Medicare Select * Contracting Listing

How Medicare Select Works Medicare Select and standard Medicare Supplement plans cover the same benefits. However, if you have a Medicare Select plan, you must use a Medicare Select hospital for non-emergency admissions or you will have to pay the Part A deductible. You are fully covered for emergency care at any hospital, and you can still choose your own doctors and specialists. Sometimes there are changes to the Medicare Select Hospital Network. If you have any questions about this listing, please call 1-877-384-9297.

ILLINOIS ALEDO BERWYN Genesis Medical Center Aledo MacNeal Hospital Community First 409 N.W. 9th Ave. 3249 S. Oak Park Ave. Medical Center Aledo, IL 61231 Berwyn, IL 60402 5645 W. Addison St. Chicago, IL 60634 ARLINGTON HEIGHTS BOLINGBROOK Holy Cross Hospital *** Northwest Community Adventist Medical Center 2701 W. 68th St. Hospital 500 Remington Blvd. Chicago, IL 60629 800 W. Central Rd. Bolingbrook, IL 60440 Arlington Heights, IL 60005 Masonic CANTON Medical Center ** 836 W. Wellington Ave. AURORA Graham Hospital Chicago, IL 60657 Rush Copley Medical Center 210 Walnut St. 2000 Ogden Ave. Canton, IL 61520 Jackson Park Hospital Aurora, IL 60504 7531 S. Stony Island Ave. CENTREVILLE Chicago, IL 60649 Mercy Medical Center *** 1325 N. Highland Ave. Touchette Regional Hospital John H. Stroger, Jr. Aurora, IL 60506 5900 Bond Ave. Hospital of Cook County Centreville, IL 62207 1969 W. Ogden Ave. BARRINGTON Chicago, IL 60612 Good Shepherd Hospital ** Louis A. Weiss 450 W. IL HWY 22 Memorial Hospital Barrington, IL 60010 4646 N. Marine Dr. Chicago, IL 60640

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Current as of 10/1/20. Please visit www.bcbsil.com/medicare for an up-to-date listing.

ILMSHL20 30189.1020 ILLINOIS HOSPITALS (continued)

Mercy Hospital and St. Joseph Hospital Chicago *** DECATUR 2900 N. Lake Shore Dr Medical Center Decatur Memorial Hospital 2525 S. Michigan Ave. Chicago, IL 60657 2300 N. Edward St. Chicago, IL 60616 Saints Mary and Elizabeth Decatur, IL 62526 *** Mount Sinai Hospital Medical Center St. Mary’s Hospital 1500 S. Fairfield Ave. 2233 W. Division St. 1800 E. Lake Shore Dr. Chicago, IL 60608 Chicago, IL 60622 Decatur, IL 62521 Northwestern Memorial Shirley Ryan Ability Lab Hospital 355 E. Erie St. DEKALB 251 E. Huron St. Chicago, IL 60611 Northwestern Kishwaukee Chicago, IL 60611 Swedish Hospital Hospital Norwegian American Hospital 5145 N. California Ave. 1 Kish Hospital Dr. 1044 N. Francisco Ave. Chicago, IL 60625 DeKalb, IL 60115 Chicago, IL 60622 Thorek Memorial Hospital DES PLAINES Provident Hospital of 850 W. Irving Park Rd. Chicago Behavioral Hospital Cook County Chicago, IL 60613 555 Wilson Ln. 500 E. 51st St. ** Trinity Hospital Des Plaines, IL 60016 Chicago, IL 60615 2320 E. 93rd St. Holy Family Medical Center *** Resurrection Medical Chicago, IL 60617 100 N. River Rd. Center *** University of Chicago Des Plaines, IL 60016 7435 W. Talcott Ave. Medical Center Chicago, IL 60631 5841 S. Maryland Ave. DOWNERS GROVE RML Chicago Chicago, IL 60637 Good Samaritan Hospital ** 3435 W. Van Buren St. University of Illinois 3815 Highland Ave. Chicago, IL 60624 Medical Center Downers Grove, IL 60515 Roseland Community Hospital 1740 W. Taylor St. 45 W. 111th St. Chicago, IL 60612 ELGIN Chicago, IL 60628 St. Joseph Hospital Elgin *** CLINTON Schwab Rehabilitation 77 N. Airlite St. Hospital Warner Hospital and Elgin, IL 60123 1401 S. California Ave. Health Services Sherman Hospital ** Chicago, IL 60608 422 W. White St. 1425 N. Randall Rd. Clinton, IL 61727 Saint Anthony Hospital Elgin, IL 60123 2875 W. 19th St. DANVILLE ELK GROVE VILLAGE Chicago, IL 60623 OSF Sacred Heart Alexian Brothers Saint Elizabeth Hospital *** Medical Center Medical Center *** 1431 N. Claremont Ave. 812 N. Logan Ave. 800 Biesterfield Rd. Chicago, IL 60622 Danville, IL 61832 Elk Grove Village, IL 60007 ILLINOIS HOSPITALS (continued)

ELMHURST GLENVIEW HUNTLEY Elmhurst Memorial Hospital Northshore Glenbrook Northwestern Huntley Main Campus Hospital Hospital 155 E. Brush Hill Rd. 2100 Pfingsten Rd. 10400 Haligus Rd. Elmhurst, 60126 Glenview, IL 60026 Huntley, IL 60142

EVANSTON HARVEY JOLIET Northshore Evanston Hospital Ingalls Memorial Hospital St. Joseph Medical Center *** 2650 Ridge Ave. 1 Ingalls Dr. 333 N. Madison St. Evanston, IL 60201 Harvey, IL 60426 Joliet, IL 60435 *** St. Francis Hospital HAZEL CREST KANKAKEE 355 Ridge Ave. ** Evanston, 60202 South Suburban Hospital 17800 S. Kedzie Ave. 350 N. Wall St. EVERGREEN PARK Hazel Crest, IL 60429 Kankakee, IL 60901 *** OSF Little Company of HIGHLAND PARK St. Mary’s Hospital Mary Hospital 500 W. Court St. 2800 W. 95th St. Northshore Highland Park Kankakee, IL 60901 Evergreen Park, IL 60805 Hospital 777 Park Ave. West LA GRANGE FOREST PARK Highland Park, IL 60035 Adventist Medical Center *** Riveredge Hospital HINSDALE La Grange 8311 W. Roosevelt Rd. 5101 S. Willow Springs Rd. Forest Park, IL 60130 Adventist Medical Center La Grange, IL 60525 Hinsdale *** GALESBURG 120 N. Oak St. LAKE FOREST OSF St. Mary Medical Center Hinsdale, IL 60521 Northwestern Lake Forest 3333 N. Seminary St. RML Specialty Hospital Hospital Galesburg, IL 61401 5601 S. County Line Rd. 1000 N. Westmoreland Rd. Hinsdale, IL 60521 Lake Forest, IL 60045 GENEVA Northwestern Delnor HOFFMAN ESTATES MAYWOOD Hospital St. Alexius Medical Center *** Loyola University 300 Randall Rd. 1555 Barrington Rd. Medical Center Geneva, IL 60134 Hoffman Estates, IL 60169 2160 S. 1st Ave. Alexian Brothers Behavioral Maywood, IL 60153 GLENDALE HEIGHTS *** Health Hospital MCHENRY Adventist Medical Center 1650 Moon Lake Blvd. GlenOaks Hoffman Estates, IL 60169 Northwestern McHenry 701 Winthrop Ave. Hospital Glendale Heights, IL 60139 4201 W. Medical Center Dr. McHenry, IL 60050 ILLINOIS HOSPITALS (continued)

MELROSE PARK PALOS HEIGHTS ROCKFORD Gottlieb Memorial Hospital Palos Hospital OSF St. Anthony 701 W. North Ave. 12251 S. 80th Ave. Medical Center Melrose Park, IL 60160 Palos Heights, IL 60463 5666 E. State St. Rockford, IL 61108 MOLINE PANA Van Matre Encompass Health UnityPoint Health Trinity Pana Community Hospital Rehabilitation Hospital 500 John Deere Rd. 101 E. Ninth St. 950 S. Mulford Rd. Moline, IL 61265 Pana, IL 62557 Rockford, IL 61108

NAPERVILLE PARK RIDGE SANDWICH ** Edward Hospital Lutheran General Hospital Northwestern Valley West 801 S. Washington St. 1775 Dempster St. Hospital Naperville, IL 60540 Park Ridge, IL 60068 1302 N. Main St. Sandwich, IL 60548 NEW LENOX PEKIN UnityPoint Health Pekin SILVIS 1900 Silver Cross Blvd. 600 S. 13th St. Genesis Medical Center Silvis New Lenox, IL 60451 Pekin, IL 61554 801 Illini Dr. Silvis, IL 61282 OAK LAWN PEORIA Christ Medical Center ** UnityPoint Health – Proctor SKOKIE 4440 W. 95th St. 5409 N. Knoxville Ave. Northshore Skokie Hospital Oak Lawn, IL 60453 Peoria, IL 61614 9600 Gross Point Rd. Skokie, IL 60076 OAK PARK OSF St. Francis Medical Center 530 N.E. Glen Oak Ave. Rush Oak Park Hospital Peoria, IL 61637 SPRINGFIELD 520 S. Maple Ave. Memorial Medical Center Oak Park, IL 60304 PONTIAC 701 N. 1st St. West Suburban Medical OSF St. James Hospital Springfield, IL 62702 Center 2500 W. Reynolds St. St. John’s Hospital 3 Erie Court Pontiac, IL 61764 800 E. Carpenter St. Oak Park, IL 60302 Springfield, IL 62702 ROCK ISLAND OLYMPIA FIELDS UnityPoint Health Trinity TAYLORVILLE Franciscan Health 2701 17th St. Taylorville Memorial Hospital Olympia Fields Rock Island, IL 61201 201 E. Pleasant St. 20201 Crawford Ave. Taylorville, IL 62568 Olympia Fields, IL 60461 ILLINOIS HOSPITALS (continued)

URBANA WHEATON WOODSTOCK OSF Heart of Mary Marianjoy Rehabilitation Northwestern Woodstock Medical Center Hospital Hospital 1400 W. Park St. 26W171 Roosevelt Rd. 3701 Doty Rd. Urbana, IL 61801 Wheaton, IL 60187 Woodstock, IL 60098

WATSEKA WINFIELD Iroquois Memorial Hospital Northwestern Central DuPage 200 E. Fairman Ave. Hospital Watseka, IL 60970 25 N. Winfield Rd. Winfield, IL 60190

Only certain hospitals are network providers under this policy. Check with your to determine if he or she has admitting privileges at the network hospital. If he or she does not, you may be required to use another physician at time of hospitalization or you will be required to pay for all expenses. * The Medicare Select option requires that you live within 30 miles of any Medicare Select contracting hospital listed here. ** Advocate *** AMITA Health A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 30189.1020