Sentinel Security Life Insurance Company

Medicare Select Network

6/29/2011 WELCOME

PARTICIPATING

Welcome to the individual Medicare SELECT Please understand that this directory lists Medicare supplement program from Sentinel participating hospitals as of the publication date. Security Life Insurance Company. We are pleased From time to time, hospitals may be added or to offer these hospitals to our policyholders. removed from the participating . Medicare SELECT has a participating hospital Before receiving care from a hospital, ask the network that is serving the medical needs of your hospital if it’s still participating in our Medicare community by containing costs while SELECT network. maintaining quality health care.

For information on hospitals located in a specific For current information on participating area, please refer to the provider listings on the hospitals call (888) 510-0668. following pages. IF YOU HAVE QUESTIONS IMPORTANT DIRECTORY INFORMATION Our Customer Service staff will be glad to help with your questions or concerns about your coverage, participating hospitals or the care you receive. Please call Customer Service whenever With Medicare SELECT Medicare supplement you have a question, (888) 510-0668. coverage, you have the freedom to choose any participating network hospital in your area. If For details about your coverage, please you need emergency care, your policy pays the read your policy. Medicare Part A deductible no matter what hospital you use. For non-emergency care, you Sentinel Security Life Insurance Company does must use a participating network hospital for the not supervise, control or guarantee the health Medicare Part A deductible to be covered. care services of any hospital, including those participating in its Medicare SELECT hospital IDENTIFICATION CARD (ID) network.

When you’re issued your Medicare SELECT policy, you will receive an ID card. Please present your card whenever you receive medical services.

TABLE OF CONTENTS

Hospitals ………………………………………………………………………………………………………… 1-9 Medicare Select Provider Network by State and County

ARIZONA CALIFORNIA Sanger General Hospital 2558 Jensen Ave Pima Alameda Sanger CA 93657

El Dorado Hospital City Of Alameda Health Care Imperial 1400 N Wilmot District Tucson AZ 85712 2070 Clinton Ave Palo Verde Hospital Alameda CA 94501 250 N 1st St Northwest Medical Center Blythe CA 92225 6200 North La Cholla Blvd Eden Medical Center Tucson AZ 85741 20103 Lake Chabot Rd Kern Castro Valley CA 94546 Northwest Medical Center Bakersfield Memorial Ina Urgent Care Laurel Grove Hospital Hospital 2945 W Ina Rd 19933 Lake Chabot Rd 420 34th St Tucson AZ 85741 Castro Valley CA 94546 Bakersfield CA 93301

Northwest Medical Center San Leandro Hospital Good Samaritan Hospital Outpatient Therapy 13855 E 14th St 901 Olive Dr 2945 W Ina Rd San Leandro CA 94578 Bakersfield CA 93308 Tucson AZ 85741 Colusa Los Angeles Northwest Medical Center Rancho Vistoso Colusa Regional Medical Beverly Hospital Urgent Care Center 309 W Beverly Blvd 13101 N Oracle Rd 199 Webster St Montebello CA 90640 Tucson AZ 85737 Colusa CA 95932 Brotman Medical Center Northwest Rancho Vistoso Fresno 3828 Delmas Ter Imaging Services Culver City CA 90232 13101 N Oracle Rd Coalinga Regional Medical Tucson AZ 85737 Center Coast Plaza Doctors Hospital 1191 Phelps Ave 13100 Studebaker Rd Coalinga CA 93210 Norwalk CA 90650

Kingsburg District Hospital 1200 Smith St Kingsburg CA 93631

Page 1 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County

Covina Valley Community Orange San Francisco Hospital 845 N Lark Ellen Ave Western Medical Center UCSF Medical Center West Covina CA 91791 Anaheim 505 Parnassus Ave 1025 S Anaheim Blvd San Francisco CA 94143 Doctors Hospital Of West Anaheim CA 92805 Covina Santa Clara 725 S Orange Ave Western Medical Center West Covina CA 91790 Santa Ana Stanford Medical Center 1001 N Tustin Ave 300 Pasteur Dr Miracle Mile Medical Center Santa Ana CA 92705 Stanford CA 94305 6000 San Vicente Blvd Los Angeles CA 90036 Riverside Stanislaus

Pacifica Hospital Of The San Gorgonio Memorial Oak Valley District Hospital Valley Hospital 350 S Oak Ave 9449 San Fernando Rd 600 N Highland Springs Ave Oakdale CA 95361 Sun Valley CA 91352 Banning CA 92220 COLORADO Silver Lake Medical Center San Bernardino 1711 W Temple St Alamosa Los Angeles CA 90026 Doctors Hospital 5000 San Bernardino St San Luis Valley Regional St Johns Hospital & Health Montclair CA 91763 Care Center Medical Center 1328 22nd St 106 Blanca Ave Mountains Community Alamosa CO 81101 Santa Monica CA 90404 Hospital 29101 Hospital Rd Temple Lake Arrowhead CA 92352 FLORIDA 235 N Hoover St Los Angeles CA 90004 San Diego Indian River County USC University Hospital Fallbrook Hospital Indian River Medical Center 1500 San Pablo St 624 E Elder St 1000 36th St Los Angeles CA 90033 Fallbrook CA 92028 Vero Beach FL 32960

Page 2 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County

Pinellas County Scott Shawnee

Largo Medical Center - Indian Trinity At Terrace Park St Francis Hospital and Rocks Campus 4500 Utica Ridge Rd Medical Center 2025 Indian Rocks Rd Bettendorf IA 52722 1700 SW 7th St Largo FL 33774 Topeka KS 66606 Story IDAHO LOUISIANA Story County Hospital Ada 630 6th St Acadia IA 50201 Complex Care Hospital Of American Legion Hospital Idaho KANSAS 1305 Crowley Rayne Hwy 2131 S Bonito Way Crowley LA 70526 Meridian ID 83642 Greenwood Bossier IOWA Greenwood County Hospital 100 W 16th St CHRISTUS Schumpert Delaware Eureka KS 67045 Bossier 2105 Airline Drive Regional Medical Center Of Johnson Bossier City LA 71111 Ne Ia And Del 709 W Main St Heartland Spine and Caddo Manchester IA 52057 Specialty Hospital 10720 Nall Ave CHRISTUS Schumpert - St Polk Overland Park KS 66211 Mary Place One St Mary Place Broadlawns Medical Center Sedgwick Shreveport LA 71101 1801 Hickman Rd Des Moines IA 50314 Kansas Surgery and CHRISTUS Schumpert Recovery Center Highland Pottawattamie 2770 N Webb Rd 1453 E Bert Kouns Wichita KS 67226 Shreveport LA 71105 Jennie Edmundson Memorial Hospital 933 E Pierce St Council Bluffs IA 51503

Page 3 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County

Calcasieu Lincoln Rapides

CHRISTUS St Patrick Green Clinic Surgical CHRISTUS St Frances Hospital Hospital Cabrini Hospital 524 S Ryan St 1118 S Farmerville St 3330 Masonic Dr Lake Charles LA 70601 Ruston LA 71270 Alexandria LA 71301

Jefferson Orleans Red River

Doctors Hospital of Jefferson Memorial Medical Center - CHRISTUS Coushatta Health 4320 Houma Blvd Baptist Care Center Metairie LA 70006 2700 Napoleon Ave 1635 Marvelle St New Orleans LA 70115 Coushatta LA 71019 Kenner Regional Medical Center Memorial Medical Center - Saint Landry 180 W Esplanade Ave Mercy Kenner LA 70065 301 N Jefferson Davis Pkwy Opelousas General Hospital New Orleans LA 70119 539 E Prudhomme St Meadowcrest Hospital Opelousas LA 70570 2500 Belle Chasse Hwy Methodist Hospital Gretna LA 70056 5620 Read Blvd St John The Baptist New Orleans LA 70127 Lafayette River Parishes Hospital Ouachita 500 Rue De Sante Lafayette General Medical La Place LA 70068 Center P & S Surgical Hospital 1214 Coolidge St 312 Grammont St St Martin Lafayette LA 70503 Monroe LA 71201 St Martin Hospital Lafayette General Surgical St Francis Medical Center 210 Champagne Blvd Center 309 Jackson St Breaux Bridge LA 70517 1000 West Pinhook Rd Monroe LA 71210 Lafayette LA 70503 St Tammany St Francis North Hospital Rehabilitation Hospital of 3421 Medical Park Dr NorthShore Regional Medical Acadiana Monroe LA 71203 Center 310 Youngsville Highway 100 Medical Center Dr Lafayette LA 70508 Slidell LA 70461 Page 4 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County

Terrebonne NEVADA NORTH CAROLINA

Terrebonne General Medical Clark Orange Center 8166 Main St Desert Springs Hospital University of North Carolina Houma LA 70360 Medical Center Hospitals 2075 E Flamingo Rd 101 Manning Dr Vermilion Las Vegas NV 89119 Chapel Hill NC 27514

Abrom Kaplan Memorial Spring Valley Hospital Rockingham 1310 W 7th St Medical Center Kaplan LA 70548 5400 S Rainbow Blvd Annie Penn Memorial Las Vegas NV 89118 Hospital Webster 618 S Main St Medical Reidsville NC 27320 Springhill Medical Center Center 2001 Doctors Dr 657 Town Center Drive OKLAHOMA Springhill LA 71075 Las Vegas NV 89134 Oklahoma NEBRASKA Valley Hospital Medical Center Edmond Medical Center Douglas 620 Shadow Ln One S Bryant St Las Vegas NV 89106 Edmond OK 73034 Nebraska Methodist Hospital 8303 Dodge St Washoe OU Medical Center Omaha NE 68114 1200 N Everett Dr St Marys Regional Medical Oklahoma City OK 73104 Garden Center 235 W 6th St Presbyterian Tower Hospital Garden County Health Reno NV 89503 700 NE 13th St Services Oklahoma City OK 73104 1100 W 2nd St Oshkosh NE 69154 Tulsa

Hillcrest Medical Center 1120 S Utica Ave Tulsa OK 74104

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by State and County Oklahoma State University Bexar Burleson Medical Center 744 W 9th St CHRISTUS Santa Rosa Burleson St Joseph Health Tulsa OK 74127 Hospital Center 519 W Houston St 1101 Woodson Dr TEXAS San Antonio TX 78207 Caldwell TX 77836

Anderson CHRISTUS Santa Rosa Somerville Family Medicine Medical Center Clinic Palestine Regional Medical 2827 Babcock Rd 600 Avenue C Center - E Campus San Antonio TX 78229 Somerville TX 77879 2900 S Loop 256 Palestine TX 75802 CHRISTUS Santa Rosa Rehab St Joseph - Caldwell Family Hospital Medicine Clinic Palestine Regional Medical 2827 Babcock Rd, 1st Floor 1103 Woodson Dr Center - W Campus San Antonio TX 78229 Caldwell TX 77836 4000 S Loop 256 Palestine TX 75802 Brazos Cherokee

Angelina St Josephs Home Health Mother Frances Hospital - 3030 E 29th St, Suite 108 Jacksonville Memorial Medical Center of Bryan TX 77802 2026 S Jackson East Texas Jacksonville TX 75766 1201 Frank St Josephs Regional Health Lufkin TX 75904 Center Colorado 2801 Franciscan Dr Memorial Specialty Hospital Bryan TX 77802 Rice Medical Center 1201 Frank 600 S Austin Rd Lufkin TX 75904 St Josephs Regional Eagle Lake TX 77434 Rehabilitation Ctr Bee 1600 Joseph Dr Ector Bryan TX 77802 CHRISTUS Spohn Hospital Medical Center Hospital - Beeville Odessa 1500 E Houston St 500 W 4th St Beeville TX 78102 Odessa TX 79760

Page 6 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County Gregg Jasper Kleberg

Good Shepherd Medical CHRISTUS Jasper Memorial CHRISTUS Spohn Hospital Center Hospital Kleberg 700 E Marshall Ave 1275 Marvin Hancock Dr 1300 General Cavazos Blvd Longview TX 75601 Jasper TX 75951 Kingsville TX 78363

Laird Memorial Hospital Jefferson Lee 1612 S Henderson Blvd Kilgore TX 75662 CHRISTUS Hospital St Mary Burleson St Joseph 3600 Gates Blvd Lexington Family Medical Grimes Port Arthur TX 77642 Clinic 609 Main St Grimes St Joseph Health CHRISTUS Outpatient Center Lexington TX 78947 Center 3701 Highway 73 210 S Judson St Port Arthur TX 77642 Leon Navasota TX 77868 Memorial Hermann Baptist Powell Memorial Health Harris Beaumont Hospital Center 3576 College St 102 E Main CHRISTUS St Catherine Beaumont TX 77701 Centerville TX 75833 Health & Wellness Center 701 S Fry Rd Jim Wells St Joseph - Normangee Katy TX 77450 Family Medical Clinic CHRISTUS Spohn Hospital Highway 3 W, Main and 9th St CHRISTUS St John Hospital Alice Normangee TX 77871 18300 St John Dr 2500 E Main St Nassau Bay TX 77058 Alice TX 78332 Lubbock

St Joseph Medical Center Kaufman University Medical Center 1401 St Joseph Parkway 602 Indiana Ave Houston TX 77002 Medical Center at Terrell Lubbock TX 79415 1551 Highway 34 S Terrell TX 75160

Page 7 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County

Madison Corpus Christi Medical Polk Center Bay Area Surgery J B Heath Family Health 7101 S Padre Island Dr Memorial Medical Center Center Corpus Christi TX 78469 Livingston 100 W Cross St 1717 Hwy 59 Bypass Madisonville TX 77864 Corpus Christi Medical Livingston TX 77351 Center - The Heart Hospital Madison St Joseph Health 7002 Williams Dr Potter Center Corpus Christi TX 78412 100 W Cross St Baptist St Anthonys Health Madisonville TX 77864 Corpus Christi Medical System - Baptist Campus Center 1600 Wallace Blvd Nacogdoches 7101 S Padre Island Dr Amarillo TX 79106 Corpus Christi TX 78469 Nacogdoches Medical Center Baptist St Anthonys Health 4920 NE Stallings Dr Doctors Regional Medical System - St Anthonys Nacogdoches TX 75965 Center Campus 3315 S Alameda St 200 NW 7th Nueces Corpus Christi TX 78469 Amarillo TX 79107

CHRISTUS Spohn Hospital Northwest Regional Hospital Physicians Surgical Hospital Corpus Christi - Memorial 13725 Northwest Blvd 7100 W 9th 2606 Hospital Blvd Corpus Christi TX 78469 Amarillo TX 79106 Corpus Christi TX 78405 Orange Physicians Surgical Hospital CHRISTUS Spohn Hospital 6819 Plum Crk Corpus Christi - Shoreline Mem. Hermann Baptist Amarillo TX 79124 600 Elizabeth St Orange Hospital Corpus Christi TX 78404 608 Strickland Robertson Orange TX 77630 CHRISTUS Spohn Hospital St Joseph - Franklin Family Corpus Christi - South Panola Medicine Clinic 5920 Saratoga Blvd 305 Gay St Corpus Christi TX 78405 East Texas Medical Center Franklin TX 77856 Carthage 409 W Cottage Rd Carthage TX 75633

Page 8 of 9 Sentinel Medicare Select Provider Network 6/29/2011 Medicare Select Provider Network by State and County

St Joseph - Hearne Family UT Health Center at Tyler WASHINGTON Medicine Clinic 11937 US Hwy 271 709 Barton St Tyler TX 75708 Kittitas Hearne TX 77859 UTAH Kittitas Valley Community San Augustine Hospital Davis 603 S Chestnut St Memorial Medical Center - Ellensburg WA 98926 San Augustine Davis Hospital & Medical 511 Hospital St Center Pacific San Augustine TX 75972 1600 W Antelope Dr Layton UT 84041 Willapa Harbor Hospital San Patricio 800 Alder St Salt Lake South Bend WA 98586 North Bay Hospital 1711 W Wheeler Ave Jordan Valley Hospital Aransas Pass TX 78336 3580 W 9000 S West Jordan UT 84088 Shelby Pioneer Valley Hospital Shelby Regional Medical 3460 S Pioneer Parkway Center West Valley City UT 84120 602 Hurst St Center TX 75935 Salt Lake Regional Medical Center Smith 1050 E S Temple Salt Lake City UT 84102 Trinity Mother Frances Health Systems University of Utah Hospitals 800 E Dawson and Clinics Tyler TX 75701 50 N Medical Dr Salt Lake City UT 84132 Tyler ContinueCARE Hospital 800 E Dawson Tyler TX 75701

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