Optima Hospital Network Red Hospitalaria Optima
This list is subject to change without prior notification Esta lista esta sujeta a cambios sin previa notificación (Rev. 04/01/2019) Super Special & Extra Bonus Benefits Beneficios de los hospitales Súper Especiales & Extra Bonus
*Super Special **Extra Bonus
Super Special Hospital Benefits (Beneficios de los hospitales Súper Especiales) Deductible reduction up to $1,000 (Reducción de deducible hasta $1,000) Coinsurance Waived (Eliminacion de Coaseguro) $500 Payable for Airline Ticket ($500 para pasaje aéreo)
Extra Bonus Hospitals Benefits (Beneficios de Hospitales Extra Bonus) Deductible Up to $5,000 Waived (Eliminacion Del Deducible Hasta $5,000) Coinsurance Waived (Eliminacion del Coaseguro) $800 Payable for Airline Tickets if admitted to Extra Bonus Hospital ($800 rembolsables por boleto aéreo si es admitido en un hospital extra bono) 4 Days Lodging/Max $150 (4 Dias de Alojamiento/Max $150) $50 Car Rental/Max 5 Days ($50 Alquiler de Carro/Max 5 Dias)
For admissions of less than 48 Hours in an Extra Bonus Hospital, only Super Special hospital benefits apply. (Para admisiones de menos de 48 horas en un hospital extra-bono, solo aplican los beneficios de un hospital súper especial.)
For Organ Transplant Facilities, contact MWG International (Para facilidades de Trasplante de Órganos, contacte MWG International)
AUTHORIZED FACILITIES FOR CANCER TREATMENT (CENTROS AUTORIZADOS PARA TRATAMIENTO DE CANCER) 21st Century Oncology USA California Hematology Oncology Med Group El Segundo State/Estado City/Ciudad Number/Numero
ALABAMA Shelby Baptist Medical Center* Alabaster Stringfellow Memorial Hospital Aniston 256.235.8900 Brookwood Medical Center* Birmingham Princeton Baptist Medical Center* Birmingham Citizens Baptist Medical Center* Talladega ARIZONA Arizona Orthopedic and Surgical Specialty Hospital Chandler 480.603.9000 Banner Gateway Medical Center* Gilbert 480.543.2000 Mercy Gilbert Medical Center Gilbert 480.728.8000 Arrowhead Hospital* Glendale 623.561.1000 Banner Thunderbird Medical Center* Glendale 602.588.5555 Abrazo Campus West Goodyear Banner Baywood Heart Hospital* Mesa 480.854.5000 Banner Baywood Medical Center* Mesa 480.321.2000 Banner Desert Medical Center* Mesa 480.412.3000 Banner Mesa Medical Center* Mesa Carondelet Holy Cross Hospital Nogales Arizona Heart Hospital Phoenix 602.532.1000 Banner Estrella Medical Center* Phoenix 623.327.4000 Banner Good Samaritan Medical Center* Phoenix 602.839.2000 Banner University Medical Center Phoenix* Phoenix Abrazo Maryvale Campus Phoenix 623.848.5000 Abrazo Scottsdale Campus Phoenix Abrazo Central Campus Phoenix Banner Boswell Medical Center* Sun City 623.832.4000 Banner Del E Webb Medical Center* Sun City West 623.524.4000 Banner University Medical Center South* Tucson Banner University Medical Center Tucson* Tucson Carondelet St. Joseph's Medical Center Tucson 520.873.3000 Carondelet St. Mary's Medical Center Tucson 520.872.3000 ARKANSAS Magnolia Regional Medical Center Magnolia Howard Memorial Hospital Nashville Summit Medical Center* Van Buren 479.474.3401 CALIFORNIA West Anaheim Medical Center* Anaheim Chino Valley Medical Center Chino Clovis Community Medical Center Clovis Encino Hospital Medical Center* Encino Fountain Valley Regional Hospital & Medical Center Fountain Valley 714.966.7200 Community Regional Medical Center Fresno Fresno Fresno Heart & Surgical Hospital Fresno Garden Grove Hospital Medical Center Garden Grove Glendora Community Hospital Glendora Huntington Beach Hospital* Huntington Beach John F. Kennedy Memorial Hospital* Indio 760.347.6191 Centinela Hospital Medical Center* Inglewood Hi-Desert Medical Center Joshua Tree UCSD Medical Center - Thornton Hospital La Jolla 858.657.7000 La Palma Intercommunity Hospital* La Palma Lakewood Regional Medical Center Lakewood 562.531.2550 St. Mary's Medical Center Long Beach Long Beach 562.491.9000 Los Alamitos Medical Center Los Alamitos 562.598.1311 California Hospital Medical Center Los Angeles Keck Hospital of USC* Los Angeles 323.442.8500 Children’s Hospital of Los Angeles* Los Angeles USC Norris Cancer Hospital* Los Angeles Doctors Hospital of Manteca* Manteca 209.823.3111 Doctors Medical Center of Modesto* Modesto 209.578.1211 Montclair Hospital Medical Center* Montclair Paradise Valley Hospital* National City Desert Regional Medical Center* Palm Springs 760.416.4566 Placentia-Linda Hospital Placentia 714.993.2000 Eisenhower Medical Center* Rancho Mirage 760.340.3911 Shasta Regional Medical Center Redding Sequoia Hospital Redwood City 650.369.5811 Community Hospital San Bernardino San Bernardino St. Bernardine Medical Center San Bernardino Alvarado Hospital Medical Center* San Diego 619.287.3270 UCSD Medical Center San Diego 619.543.6222 San Dimas Community Hospital San Dimas Saint Francis Memorial Hospital San Francisco St. Mary's Medical Center San Francisco 415.668.1000 Sierra Vista Regional Medical Center San Luis Obispo 805.546.7600 San Ramon Regional Medical Center San Ramon 925.275.9200 Sherman Oaks Hospital Sherman Oaks Twin Cities Community Hospital* Templeton 805.434.3500 Emanuel Medical Center* Turlock Desert Valley Hospital* Victorville 760.241.8000 COLORADO Denver Health Medical Center Denver 303.436.6000 Presbyterian St. Luke's Medical Center Denver 303.839.6000 Rose Medical Center Denver 303.320.2121 FLORIDA Florida Hospital Altamonte* Altamonte Springs 407.303.2200 Florida Hospital Apopka* Apopka 407.889.1000 JFK Medical Center Atlantis Aventura Hospital and Medical Center* Aventura 305.682.7000 Bartow Regional Medical Center Bartow 863.533.8111 Florida Hospital Celebration Health* Celebration 407.303.4000 Coral Gables Hospital* Coral Gables Broward Health Coral Springs** (Extra Bonus) Coral Springs Heart of Florida Regional Medical Center Davenport 863.422.4971 Florida Hospital Memorial Medical Center Daytona Beach Broward Health North** (Extra Bonus) Deerfield Beach 954.941.8300 Florida Hospital Deland Deland 386.943.4522 Delray Medical Center* Delray Beach 561.498.4440 Broward General Medical Center** (Extra Bonus) Fort Lauderdale Broward Health Imperial Point** (Extra Bonus) Fort Lauderdale Cleveland Clinic Florida Health Systems Fort Lauderdale Holy Cross Hospital** (Extra Bonus) Fort Lauderdale 954.771.8000 Plantation General Hospital Fort Lauderdale Westside Regional Medical Center Fort Lauderdale Hialeah Hospital* Hialeah Palmetto General Hospital* Hialeah 305.823.5000 Lawnwood Regional Medical Center Key West 772.461.4000 Lower Keys Medical Center Key West 305.294.5531 Florida Hospital Kissimmee* Kissimmee 407.846.4343 Florida Hospital Heartland Lake Placid Lake Placid Lehigh Regional Medical Center* Lehigh Acres 239.369.2101 Palms West Hospital Loxahatchee 561.798.3300 Fishermen’s Hospital Marathon 305.743.5533 Anne Bates Leach Eye Hospital/Bascom Palmer Eye Institute** Miami (Extra Bonus) Holtz Children's Hospital** (Extra Bonus) Miami 305.585.5437 Jackson Memorial Hospital** (Extra Bonus) Miami 305.585.1111 Jackson South Community Hospital** (Extra Bonus) Miami Kendall Regional Medical Center Miami 305.223.3000 Mercy Hospital Miami 305.854.4400 Miami Childrens Hospital Miami North Shore Medical Center* Miami 305.835.6000 University of Miami Hospital & Clinics** (Extra Bonus) Miami 305.689.5511 Mount Sinai Medical Center Miami Beach 305.674.2121 Santa Rosa Medical Center Milton Physicians Regional Medical Center – Collier Blvd. Naples Physicians Regional Medical Center – Pine Ridge Naples Jackson North Medical Center** (Extra Bonus) North Miami Beach Raulserson Hospital Okeechobee Florida Hospital Fish Memorial Orange City 386.917.5000 Florida Hospital East Orlando* Orlando 407.303.8110 Florida Hospital Main Campus* Orlando Florida Hospital Oceanside Ormond Beach 386.672.4161 Palm Beach Gardens Medical Center* Palm Beach Gardens 561.622.1411 Florida Hospital Flagler Palm Coast 386.586.2000 Northwest Medical Center Pompano Beach 954.974.0400 St. Cloud Regional Medical Center Saint Cloud 407.892.2135 Florida Hospital Heartland Medical Center Sebring Highlands Regional Medical Center Sebring 863.385.6101 University Hospital & Medical Center Tamarac 954.721.2200 Florida Hospital Carrollwood Tampa Florida Hospital Tampa Tampa 813.971.6000 Florida Hospital North Pinellas Tarpon Springs Florida Hospital Waterman* Tavares 352.253.3333 West Boca Medical Center** (Extra Bonus) West Boca 561.488.3000 JFK Medical Center – North Campus West Palm Beach St. Mary's Medical Center* West Palm Beach 561.844.6300 Cleveland Clinic Florida Hospital Weston 954.659.5000 Florida Hospital Winter Park* Winter Park Florida Hospital Zephyrhills Zephyrhills GEORGIA East Georgia Regional Medical Center Statesboro Barrow Regional Medical Center Winder 770.867.3400 ILLINOIS MacNeal Hospital Berwyn 708.783.9100 Weiss Memorial Hospital* Chicago 773.878.8700 Westlake Hospital Melrose Park 708.681.3000 INDIANA Monroe Hospital* Bloomington 812.825.1111 KANSAS Providence Medical Center* Kansas City Saint John Hospital* Leavenworth KENTUCKY Paul B Hall Regional Medical Center Paintsville 606.789.3511 LOUISIANA Christus St. Frances Cabrini Alexandria 318.487.1122 Ochsner Mecical Group Baton Rouge 225.752.2470 Lafayette General Medical Center Lafayette 337.289.7991 Ochsner Baptist Medical Center New Orleans 504.899.9311 MASSACHUSETTS Beth Israel Deaconess Medical Center Boston Boston Childrens Heart Foundation Boston Massachusetts Eye and Ear Infirmary Boston Steward St. Elizabeth’s Medical Center Boston Tufts Medical Center Boston MetroWest Medical Center – Framingham Union Hospital* Framingham MetroWest Medical Center – Leonard Morse Hospital* Natick Saint Vincent Hospital* Worcester MICHIGAN DMC Children’s Hospital of Michigan Detroit DMC Detroit Receiving Hospital* Detroit 313.745.6035 DMC Harper University Hospital* Detroit 313.745.3000 DMC Hutzel Women’s Hospital* Detroit 313.745.8040 DMC Sinai-Grace Hospital* Detroit 313.966.3300 Garden City Hospital* Garden City Lake Huron Medical Center* Port Huron Children’s Hospital of Michigan Troy MISSOURI St. Mary’s Medical Center* Blue Springs St. Joseph Medical Center* Kansas City Twin Rivers Regional Medical Center Kennett Poplar Bluff Regional Medical Center – North Poplar Bluff Poplar Bluff Regional Medical Center – South Poplar Bluff Des Peres Hospital* St. Louis MISSISSIPPI Merit Health Gilmore Memorial Amory Merit Health Biloxi Biloxi 228.432.1571 Merit Health Rankin Brandon 601.825.2811 Merit Health Madison Canton 601.855.4000 Merit Health Northwest Mississippi Clarksdale 662.627.3211 Merit Health River Oaks Flowood 601.932.1030 Merit Health Woman’s Hospital Flowood 601.932.1000 Merit Health Central Jackson 601.376.1000 Merit Health Natchez Natchez NEVADA North Vista Hospital Las Vegas Sunrise Hospital Las Vegas Saint Mary’s Regional Medical Center Reno NEW JERSEY Saint Clare’s Hospital – Denville* Denville Saint Clare’s Hospital – Dover General* Dover St. Mary’s General Hospital Passaic Saint Clare’s Hospital – Sussex* Sussex NEW YORK Lenox Hill Hospital* New York 212.434.2000 North Shore University Hospital* New York NYU Hospital Center – Rusk New York NYU Hospital – Tisch New York NYU Langone Medical Center New York 646.929.7870 NORTH CAROLINA Sandhills Regional Medical Center* Hamlet 910.205.8000 Lake Norman Regional Medical Center Mooresville 704.660.4000 Davis Regional Medical Center Statesville 704.873.0281 OHIO Cleveland Clinic Hospital Cleveland 800.223.2273 Alliance Health Durant* Durant East Liverpool City Hospital East Liverpool Alliance Health Midwest* Midwest City PENNSYLVANIA Lower Bucks Hospital* Bristol Carlisle Regional Medical Center Carlisle Lancaster Regional Medical Center Lancaster 717.291.8211 Suburban Community Hospital Norristown Hahnemann University Hospital* Philadelphia 215.762.7000 Heart of Lancaster Regional Medical Center Philadelphia Jefferson University Hospital Philadelphia St. Christopher’s Hospital for Children Philadelphia 215.427.5000 RHODE ISLAND Landmark Medical Center* Woonsocket SOUTH CAROLINA Chester Regional Medical Center Chester 803.581.3151 Coastal Carolina Hospital* Hardeeville Carolina Pines Regional Medical Center Hartsville 843.339.2100 East Cooper Hospital* Mt. Pleasant Piedmont Medical Center Rock Hill TENNESSEE Saint Francis Hospital – Bartlett* Bartlett Jamestown Regional Medical Center Jamestown 701.952.1050 Saint Francis Hospital* Memphis Harton Regional Medical Center Tullahoma 931.393.3000 TEXAS Permian Regional Medical Center Andrews Anson General Hospital Anson Medical Center of Arlington Arlington St. David’s Hospital Austin 512.901.1000 St. David’s South Austin Medical Center Austin 512.447.2211 Matagorda General Hospital Bay City San Jacinto Methodist Hospital Baytown 281.420.8600 Reagan Memorial Hospital Big Lake 325.884.2561 Golden Plains Community Hospital Borger 806.467.5700 Stephens Memorial Hospital* Breckenridge 254.559.2241 Baylor Scott & White Hospital – Brenham Brenham Valley Baptist – Brownsville Brownsville 956.698.5400 Valley Regional Medical Center Brownsville 956.350.7000 CHI St. Joseph Regional Health Center* Bryan The Physicians Center Bryan Seton Highland Lakes Hospital Burnet Shelby Regional Medical Center Center Coleman County Medical Center* Coleman 325.625.2135 Comanche County Medical Center* Comanche 254.879.4900 Conroe Regional Medical Center* Conroe 936.539.1111 Corpus Christi Medical Center - Bay Area* Corpus Christi 361.761.1000 Corpus Christi Medical Center - Northwest Regional* Corpus Christi 361.761.1000 Corpus Christi Medical Center Doctors Regional* Corpus Christi Cuero Community Hospital Cuero 361.275.6191 Doctors Hospital at White Rock Lake* Dallas Green Oaks Hospital Dallas 972.991.9504 Medical City Dallas Hospital Dallas 972.566.7000 Pine Creek Medical Center* Dallas 214.231.2273 South Hampton Community Hospital* Dallas Dallas Medical Center* Dallas Wise Regional Health System Decatur Denton Regional Medical Center Denton 940.384.3535 Community General Hospital of Dilley* Dilley Eastland Memorial Hospital Eastland 254.629.2601 Doctors Hospital at Renaissance* Edinburg 956.362.8677 El Campo Memorial Hospital El Campo East El Paso Physicians Medical Center* El Paso Las Palmas Medical Center El Paso 915.595.9000 Providence Memorial Hospital* El Paso Sierra Medical Center* El Paso Sierra Providence East Medical Center* El Paso University Medical Center of El Paso* El Paso 915.521.2255 Pecos County Memorial Hospital Fort Stockton 432.336.2004 Plaza Medical Center of Fort Worth Fort Worth 817.877.5292 Centennial Medical Center* Frisco 972.963.3333 St. David’s Georgetown Hospital Georgetown 888.868.2104 Valley Baptist Medical Center – Harlingen Harlingen 956.389.1100 Harlingen Medical Center* Harlingen Clay County Memorial Hospital* Henrietta 940.538.5621 CHI St. Luke's Hospital* Houston 832.355.1000 CHI St. Luke's Hospital at The Vintage* Houston 832.534.5000 Cypress Fairbanks Medical Center Hospital* Houston 800.681.2733 Del Sol Medical Center* Houston Doctors Hospital – Parkway Campus* Houston Doctors Hospital Tidwell* Houston East Houston Regional Medical Center* Houston 713.393.2000 Houston Northwest Medical Center Houston 281.440.1000 Memorial Hermann - Texas Medical Center Houston 713.704.4000 Memorial Hermann Childrens Hospital Houston Memorial Hermann Heart & Vascular Institute Southwest Houston Memorial Hermann Memorial City Medical Center Houston Memorial Hermann Southeast Hospital Houston Memorial Hermann Southwest Hospital Houston Methodist West Houston Hospital Houston Methodist Willowbrook Houston Park Plaza Hospital* Houston Plaza Specialty Hospital* Houston Riverside General Hospital Houston Texas Orthopedic Hospital Houston 713.799.8600 Houston Methodist Hospital Houston TOPS Surgical Specialty Hospital* Houston West Houston Medical Center Houston Woman’s Hospital of Texas Houston Memorial Hermann Northeast Hospital Humble Northeast Medical Center Hospital Humble Huntsville Memorial Hospital Huntsville 936.291.4367 Dickerson Memorial Hospital Jasper Memorial Hermann Katy Hospital Katy Kingwood Medical Center Kingwood 281.348.8000 Medical Center of Lewisville Lewisville Memorial Medical Center Livingston* Livingston Baylor Scott & White Hospital – Llano Llano Good Shepherd Medical Center Longview 903.315.2000 Memorial Medical Center of East Texas* Lufkin Memorial Specialty Hospital* Lufkin Baylor Scott & White Hospital – Marble Falls Marble Falls Falls Community Hospital Marlin 254.803.3561 Rio Grande Regional Hospital McAllen 956.632.6000 Medical Center of McKinney McKinney Dallas Regional Medical Center* Mesquite Heart Place Hospital* Midland Palo Pinto General Hospital* Mineral Wells 940.325.7891 Mission Hospital Mission 956.323.9000 Cochran Memorial Hospital* Morton Muleshoe Area Medical Center Muleshoe Nacogdoches Medical Center Nacogdoches Grimes St. Joseph Health Center Navasota Pampa Regional Medical Center* Pampa Bayshore Medical Center* Pasadena 713.359.2000 Medical Center of Plano* Plano Memorial Medical Center* Port Lavaca Refugio County Memorial Hospital District Refugio Oakbend Medical Center Richmond Fisher County Hospital Rotan Round Rock Medical Center Round Rock Baylor Scott & White Hospital – Round Rock Round Rock Lake Pointe Medical Center Rowlett Baptist Emergency Hospital* San Antonio Baptist Emergency Hospital Hausman* San Antonio Baptist Emergency Hospital Overlook* San Antonio Baptist Emergency Hospital Thousand Oaks* San Antonio Baptist Emergency Hospital Westover Hills* San Antonio Baptist Medical Center* San Antonio CHI St. Luke's Baptist Hospital* San Antonio Heart Center of Central San Antonio* San Antonio 210.483.8883 Methodist Childrens Hospital San Antonio 210.575.7000 Methodist Hospital San Antonio 210.575.7000 Methodist Texsan Hospital San Antonio Metropolitan Methodist Hospital San Antonio 210.757.2200 Mission Trail Baptist Hospital San Antonio North Central Baptist Hospital* San Antonio 210.297.4000 Northeast Baptist Hospital San Antonio Northeast Methodist Hospital San Antonio 210.757.7000 University Hospital* San Antonio Memorial Medical Center – San Augustine* San Augustine Baptist Emergency Hospital Schertz* Schertz Cogdell Memorial Hospital* Snyder Stamford Memorial Hospital* Stamford Martin County Hospital District Stanton CHI St. Luke's Sugar Land Hospital* Sugar Land Memorial Hermann Sugar Land Hospital Sugar Land Methodist Sugar Land Hospital Sugar Land Baylor Scott & White Health* Sunnyvale Rolling Plains Hospital Sweetwater Baylor Scott & White Hospital – Taylor Taylor Baylor Scott & White Children’s Hospital – Temple Temple Baylor Scott & White Hospital – Temple Temple Clear Lake Regional Medical Center – Mainland* Texas City St. Luke’s Lakeside Hospital* The Woodlands St. Luke’s The Woodlands Hospital* The Woodlands Memorial Hermann – The Woodlands Hospital The Woodlands Tomball Regional Hospital Tomball Texas Spine & Joint Hospital Tyler Detar Hospital Navarro Victoria Detar Hospital North Victoria Hillcrest Baptist Medical Center* Waco Clear Lake Regional Medical Center – Clear Lake* Webster Colorado Fayette Medical Center* Weimar Knapp Medical Center* Weslaco Hillcrest Medical Center at West West Lake Whitney Medical Center Whitney Kell West Regional Hospital Wichita Falls Tyler County Hospital Woodville Yoakum Community Hospital Yoakum WASHINGTON Toppenish Community Hospital Toppenish Yakima Regional Medical & Heart Center* Yakima WEST VIRGINIA Williamson Memorial Hospital Williamson
(Para admisiones de menos de 48 horas en un hospital extra-bono, solo aplican los beneficios de un hospital