Thank you... 1 You must choose a hospital in the Select network if you choose a Medicare Select policy. 2

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1 Thank you... for your interest in our Medicare Supplement insurance policies underwritten by Community Insurance Company. We designed them to help you stay healthy and keep your medical costs down. It s why they are so popular. You get an added layer of security, flexibility and freedom through benefits such as these: Freedom to choose your doctor See any Medicare-approved doctor, specialist or hospital 1 no referrals needed. Flexible Cover the gaps in Medicare you want, based on a wide range of plans and premiums. Portable Your plan travels with you wherever you decide to live in the U.S., and some plans include Foreign Travel Emergency benefits. Guaranteed renewable Medicare Supplement policies are guaranteed renewable. The Medicare Supplement plan you choose can t be canceled for any reason other than non-payment of premium or material misrepresentation. Stable Select a Medicare Supplement plan once and you get to keep that same plan year after year unless you want to make changes. Benefits will be adjusted to keep up with Original Medicare s annual changes. Financial security Help cover unexpected costs that are your responsibility with Original Medicare such as copays, deductibles and coinsurance. A company you can trust With Anthem Blue Cross and Blue Shield plans, you have the peace of mind that comes with being covered by a company that has been a leader for over 60 2 years. We invite you to learn more by reading this brochure. If you still have questions, we would be happy to talk with you and provide you with answers. You can call your local licensed insurance sales agent or one of our licensed insurance sales agents at (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week. Or visit us online at 1 You must choose a hospital in the Select network if you choose a Medicare Select policy. 2 WPADVBR005M(11)-OH 20550WPSENMUB_012_G 9/11

2 Let s talk about... Medicare. Quite simply, Medicare can be quite complicated. This guide gives you a clearer picture of how Original Medicare and Medicare Supplement insurance plans work, and how the choices can best fit together for you.

3 Who is eligible? What is Original Medicare and who is eligible? Original Medicare is a health insurance program that is run by the U.S. government. This insurance program offers you a broad range of coverage for medical care at little or no cost to you. You are eligible to enroll in this program if you are 65 and older.1 And, both of these items describe you: 1. You or your spouse worked and paid Social Security taxes for at least 10 years. 2. You are a permanent resident of the U.S. or a legal citizen who lived in the U.S. for five years in a row. Please check for more eligibility information. What are Medicare Supplement insurance plans and who is eligible? Medicare Supplement insurance plans are offered by private insurers. These plans can help pay your share (coinsurance, copays or deductibles) of the costs of Medicare-covered services. You are eligible to enroll if: 1. You are 65 or older; and 2. You are enrolled in Medicare Parts A and B. Guaranteed Acceptance Your acceptance is guaranteed if you apply for coverage before or within six months of your initial enrollment in Medicare Part B. If you ve been enrolled in Medicare Part B for more than six months, we ll have to review your health history to see if you re eligible for the plan you selected. Pre-existing Conditions If you have had at least six months of prior creditable coverage or are in a guaranteed issue situation, you don t have to wait for coverage to start for a pre-existing condition. Many types of health care coverage count as creditable coverage, but they only count if you did not have a break for more than 63 days. This prior coverage can be used to eliminate or shorten waiting periods for pre-existing conditions. A pre-existing condition is a condition either treated or diagnosed six months prior to the effective date of your policy. Remember, for Medicare-covered services, Original Medicare will still cover the condition, even if you are responsible for out-of-pocket costs during the pre-existing condition waiting period. 1 Other rules may apply. Please visit for more information. 1

4 Did you know that Medicare comes in separate parts? The simplest way to get a handle on Medicare is to understand that Medicare is a federal government health insurance program that comes in a few different parts. Medicare Supplement insurance plans, on the other hand, are offered by private insurance companies. Following is a brief overview of those Medicare parts that can work alongside Medicare Supplement insurance plans. Medicare Part A Medicare Part B Medicare Part A is hospital coverage that helps cover the costs for: Inpatient care in hospitals and Skilled Nursing Facilities (not custodial or long-term care). Hospice and some home health care services. What are your costs for Medicare Part A? Premium: You usually won t pay any premium for Part A coverage if you or your spouse paid Medicare taxes while working. Other Costs: To give you an idea of what to expect, in 2012 the Medicare Part A annual deductible is $1,156. And, after meeting this deductible, you would pay nothing more for up to 60 days in the hospital (semi-private room and board, general nursing and miscellaneous services and supplies). Longer stays may require a daily coinsurance. Medicare Part B is medical care coverage that helps cover the cost for: Doctors services Hospital outpatient care Some home health care services Some physical and occupational therapy What are your costs for Medicare Part B? Premium: Your monthly premium is on a sliding scale based on your annual income. Most people will pay the standard monthly premium, which in 2012 is $99.90 per month. Other Costs: To give you an idea of what to expect, in 2012 the Medicare Part B standard annual deductible is $140. And, for most covered services, you would pay 20% of the Medicare-approved amount. 2

5 Medicare Part D Medicare Supplement Medicare Part D is for prescription drug coverage. Medicare Part D is only offered by private insurers approved by the Centers for Medicare & Medicaid Services (CMS). Part D plans, when sold as stand-alone plans, may be combined with Medicare Supplement plans. Part D plans can: Help pay for brand-name and generic prescribed drugs. Provide access to retail drugstores as well as mail-order options. What are your costs for Medicare Part D? Premiums: Monthly premiums will vary by plan, based on the coverage you choose. -- Most people will pay only the standard monthly Part D premium. However, if your annual income is above a certain limit, you will pay an income-related monthly adjustment amount in addition to your premium. If it applies, this amount will be billed by Medicare and deducted from your monthly Social Security check. Other Costs: Deductibles, copays and coinsurance may apply. Medicare Supplement plans pay expenses that are not fully covered by Original Medicare, such as: Medicare Part A or Part B deductibles Medicare Part A or Part B coinsurance or copays Skilled Nursing Facility care coinsurance Medicare Part B Excess charges Foreign Travel Emergencies What are your costs for Medicare Supplement plans? Monthly premiums will vary by plan, based on the insurer and coverage you select. Deductibles, copays and coinsurance may apply. 3

6 Bridge the gaps in Original Medicare To help bridge the gaps in Original Medicare, you can buy a Medicare Supplement insurance policy. You can also purchase a Medicare Part D plan to provide prescription drug coverage. Below are simple overviews of how both options work with Original Medicare. Original Medicare + Medicare Supplement + + Coverage for basic medical and hospital expenses, plus coverage for expenses such as your share of the deductibles and coinsurance that Original Medicare does not fully cover. Original Medicare + Medicare Supplement + Prescription Drug Coverage Coverage for basic medical and hospital expenses, plus coverage for expenses such as your share of the deductibles and coinsurance that Original Medicare does not fully cover, as well as prescription drugs. Questions about Medicare? For answers call: MEDICARE ( ); TTY/TDD line , 24 hours a day, seven days a week. 4

7 When can you enroll? When it comes to enrolling, timing matters! Getting Medicare benefits is not always as simple as just turning 65. There are actions most people must take during preset enrollment periods. For example, if you are like most people, you must actively enroll when you are first eligible to receive Original Medicare and Part D to avoid possible coverage delays and premium penalties that can last for as long as you have Medicare. Initial enrollment period for Original Medicare and Part D 7 months surrounding your Medicare eligibility: This is the 3 months before you turn 65, the month when you turn 65, and the 3 months after. st nd rd st nd rd 3 months before 3 months after Special Enrollment Period (SEP) for Original Medicare and Part D A common SEP is for those covered under their employer s health plans who retire after 65. For more details on this and other SEPs, visit Medicare Supplement enrollment It is very important to note that there are different open enrollment periods for Medicare Supplement plans and Original Medicare. For Medicare Supplement, you are eligible to enroll: 1. When you are 65 or older; and 2. After you enroll in Medicare Parts A and B. You will want to enroll in a Medicare Supplement insurance plan within your initial eligibility period so you can enjoy guaranteed acceptance into your choice of plan, without needing to answer questions about your health or qualify medically. 5

8 Welcome... to the Medicare Supplement insurance plans that offer the flexibility and security you have been looking for. 6

9 When Original Medicare is not enough -- it pays to have an Anthem Blue Cross and Blue Shield, underwritten by Community Insurance Company, Medicare Supplement insurance policy Since you re thinking about keeping Original Medicare, you may want to add a plan that will help fill in the coverage gaps. Why? Original Medicare does not pay 100% of your hospital (Part A) and medical (Part B) care. That means you ll have to pay the difference. A Medicare Supplement insurance policy can potentially save you thousands of dollars. Depending on the plan you choose, your Parts A and B Medicare-eligible covered expenses may be covered up to 100%. Choose a Medicare Supplement insurance policy that provides coverage for: Medicare Part A or Part B deductibles Medicare Part A or Part B coinsurance or copays Skilled Nursing Facility Medicare Part B Excess charges Foreign Travel Emergencies A recent survey shows that nearly 90% of Medicare Supplement policyholders surveyed said that they would recommend Medicare Supplement plans to a friend or relative when they enroll in Medicare. 1 1 American Viewpoint, 2009 Medigap satisfaction survey (Accessed June 2011): content/pressrelease.aspx?docid=

10 Go ahead, take a look... Benefits Amount Medicare Pays1 Part A: Hospitalization First 60 days (Part A Deductible) 61st 90th day 91st day and after All but $1,156 All but $289 a day All but $578 a day Skilled Nursing Facility First 20 days 21st 100th day 101st day and after All approved amounts All but $ a day Part B: Medical Expenses Medicare Part B Deductible All but $140 Medicare Part B Excess Charges Other Benefits Foreign Travel Emergency In Ohio, Anthem Blue Cross and Blue Shield, underwritten by Community Insurance Company offers Medicare Select Plans F, High Deductible Plan F, G and N with the same benefits as shown above. Members enrolled in Medicare Select plans are required to use Network facilities when receiving Medicare Part A services. See Outline of Coverage for more details. 1The amount Medicare pays of the Medicare-approved amount. Medicare deductibles, premiums and coinsurance rates are effective January 1, 2012, based on the Consumer Price Index. 8

11 and see which plan works for you. Amount Medicare Supplement/Medicare Select Plan Pays Plan A Plan F High Deductible Plan F 2 Plan G Plan N 3 $1,156 $1,156 $1,156 $1,156 $289 a day $289 a day $289 a day $289 a day $289 a day $578 a day $578 a day $578 a day $578 a day $578 a day Up to $ a day Up to $ a day Up to $ a day Up to $ a day $140 $ % 100% 100% 80%* 80%* 80%* 80%* 2 You must pay for Medicare-covered costs up to the deductible amount ($2,070 in 2012) before this Medicare Supplement policy pays anything. 3Pays 100% of Part B coinsurance, except for copay up to $20 for office visits and up to $50 copay for emergency room visits that do not result in an inpatient admission. *80% to a lifetime maximum benefit of $50,000, after you pay the annual deductible of $250. 9

12 Compare and save As you can see from the chart on the previous page, different Medicare Supplement plans cover different types of medical costs. Let s take a closer look at how a Medicare Supplement plan can help cover gaps. Following are two examples showing what your out-of-pocket cost would be with Original Medicare only and with a Medicare Supplement plan. Your costs without a Medicare Supplement insurance plan Let s say you are 66 years old and were hospitalized due to a chronic illness. You have Original Medicare, but you do not have a Medicare Supplement insurance plan. You had a major surgical procedure and spent 15 days in the hospital, followed by 22 days in a Skilled Nursing Facility. Part A deductible for 15 days of hospitalization $1,156 Part A coinsurance for 22 days in Skilled Nursing Facility ($144.50/day) $289 Part B deductible $140 Part B coinsurance for surgical procedure visits $2,400 (20% of Medicare-approved amount $12,000) Part B Excess charge for surgeon and anesthesiologist charges $600 (15% of Medicare-approved amount) Your total cost sharing $4,585 Your costs with a Plan F Medicare Supplement insurance plan Using the same situation and figures as above, only this time you have Original Medicare plus a Medicare Supplement insurance plan (for example Plan F ), and you ve already satisfied your Part B deductible for the year. Part A deductible for 15 days of hospitalization Part A coinsurance for 22 days in Skilled Nursing Facility Part B deductible Part B coinsurance for surgical procedure visits Part B Excess charge for surgeon and anesthesiologist charges Your out-of-pocket cost 10

13 Save money with Saving money is good. Saving money on things that are good for you that s even better. With SpecialOffers@Anthem SM on our website, you can access discounts on products and services that help promote better health and well-being. SpecialOffers@Anthem is just one of the perks of being our health plan member. Check out how much you can save. Vision and hearing products and accessories Eyewear discounts: Save 30% on eyeglasses, 20% on non-prescription sunglasses and up to 20% on eyewear accessories. LASIK Laser Vision Correction: Save 15% on LASIK with all in-network providers. TruVision TM : Members can receive premier pricing for custom LASIK received from innetwork providers. You can also get a 10% discount on contact lenses. Beltone: Receive a free hearing screening, free in-home service and up to 50% off all Beltone hearing aids with free three-year warranty. HearPO: Get a 40% discount on all audiological services and testing. Guaranteed lowest price on hearing aids backed by a 60-day, money-back, trial period. At HearPO, you get a 60-day trial with no restocking fee, three-year warranty including loss and damage, and two years of free batteries. Health and wellness Puritan s Pride: Save 20% on your order plus free shipping on the vast selection of vitamins, minerals, herbs and supplements and much more. ChooseHealthy: Get discounts on health and wellness products, fitness club memberships, visits to massage therapists, acupuncturists and more. Drugstore.com: Save 5% on more than 25,000 health, beauty, wellness and personal care products and get free shipping with a $49 order. Enjoy instant coupons. Murad : Save $25 plus a free gift with any purchase of $100 or more on skin care. Allergy Control Products: Save 25% on Allergy Control encasings for your bed. Plus, save 20% on a variety of products for a healthier home. National Allergy Supply: Save 15% on products that can help relieve your allergy, asthma and sinus symptoms. Self-help Programs: Receive a 30-day free guest pass and a 30% discount on smoking cessation, online weight loss, and stress or alcohol management programs. 11

14 Save money with Fitness, health and weight loss programs Globalfit: You have a choice of more than 10,000 fitness centers nationwide including Curves, Bally s, Gold s, Anytime Fitness and many more all at the lowest available rate. Jenny Craig : Join and receive a free 30-day trial program and save 25% on a Jenny Craig Premium program. Weight Watchers : Take $10 off a threemonth subscription to Weight Watchers online. You ll pay less than $5 per week. Lindora Lean for Life : Save 20% on weight loss programs. Lindora Online offers you a level of guidance, support, tools and accountability that people find helpful in losing weightand in keeping it off. Medical alert devices VoiceCare: Save over 25% on the professional emergency response system. SeniorLink: Save 15% on elder care advisory services and receive 90 days free service on the HelpLink Emergency Response System. Safety Safe Beginnings : Attention grandparents! Baby proof your home while saving 15%. Once you become our health plan member and register for an online account, you can take advantage of all of these SpecialOffers programs and other discounts on our website at Click Member Services. Select Discounts and Savings. Scroll down to Click here in the SpecialOffers@Anthem section. 1 Vendors and offers are subject to change without prior notice. Anthem Blue Cross and Blue Shield does not endorse and is not responsible for the products, services or information provided by the SpecialOffers vendors. These discounts are not insurance and are not part of the Medicare Supplement insurance plans.

15 Enroll now! Please go to the Outline of Coverage section to learn more about our Medicare Supplement insurance plans. However, we know you still may have plenty of questions, and we want you to be confident in the choice you make before you buy a Medicare Supplement insurance policy with Anthem Blue Cross and Blue Shield, underwritten by Community Insurance Company. So if you would like to talk more, please feel free to call your local licensed sales agent or one of our licensed sales agents at ; (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week. Convenient payment options You choose how you re going to pay your premiums. You have the option to pay monthly, quarterly or annually. See the Outline of Coverage for plan costs and details on discounts. You can save money if you pay your monthly premiums through automatic bank draft or pay your premiums once a year. Save even more money when more than one member in the same household (for instance, you and your spouse) enroll in a Medicare Supplement insurance policy with us. For additional information, you can also visit us online at The agent/broker is making the sale on behalf of Community Insurance Company. You may verify the agent/broker and Community Insurance Company information by contacting: The Ohio Department of Insurance, 50 W. Town Street, Third Floor - Suite 300, Columbus, OH Consumer Hotline: or TDD Number: (614) Community Insurance Company (dba Anthem BCBS) at 1351 William Howard Taft, Cincinnati, OH Phone number: The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company. Not connected with, sponsored by, nor endorsed by the federal or state government, the Social Security Administration, the Centers for Medicare and Medicaid Services, or the Department of Health and Human Services. The Medicare Supplement insurance policy form number(s): WPPLANAM(09)-OH; WPPLANBM(09)-OH; WPPLANFM(09)-OH; WPPLANHiFM(09)-OH; WPPLANGM(09)- OH; WPPLANNM(09)-OH; WPPLANASelectM(11)-OH; WPPLANBSelectM(11)-OH; WPPLANFSelectM(11)-OH; WPPLANHiFSelectM(11)-OH; WPPLANGSelectM(11)-OH; and WPPLANNSelectM(11)-OH. This brochure is intended to be a brief summary of coverage and is not intended to be a legal contract. The entire provisions of benefits and exclusions are contained in the Policy. In the event of a conflict between the Policy and this description, the terms of the Policy will prevail. Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association OHSBGENAREA1

16 S ASHLAND COUNTY, OH OHIO CUYAHOGA COUNTY, OH OHIO ASHLAND COUNTY Samaritan Regional Health System 1025 Center St Ashland, OH ASHTABULA COUNTY Ashtabula County Medical Center 2420 Lake Ave Ashtabula, OH BUTLER COUNTY Bethesda Hospital Inc 3055 Hamilton Mason Rd Hamilton, OH Bethesda Hospital Inc 3125 Hamilton Mason Rd Hamilton, OH Mccullough Hyde 110 N Poplar Oxford, OH Mercy Hospital Fairfield 3000 Mack Rd Fairfield, OH CARROLL COUNTY Mercy Medical Center 125 Canton Rd Carrollton, OH CLERMONT COUNTY Mercy Hospital Clermont 3000 Hospital Dr Batavia, OH COSHOCTON COUNTY Coshocton County Memorial Hospital 1460 Orange St Coshocton, OH CRAWFORD COUNTY Galion Community Hospital 269 Portland Way S Galion, OH CUYAHOGA COUNTY Cleveland Clinic 9500 Euclid Ave Cleveland, OH Euclid Hospital Lakeshore Cleveland, OH Fairview General Hospital Lorain Ave Cleveland, OH Hillcrest Hospital 6780 Mayfield Rd Cleveland, OH Lakewood Hospital Detroit Ave Lakewood, OH Lutheran Medical Center 1730 W 25th St Cleveland, OH Marymount Hospital Mccracken Rd Cleveland, OH Parma Comm General Hospital 7007 Powers Blvd Cleveland, OH South Pointe Hospital Harvard Rd Warrensvl Hts, OH Southwest General Hospital E Bagley Rd Cleveland, OH FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER LISTED ON YOUR MEMBER ID CARD OR VISIT 1 THIS LISTING WAS COMPILED AS OF JULY ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

17 S CUYAHOGA COUNTY, OH OHIO HOLMES COUNTY, OH REHABILITATION Cleveland Clinic Childrens Rehab Hospita 2801 Martin Luther King Jr Dr Cleveland, OH DEFIANCE COUNTY Defiance Regional Medical Center 1200 Ralston Ave Defiance, OH DELAWARE COUNTY Ohio State University Hospital 6515 Pullman Dr Lewis Center, OH ERIE COUNTY Firelands Regional Medical Center 1111 Hayes Ave Sandusky, OH FAIRFIELD COUNTY Fairfield Medical Center 401 N Ewing St Lancaster, OH FRANKLIN COUNTY Arthur James Cancer Inst 1145 Olentangy River Rd Columbus, OH Arthur James Cancer Inst 300 W 10th Ave Columbus, OH Doctors Hospital 5100 W Broad St Columbus, OH Dublin Methodist Hospital 7500 Hospital Dr Dublin, OH Grant Medical Center 111 S Grant Ave Columbus, OH Ohio State University Hospital 1492 E Broad St Columbus, OH Ohio State University Hospital 410 W 10th Ave Columbus, OH Riverside Methodist Hospital 3535 Olentangy River Rd Columbus, OH FULTON COUNTY Fulton County Health Center 725 S Shoop Ave Wauseon, OH HAMILTON COUNTY Bethesda Hospital Inc Montgomery Rd Cincinnati, OH Bethesda Hospital Inc Montgomery Rd Cincinnati, OH Good Samaritan Hospital 375 Dixmyth Ave Cincinnati, OH Mercy Franciscan Hospital Mt Airy 2446 Kipling Ave Cincinnati, OH Mercy Franciscan Hospital Western Hills 3131 Queen City Ave Cincinnati, OH Mercy Hospital Anderson 7500 State Rd Cincinnati, OH HOLMES COUNTY Joel Pomerene Memorial Hospital 981 Wooster Rd Millersburg, OH FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER LISTED ON YOUR MEMBER ID CARD OR VISIT 2 THIS LISTING WAS COMPILED AS OF JULY ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

18 S LORAIN COUNTY, OH OHIO STARK COUNTY, OH LORAIN COUNTY Emh Regional Medical Center 254 Cleveland Ave Amherst, OH Emh Regional Medical Center 630 E River St Elyria, OH LUCAS COUNTY Bay Park Community Hospital 2801 Bay Park Dr Oregon, OH Flower Memorial Hospital 5200 Harroun Rd Sylvania, OH Mercy St Charles Hospital 2600 Navarre Ave Oregon, OH St Lukes Hospital 5901 Monclova Rd Maumee, OH Toledo Hospital 2142 N Cove Blvd Toledo, OH MAHONING COUNTY Northside Medical Center 500 Gypsy Ln Youngstown, OH St Elizabeth Boardman Health Center 8401 Market St Boardman, OH St Elizabeth Health Center 1044 Belmont Ave Po Box 1790 Youngstown, OH MENTAL HEALTH/SUBSTANCE ABUSE FACILITY Belmont Pines Hospital 615 Churchill-hubbard Rd Youngstown, OH REHABILITATION Greenbriar Rehabilitation Hospital 8064 South Ave Ste 1 Boardman, OH MEDINA COUNTY Lodi Community Hospital 225 Elyria St Lodi, OH Medina General Hospital 1000 E Washington St Medina, OH PICKAWAY COUNTY Berger Health System 600 N Pickaway St Circleville, OH PORTAGE COUNTY Robinson Memorial Hospital 6847 N Chestnut St Ravenna, OH SENECA COUNTY Fostoria Community Hospital 501 Van Buren St Fostoria, OH STARK COUNTY Affinity Medical Center 875 8th St Ne Massillon, OH Alliance Community Hospital 200 E State St Alliance, OH Mercy Medical Center 1302 W Main St Louisville, OH FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER LISTED ON YOUR MEMBER ID CARD OR VISIT 3 THIS LISTING WAS COMPILED AS OF JULY ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

19 S STARK COUNTY, OH OHIO ALLEN COUNTY, IN Mercy Medical Center 1320 Mercy Dr N W Canton, OH Mercy Medical Center 1401 S Arch Ave Alliance, OH Mercy Medical Center 6200 Whipple Ave Nw North Canton, OH Mercy Medical Center 7337 Caritas Cir Nw Massillon, OH SUMMIT COUNTY Akron General Medical Center 400 Wabash Ave Akron, OH Cleveland Clinic 8701 Darrow Rd Twinsburg, OH Crystal Clinic Orthopaedic Center Llc 444 N Main St Akron, OH Edwin Shaw Rehab 330 Broadway St E Cuyahoga Falls, OH Summa Barberton Citizens Hospital 155 5th St Barberton, OH Summa Health System 444 N Main St Akron, OH Summa Health System 525 E Market St Akron, OH Summa Western Reserve Hospital rd St Cuyahoga Falls, OH TRUMBULL COUNTY St Joseph Health Center 667 Eastland Ave Se Warren, OH Trumbull Memorial Hospital 1350 E Market St Warren, OH REHABILITATION Hillside Rehabilitation Hospital 8747 Squires Ln Ne Warren, OH TUSCARAWAS COUNTY Mercy Medical Center 1031 W High Ave New Philadelphia, OH Trinity Hospital Twin City 819 N 1st St Dennison, OH WARREN COUNTY Atrium Medical Ctr One Medical Center Dr Middletown, OH WAYNE COUNTY Aultman Orrville Hospital 832 S Main St Orrville, OH INDIANA ADAMS COUNTY Adams Memorial Hospital 1100 Mercer Ave Decatur, IN ALLEN COUNTY Parkview Regional Medical Center Parkview Plaza Dr Fort Wayne, IN Parkview Regional Medical Center 2200 Randallia Dr Fort Wayne, IN FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER LISTED ON YOUR MEMBER ID CARD OR VISIT 4 THIS LISTING WAS COMPILED AS OF JULY ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

20 S ALLEN COUNTY, IN OHIO KENTON COUNTY, KY REHABILITATION Parkview Hospital Inc 2200 Randallia Dr Fort Wayne, IN DE KALB COUNTY Dekalb Memorial Hospital Inc 1316 E 7th St Auburn, IN RANDOLPH COUNTY St Vincent Randolph Hospital 473 E Greenville Ave Winchester, IN STEUBEN COUNTY Cameron Memorial Comm Hospital Inc 416 E Maumee St Angola, IN KENTUCKY BOYD COUNTY Our Lady Of Bellefonte 1000 Saint Christopher Dr Ashland, KY CAMPBELL COUNTY St Elizabeth Healthcare 85 N Grand Ave Fort Thomas, KY KENTON COUNTY St Elizabeth Healthcare 1 Medical Village Dr Edgewood, KY St Elizabeth Healthcare 1500 James Simpson Jr Way Covington, KY BOONE COUNTY St Elizabeth Healthcare 4900 Houston Rd Florence, KY FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER LISTED ON YOUR MEMBER ID CARD OR VISIT 5 THIS LISTING WAS COMPILED AS OF JULY ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

21 Adams Memorial Hospital Index Trumbull Memorial Hospital A Adams Memorial Hospital... 4 Affinity Medical Center... 3 Akron General Medical Center... 4 Alliance Community Hospital... 3 Arthur James Cancer Inst... 2 Ashtabula County Medical Center... 1 Atrium Medical Ctr... 4 Aultman Orrville Hospital... 4 B Bay Park Community Hospital... 3 Belmont Pines Hospital... 3 Berger Health System... 3 Bethesda Hospital Inc... 1, 2 C Cameron Memorial Comm Hospital Inc... 5 Cleveland Clinic... 1, 4 Cleveland Clinic Childrens Rehab Hospita... 2 Coshocton County Memorial Hospital... 1 Crystal Clinic Orthopaedic Center Llc... 4 D Defiance Regional Medical Center... 2 Dekalb Memorial Hospital Inc... 5 Doctors Hospital... 2 Dublin Methodist Hospital... 2 E Edwin Shaw Rehab... 4 Emh Regional Medical Center... 3 Euclid Hospital... 1 F Fairfield Medical Center... 2 Fairview General Hospital... 1 Firelands Regional Medical Center... 2 Flower Memorial Hospital... 3 Fostoria Community Hospital... 3 Fulton County Health Center... 2 G Galion Community Hospital... 1 Good Samaritan Hospital... 2 Grant Medical Center... 2 Greenbriar Rehabilitation Hospital... 3 H Hillcrest Hospital... 1 Hillside Rehabilitation Hospital... 4 J Joel Pomerene Memorial Hospital... 2 L Lakewood Hospital...1 Lodi Community Hospital...3 Lutheran Medical Center...1 M Marymount Hospital...1 Mccullough Hyde...1 Medina General Hospital...3 Mercy Franciscan Hospital Mt Airy...2 Mercy Franciscan Hospital Western Hills...2 Mercy Hospital Anderson...2 Mercy Hospital Clermont...1 Mercy Hospital Fairfield...1 Mercy Medical Center...1, 3, 4 Mercy St Charles Hospital...3 N Northside Medical Center...3 O Ohio State University Hospital...2 Our Lady Of Bellefonte...5 P Parkview Hospital Inc...5 Parkview Regional Medical Center...4 Parma Comm General Hospital...1 R Riverside Methodist Hospital...2 Robinson Memorial Hospital...3 S Samaritan Regional Health System...1 South Pointe Hospital...1 Southwest General Hospital...1 St Elizabeth Boardman Health Center...3 St Elizabeth Health Center...3 St Elizabeth Healthcare...5 St Joseph Health Center...4 St Lukes Hospital...3 St Vincent Randolph Hospital...5 Summa Barberton Citizens Hospital...4 Summa Health System...4 Summa Western Reserve Hospital...4 T Toledo Hospital...3 Trinity Hospital Twin City...4 Trumbull Memorial Hospital...4 6