First Choice Health PPO Network Hospice Care Services Directory www.fchn.com

First Choice Health PPO Network Hospice Care Services Directory www.fchn.com When Looking for a Provider... The provider you select may not be available to all First Choice Health Network customers due to individual benefit plan or network restrictions. Please confirm your benefits and level of network access by contacting your insurance company or health plan administrator. Inclusion of a provider or facility in this directory does not guarantee coverage. A provider's network participation can vary depending upon where he/she is providing services. Be sure to confirm the provider's network participation at the location you plan to visit. Please consult your benefits summary, plan booklet or summary plan description to determine coverage. First Choice Health (FCHN) disclaims any implied warranty or representation about completeness or applicability for a particular purpose. First Choice Health Network, Inc., is not responsible for any claim, loss or damage resulting from use of this website. Important Information (Please read before proceeding) The First Choice Health PPO Network makes every effort to ensure the accuracy of our provider directory. However, a printed directory will always be at risk of being outdated. Before receiving services, you should always verify that the provider is participating in our network. You can take these steps by calling our PPO Customer Service at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific). You can also use our website to produce customized real-time provider listings. Simply select the "Find a Doctor, Hospital or Facility" button on the homepage. Please note that actual coverage for the health care services you receive is determined by your benefit plan provisions. Introduction Just like you, First Choice Health, is concerned about the high cost of health care. To help lower the cost of care, we negotiate preferred rates with the health care providers in our network. These preferred rates are available to you because the First Choice Health PPO Network is part of your health care plan. Whenever you choose one of our PPO Network providers, you and your family save on the cost of health care. In addition to lower health care costs, there are other advantages to using PPO Network preferred providers: There are no claims to submit. Preferred providers bill your insurance company or health plan administrator for you; Your out-of-pocket costs are usually lower when you receive in-network care; and The First Choice Health PPO Network offers an extensive network of preferred providers from which to choose your family doctor, primary care physician (PCP) or other health care providers. Please take a few minutes to become acquainted with us as your network. Read your member handbook to understand the benefits provided by your health plan. Be prepared. Know your responsibilities and obligations before you or your family receive(s) care. If you have questions regarding your health coverage, please call your insurance company or health plan administrator. This directory was produced based on information available as of 5/29/2016. First Choice Health makes every effort to ensure the accuracy of our provider directory. Before receiving services, you should always verify that the provider is participating in our network. If you need help finding a preferred provider, please contact First Choice Health PPO Network Customer Service at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific).

Check Our Website For the most current provider information, our website, www.fchn.com allows you to look up specific health care providers or locate available providers in your area. You can search by city, zip code and county or provider specialty. This is a convenient way to determine your provider's participation. You can also download a complete directory, hospital listing, facility listing, clinic or urgent care listing. How to Use the First Choice Health PPO Network If your health plan requires you to choose a primary care provider (PCP), you should select one from those listed in this directory. A primary care provider is a family or general practitioner, an internist or a pediatrician. When changing your primary care provider, you should advise your insurance company or health plan administrator. This notification may be a requirement of your health plan. Some health plans also recognize Advanced Registered Nurse Practitioners (ARNP) as primary care providers. You should call your insurance company or health plan administrator to determine if they recognize ARNPs as primary care providers before you select one as a primary care provider. All primary care providers are listed in bold print for easy identification. Not all primary care providers are able to accept new patients. Those who were not accepting new patients at the time this directory was printed are marked with an asterisk (*). Whenever you select a new primary care provider, we recommend you call the provider's office first to be sure s/he is accepting new patients. If You Need to See a Specialist Your health care plan may require a referral from your primary care provider if you need specialty care. If your plan requires a referral, the process is easy: First, you or your primary care provider should select a specialist from this directory or contact our Customer Service Department at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific) to verify the preferred status of any specialist; Second, have your primary care provider call the appropriate referral number on your member ID card; and Third, schedule your appointment with the specialist. If your plan does not require a referral, you may select a specialist from this directory, confirm that they are currently a preferred provider and schedule an appointment at any time. Some specialty care may not be covered by your health plan. For example, some health plans do not cover care from chiropractors, social workers, physician assistants and others. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. Your member handbook, insurance company or health plan administrator will be able to tell you what your benefit levels are, if any, when you receive care from an out-of-network provider. Women's Health Care (Washington State) For some health plans, Washington State law provides that women may self-refer to providers who specialize in the treatment of women's health care needs. This means a woman does not need a referral from her primary care provider in order to see a women's health care provider for the diagnosis and treatment of reproductive health services, gynecological care, maternity care, general examinations or preventative care, as well as medically appropriate follow-up visits for these services. This right to selfreferral is not a guarantee of coverage. Before you schedule your appointment you should do the following: Call your insurance company or health plan administrator to be sure the care you want is covered; Call to confirm whether or not you can self-refer to providers who specialize in women's health care needs;

Schedule your appointment with a recognized women's health care provider; and Be sure the women's health care provider is one of our PPO Network preferred providers. The following providers are recognized as women's health care providers: An MD or DO (osteopath) who is a family or general practitioner, internist, obstetrician or gynecologist; A licensed physician assistant for any of the above listed MDs or DOs; An advanced registered nurse practitioner (ARNP) who specializes in women's health, family practice or midwifery; Certified nurse midwife; or Licensed midwife. Physician Assistant Please call and confirm with each listed Physician Assistant to ensure he/she is accepting patients as a Primary Care Physician. As noted above, some specialty care may not be covered by your health plan. Please call your insurance company or check with your benefit plan to establish whether coverage is available for services provided by a Physician Assistant under your health benefits from your health plan. Complementary and Alternative Medicine (CAM) Providers (Naturopaths, Acupuncturists and Licensed Massage Therapists) The First Choice Health PPO Network offers a CAM network for those health plans which have CAM benefits. Some CAM care may not be covered by your health plan. For example, some health plans do not cover care from Naturopaths, Acupuncturists or Licensed Massage Therapists. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. If You Need Hospital Care Some health care plans require pre-certification of non-emergent hospital care. Check your member ID card to see if your plan requires pre-certification. If pre-certification is required, you or your doctor must call the number printed on your ID card to obtain the necessary authorization before you are admitted to the hospital. In Case of an Emergency In the case of a life-threatening emergency, whether at home or away from home, seek the most immediate care available. If you are admitted to a hospital for an emergency, you, your doctor or the hospital may need to obtain retroactive authorization for the admission within the time specified by your benefit plan, or as soon as you are reasonably able to do so. To obtain certification, please call the number on your ID card. How to File a Claim In most instances, First Choice Health's PPO Network preferred providers will file a claim for the health care services you receive. However, occasionally you may receive a bill for services. If you receive a bill, be sure your name, member ID number, and group number are written on the bill. Please send the bill to the claims address on your ID card. Your Member ID Card is Very Important Your member ID card identifies you as eligible to see our PPO Network providers. It lists the name, address, and telephone number of your insurance company or health plan administrator and contains important information about hospital and surgical preauthorization. Please show your member ID card every time you visit one of our PPO Network providers.

Who to Call if You Have Questions Call your insurance company or health plan administrator if you have questions about any of the following: Your insurance coverage or coverage exclusions Your eligibility for health care services Your health care bills and claim processing Referral requirements You will find your insurance company's customer service phone number on your ID card or in your member handbook. The First Choice Health PPO cannot provide eligibility, coverage or claims information. Call First Choice Health in Seattle at (206) 292-8255 or toll-free at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific) if you have questions about finding a provider or the preferred provider status of a preferred provider or facility. Call the preauthorization telephone number on your ID card if you have questions about preauthorization of hospital services. Thank you for choosing First Choice Health PPO Network. We look forward to meeting your health care needs.

First Choice Health Directory FACILITIES Home Health Idaho Boise Saint Alphonsus Home Health & Hospice LLC 427 N Curtis Rd Boise, ID 83706 (208) 367-3040 Chubbuck Access Home Care LLC 240 W Burnside Ave Ste B Chubbuck, ID 83202-4703 (208) 637-2273 Gooding Idaho Home Health & Hospice 329 Washington St Gooding, ID 83330-1343 (208) 934-4842 Idaho Falls Idaho Home Health & Hospice 1906 Jennie Lee Dr Idaho Falls, ID 83404-6159 (208) 528-2877 IntegriCare of Eastern Idaho 2236 East 25th Street Idaho Falls, ID 83404 (208) 523-9887 Meridian Idaho Home Health & Hospice 1965 S Eagle Rd Ste 100 Meridian, ID 83642-9246 (208) 934-4842 Pocatello Idaho Home Health & Hospice 315 E Alameda Rd Pocatello, ID 83201-3619 (208) 232-1122 Twin Falls Idaho Home Health & Hospice 222 Shoshone St E Twin Falls, ID 83301-6105 (208) 734-4061 Montana Butte Frontier Home Health and Hospice 1940 Dewey Blvd Butte, MT 59701-3724 (406) 723-8933 Oregon Florence Peace Harbor Home Health & Hospice 400 9th St Florence, OR 97439-7398 (541) 997-8412 Peace Harbor Home Health & Hospice 310 9th St Florence, OR 97439 (541) 997-8412 Washington Belfair Prov SoundHomeCare And Hospice 22771 NE Highway 3 Ste A Belfair, WA 98528 (360) 275-2040 Chehalis Prov SoundHomeCare And Hospice 500 NE Washington Ave Chehalis, WA 98532 (360) 330-8585 Hoquiam Harbor's Home Health Services 201 Seventh Street Hoquiam, WA 98550 (360) 532-5454 Longview Community Home Health and Hospice Care Center 1035 11th Avenue Longview, WA 98632 (360) 425-8510 Moses Lake Central Basin Home Health and Hospice 1417 S Pioneer Way Moses Lake, WA 98837-2458 (509) 765-1856 Olympia Prov SoundHomeCare And Hospice 3432 S Bay Rd NE Olympia, WA 98506 (360) 459-8311 Shelton Prov SoundHomeCare And Hospice 2146 W Railroad Ave Shelton, WA 98584 (360) 426-7928 Tacoma Prov SoundHomeCare And Hospice 3630 S Cedar St Ste A Tacoma, WA 98409 (253) 476-1080 Vancouver Community Home Health and Hospice Care Center 14508 NE 20th Ave Ste 201 Vancouver, WA 98686 (877) 541-4108 Preferred Provider Network 5/29/2016 Page 1

First Choice Health Provider Directory Community Home Health and Hospice Care Center 3102 NE 134th St Vancouver, WA 98686-2628 (360) 425-8510 Wenatchee Central Washington Hospital Home Health & Hospice 1201 S Miller St Wenatchee, WA 98801-3201 (509) 665-6049 Yakima Memorial Home Care Services, Home Health and Hospice 1019 South 40th Avenue Yakima, WA 98902 (509) 574-3600 Providence Home Care Services 7 South 10th Avenue Yakima, WA 98902 (509) 575-5093 Yakima HMA Home Health LLC 7 S 10th Ave Yakima, WA 98902-3318 (509) 575-5093 Wyoming Evanston Best Home Health & Hospice 637 Front St Evanston, WY 82930 (307) 789-2899 Rock Springs Best Home Health & Hospice 1471 Dewar Dr Ste 232 Rock Springs, WY 82901 (307) 382-3388 Hospice Idaho Boise Four Rivers Hospice 427 N Curtis Rd Boise, ID 83706 (208) 367-3040 Fruitland Heart N Home Hospice & Palliative Care LLC 1100 NW 12th St Fruitland, ID 83619 (208) 452-2662 Meridian Hearts For Hospice, L.L.C. 3090 Gentry Way Meridian, ID 83642-3597 (801) 772-0243 Nampa Mercy Medical Center-Hospice 215 E Hawaii Nampa, ID 83686 (208) 463-5220 Sandpoint Bonner Community Hospice 602 N Third Ave Sandpoint, ID 83864 (208) 265-1179 Montana Billings Big Sky Hospice 123 S 17th St Billings, MT 59101 (406) 247-3200 RiverStone Health Hospice 123 S 27th St Billings, MT 59101 (406) 651-6500 Rocky Mountain Hospice 2110 Overland Ave Billings, MT 59102-6480 (406) 294-0785 Bozeman Rocky Mountain Hospice-Bozeman 301 Edelweiss Ste 6 Bozeman, MT 59718 (406) 556-0640 Butte Highlands Hospice 3703 Harrison Ave Butte, MT 59701 (406) 771-3754 Rocky Mountain Hospice- Butte 19 Discovery Dr Butte, MT 59701 (406) 494-6114 Hamilton Marcus Daly Hospice 1200 Westwood Dr Hamilton, MT 59840-2345 (406) 375-4703 Helena Frontier Home Health and Hospice 800 Front St Helena, MT 59601 (406) 443-4140 Rocky Mountain Hospice- Helena 1075 N Rodney Helena, MT 59601 (406) 442-2214 Kalispell Frontier Hospice 42 Bruyer Way Kalispell, MT 59901-6305 (406) 260-4079 Home Options Hospice 275 Corporate Dr Ste 600 Kalispell, MT 59901-6037 (406) 751-4200 Missoula Rocky Mountain Hospice of Missoula LLC 2409 Dearborn Ste E Missoula, MT 59801 (406) 549-2766 Ronan Lake County Home Options Hospice 711 Main St SW Ronan, MT 59864 (406) 751-4205 Preferred Provider Network 5/29/2016 Page 2

First Choice Health Provider Directory Oregon Albany Samaritan Evergreen Hospice 1010 SW 11th Ave Albany, OR 97321 (541) 812-4662 Beaverton Providence Hospice 3601 SW Murray Blvd Ste 40 Beaverton, OR 97005 (503) 216-8484 Providence Hospice West 3601 SW Murray Blvd Suite 40 Beaverton, OR 97005 (503) 216-8484 Bend Partners in Care 2075 NE Wyatt Court Bend, OR 97701 (541) 382-5882 Eugene Sacred Heart Hospice 677 E 12th Ave Ste N110 Eugene, OR 97401 (541) 461-7500 Sacred Heart Hospice 677 E 12th Ave Ste N200 Eugene, OR 97401 (541) 461-7500 Heppner Pioneer Memorial Hospice 564 E Pioneer Dr Heppner, OR 97836-7318 (541) 676-9133 Hillsboro Care Partners 900 SE Oak St Ste 202 Hillsboro, OR 97123 (503) 648-9565 Hood River Providence Hospice 1630 Woods Ct Hood River, OR 97031 (541) 387-6449 McMinnville Legacy Hospice Services-McMinnville 2275 NE McDaniel Ave McMinnville, OR 97128 (503) 472-9685 Medford Providence Medford Hospice 2033 Commerce St Medford, OR 97504 (541) 732-6500 Newberg Providence Hospice 1515 Portland Rd Ste 102 Newberg, OR 97132 (503) 215-2273 Ontario Pathway Hospice 351 SW 9th St Ontario, OR 97914 (541) 881-7430 Saint Alphonsus Medical Center-Ontario 1050 SW 3rd Ave Ste 1600 Ontario, OR 97914 (541) 881-7430 Oregon City Willamette Falls Hospice 1500 Division St. Oregon City, OR 97045 (503) 656-1631 Portland Legacy Hospice Services-Hopewell House 6171 SW Capitol Hwy Portland, OR 97239-2649 (503) 244-7890 Legacy Hospice Services-Portland 815 NE Davis St Portland, OR 97208-2964 (503) 220-1000 Providence Hospice 1235 NE 47th Ave Suite 148 Portland, OR 97213 (503) 215-4321 Providence Hospice 9936 SE Washington Ste C & D Portland, OR 97216 (503) 215-4691 Providence Hospice 6410 NE Halsey St Ste 200 Portland, OR 97213-4742 (503) 215-4646 Redmond Hospice of Redmond 732 SW 23rd St Redmond, OR 97756-9400 (541) 548-7483 Talent Ashland Community Hospital Hospice Services 209 N Pacific Hwy Talent, OR 97540 (541) 552-9900 South Dakota Rapid City Rapid City Regional Hospital-Hospice Unit 224 Elk St Rapid City, SD 57701 (605) 719-4663 Washington Aberdeen Assured Home Health, Hospice & HomeCare 2700 Simpson Ave Ste 201 Aberdeen, WA 98520 (360) 537-2743 Bellingham Whatcom Hospice 800 East Chestnut Street Bellingham, WA 98225 (360) 733-5877 Whatcom Hospice House 2806 Douglas Ave Bellingham, WA 98225-6930 (360) 733-5877 Preferred Provider Network 5/29/2016 Page 3

First Choice Health Provider Directory Bremerton Hospice of Kitsap County 570 Lebo Ave Bremerton, WA 98310 (360) 698-4611 Centralia Assured Home Health, Hospice & HomeCare 2120 Northpark St Ste A Centralia, WA 98531-9098 (360) 330-2640 Clarkston Elite Home Health and Hospice 1370 Bridge St Clarkston, WA 99403-2332 (509) 758-2568 Coupeville Hospice of Whidbey General Hospital 101 N Main St Coupeville, WA 98239 (360) 678-7605 Forks Assured Home Health, Hospice & HomeCare 481 5th Ave PO Box 67 Forks, WA 98331 (360) 374-2503 Ilwaco Assured Home Health, Hospice & HomeCare 177 Howerton SE Suite 3 & 4 Ilwaco, WA 98624 (360) 642-2870 Kennewick Tri-Cities Chaplaincy Hospice 2108 W Entiat Ave Kennewick, WA 99336-3000 (509) 783-7416 Kirkland EvergreenHealth Hospice Care 12822-124th Ln NE Kirkland, WA 98034 (425) 899-1070 Longview Assured Home Health, Hospice & HomeCare 1338 Commerce Ave Ste 205 Longview, WA 98632-3743 (360) 578-5946 Mount Vernon Hospice of the Northwest 819 S 13th St Mount Vernon, WA 98274 (360) 814-5550 Hospice of the Northwest 227 Freeway Dr Ste A Mount Vernon, WA 98273-2805 (360) 814-5550 Olympia Assured Home Health, Hospice & HomeCare 2102 Carriage Dr SW Ste D Olympia, WA 98502 (360) 236-9204 Seattle Caroline Kline Galland Home 5950 6th Ave S Ste 100 Seattle, WA 98108-3317 (206) 805-1930 Caroline Kline Galland Home 7500 Seward Park Ave S Seattle, WA 98118-4247 (206) 725-8800 Highline Hospice 12844 Military Road South Seattle, WA 98168 (206) 244-9970 Providence Hospice of Seattle 425 Pontius Ave N Ste 300 Seattle, WA 98109 (206) 320-4848 Sequim Assured Home Health, Hospice & HomeCare 24 Lee Chatfield Sequim, WA 98382 (360) 582-3796 Shoreline Shoreline Health and Rehabilitation 2818 NE 145th St Shoreline, WA 98155-7556 (206) 418-2900 Silverdale Hospice of Kitsap County 3100 Bucklin Hill Road Suite 101 Silverdale, WA 98383-3416 (360) 415-6911 Hospice of Kitsap County 10356 Silverdale Way NW Silverdale, WA 98383-7674 (360) 698-4611 Spokane Horizon Hospice, LLC 123 W Cascade Wy Spokane, WA 99208 (509) 489-4581 Hospice of Spokane 121 S Arthur St Spokane, WA 99210 (509) 456-0438 Sunnyside Lower Valley Hospice 3920 Outlook Road Sunnyside, WA 98944 (509) 837-1676 Tacoma MultiCare Good Samaritan Hospice 3901 S Fife St Tacoma, WA 98409-7309 (253) 301-6400 University Place Franciscan Hospice 2901 Bridgeport Way W University Place, WA 98466 (253) 534-7000 Walla Walla Walla Walla Community Hospice 1067 Isaacs Ave Walla Walla, WA 99362 (509) 525-5561 Wyoming Cheyenne Preferred Provider Network 5/29/2016 Page 4

First Choice Health Provider Directory Davis Hospice Center 6000 Sycamore Rd Cheyenne, WY 82009 (307) 633-7016 Preferred Provider Network 5/29/2016 Page 5