ILLINOIS HOSPITALS (continued) ILLINOIS HOSPITALS (continued) Moline Trinity Medical Center Shelbyville Shelby Memorial Hospital Monmouth OSF Holy Family Medical Center Silvis Illini Hospital Monticello John & Mary E. Kirby Hospital Skokie Skokie Hospital Morris Morris Hospital Sparta Sparta Community Hospital PPO Morrison Morrison Community Hospital Spring Valley St. Margaret’s Hospital Mount Carmel Wabash General Hospital Springfield St John’s Hospital Mount Vernon Crossroads Community Hospital Memorial Medical Center Hospital Good Samaritan Regional Health Center Staunton Community Memorial Hospital Murphysboro St. Joseph Memorial Hospital Sterling CGH Medical Center Naperville Edward Hospital Streamwood Streamwood Hospital Network Linden Oaks Hospital Streator St. Mary’s Hospital Nashville Washington County Hospital Taylorville Taylorville Memorial Hospital Normal BroMenn Regional Medical Center Urbana Carle Foundation Hospital North Chicago Veteran’s Affairs Medical Center Provena Covenant Medical Center Northlake Kindred Hospital Vandalia Fayette County Hospital Oak Lawn Christ Hospital Medical Center - Advocate Watseka Iroquois Memorial Hospital Oak Park Rush Oak Park Hospital Waukegan Vista Medical Center East West Suburban Hospital Wheaton Marianjoy Rehabilitation Hospital Olney Richland Memorial Hospital Winfield Central DuPage Hospital Olympia Fields St. James Hospital & Health Centers – Woodstock Centegra Hospital Olympia Fields Campus Ottawa Ottawa Regional Hospital Healthcare Center Palos Heights Palos Community Hospital INDIANA HOSPITALS Pana Pana Community Hospital Paris Paris Community Hospital Crown Point St. Anthony Medical Center Park Ridge Lutheran General Hospital - Advocate Dyer St. Margaret Mercy Hospital South Pekin Pekin Hospital Gary Methodist Hospital Northlake Peoria Proctor Hospital Hammond St. Margaret Mercy Healthcare Centers Saint Francis Medical Center Merrillville Methodist Hospital Southlake Peru Illinois Valley Community Hospital Michigan City Memorial Medical Center Pinckneyville Pinckneyville Community Hospital St. Anthony Memorial Health Center BlueCard PPO Hospital Network as of 11/09 Pittsfield Illini Community Hospital Munster Surgical Hospital of Munster Pontiac St. James Hospital For over 65 years, at Blue Cross and Blue Shield of Princeton Perry Memorial Hospital Although there may be some change in the PPO Hospital Network from time Illinois, we’ve made our commitment to members Quincy Blessing Hospital to time, selection of Participating Hospitals will continue to be based upon our #1 priority! Today, over 6.5 million members Red Bud Red Bud Regional Hospital range of services, geographic location and cost effectiveness of care. Please visit Robinson Crawford Memorial Hospital www.bcbsil.com for an up to date listing. have come to rely on the financial strength and Rochelle Rochelle Community Hospital stability of the Blue Cross and Blue Shield of Illinois Rockford St. Anthony Medical Center name. And with that many people placing their Swedish American Hospital confidence in our services, we believe in giving them Van Matre Health South the very best. That’s why we have the largest PPO Rehabilitation Hospital hospital network in the state, with more than 200 Rock Island Trinity Regional Health System participating hospitals! You can even rely on our Rosiclare Hardin County General Hospital A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, Rushville Sarah D. Culbertson Memorial Hospital an Independent Licensee of the Blue Cross and Blue Shield Association coverage when you’re away from home with our Salem Salem Township Hospital nationwide BlueCard PPO network. ® Registered Service Marks of the Blue Cross and Blue Shield Association, Sandwich Valley West Community Hospital an Association of Independent Blue Cross and Blue Shield Plans

SM Service Mark of Health Care Service Corporation

30101.1109 IL ILLINOIS HOSPITALS

Aledo Mercer County Hospital St. Anthony Hospital Granite City Gateway Regional Medical Center Alton Alton Memorial Hospital St. Elizabeth Hospital Greenville Greenville Regional Hospital St. Anthony’s Hospital St. Joseph Hospital Harrisburg Harrisburg Medical Center Anna Union County Hospital St. Mary of Nazareth Hospital Harvard Mercy - Harvard Hospital Arlington Heights Northwest Community Hospital Swedish Covenant Hospital Harvey Ingalls Memorial Hospital Aurora Provena Mercy Medical Center Thorek Memorial Hospital Havana Mason District Hospital Rush Copley Medical Center Trinity Hospital - Advocate Hazel Crest South Suburban Hospital - Advocate Barrington Good Shepherd Hospital - Advocate University of Chicago Medical Center Herrin Herrin Hospital Belleville Memorial Hospital University of Illinois Medical Center Highland St. Joseph’s Hospital St. Elizabeth’s Hospital Veteran’s Affairs Chicago Highland Park Highland Park Hospital Belvidere Northwest Suburban Community Hospital Health Care System Hillsboro Hillsboro Hospital Benton Franklin Hospital Chicago Heights St. James Hospital and Health Centers Hines Edward Hines Jr. Hospital Berwyn MacNeal Hospital Clinton Dr. John Warner Hospital Hinsdale Adventist Hinsdale Hospital Bloomington St. Joseph Hospital Danville Provena United Samaritan RML Specialty Hospital Blue Island MetroSouth Medical Center Medical Center Hoffman Estates Alexian Brothers Behavioral Health Bolingbrook Adventist Bolingbrook Hospital Veteran’s Affairs Medical Center Hospital Breese St. Joseph’s Hospital Decatur Decatur Memorial Hospital St. Alexius Medical Center Canton Graham Hospital St. Mary’s Hospital Hoopeston Hoopeston Community Memorial Carbondale Memorial Hospital of Carbondale DeKalb Kishwaukee Community Hospital Hospital Carlinville Carlinville Area Hospital Des Plaines Holy Family Medical Center Hopedale Hopedale Hospital Carrollton Thomas H. Boyd Memorial Hospital Dixon Katherine Shaw Bethea Hospital Jacksonville Passavant Memorial Area Hospital Carthage Memorial Hospital Downers Grove Good Samaritan Hospital - Advocate Jerseyville Jersey Community Hospital Centralia St. Mary’s Hospital Du Quoin Marshall Browning Hospital Joliet Provena St. Joseph Medical Center Champaign The Pavilion Foundation Hospital Association Silver Cross Hospital Chester Memorial Hospital East St. Louis Kenneth Hall Regional Hospital Kankakee Riverside Medical Center Chicago Bethany Hospital - Advocate Touchette Regional Hospital Provena St. Mary’s Hospital Chicago Lakeshore Hospital Effingham St. Anthony’s Memorial Hospital Kewanee Kewanee Hospital Children’s Memorial Hospital Eldorado Ferrell Hospital LaGrange Adventist LaGrange Memorial Hospital Holy Cross Hospital Elgin Provena St. Joseph Hospital Lake Forest Lake Forest Hospital Illinois Masonic Medical Center - Advocate Sherman Hospital Lawrenceville Lawrence County Memorial Hospital Jackson Park Hospital Elk Grove Village Alexian Brothers Medical Center Libertyville Condell Medical Center - Advocate John H. Stroger Jr. Hospital of Elmhurst Elmhurst Memorial Hospital Lincoln Abraham Lincoln Memorial Hospital Cook County Eureka Eureka Hospital Litchfield St. Francis Hospital Kindred Chicago Central Hospital Evanston NorthShore University Healthsystem Macomb McDonough District Hospital LaRabida Children’s Hospital St. Francis Hospital Marion Heartland Regional Medical Center Louis A. Weiss Memorial Hospital Evergreen Park Little Company of Mary Hospital Maryville Anderson Hospital Mercy Hospital & Medical Center Fairfield Fairfield Memorial Hospital Mattoon Sarah Bush Lincoln Health Center Methodist Hospital of Chicago Flora Clay County Hospital Maywood Loyola University Medical Center Mount Sinai Hospital Medical Center Forest Park Riveredge Hospital McHenry Centegra Hospital Northwestern Memorial Hospital Freeport Freeport Memorial Hospital McLeansboro Hamilton Memorial Hospital Norwegian American Hospital Galena Midwest Medical Center Melrose Park Gottlieb Memorial Hospital Our Lady of the Resurrection Galesburg St. Mary’s Hospital Westlake Community Hospital Medical Center Geneseo Hammond - Henry District Hospital Mendota Mendota Community Hospital Rehabilitation Institute of Chicago Geneva Delnor Community Hospital Metropolis Massac Memorial Hospital Resurrection Hospital Gibson City Gibson Community Hospital Roseland Community Hospital Glendale Heights Adventist Glenoaks Medical Center Rush University Medical Center Glenview Glenbrook Hospital Schwab Rehabilitation Hospital (continued)