, (770) Tender Care Services, LLC 4990 Owen Mill Cir Stone Mountain, (404) Visiting Nurse Health Systems 1244 Park Vista Dr Atlanta, (404) Walgreens Infusion Services 808 Park North Blvd Clarkston, (404) Home Infusion Pharmaceuticals Walgreens Infusion Services 808 Park North Blvd Clarkston, (404) Home IV Infusion Agency Tender Care Services, LLC 4990 Owen Mill Cir Stone Mountain, (404) Hospice Embracing Hospice, LLC 5775 Peachtree Dunwoody Rd -580 (404) Wesley Woods Long Term Care 1821 Clifton Rd Atlanta, (404) Hyperbaric/Undersea Treatment Center Dekalb Hyperbaric Medicine 5700 Hillandale Dr Bldg 2 Suite 210 Lithonia, HyperbaRXs at Dekalb 5700 Hillandale Dr Bldg2 Suite 210 Lithonia, (770) Long Term Care Facility Wesley Woods Budd Terrace 1833 Clifton Rd Atlanta, (404) Wesley Woods Geriatric Center 1821 Clifton Rd Atlanta, (404) Medical Imaging DC MRI Center 3101 Clairmont Rd Atlanta, (404) Decatur Health Imaging 2774 N Decatur Rd (404) Decatur PET Imaging 2774 N Decatur Rd (404) Open MRI & Imaging of DeKalb 2601 N Decatur Rd (404) Resurgens Imaging 2680 Lawrenceville Hwy (770) Stonecrest Imaging Center 8225 Mall Pkwy Lithonia, (404) Occupational Therapy Georgia Rehabilitation Associates 5462 Memorial Dr Ste 203 Med Center & Sports Medicine Complex Stone Mountain, (404) Georgia Rehabilitation Associates, Inc 5462 Memorial Dr Suite 203 Stone Mountain, (404) Jones Pt Physical Therapy and Physical Training 235 E Ponce De Leon Ave Suite 160 Decatur, (404) Physiotherapy Associates, Inc Chamblee Dunwoody Rd Suite 430 Atlanta, (770) The Center for the Physically Active 5000 Snapfinger Woods Dr -200 Decatur, (678) Physical Therapy ATG Rehab 4190 Pleasantdale Rd Atlanta, (404) Atlanta Rehabilitation & Performance Center, Inc 3 Dunwoody Park Suite 119 Dunwoody, (770) Atlanta Rehabilitation & Performance Centers, Inc 2801 N Decatur Rd Suite 230 (404) Backstrong Non-Surgical Rehab Clinic 1901 Montreal Rd Suite 126 Tucker, (770) BenchMark Physical Therapy 2097 N Decatur Rd (404) Hugh Howell Rd Suite 18 Tucker, (770) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 19

20 Ancillary Providers DeKalb Physical Therapy Children's Rehabilitation Center at North Druid Hills 1605 Chantilly Dr Atlanta, (404) Crochet Physical Therapy 1382 Scott Blvd Decatur, (404) Decatur Physical Therapy & Sports Medicine 487 Winn Way Decatur, (404) Dekalb Physical Therapy Associates, Inc 5462 Memorial Dr Suite 203 Stone Mountain, (404) Emory Physical Therapy, LLC 57 Executive Park South 0 Atlanta, (404) Executive Park South 0 Atlanta, (404) Georgia Rehabilitation Associates 5462 Memorial Dr Ste 203 Med Center & Sports Medicine Complex Stone Mountain, (404) Georgia Rehabilitation Associates, Inc 5462 Memorial Dr Suite 203 Stone Mountain, (404) HealthSouth Rehabilitation Center of Tucker 4450 Hugh Howell Rd suite 9 Tucker, (770) HealthSouth Sports Medicine & Rehabilitation Center 1248 Clairmont Rd Decatur, (404) Jones Pt Physical Therapy and Physical Training 235 E Ponce De Leon Ave Suite 160 Decatur, (404) Matrix Rehab - Georgia, Inc 2680 Lawrenceville Hwy (770) Matrix Rehabilitation- Georgia Inc 5240 Snapfinger Park Dr Suite 130 Decatur, (770) Matrix Rehabilitation- Georgia, Inc 2799 Lawrenceville Hwy (770) Chamblee Dunwoody Rd Atlanta, (770) Physical Therapy Specialists, Inc Northlake Pkwy Suite 118 Tucker, (770) Physiotherapy Associates, Inc. 495 Winn Way Decatur, (404) Chamblee Dunwoody Rd Suite 430 Atlanta, (770) Select Physical Therapy 1248 Clairmont Rd Suite 3-D Decatur, (404) Hugh Howell Rd Suite 9 Tucker, (770) Irvin Ct Decatur, (404) Sovereign Rehabilitation of Georgia, LLC 495 Winn Way Suite 120 Decatur, (404) The Center for the Physically Active 5000 Snapfinger Woods Dr -200 Decatur, (678) The Sports Rehabilitation Center at Tech 2669 Osborne Rd Atlanta, (404) Tilly Mill Rd Atlanta, (770) Physical, Speech, Occup Therapy Advanced Physical Therapy and Sports Medicine Clinic 6400 Woodrow Rd Lithonia, (678) Sierra Therapy Services 2804 N Decatur Rd Suite 124 (440) Prosthetics Pretty Please, Inc 3920 N Druid Hills Rd (404) Prosthetics/Orthotics American Prosthetics Inc 2754 N Decatur Rd (404) Hanger Prosthetics & Orthotics 2258 Northlake Pkwy Tucker, (770) Rehabilitation Therapy Facility Children's Rehabilitation at North Druid Hills 1605 Chantilly Dr Atlanta, (404) Skilled Nursing Facility Decatur Hospital 450 N Candler St Decatur, (404) Golden LivingCenter - Glenwood 4115 Glenwood Rd Decatur, (404) Golden LivingCenter- Briarwood 3888 Lavista Rd Tucker, (770) Golden LivingCenter- Decatur 2787 N Decatur Rd (404) Manor Care Rehabilitatoin Center 2722 N Decatur Rd (404) Northeast Atlanta Health And Rehabilitation Center 1500 S Johnson Ferry Rd Atlanta, (404) UniHealth Post- Acute Care- Brookhaven 3535 Ashton Woods Dr Atlanta, (770) UniHealth Post- Acute Care- Decatur 3200 Panthersville Rd Decatur, (404) Sleep Disorders Advanced Sleep Laboratory Dunwoody 24 Perimeter Park Dr Bldg 24, Atlanta, (404) Sleep Disorders Ctr of SE Lung Care 320 Winn Way # 103 Decatur, (404) Southeastern Lung Care, PC 5900 Hillandale Dr Annex Bldg #F Lithonia, (678) The Sleep Disorders Centers of Southeastern Lung Care 320 Winn Way Suite 103 Decatur, (404) Specialty Hospital Wesley Woods Center of Emory University 1821 Clifton Rd Atlanta, (404) DODGE COUNTY, Dialysis Center Bio-Medical Applications of Eastman 115 Professional Center Dr Eastman, (912) Durable Medical Equipment American HomePatient 1221 Plaza Ave Eastman, (478) Central Oxygen & Medical Equipment 119 1st St Rhine, (229) I.V. Care Options 718 Medical Center Dr Eastman, (478) Quality Health Services, Inc. 104 Main St Eastman, (478) Home Health Agency I.V. Care Options 718 Medical Center Dr Eastman, (478) Home IV Infusion Agency I.V. Care Options 718 Medical Center Dr Eastman, (478) Hospice Hospice Care Options, Inc 715 Legion Dr Eastman, (478) Medical Imaging MedCross Imaging, PC 842 Professional Center Dr Eastman, (478) DOUGHERTY COUNTY, Ambulatory Surgery Center Meredyth Surgery Center, PC 2709 Meredyth Dr Suite 210 Albany, (229) Durable Medical Equipment American HomePatient 2231 Dawson Rd Albany, (229) N Slappey Blvd Albany, (229) Apria Healthcare, Inc. 416 Pine Ave Albany, (229) Barnes Healthcare Services th Ave Albany, (229) Georgia Home Medical, Inc. 416 Pine Ave Albany, (229) Lincare, Inc 2818 Old Dawson Rd Suite 1 Albany, (229) W 4th Ave Albany, (229) Med-Services International 1901 N Slappey Blvd Albany, (229) MRS Homecare, Inc 711 N Jefferson St Albany, (229) Home Health Agency American Homepatient 2231 Dawson Rd Albany, (229) Home IV Infusion Agency American HomePatient 2231 Dawson Rd Albany, (229) Medical Imaging Albany Diagnostic Center, LLC 2624 Dawson Rd Albany, (229) Physical, Speech, Occup Therapy The Hughston Clinic, PC 2311 Lake Park Dr Suite 3 Albany, Prosthetics/Orthotics Apria Healthcare, Inc. 416 Pine Ave Albany, (229) DOUGLAS COUNTY, Ambulatory Surgery Center DCA Diagnostics, LLC 880 Crestmark Dr Lithia Springs, (678) Foot & Leg Health Care Specialists 6025 Professional Pkwy (770) Dialysis Center Douglasville Dialysis 3899 Longview Dr Douglasville, (770) Gambro Healthcare- Douglasville 3899 Longview Dr Douglasville, (770) Prestley Mill Rd Suite H (770) Renal Care Group Douglas County 4645 Timber Ridge Dr Bldg 200, Suite 140 Douglasville, (678) Sweetwater Dialysis 7117 S Sweetwater Rd Lithia Springs, (678) Durable Medical Equipment Georgia Med-Care 8305 Cherokee Blvd (770) A member may seek services at any Ancillary Provider listed above under the direction of their Primary Care Physician (PCP) as required by their benefit plan. If PCP direction is required and the member seeks care without contacting their PCP, services may be denied. Please consult your Certificate of Coverage for full benefit information. Please visit us on the 20