Tier 1 Advantage and Rehabilitation Center Tier Placements for 2014*

Tier 1 Atlantic County Center for Endoscopy Fellowship Surgical Center Ocean Surgery Center & Surgical Specialties Florham Park Endoscopy Center Ocean Surgical Pavilion Advanced Endo & Surgical Center Freehold Surgical Center Princeton Endoscopy Center Advantage Therapy Centers Gastro, LLC Rehabilitation of Tinton Falls Ambulatory Care Center Hamilton Endoscopy and Surgery Ridgedale Surgery Center Atlantic Coastal Surgery Center Hamilton Surgery Center River Drive Surgery Center Atlantic Surgery Center Hand Surgery and Rehabilitation Seashore Ambulatory Surgery Bacharach Institute for Rehabilitation Hanover Endoscopy Center Shore Outpatient Surgicenter Bergen-Passaic Cataract Surgery and Laser HealthSouth – HealthSouth Rehabilitation Shore Rehabilitation Institute Burlington County Endoscopy Center Hospital of Tinton Falls Somerset Eye Institute Campus Eye Group Surgical Center HealthSouth – HealthSouth Rehabilitation South Jersey Endoscopy Center Cape Cataract Center Hospital of Toms River South Jersey Surgicenter CARES Surgicenter Horizon Laser and Eye Surgery St. Lawrence Rehabilitation Hospital Cataract & Laser Institute Hughes Center for Aesthetic Medicine Surgery Center of Central NJ Centennial Surgery Center Kessler Institute for Rehabilitation Surgery Center of Cherry Hill Surgery Center Lakewood Surgery Center Surgi Center of Vineland Cherry Hill Women’s Center Marlton Rehabilitation Hospital Surgical Center of South Jersey Children’s Specialized Hospital May Street Surgi Center Surgical Center of Burlington County Coastal Endoscopy Center Mercer County Surgery Center Surgical Specialists at Princeton Comcare Medical Center Metropolitan Surgery Center SurgiCare of Central Jersey Diamond Institute for Infertility Mid-Atlantic Kidney Stone Center SurgiCare Surgical Associates Endoscopy Center of Ocean County Minimally Invasive Surgery Center The Endo Center at Voorhees Endoscopy Center of Red Bank Morristown Surgical Center at Madison Avenue The Endoscopy Center of South Jersey Endoscopy Center of Toms River Mt. Laurel Endoscopy Center The Stone Center of Endosurgical Center of Central NJ North Jersey Gastroscopy and Endoscopy Center The Surgical Center at South Jersey Essex Endoscopy Center of NJ Northfield Surgical Center Voorhees Surgery Center, LLC Eye Physicians of Sussex County Ocean County Eye Surgery Center Watts Plastic Surgery Associates Eye Surgicenter of New Jersey Ocean Endosurgery Center Weisman Children’s Rehabilitation Hospital

Tier 2 Ambulatory Surgery Center Gloucester County Surgery Center Oak & Main Surgicenter Atlantic Rehabilitation Institute Hunterdon Center for Surgery Select Surgerical Center AtlantiCare Surgery Center Hunterdon Endoscopy Center Valley Home Care Caterina A. Gregori, MD, Women’s Center JFK Johnson Rehabilitation Institute

*Provider benefit tier placements will remain in place from January 1, 2014, through December 31, 2014. AmeriHealth New Jersey will re-evaluate the benefit tier placements each calendar year.

AmeriHealth HMO, Inc. | AmeriHealth Insurance Company of New Jersey 10/1/2013 Tier 1 Advantage Hospital Tier Placements for 2014* Tier 1 Tier 2 Cape Regional Medical Center AtlantiCare Regional Medical Center Cooper Hospital/University Medical Center Atlantic Health System – Morristown Medical Center East Orange General Hospital Atlantic Health System – Newton Medical Center Englewood Hospital and Medical Center Atlantic Health System – Hackettstown Regional Medical Center Barnabas Health – Clara Maass Medical Center Holy Name Medical Center Barnabas Health – Community Medical Center Liberty Health – Jersey City Medical Center Barnabas Health – Kimball Medical Center Lourdes Health System – Lourdes Medical Center of Barnabas Health – Monmouth Medical Center Burlington County Barnabas Health – Newark Beth Israel Medical Center Lourdes Health System – Our Lady of Lourdes Hospital Barnabas Health – St. Barnabas Medical Center Meridian Health – Bayshore Community Hospital Capital Health Medical Center – Hopewell Meridian Health – University Medical Center Capital Health Regional Medical Center Meridian Health – Ocean Medical Center CarePoint Health – Bayonne Medical Center Meridian Health – CarePoint Health – Christ Hospital Meridian Health – Southern Ocean Medical Center CarePoint Health – Hoboken University Medical Center CentraState Healthcare System Raritan Bay Medical Center Children’s Hospital of Philadelphia Robert Wood Johnson University Hospital – Hamilton Chilton Memorial Hospital Robert Wood Johnson University Hospital – New Brunswick Deborah Heart and Lung Center Robert Wood Johnson University Hospital – Rahway Hackensack University Medical Center Saint Michael’s Medical Center Hackensack University Medical Center at Pascack Valley Shore Medical Center Hackensack University Medical Center Mountainside Somerset Medical Center Hunterdon – Hunterdon Medical Center Saint Clare’s Healthcare – Denville Inspira Network – Inspira Medical Center Elmer Saint Clare’s Healthcare – Dover Inspira Network – Inspira Medical Center Millville Saint Clare’s Healthcare – Sussex Inspira Network – Inspira Medical Center Vineland St. Francis Medical Center Inspira Network – Inspira Medical Center Woodbury St. Joseph’s Healthcare System – St. Joseph’s Regional JFK Medical Center Medical Center Kennedy University Hospital – Cherry Hill St. Mary’s Hospital Kennedy University Hospital – Stratford Division The Memorial Hospital of Salem County Kennedy University Hospital – Washington Trinitas Regional Medical Center Saint Peter’s Healthcare System – Saint Peter’s University Hospital University Medical Center of Princeton at Plainsboro Valley Health System – The Valley Hospital Warren Hospital

*Provider benefit tier placements will remain in place from January 1, 2014, through December 31, 2014. AmeriHealth New Jersey will re-evaluate the benefit tier placements each calendar year.

AmeriHealth HMO, Inc. | AmeriHealth Insurance Company of New Jersey 10/1/2013