Allen: Digestive Health Endoscopy 375 N Eastown Rd Lima, OH 45807 Of West Central Ohio 2793 Shawnee Rd Lima, OH 45806 Of West Central Ohio 700 W High St Lima, OH 45801 Eye Surgical - RH/ Western Ohio 855 W Market St Lima, OH 45805 Ashtabula: UH Conneaut Medical 158 West Main Road Conneaut, OH 44030 UH Memorial Hospital of Geneva* 870 West Main Street Geneva, OH 44041 Athens: Athens 75 Hospital Dr STE 100 Athens, OH 45701 Doctors Hospital of Nelsonville* 1950 Mount Saint Marys Dr Nelsonville, OH 45764 O Bleness Memorial Hospital* 55 Hospital Dr Athens, OH 45701 Ohio and Northern Kentucky UnitedHealthcare Directory of Designated Hospitals and Outpatient s With Choice Plus Advanced with Hospital Tiering, UnitedHealthcare encourages members to make well-informed decisions about who to see and where to go for quality, cost-efficient care through the UnitedHealth Premium designation program, Place of Service and Hospital Tiering. This directory is a listing of the Designated hospitals and Outpatient s that offer services to UnitedHealthcare members enrolled in our Choice Plus Advanced with Hospital Tiering health plans in Ohio and Northern Kentucky. Members may pay lower co-payments and co-insurance amounts for services provided by Designated hospitals and surgery centers. The providers on this list may change. The Ohio Designated Hospitals and Outpatient s Belmont: Digestive Health Complex 300 W Main St Saint Clairsville, OH 43950 Valley 68377 STEwart Dr STE 202 Saint Clairsville, OH 43950 Butler: GI 257 N Breiel Blvd Middletown, OH 45042 HSC Surgical Associates Of Cincinnati 2990 Mack Rd STE 203 Fairfield, OH 45014 Southwest Ohio Ambulatory Surgery 295 N Breiel Blvd Middletown, OH 45042 Fort Hamilton Hospital* 630 Eaton Ave Hamilton, OH 45013 Mercy Hospital Fairfield* 3000 Mack Rd Fairfield, OH 45014 Clark: Gastro Care 2355 Derr Rd Springfield, OH 45503 Springfield 2685 E High St Springfield, OH 45505 Springfield Regional 100 Medical Drive Springfield, OH 45504 Mercy Memorial Hospital* 904 Scioto St Urbana, OH 43078 Clermont: Midwest Eye 4452 Eastgate Blvd STE 305 Cincinnati, OH 45245 Mercy Hospital Clermont 3000 Hospital Dr Batavia, OH 45103 Clinton: Clinton County Outpatient Surgery 1150 W Locust St STE 200 Wilmington 721 W Main St Wilmington Surgical Services 675 W Main St Cuyahoga: Big Creek 15345 Bagley Rd Cleveland, OH 44130 Brecksville 7001 S Edgerton Rd STE A Brecksville, OH 44141 Cleveland Association 5106 Wilson Mills Rd Richmond Heights, OH 44143 Cleveland For Digestive Health & Endoscopy 3700 Park East Dr STE 100A Cleveland Eye/Laser 22715 Fairview Dr Fairview Park, OH 44126 6770 Mayfield Rd STE 424 Mayfield Heights, OH 44124 5900 Landerbrook Dr STE 195 Cleveland, OH 44124 At Bainbridge 1611 S Green Rd Cleveland, OH 44121 North Ohio 30701 Clemens Rd North Shore Endoscopy East 850 Columbia Rd STE 200 North Shore Endoscopy East 1 Infinity Corp Dr STE 130 Cleveland, OH 44125 Page 1 of 5
The Ohio Designated Hospitals and Outpatient s continued Premier Physicians s 20455 Lorain Rd STE 303 Cleveland, OH 44126 Premier Physicians s 3665 W 117Th St Cleveland, OH 44111 Premier Physicians s 25200 Ridge Rd 19250 Bagley Rd Middleburg Heights, OH 44130 Pearl 6900 Pearl Rd Cleveland, OH 44130 Cleveland 24025 Commerce Park Unit 2 Vision 6355 Pearl Rd STE B Parma Heights, OH 44130 Wright 1611 S Green Rd South Euclid, OH 44121 MetroHealth 2500 MetroHealth Drive Cleveland, OH 44109 UH Parma 7007 Powers Blvd. Parma, OH 44129 St John 29000 Ridge Road St Vincent Charity 2351 East 22nd Street Cleveland, OH 44115 UH Ahuja 3999 Richmond Road UH Regional Hospital Bedford Campus* 44 Blaine Avenue Bedford, OH 44146 UH Regional Hospital Richmond Heights Campus* 27100 Chardon Road Richmond Hts., OH 44143 University Hospitals of Cleveland* 11100 Euclid Avenue Cleveland, OH 44106 UH Westlake 960 Clague Road University Hospitals Lyndhurst Surgery Ctr. 29017 Cedar Road Lyndhurst, OH 44124 Delaware: CSD Association 428 County Line Rd W Ohio Ear Institute 387 County Line Rd W STE 115 Polaris 300 Polaris Pkwy STE 1400 Revision Advanced Surgery 1080 Polaris Parkway Columbus, OH 43240 Grady Memorial Hospital* 561 W Central Ave Delaware, OH 43015 The Hand 1210 Gemini PL Ste 111 Columbus, OH 43240 Westerville 300 Polaris Pkwy Ste 1500 Erie: Novamed Surgery Sandusky 2616 Hayes Ave Sandusky, OH 44870 Fairfield: Professional 670 Hill Rd N Pickerington, OH 43147 Diley Ridge 7911 Diley Rd Canal Winchester, OH 43110 Fairfield 401 N Ewing St Lancaster, OH 43130 Franklin: Affiliated Ambulatory 650 Shawan Falls Dr Dublin, OH 43017 6670 Perimeter Dr STE 200 Dublin, OH 43016 3800 Olentangy River Rd 85 McNaughten Rd STE 320 815 W Broad St STE 220 Columbus, OH 43222 Central Ohio Surgical Institute 6520 W Campus Oval New Albany, OH 43054 Central Ohio Urology 701 Tech Drive Gahanna, OH 43230 Professional 99 N Brice Rd STE 210 Professional 5910 Cleveland Ave Columbus, OH 43231 Columbus Eye 5965 E Broad St STE 460 East Columbus 50 Mcnaughten Rd STE 102 Eastside 4850 E Main St Eye Of Columbus 262 Neil Ave STE 500 Grant Scope 700 East Broad St Knightsbridge 4845 Knightsbridge Blvd STE 110 Mid Ohio 99 N Brice Rd STE 160 Ohio Orthopedic Surgery Institute 4605 Sawmill Rd STE 101 Ohio 930 Bethel Rd Stoneridge 504 Havens Corners Rd STE A Columbus, OH 43230 Stoneridge 3900 Stone Ridge Ln Dublin, OH 43017 Taylor Station Surgical 275 Taylor Station Rd Upper Arlington 2240 Northbank Dr Mount Carmel Health* 793 W State St Columbus, OH 43222 Mount Carmel Health - Grove City 5300 N Meadows Dr Grove City, OH 43123 Mount Carmel Health* 6001 E Broad St Mount Carmel New Albany* Surgical Hospital 7333 Smiths Mill Road New Albany, OH 43054 St. Ann s Hospital* 500 S Cleveland Ave Westerville, OH 43081 Riverside Methodist Hospital* 3535 Olentangy River Rd Grant 111 S Grant Ave Doctors OhioHealth* Corporation 5100 W Broad St Columbus, OH 43228 Dublin Methodist Hospital* 7500 Hospital Dr Dublin, OH 43016 OhioHealth Rehab Hospital* 1087 Dennison Ave Columbus, OH 43201 Taylor Station 275 Taylor Station Rd Eastside / Whitehall Sc 4850 E Main St Upper Arlington Surgery /Rosc 2240 Northbank Dr Columbus, OH43220 Knightsbridge 4845 Knightsbridge Blvd Grant Scope 700 East Broad St Ohio Orthopedic Surgery Institute 4605 Sawmill Rd Ste 101 Page 2 of 5
The Ohio Designated Hospitals and Outpatient s continued Geauga: 510 5th Ave Chardon, OH 44024 At Bainbridge 8185 E Washington St STE 106 Chagrin Falls, OH 44023 UH Geauga 13207 Ravenna Road Chardon, OH 44024 Greene: Miami Valley Amb 1010 Woodman Dr Dayton, OH 45432 Greene Memorial Hospital* 1141 N Monroe Dr Xenia, OH 45385 Hamilton: Amend For Eye Surgery 5939 Colerain Ave Cincinnati, OH 45239 Campbell Surgical 2314 Auburn Ave Cincinnati Eye Institute 1945 Cei Dr West 3654 Werk Rd Cincinnati, OH 45248 HSC Surgical Associates Of Cincinnati 2925 Vernon Pl STE 101 CincinnatiOH45219 Kenwood 8250 Kenwood Crossing Way # 102 Norwood 4746 Montgomery Rd STE 100 Cincinnati, OH 45212 Skin Cancer 3024 Burnet Ave Bldg B Summit Surgical 501 E Business Way Cincinnati, OH 45241 Tri State For Sight 8044 Montgomery Rd STE 155 University 9275 Montgomery Rd Urology 2000 Joseph E Sanker Blvd Cincinnati, OH 45212 Christ Hospital* 2139 Auburn Ave Mercy Hospital Anderson* 7500 State Road Cincinnati, OH 45255 Mercy Hospitals West* 3300 Mercy Health Blvd Cincinnati, OH 45211 Jewish Hospital* - MHP 4777 E Galbraith Rd Bethesda North Hospital* 10500 Montgomery Rd Good Samaritan Hospital* 375 Dixmyth Ave Cincinnati, OH 45220 TriHealth Evendale Hospital* 3155 Glendale Milford Rd Evendale, OH 45241 TriHealth Hand 538 Oak Street Sutie 200 TriHealth 10600 Montgomery Rd Hancock: Findlay 1709 Medical Blvd Findlay, OH 45840 Hardin: Hardin Memorial Hospital* 921 E Franklin St Kenton, OH 43326 Jefferson: Valley 2323 Sunset Blvd SteubenvilleOH43952 Lake: CDH 34940 Ridge Rd STE B 36100 Euclid Ave STE 270 7530 Fredle Dr Painesville, OH 44077 9485 Mentor Ave STE 210 Of Lake County 9614 Old Johnnycake Ridge Rd Page 3 of 5 Mentor 9485 Mentor Ave STE 1 Lake Health (TriPoint Medical )* 7590 Auburn Road Concord Township, OH 44077 Lake Health (West Medical )* 36000 Euclid Avenue UH Mentor 9000 Mentor Avenue Licking: Bloomberg Eye 1651 W Main St Newark, OH 43055 Lorain: Erie Shores 3600 Kolbe Rd STE 019 Lorain, OH 44053 Lorain 4804 Leavitt Rd Lorain, OH 44053 North Coast 1170 E Broad St STE 104 Premium 5319 Hoag Dr UH Elyria 630 E. River Street Lucas: NWO 4841 Monroe St STE 111 Optivue 2740 Navarre Ave Oregon, OH 43616 Optivue 485 W Dussel Dr MaumeeOH43537 Parkway 3500 Executive Pkwy Toledo, OH 43606 At Regency Park 2000 Regency Ct STE 101 Surgicare 5959 Monclova Rd Maumee, OH 43537 The Eye Institute Of Northwest 3509 Briarfield Blvd Maumee, OH 43537 Toledo Clinic Inc/Surgery 4235 Secor Rd West Central Surgical 7055 W Central Ave Toledo, OH 43617 Wildwood Surgical 2865 N Reynolds Rd STE 190 Toledo, OH 43615 Madison: Madison County Hospital 210 N Main St London, OH 43140 Mahoning: Belmont Eye 3020 Belmont Ave Youngstown, OH 44505 For Advanced Eye Surgery 1031 W Western Reserve Rd Poland, OH 44514 For Advanced Eye Surgery 10 Dutton Dr Youngstown, OH 44502 Mill Creek Endoscopy Suites 1210 Boardman Canfield Rd Youngstown, OH 44512 Orthopaedic 6505 Market St Youngstown, OH 44512 Of Canfield 4147 Westford Dr Canfield, OH 44406 Marion: Marion Area Health 1050 Delaware Ave New Horizons 1167 Independence Ave Marion General Hospital* 1000 McKinley Park Dr Medina: Of Northern Ohio 1299 Industrial Pkwy N Brunswick, OH 44212 Medina 3780 Medina Rd STE 120 Medina, OH 44256 Miami: Valley Regional 283 Looney Rd Piqua, OH 45356
The Ohio Designated Hospitals and Outpatient s continued Montgomery: Dayton Eye 81 Sylvania Dr DCR 245 W Elmwood Dr # 100 Dayton, OH 45459 7415 Brandt Pike STE 1 Huber Heights, OH 45424 1530 Needmore Rd STE 100 Dayton, OH 45414 999 Brubaker Dr STE 3 Dayton, OH 45429 Digestivecare Endoscopy 75 Sylvania Dr Of Dayton North 9000 N Main St STE 405 Dayton, OH 45415 Eye Laser And 4235 Indian Ripple Rd STE 110 Governors Place Ambulatory 3025 Governors Place Blvd Dayton, OH 45409 Kunesh Eye 2601 Far Hills Ave Dayton, OH 45419 Premiere Plastic, Cosmetic & Laser Surgery 3533 Southern Blvd STE 4400 Kettering, OH, 45429 PSI 9985 Dayton Lebanon Pke Dayton, OH, 45458 Kettering Medical Sycamore* 4000 Miamisburg-ville Rd Miamisburg, OH 45342 Grandview Hospital 405 W. Grand Ave Dayton, OH 45405 Kettering 3535 Southern Blvd Kettering, OH 45429 Soin Medical 3535 Pentagon Blvd Beavercreek, OH 45431 Medical at Elizabeth Place* 1 Elizabeth Place Dayton, OH 45408 Southview Hospital* 1997 Miamisburg-ville Rd ville, OH 45459 Muskingum: Alternacare 2951 Maple Ave Insight Surgery Laser 3973 N Pointe Dr STE 1 Genesis Healthcare System* 2951 Maple Ave Pickaway: Ohio Eye 210 Sharon Rd Physicians Ambulatory Surgery 1235 S Court St Berger Hospital* 600 N Pickaway St Portage: Western Reserve 1930 State Rt 59 Kent, OH 44240 Robinson Memorial Hospital* 6847 N Chestnut St Ravenna, OH44266 Richland: Advanced Eye Care 1991 Park Ave W Ontario, OH 44906 Ohio Eye Assocs Eye 466 S Trimble Rd Mansfield, OH 44906 Revision Advanced Surgery 240 W Cook Rd Mansfield, OH 44907 MedCentral Health System* 335 Glessner Ave Mansfield, OH 44903 MedCentral Health System -Shelby* 199 W Main St Shelby, OH 44875 Ross: Ross 50 N Plaza Blvd Chillicothe, OH 45601 Southern Ohio Eye 159 E 2nd St Chillicothe, OH 45601 Scioto: Portsmouth 1400 Gay St Portsmouth, OH 45662 Shelby: Valley Eye Institute Association 1118 Fairington Dr Sidney, OH 45365 Stark: CG 3722 Dressler Rd NW Digestive Wellness 4347 Portage St NW STE 102 North Canton, OH 44720 Eye Surgical 800 McKinley Ave NW Canton, OH 44703 Associates 4665 Belpar St NW Of Canton 4124 Munson St NW Specialists 2726 Fulton Dr NW Specialists 6046 Whipple Ave NW North Canton, OH 44720 Oasis 4889 Munson St NW Stark Ambulatory Surgery 4360 Fulton Dr NW STE C Surgery Alliance 975 Sawburg Ave Alliance, OH 44601 Mercy 1320 Mercy Drive NW Canton, OH 44708 Summit: Akron 4125 Medina Rd STE 104 Akron, OH 44333 For Surgery 789 Graham Rd Cuyahoga Falls, OH 44221 Digestive Health 570 White Pond Dr STE 150 Akron, OH 44320 Digestive Wellness 3939 S Cleveland Massillon Rd Barberton, OH 44203 Park West Surgical 1 Park West Blvd STE 26 Akron, OH 44320 Saint Clares 4441 Hudson Dr Stow, OH 44224 Hudson 5700 Darrow Rd STE 109 Hudson, OH 44236 Trumbull: Avamar For Endoscopy 9225 E Market St STE 200 Warren, OH 44484 Lippy 3893 E Market St Warren, OH 44484 Warren Gastrointestinal Endoscopy 1622 E Market St Warren, OH 44483 Tuscarawas: Tuscarawas Amb 320 Oxford St Dover, OH 44622 Union: Marysville Ohio Surgical 122 Professional Pkwy Marysville, OH 43040 Warren: 77 W Eleanor Dr STE 1 Springboro, OH 45066 Southwest Ohio Pain Management 5700 Gateway STE 100B Mason, OH 45040 Washington: Marietta 611 2Nd St STE B Marietta, OH 45750 Mid-Ohio Valley Medical 610 Washington Blvd STE 2 Belpre, OH 45714 Wayne: Eye Of Wooster 3519 Friendsville Rd Wooster, OH 44691 Wooster Ambulatory Surgical 3373 Commerce Pkwy STE 1 Wooster, OH 44691 Page 4 of 5
The Designated Northern Kentucky Hospitals and Outpatient s Boone: For Surgical Care 7575 US 42 Florence, KY 41042 St. Elizabeth* Healthcare-Florence 4900 Houston Rd Florence, KY 41042 Campbell: For Surgical Care 40 N Grand Ave STE 103 Fort Thomas, KY 41075 St. Elizabeth Healthcare - Ft. Thomas* 85 Norht Grand Ave FT. Thomas, KY 41075 Grant: St. Elizabeth Healthcare-Grant* 238 Barnes Rd Williamstown, KY 41097 Kenton: St Elizabeth Phys * 340 Thomas More Pkwy Crestview Hills, KY 41017 Tri-State Digestive Disorder 425 Centre View Blvd Crestview Hills, KY 41017 St Elizabeth Healthcare* 1 Medical Village Dr Edgewood, KY 41017 M54175 6/14 2014 United HealthCare Services, Inc. Page 5 of 5