Healthy U Table of Contents

GENERAL INFORMATION ...... 3 WELCOME ...... 4 BIENVENIDOS ...... 7 UNIVERSITY OF UTAH HEALTH PLANS CONTRACTING CRITERIA ...... 9 PARTICIPATING FACILITIES & ANCILLARY SERVICES ...... 10

HOSPITALS ...... 10 HOSPITALS, LONG TERM ACUTE CARE (LTAC) ...... 11 URGENT CARE CENTERS ...... 11 PUBLIC HEALTH CENTERS / CLINICS ...... 12 RURAL HEALTH CLINICS ...... 13 AMBULATORY SURGERY CENTERS ...... 13 CARDIAC MONITORING ...... 13 DIABETES EDUCATION CENTERS ...... 14 DIABETES SUPPLY CENTERS ...... 14 DIALYSIS CENTERS ...... 14 HEARING CENTERS ...... 15 HOME HEALTH AGENCIES ...... 15 HOME INFUSION SERVICES ...... 18 HOME MEDICAL SUPPLIES / DURABLE MEDICAL EQUIPMENT (DME) ...... 19 HOSPICE CARE ...... 21 INFUSION SUITES ...... 23 LABORATORY / PATHOLOGY ...... 23 LABORATORY DRAW STATIONS ...... 24 LANGUAGE INTERPRETER SERVICES ...... 25 MAMMOGRAPHY SCREENING CENTERS ...... 25 PERSONAL/HOME CARE AGENCIES ...... 26 RADIOLOGY / IMAGING CENTERS ...... 26 REHABILITATION SERVICES...... 27 SKILLED NURSING FACILITIES ...... 27 SLEEP STUDY LABS ...... 28 VISION CENTERS (OPTICAL SUPPLIERS) ...... 28 PARTICIPATING PRIMARY CARE PROVIDERS ...... 30 PARTICIPATING SPECIALTY PROVIDERS ...... 31 INDEX OF PROVIDERS BY LANGUAGES SPOKEN ...... 32 INDEX ...... 33

Healthy U General Information

University of Utah Health Plans uhealthplan.utah.edu

General Information

My Doctors: Name:

Phone:

Name:

Phone:

Name:

Phone:

Name:

Phone:

U of U Health Plans Customer Service: Phone: 801-213-4104 or 1-833-981-0212

Hours: Mon – Fri, 8 AM – 6 PM

Email: [email protected]

Fax: 801-281-6121

U of U Health Plans Website Address: uhealthplan.utah.edu

U of U Health Plans Claims: Phone: 801-213-4104 or 1-833-981-0212, option 1

Mail to: P.O. Box 45180 Salt Lake City, UT 84145-0180

U of U Health Plans Care Management: Phone: 801-213-4104 or 1-833-981-0212, option 2

Because providers may be added to or deleted from University of Utah Health Plans at any time, please verify that providers are in your plan network by calling University of Utah Health Plans Customer Service at 801-213-4104 or 1-833-981-0212.

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 3 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Welcome

WELCOME TO HEALTHY U “Emergency Medical Condition” means, unless otherwise defined in an applicable Benefit Plan, a This directory lists the providers in the Healthy U medical condition manifesting itself by acute network. All non-emergency services must be symptoms of sufficient severity, including severe received from Healthy U providers. If you are pain, such that a prudent layperson, who possesses having an emergency, you may see any provider an average knowledge of medicine and health, including providers who are not in the Healthy U could reasonably expect the absence of immediate network. medical attention to result in: (a) placing the Choosing Your Doctor: patient’s health (or, with respect to a pregnant A Primary Care Physician (PCP) is a doctor you see woman, the health of a woman or her unborn child) for most of your medical care. Healthy U PCPs are in serious jeopardy; (b) serious impairment of bodily listed in the front of this handbook. You do not function; (c) serious dysfunction of any bodily organ have to pick a PCP; but we think you should. or part. Severe bleeding, unconsciousness, and A PCP will: fracture are examples of Emergencies. The  See you for routine check-ups. determination of whether Emergency Services are  Treat you when you are sick or injured. Covered Services shall rest with University. Such  Refer you to a specialist (if needed). determination shall be consistent with the  Approve all non-emergency hospital stays. definition of “Emergency Medical Condition” as  Be your contact if you need care after office stated above and shall be subject to the appeals hours (except emergencies). process of University. Notwithstanding any other provision in this Agreement, University shall not Choose a PCP from the list of providers in this deny payment for Emergency Services provided by directory. These are the kinds of doctors who are Provider to Members in accordance with USC 42, PCPs: Section 1395 et seq of the Emergency Medical  Family or General Practice (for all ages) Treatment and Active Labor Act (EMTALA).  Internal Medicine (for adults) “Emergency Services” means covered inpatient and  Pediatrician (for children) outpatient services that are furnished by a Provider  Obstetrics and Gynecology (OB/GYN – for that is qualified to furnish these services and that women). You may also choose a Certified Nurse are needed to evaluate or stabilize an Emergency Midwife (CNM) if you are having a baby. Medical Condition.

You may select one PCP for your whole family or a For questions about your medical benefits, please different PCP for every family member with Healthy refer to your Healthy U Member Handbook or call U as their health plan. If you have a special health Member Services at 801-213-4104 or 1-833-981- need, you may be able to choose a specialist as your 0212. PCP. A Case Manager will work with you to choose

a specialist as your PCP. Our Case Managers are Important Notice: Registered Nurses. They will work with you and All non-emergency services must be received from your doctor(s) to make sure you get the care you Healthy U network providers at facilities need. participating with Healthy U. The only exceptions to

this rule are Emergency Rooms and Urgent Care Remember: Go to the emergency room if you have Centers. This directory is subject to change, and you an Emergency Medical Condition that requires are encouraged to make sure your doctor is still in Emergency Service. Do not go to the emergency the Healthy U network and accepting Healthy U room, though, for routine medical care. If you think patients by calling the doctor's office prior to your medical problem might be an emergency, call scheduling an appointment. Members may be 911 or go to any hospital emergency room. responsible for payment if the provider you see is

not in the Healthy U network.

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 4 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Welcome

Important Phone Numbers: Member Services: 801-213-4104 or 1-833-981-0212

Hours: Mon- Fri: 8 a.m.–6 p.m.

U of U Physician Referral Service: 801-581-2897

Utah State Medicaid Hotline: 801-538-6155 or 1-800-662-9651

U of U Health Plan members can call our Access Assistance line to help find a provider, transition to an in-network provider or schedule an appointment. To contact a care coordinator, call 801-213-4104, option 2 or 1-833-981-0212, option 2.

Healthy U on the Internet: https://uhealthplan.utah.edu/

Claims may be mailed to: HEALTHY U Attn: Claims Department P.O. Box 45180 Salt Lake City, UT 84145

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 5 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Welcome

Healthy U has translators for any language. Please Serbo-Croatian call member services at 1-833-981-0212. OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam If you have diabetes, heart disease, arthritis or any besplatno. Nazovite 1-833-981-0212 other chronic condition, Healthy U has a Care Manager ready to assist you to make sure you get Tagalog the care that you need. Give our Care Management PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari department a call at 801-213-4104, option 2 or kang gumamit ng mga serbisyo ng tulong sa wika 1-833-981-0212, option 2. nang walang bayad. Tumawag sa 1-833-981-0212

Spanish German ATENCIÓN: si habla español, tiene a su disposición ACHTUNG: Wenn Sie Deutsch sprechen, stehen servicios gratuitos de asistencia lingüística. Llame al Ihnen kostenlos sprachliche Hilfsdienstleistungen 1-833-981-0212. zur Verfügung. Rufnummer: 1-833-981-0212

Chinese 注意：如果您使用繁體中文，您可以免費獲得語 Russian ВНИМАНИЕ: Если вы говорите на русском языке, 言援助服務。請致電 1-833-981-0212。 то вам доступны бесплатные услуги перевода. Звоните 1-833-981-0212 Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ Cambodian trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-833- ប្រយ័㿒ន៖ បរើសិនᾶ诒នកនិ架យ 徶羶ខ្មែរ, 981-0212. បស玶ជំនួយខ្ននក徶羶 បោយមិនគិ㿒⏒ន ួល គឺ讶ច掶នសំ殶រ់រំបរ ើ诒នក។ ចូរ ទូរស័寒ទ 1-833-981- Korean 0212 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-833- French 981-0212 번으로 전화해 주십시오. ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-833-981-0212 Navajo Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Japanese Bizaad, saad bee áká’ánída’áwo’dęę’, t’áá jiik’eh, éí 注意事項：日本語を話される場合、無料の言語 ná hólǫ, kojį’ hódíílnih 1-833-981-0212 支援をご利用いただけます。1-833-981-0212

Nepali Arabic ध्यान दिनुहोस्: तपार्इंले नेपाली बो쥍नुꅍछ भने तपार्इंको اللغوية المساعدة خدمات فإن ،اللغة اذكر تتحدث كنت إذا :ملحوظة शुल्क 셂पमा उपलब्धﴃदनम्ति भाषा सहायता सेवाह셂 दन 0212-981-833-1 برقم اتصل .بالمجان لك تتوافر छ । फोन गनुुहोस् 1-833-981-0212

Tongan FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-833-981-0212

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 6 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Bienvenidos

BIENVENIDOS A HEALTHY U requiere un servicio de emergencia. No vaya a la Este directorio enumera a los proveedores en la red sala de emergencia si se trata de una atención de Healthy U. Todos los servicios que no sean de médica de rutina. Si usted piensa que su problema emergencia deben recibirse de los proveedores de médico puede ser una emergencia, llame al 911 o Healthy U. Si tiene una emergencia, puede ver a vaya a la sala de emergencia de cualquier hospital. cualquier proveedor, incluido los proveedores que no están en la red de Healthy U. “Condición de Emergencia Médica” significa a menos que se defina lo contrario en un Plan de Escogiendo a Su Doctor: Beneficios aplicable, una condición médica que se Un Médico de Atención Primaria (PCP) es un doctor manifiesta por síntomas agudos de suficiente al que usted ve en la mayoría de sus atenciones gravedad, incluyendo dolor severo. De tal manera médicas. Los PCP de Healthy U aparecen en la parte que un laico prudente, que posee un conocimiento de atrás de este manual. No tiene que escoger a un promedio de medicina y salud, podría PCP, pero creemos que debería. razonablemente esperar que la ausencia de Un PCP realizará lo siguiente: atención médica inmediata resulte en: (a) poner en  Lo verá para chequeos de rutina. grave peligro la salud del paciente (o, con respecto  Lo atenderá cuando esté enfermo o lesionado. a una mujer embarazada, la salud de una mujer o su  Lo referirá a un especialista (de ser necesario). feto); (b) deterioro grave de la función corporal; (c) disfunción grave de cualquier órgano o parte del  Aprobará todas las hospitalizaciones que no cuerpo. El sangrado severo, la inconsciencia y sean de emergencia. fracturas son ejemplos de emergencias. La  Será su contacto si necesita que lo atiendan determinación de si los Servicios de Emergencia son fuera del horario del consultorio (excepto las Servicios Cubiertos dependerá de la Universidad. emergencias). Dicha determinación deberá ser consistente con la

definición de “Condición de Emergencia Médica” Escoja a un PCP de la lista de proveedores que como se indicó anteriormente y estará sujeto al aparece en este manual. Estas son las clases de proceso de apelación de la Universidad. No doctores que son PCP: obstante, cualquier otra disposición en este  Práctica Familiar (para todas las edades) Acuerdo, la Universidad no negará el pago por los  Medicina Interna (para adultos) Servicios de Emergencia proporcionados por el  Pediatría (para niños) Proveedor a los Miembros de conformidad con la  Obstetricia y Ginecología (OB/GYN – para USC 42, Sección 1395 y siguientes de la Ley de mujeres). También puede escoger una Tratamiento Médico de Emergencia y Trabajo Enfermera Obstétrica Certificada (CNM) si va a Activo (EMTALA). tener un bebé. "Servicios de Emergencia" se refiere a los servicios Puede escoger a un PCP para toda su familia, o un cubiertos para pacientes hospitalizados y PCP diferente para cada miembro de la familia que ambulatorios que proporciona un proveedor que tiene Healthy U como su plan de salud. Si tiene una está calificado para brindar estos servicios y que son necesidad especial de salud, puede escoger a un necesarios para evaluar o estabilizar una condición especialista como su PCP. Un Administrador de médica de emergencia. Caso trabajará con usted para escoger a un Si tiene preguntas respecto de sus beneficios especialista como su PCP. Nuestros médicos, vea su Manual para Miembros de Healthy Administradores de Caso son Enfermeras U o llame a los Servicios para Miembros al 801-213- Registradas. Ellas trabajarán con usted y su 4104 o 1-833-981-0212. doctor(es) para asegurarse de que usted reciba la

atención que necesita. Aviso Importante: Recuerde: Vaya a la sala de emergencias si tiene Todos los servicios que no sean de emergencia una a condición médica de emergencia que deben ser recibidos de proveedores de la red de

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 7 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Bienvenidos

Healthy U en las instalaciones que participan con Healthy U tiene traductores para cualquier idioma. Por Healthy U. Las únicas excepciones a esta regla son favor, llame a Servicios para Miembros al 801-213-4104 o las salas de emergencia y los centros de atención de 1-833-981-0212. urgencias. Este directorio está sujeto a cambios, y le recomendamos que llame al consultorio del médico Si usted tiene diabetes, enfermedades del corazón, artritis antes de programar una cita. Para asegure de que o cualquier otra enfermedad crónica, Healthy U tiene un su médico aún esté en la red de Healthy U. Los Administrador de Atención disponible para ayudarle y miembros pueden ser responsables del pago de para asegurarse de que usted reciba la atención médica servicio si el proveedor que usted ve no está en la que necesita. Llame a nuestro departamento de red de Healthy U. Administración de la Atención al 801-213-4104, opción 2 o 1-833-981-0212, opción 2. Números Telefónicos Importantes:

Servicios Para Miembros: 801-213-4104 o 1-833-981-0212

Horario: lunes - viernes: 8:00 a.m.- 6:00 p.m.

U de U Servicio de Referencia Médica: 801-581-2897

Medicaid del Estado de Utah 801-538-6155 Línea Directa: 1-800-662-9651

Los miembros de U of U Health Plan pueden llamar a nuestra línea de Asistencia de Acceso para ayudar a encontrar un proveedor, hacer la transición a un proveedor dentro de la red o programar una cita. Para comunicarse con un coordinador de atención, llame al 801-213-4104, opción 2 o 1-833-981-0212, opción 2.

Healthy U en Internet: https://uhealthplan.utah.edu/

Envíe sus reclamos a: HEALTHY U Attn: Claims Department P.O. Box 45180 Salt Lake City, UT 84145

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 8 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U University of Utah Health Plans Contracting Criteria

The University of Utah Health Plans (UUHP) contracts with physicians and other health care professionals and facilities for all of our product lines, including commercial, marketplace, and Medicaid, to offer provider networks essential to the delivery of health care and services to our members. UUHP is committed to the “triple aim” of improving experience and quality of care, improving the health of populations, and reducing the per capita cost of care.

We recognize the importance of population health and payment reform and have developed extensive care management and value-based payment programs that improve health and align provider reimbursement with value and positive outcomes.

Provider applications to participate in any UUHP network are considered based on the following:

 UUHP business needs which may include and are not limited to: • Network adequacy requirements based on state and/or federal guidelines • Network adequacy requirements based on the current or expected population of a given geographic area (usually defined by county or zip code) • Network adequacy requirements based on provider type and/or specialty • Network composition based on scope of services required by payer such as employer, health plan, union/trust, government entity, etc. • Demographic needs including but not limited to languages spoken • Existing, non-compensated, referral patterns with current network providers and/or UUHP members

 Quality, patient experience and cost data as available which may include and is not limited to:

 Comparisons of provider practice data to benchmark market averages related to compliance with industry-standard quality measures. Examples include: Hemoglobin A1c (HbA1c) testing in diabetic patients, breast cancer screening prevention rates, and child immunization rates.  Industry published and available patient surveys and reviews  Comparisons of provider practice cost data to benchmark market averages on a per-member- per-month basis for similar populations

 The credentialing process which may include and is not limited to, verifying appropriate licensure, education and training, board certification, DEA licensure, accreditation/certification status, review of sanctions and a review of an acceptable history of professional liability claims.

All providers must be approved through our credentialing process before they may participate in any network.

UUHP plans are designed based on specific criteria that we apply to select participating primary care physicians and specialists which include:

 Cardiology  General Surgery  Neurology  Urology  Orthopedics  Obstetrics and Gynecology

Additional primary care physicians, specialists, and facilities are included if they meet our credentialing requirements to ensure members have access within a reasonable distance to the number and types of providers needed.

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 9 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Participating Facilities & Ancillary Services

Hospitals Milford Provo Milford Memorial Hospital ♿ Utah Valley Hospital ♿ American Fork 850 N Main St 1034 N 500 W ...... (801) 357-7850 American Fork Hospital ♿ Ut Hwy 257 ...... (435) 387-2411 Richfield 170 N 1100 E ...... (801) 855-3300 Moab Sevier Valley Hospital ♿ Beaver Moab Regional Hospital ♿ 1000 N Main St ...... (435) 893-4100 Beaver Valley Hospital ♿ 450 W Williams Way .... (435) 719-4550 Riverton 1109 N 100 West St ...... (435) 438-7100 Monticello Primary Children's Unit at Riverton Blanding San Juan Hospital ♿ Hospital ♿ Blue Mountain Hospital ♿ 380 W 100 N ...... (435) 587-2116 3741 W 12600 S...... (801) 285-4000 802 S 200 W ...... (435) 678-3993 Mt. Pleasant Riverton Hospital ♿ Bountiful Sanpete Valley Hospital ♿ 3741 W 12600 S...... (801) 285-4000 Lakeview Hospital ♿ 1100 S Medical Dr ...... (435) 462-2441 Roosevelt 630 E Medical Dr ...... (801) 299-2200 Murray Uintah Basin Medical Center ♿ Brigham City Intermountain Medical Center ♿ 250 W 300 N ...... (435) 722-4691 ㏄ Brigham City Community Hospital ♿ 5121 S Cottonwood Uintah Basin Medical Center - Clinic 1 950 S Medical Dr ...... (435) 734-9471 St ...... (801) 507-7000 210 W 300 N ...... (435) 722-4691 Cedar City The Orthopedic Specialty Hospital (TOSH) Salt Lake City Cedar City Hospital ♿ ♿ Huntsman Cancer Institute ♿ 1303 N Main St...... (435) 868-5000 5848 S 300 E ...... (801) 314-4100 2000 Cir Of Hope ...... (801) 585-0303 Jordan Valley Medical Center West Valley Delta Nephi Campus ♿ Delta Community Hospital ♿ Central Valley Medical Center 3460 S Pioneer Pkwy .... (801) 964-3111 126 White Sage Ave ..... (435) 864-5591 48 W 1500 N ...... (435) 623-3000 LDS Hospital ♿ Draper North Logan 8th Ave C St ...... (801) 408-1100 Lone Peak Hospital ♿ Cache Valley Hospital ♿ Primary Children's Hospital ♿ 11925 S State St ...... (801) 545-8000 2380 N 400 E ...... (435) 713-9700 100 N Mario Capecchi Fillmore Ogden Dr...... (801) 662-1000 Fillmore Community Hospital ♿ McKay-Dee Hospital ♿ Salt Lake Regional Medical Center ♿ 674 South Hwy 99 ...... (435) 743-5591 4401 Harrison Blvd ...... (801) 387-2800 1050 East South Ogden Regional Medical Center ♿ Temple ...... (801) 350-4111 Gunnison 5475 S 500 E ...... (801) 479-2111 Shriners Hospitals for Children ♿ Gunnison Valley Hospital ♿ 1275 E Fairfax Rd ...... (801) 536-3500 64 E 100 N ...... (435) 528-7246 Orem St. Mark's Hospital ♿ Orem Community Hospital ♿ Heber City 1200 E 3900 S ...... (801) 268-7111 331 N 400 W ...... (801) 224-4080 Heber Valley Medical Center ♿ University of Utah Hospital ♿ Timpanogos Regional Hospital ♿ 1485 South Hwy 40 ...... (435) 654-2500 50 N Medical Dr ...... (801) 581-2121 750 W 800 N ...... (801) 714-6000 Kanab UUHC University Orthopaedic Center ♿ Panguitch Kane County Hospital ♿ 590 Wakara Way ...... (801) 587-7109 Garfield Memorial Hospital ♿ 355 N Main St...... (435) 644-5811 Sandy 200 N 400 E ...... (435) 676-8811 Layton Alta View Hospital ♿ Park City Davis Hospital & Medical Center ♿ 9660 S 1300 E ...... (801) 501-2600 Park City Hospital ♿ 1600 W Antelope Dr .... (801) 807-1000 St. George 900 Round Vly Dr ...... (435) 658-7000 Layton Hospital ♿ Dixie Regional Medical Center ♿ 201 W Layton Pkwy ...... (801) 543-6000 Payson 1380 E Medical Ctr Dr ... (435) 251-1000 Mountain View Hospital ♿ Lehi Taylorsville 1000 E 100 N ...... (801) 465-7000 Mountain Point Medical Center ♿ St. Mark's Taylorsville Emergency Center 3000 N Triumph Blvd ... (385) 345-3000 Price ♿ Castleview Hospital ♿ Logan 5400 S 2700 W...... (801) 982-0050 300 N Hospital Dr ...... (435) 637-4800 Logan Regional Hospital ♿ Tooele 500 E 1400 N ...... (435) 716-1000 Mountain West Medical Center ♿ 2055 N Main St ...... (435) 843-3710

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 10 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Tremonton Eagle Mountain Sterling Urgent Care - Logan Bear River Valley Hospital ♿ Eagle Mountain Family Medicine & 1201 S Main St 905 N 1000 W ...... (435) 207-4500 Urgent Care - Revere Health Ste 110...... (435) 787-8504 Sterling Urgent Care - North Logan Vernal 4095 E Pony Expy Pkwy 630 E 1400 N Ste 150 ... (435) 915-4465 Ashley Regional Medical Center ♿ Ste 1 ...... (801) 429-8037 150 W 100 N ...... (435) 789-3342 Farmington Magna Exodus Healthcare Network - Magna West Jordan Ogden Clinic - Farmington Urgent Care Health Center Jordan Valley Medical Center ♿ 991 W Shepard Ln ...... (801) 397-6080 3665 S 8400 W 3580 W 9000 S ...... (801) 561-8888 UUHC Farmington Health Center - Urgent Care Ste 110...... (801) 250-9638 West Valley City 165 N University Ave ... (801) 213-3200 Midvale Jordan Valley Medical Center - West UUHC Greenwood Health Center - Valley Inpatient Psych ♿ Farr West Urgent Care 3460 S Pioneer Pkwy .... (801) 964-3100 Farr West Urgent Care & Family Medicine 7495 S State St ...... (801) 213-8840 2850 N 2000 W ...... (801) 732-0805 Hospitals, Long Term Acute Care Mt. Pleasant Revere Health Family medicine (LTAC) Mt. Pleasant Family Medicine & Urgent 2850 N 2000 W Care - Revere Health Bountiful Ste 101 ...... (801) 528-5094 1075 South Hwy 89 ...... (435) 462-2044 South Davis Community Hospital Hailey, ID Murray 485 E 500 S ...... (801) 397-8177 Sterling Urgent Care - Hailey FirstMed Urgent Care - Murray Murray 507 S Main St ...... (208) 788-4122 5911 S Fashion Pl KPC Promise Hospital of Salt Lake Holladay Blvd ...... (801) 266-6843 4252 Birkhill Blvd ...... (801) 408-7100 Medallus Medical - Holladay Ogden Provo 3934 S 2300 E Ste D ..... (801) 849-8500 North Ogden InstaCare ♿ Utah Valley Specialty Hospital Hyde Park 2400 N Washington 306 West Riv Bnd Ln .... (801) 226-8880 North Cache Valley InstaCare ♿ Blvd ...... (801) 786-7500 4088 North Hwy 91 ...... (435) 563-4888 Ogden Clinic - Canyon View Urgent Care 1159 E 12Th St ...... (801) 475-3700 Urgent Care Centers Idaho Falls, ID Ogden Clinic - Professional Center Urgent American Fork Sterling Urgent Care - Idaho Falls Care Medallus Medical - American Fork 740 S Woodruff Ave ..... (208) 542-9111 4650-4700 South 476 N 900 W Ste C ...... (801) 492-1611 Kaysville Harrison Blvd ...... (801) 475-3000 Bountiful Kaysville Creekside InstaCare ♿ Ogden Clinic - Skyline Urgent Care FirstMed Urgent Care - North 435 N Main St ...... (801) 498-6000 6112 S 1550 E ...... (801) 475-3800 1512 Renaissance Towne Dr Layton Ogden Clinic - South Ogden Center for Ste 100 ...... (801) 295-6483 Layton InstaCare ♿ Family Medicine Urgent Care Ogden Clinic - Cope Family Medicine 2075 University Park 5740 Crestwood Dr ...... (801) 479-7771 Urgent Care Blvd ...... (801) 779-6200 Orem 185 S 400 E Ste 100 ...... (801) 397-6200 Medallus Medical - Layton Utah Valley Urgent Care & Family Brigham City 1868 N 1200 W ...... (801) 614-9030 Practice - Orem Box Elder InstaCare ♿ Ogden Clinic - Davis Family Physicians 960 W 800 N ...... (801) 326-0678 1050 S 500 W ...... (435) 695-2424 Urgent Care UUHC Parkway Health Center - Urgent Centerville 3225 W Gordon Ave .... (801) 397-6150 Care Wee Care Pediatrics - Layton Office UUHC Centerville Health Center - Urgent 145 W University 2084 N 1700 W Ste A ... (801) 773-8644 Care Pkwy ...... (801) 234-8585 26 S Main St ...... (801) 213-8844 Lehi Park City Cottonwood Heights Utah Valley Urgent Care & Family Park City Bonanza InstaCare (Ski Season Practice - Lehi FirstMed Urgent Care - East Only) ♿ 127 E Main St Ste E ...... (801) 766-9822 1950 E 7000 S ...... (801) 943-3300 1665 Bonanza Dr ...... (435) 649-7640 Logan Stat MD Urgent Care Park City Draper Logan InstaCare ♿ 1784 W Uinta Way Medallus Medical - Draper 412 N 200 E ...... (435) 713-2710 Ste E-2 ...... (435) 604-0160 1126 E 12300 S ...... (801) 545-0600

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 11 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

UUHC Redstone Health Center - Urgent Sandy Public Health Centers / Clinics Care Medallus Medical - Sandy Beaver 1743 W Redstone Ctr Dr 7998 S 1300 E ...... (801) 255-2000 Southwest Utah Public Health Ste 115 ...... (435) 658-9262 South Jordan Department - Beaver Payson Copperview Medical Center ㏄ 75 W 1175 N ...... (435) 438-2482 Payson Family Medicine & Urgent Care - 3556 W 9800 S Bountiful Revere Health Ste 101 ...... (801) 567-9780 Davis County Health Department ♿ 97 Professional Way Medallus Medical - South Jordan 596 W 750 S...... (801) 525-4979 Ste 2 ...... (801) 465-4896 10433 S Redwood Rd ... (801) 501-0500 Pleasant View UUHC South Jordan Health Center - Brigham City Bear River Health Department - Brigham Ogden Clinic - Mountain View Urgent Urgent Care City Care 5126 W Daybreak 817 W 950 S...... (435) 734-0845 1100 W 2700 N ...... (801) 475-3600 Pkwy ...... (801) 213-4500 Price South Ogden Castle Dale Southeastern Utah District Health Gagon Family Medicine & Urgent Care South Ogden InstaCare ♿ Department - Castle Dale 377 N Fairgrounds Rd ... (435) 613-2200 975 E Chambers St ...... (801) 387-6200 25 W Main St ...... (435) 381-2252 Provo St. George Cedar City Provo Family Medicine & Urgent Care - St. George Clinic Urgent Care - Revere Southwest Utah Public Health Revere Health Health Department - Cedar City 1055 N 500 W Bldg A ... (801) 812-5033 736 S 900 E Ste 203...... (435) 673-6131 260 E Dl Sargent Dr ...... (435) 586-2437 Riverwoods Urgent Care ♿ Stansbury Park 280 W Riverpark Dr Tooele Valley Urgent Care Clearfield Ste 120 ...... (801) 229-2011 1244 N Main St Davis County Health Department ♿ Riverton Ste 201 ...... (435) 882-3968 22 S State St ...... (801) 525-5020 Granger Medical Riverton - Urgent Care Syracuse Coalville 12391 S 4000 W ...... (801) 302-1700 Syracuse InstaCare ♿ Summit County Health Department - Medallus Medical - South Bangerter 745 S 2000 W ...... (801) 525-2400 Coalville Office 13348 S Market Ctr Dr 85 N 50 E ...... (435) 336-3234 Washington Ste 100 ...... (801) 844-1600 Washington Family Medicine & Urgent Delta Roy Care - Revere Health Central Utah Public Health Dept - West Ogden Clinic - Grand View Urgent Care 195 W Telegraph St ..... (435) 215-0600 Millard Office 3485 N 5200 S ...... (801) 475-3900 428 E Topaz Blvd ...... (435) 864-3612 West Jordan Roy Rock Run Family Medicine & Urgent FirstMed Urgent Care - West Jordan Fillmore Care - Revere Health 8822 S Redwood Rd Central Utah Public Health Dept - East 5640 S 3500 W ...... (801) 773-2838 Ste E-122 ...... (801) 256-0009 Millard Office Salem Granger Medical West Jordan - Urgent 40 N 400 W ...... (435) 743-5723 Salem Urgent Care - Revere Health Care Heber City 555 W Sr 164 N ...... (801) 465-4896 3181 W 9000 S ...... (801) 352-5900 Wasatch County Health Department Salt Lake City Stat MD Urgent Care West Jordan 55 S 500 E ...... (435) 657-3257 7724 S 5600 W FirstMed Urgent Care - Central ㏄ Junction Ste 102 ...... (801) 432-8480 441 S Redwood Rd ...... (801) 973-2588 Central Utah Public Health Dept - Piute Revere Health - Clinton West Valley City 550 N Main St ...... (435) 577-2521 1407 N 2000 W Ste C ... (801) 866-0170 Granger Medical West Valley - Urgent Kamas University of Utah Hospital - Urgent Care Care Summit County Health Department - 50 N Medical Dr ...... (801) 581-2121 3725 W 4100 S ...... (801) 965-3600 Kamas Office UUHC Orthopaedic Center Injury Clinic Medallus Medical - West Valley 110 N Main St ...... (435) 783-4351 590 Wakara Way ...... (801) 587-7109 3451 S 5600 W Ste F .... (801) 957-0900 UUHC Redwood Health Center - Urgent UUHC Westridge Health Center - Urgent Kanab Care Care Southwest Utah Public Health 1525 W 2100 S ...... (801) 213-9900 3730 W 4700 S ...... (801) 213-8843 Department - Kanab 445 N Main St ...... (435) 644-2537

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 12 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Loa Tooele Riverwoods Surgery Center Central Utah Public Health Dept - Wayne Tooele County Health Department 320 W Riverpark Dr Office 151 N Main St ...... (435) 277-2300 Ste 125...... (801) 437-4500 18 S Main St ...... (435) 836-1317 Tremonton Salt Lake City Logan Bear River Health Department - Avenues Surgical Center ♿ Bear River Health Department - Logan ♿ Tremonton 359 8th Ave ...... (801) 408-1883 ㏄ 40 W 100 N ...... (435) 257-3318 Mountain West Endoscopy Center 655 E 1300 N ...... (435) 792-6500 6360 S 3000 E Ste 320 .. (801) 944-3166 St. Mark's Outpatient Surgery Center Manti Rural Health Clinics 1250 E 3900 S Ste 100 .. (801) 262-0358 Central Utah Public Health Dept - South Preston, ID Wasatch Endoscopy Center Sanpete Office Willow Valley Clinic 1220 E 3900 S Ste 1B .... (801) 281-4258 40 W 200 N ...... (435) 835-2231 47 N 1st E ...... (208) 852-2900 Sandy Moab Granite Peaks Endoscopy Southeastern Utah District Health Ambulatory Surgery Centers 10150 S Petunia Way .... (801) 619-1115 Department - Moab American Fork Lone Peak Surgery Center 575 S Kane Crk Blvd ...... (435) 259-5602 Revere Health - American Fork Surgery 10011 Centennial Pkwy Mt. Pleasant Center Ste 100...... (801) 233-9300 Central Utah Public Health Dept - North 1175 E 50 S Ste 101...... (801) 492-5994 South Ogden Sanpete Office Bountiful Ridgeline Endoscopy Center 20 S 100 W ...... (435) 462-2449 Lakeview Endoscopy Center 6028 S Ridgeline Dr Nephi 620 E Medical Dr Ste 100...... (801) 475-4900 Central Utah Public Health Dept - Juab Ste 200 ...... (801) 296-2122 St. George Office Mountain West Surgical Center Coral Desert Surgery Center ♿ ㏄ 160 N Main St...... (435) 623-0696 1551 S Renaissance Towne Dr 1490 E Foremaster Dr Ste 200 ...... (801) 383-1111 Ogden Bldg C...... (435) 674-5230 Weber-Morgan Health Department Draper St. George Surgical Center 477 23rd St ...... (801) 399-7252 EyeSurg of Utah ♿ ㏄ 676 South Blf St ...... (435) 673-0095 Panguitch 11820 S State St Zion Surgery Center ♿ Southwest Utah Public Health Ste 150 ...... (801) 568-0200 1791 E 280 N ...... (435) 656-2020 Department - Panguitch Logan Tooele 601 East Ctr St ...... (435) 676-8800 South Pointe Surgical Center ♿ NorthPointe Surgical Center ♿ Park City 810 S 100 N Ste 120 ..... (435) 213-1917 2326 N 400 E Summit County Health Department - Murray Bldg C Ste 100 ...... (435) 843-0180 Park City Office Family Surgical Suite - Murray West Jordan 650 Round Vly Dr ...... (435) 333-1500 151 E 5600 S Ste 104.... (801) 288-1211 Family Surgical Suite - West Jordan Price Ogden 8822 S Redwood Rd Southeastern Utah District Health McKay-Dee Surgical Center ♿ Ste C-113 ...... (801) 748-1427 Department - Price 3903 Harrison Blvd West Valley City 28 S 100 E ...... (435) 637-3671 Ste 100 ...... (801) 442-3631 Utah Surgical Center Provo Mt. Ogden Surgical Center 3715 W 4100 S...... (801) 957-0200 Utah County Public Health Clinic 4364 Washington 151 S University Ave .... (801) 851-7051 Blvd ...... (801) 479-4470 Cardiac Monitoring Richfield Providence Out of State Central Utah Public Health Dept - Sevier Spring Creek Surgical Center Preventice Services Office 65 North Gtwy Dr Houston, TX ...... (888) 500-3522 70 Westview Dr ...... (435) 896-5451 Ste 3 ...... (435) 535-3257 St. George Provo Southwest Utah Public Health Central Utah Surgical Center Department - St. George 1067 N 500 W ...... (801) 374-0354 620 S 400 E Ste 400 ...... (435) 986-2545

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 13 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Diabetes Education Centers Salt Lake City Ogden Byram Healthcare Diabetes Specialty Western Diabetic Supplies American Fork Center 3293 Harrison Blvd American Fork Diabetes Management 3793 S State St ...... (801) 268-9699 Ste 210...... (877) 937-8342 Clinic ♿ Diabetes Care Center of Utah at Salt Lake 170 N 1100 E ...... (801) 855-3471 Orem Regional Medical Center UUHC Parkway Health Center Pharmacy Bountiful 1050 East South 145 W 1300 S...... (801) 234-8510 Lakeview Hospital Diabetes Education Temple ...... (801) 350-8108 630 E Medical Dr ...... (801) 299-6868 Primary Children's Hospital Diabetes Park City UUHC Redstone Health Center Pharmacy Cedar City Clinic ♿ 1743 W Redstone Ctr Dr Cedar City Diabetes Education Clinic ♿ 81 N Mario Capecchi Ste 115...... (435) 658-9280 110 W 1335 N Dr ...... (801) 213-3599 Ste 100 ...... (435) 868-5576 St. Mark's Hospital Diabetes Center Salt Lake City 1160 E 3900 S Byram Healthcare - Murray Heber City N Medical Ofc Bldg 645 E 4500 S Ste 200 .... (800) 775-4372 Heber Valley Diabetes Clinic ♿ Ste 3300 ...... (801) 268-7358 Byram Healthcare - Salt Lake City 380 E 1500 S Ste 204 .... (435) 657-4311 Utah Diabetes & Endocrinology Center 3793 S State St ...... (801) 268-9699 Layton 615 Arapeen Dr University of Utah Hospital Pharmacy Davis Hospital and Medical Center’s Ste 100 ...... (801) 581-7761 50 N Medical Dr ...... (801) 581-2276 Diabetes Care Clinic Sandy UUHC Redwood Health Center Pharmacy Robert Bitner Medical Ofc Bldg Alta View - Sandy Diabetes Clinic ♿ 1525 W 2100 S...... (801) 213-9950 1600 W Antelope Dr .... (801) 807-7360 9500 S 1300 E ...... (801) 501-2100 South Jordan Logan St. George UUHC South Jordan Health Center Budge Diabetes Clinic ♿ Dixie Regional Medical Center Diabetes Pharmacy 1350 N 500 E ...... (435) 792-1710 Education Clinic ♿ 5126 W Daybreak Logan Regional Hospital Diabetes 348 E 600 S 2nd Fl ...... (435) 251-2888 Pkwy ...... (801) 213-4550 Services ♿ Stansbury Park 500 E 1400 N ...... (435) 716-5669 Tremonton Bear River Valley Diabetes and UUHC Stansbury Health Center Pharmacy Mt. Pleasant Endocrinology ♿ 220 Millpond Rd ...... (435) 843-3050 Sanpete Valley Hospital Diabetes 905 N 1000 W ...... (435) 207-4500 West Valley City Education ♿ UUHC Westridge Health Center 1100 S Medical Dr ...... (435) 462-4163 West Jordan Diabetes Care Center of Utah at Jordan Pharmacy Murray Valley Medical Center 3730 W 4700 S...... (801) 213-9250 Intermountain Medical Center Diabetes 3580 W 9000 S ...... (801) 561-8888 Education ♿ Dialysis Centers 5121 S Cottonwood West Valley City St ...... (801) 507-3366 Diabetes Care Center of Utah at Jordan American Fork Valley Medical Center - West Valley UUHC American Fork Dialysis Ogden Campus 1159 E 200 N Ste 150 ... (801) 763-0652 McKay-Dee Endocrine & Diabetes Clinic ♿ 3460 S Pioneer Pkwy ... (801) 964-3100 4403 Harrison Blvd Blanding Ste 3630 ...... (801) 387-7900 Blue Mountain Hospital ♿ Diabetes Supply Centers 802 S 200 W...... (435) 678-3993 Provo Utah Valley Diabetes Management Clinic Centerville Bountiful ♿ UUHC Centerville Health Center UUHC Lakeside Dialysis 1034 N 500 W ...... (801) 357-7546 Pharmacy 532 S 500 W...... (801) 299-3470 26 S Main St ...... (801) 693-7950 Richfield Cedar City Sevier Valley Hospital Diabetes Services ♿ Midvale UUHC Iron Mission Dialysis & Kidney 1000 N Main St...... (435) 893-0640 UUHC Greenwood Health Center Clinic Pharmacy 1277 Northfield Rd ...... (435) 867-8175 Riverton 7495 S State St ...... (801) 213-9540 Primary Children's Outpatient Heber City Endocrinology/Diabetes ♿ Heber Valley Dialysis Center at IHC ♿ 3773 W 12600 S ...... (801) 213-3599 380 E 1500 S Ste 101 .... (435) 654-2500

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 14 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Heber Valley Dialysis Center at IHC ♿ Rexburg, ID Home Health Agencies 380 E 1500 S Ste 101 .... (435) 654-2500 UUHC Yellowstone Dialysis Center Ada County, ID 1165 Summers Dr Hurricane Encompass Home Ste 15 ...... (208) 656-0396 UUHC Hurricane Dialysis & Kidney Clinic Health and Hospice ...... (208) 519-4330 48 S 2500 W Unit 100... (435) 635-0399 Richfield Bannock County, ID Sevier Valley Dialysis ♿ Idaho Falls, ID Encompass Home 81 E 900 N ...... (435) 893-0358 UUHC Gem State Dialysis Health of Idaho - 2225 Teton Plz Ste A .... (208) 522-4831 Roosevelt Pocatello ...... (208) 637-1100 Uintah Basin Dialysis Center Kanab Beaver County 250 W 300 N ...... (435) 725-2008 Kanab Nephrology Clinic Beaver Valley Hospital - 355 N Main ...... (435) 867-8175 Salt Lake City Home Health & Kaysville IMC Utah Dialysis ♿ Hospice ...... (435) 438-7100 Anthem Dialysis 1000 S Main St IHC Homecare Home 520 N Kays Dr Ste 1 ...... (801) 917-9000 Ste 105 ...... (801) 408-1400 Health Cedar City ♿ ...... (435) 868-5852 Primary Children's Dialysis Center ♿ Layton Zion's Way Home Health 81 N Mario Capecchi & Hospice - Cedar City .... (435) 688-0648 UUHC Farmington Bay Dialysis Dr ...... (801) 662-1000 942 S Main St ...... (801) 593-9111 Bonneville County, ID UUHC Kidney & Liver Clinic Encompass Home Logan 50 N Medical Dr ...... (801) 581-6709 Health of Idaho - Idaho Logan Regional Hospital Dialysis Center ♿ UUHC Kolff Dialysis Falls ...... (208) 528-8100 550 E 1400 N Ste K ...... (435) 716-5314 423 Wakara Way Mesquite, NV Ste 200 ...... (801) 581-3981 Box Elder County Canyon Home Care & UUHC Desert Valley Dialysis & Kidney Sandy Clinic UUHC South Valley Dialysis Hospice Ogden ♿ ...... (801) 475-5300 350 Falcon Rdg Pkwy 8750 S Sandy Pkwy ...... (801) 233-8745 Caregiver Support Bldg 700 Ste 104 ...... (702) 345-4144 Network - Box Elder St. George and Cache Counties ...... (435) 915-3424 Murray UUHC Dixie Dialysis & Kidney Clinic Community Nursing Intermountain Medical Center Dialysis 720 South Riv Rd Services (CNS) - Services ♿ Ste D-1100 ...... (435) 656-0857 Brigham Office ...... (435) 723-4404 74 W Vine St ...... (801) 507-9013 Taylorsville Community Nursing Ogden UUHC West Valley Dialysis Services (CNS) - Logan UUHC Bonneville Dialysis 3854 W 5400 S ...... (801) 587-8578 Office ...... (435) 752-3355 5575 S 500 E ...... (801) 479-0351 Tooele Community Nursing UUHC Mark Lindsay Dialysis Services (CNS) - Ogden Tooele Valley Dialysis at IHC ♿ 1151 E Country Hls Dr .. (801) 479-4460 Office ...... (801) 476-0088 196 E 2000 N Ste 112 ... (801) 408-1430 Hearts for Hospice & Payson Tooele Valley Dialysis at IHC ♿ Home Health - UUHC Payson Dialysis & Kidney Clinic 196 E 2000 N Ste 112 ... (801) 408-1430 Riverdale ...... (801) 475-0601 15 S 1000 E Ste 50 ...... (801) 465-2060 IHC Homecare Home Hearing Centers Pleasant View Health Logan ♿ ...... (435) 716-5477 UUHC Pleasant View Dialysis Layton Ivy Lane Pediatrics - 2715 North Hwy 89 Intermountain Hearing Centers - Layton Ogden Office ...... (801) 774-9698 Ste 15 ...... (801) 737-9555 755 W Antelope Dr ...... (385) 383-7161 Peregrine Home Health Price Ogden ♿ ...... (435) 723-8705 UUHC Castleview Dialysis & Kidney Clinic Intermountain Hearing Centers - Ogden Symbii Home Health 230 N Hospital Dr 5349 S Adams Ave and Hospice - Layton ...... (801) 444-0221 Ste 1 ...... (801) 637-8696 Ste C ...... (801) 479-3346 Cache County Provo Rock Springs, WY Canyon Home Care & UUHC Provo Dialysis & Kidney Clinic Intermountain Hearing Centers - Rock Hospice Ogden ♿ ...... (801) 475-5300 1675 N Freedom Blvd Springs Caregiver Support Ste 15 ...... (801) 373-0167 1573 Dewar Dr Ste 2 .... (307) 362-8221 Network - Box Elder and Cache Counties ...... (435) 915-3424

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 15 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Community Nursing Cozy Healthcare Home Grand County Services (CNS) - Health & Hospice ...... (801) 278-4663 Community Nursing Brigham Office ...... (435) 723-4404 Dignity Home Health - Services (CNS) - Moab Community Nursing Weber/Davis County ..... (801) 492-4892 Office ...... (435) 259-0466 Services (CNS) - Logan Hearts for Hospice & Iron County Office ...... (435) 752-3355 Home Health - Encompass Health Encompass Health Riverdale ...... (801) 475-0601 Home Health - St. Home Health - Heartwood Home George...... (435) 634-9300 Providence ...... (435) 753-7001 Health & Hospice ...... (801) 261-9490 Horizon Home Health - IHC Homecare Home Homewatch CareGivers Cedar City ♿ ㏄ ...... (435) 865-7481 Health Logan ♿ ...... (435) 716-5477 of Layton ♿ ...... (801) 608-1552 IHC Homecare Home Ivy Lane Pediatrics - IHC Homecare Home Health Cedar City ♿ ...... (435) 868-5852 Ogden Office ...... (801) 774-9698 Health Fillmore ♿...... (435) 743-8821 Zion's Way Home Health Rocky Mountain Care - IHC Homecare Home & Hospice - Blanding ...... (435) 688-0648 Logan ...... (435) 753-8220 Health Ogden ♿ ...... (801) 399-1400 Zion's Way Home Health Signature Healthcare at IHC Homecare Home & Hospice - Cedar City .... (435) 688-0648 Home - Logan ...... (801) 463-2478 Health Salt Lake ♿ ...... (385) 887-6000 Sunshine Home Health Inspiration Home Health . (801) 281-1314 Juab County & Hospice ♿ ...... (435) 716-8553 Ivy Lane Pediatrics - Central Valley Home Symbii Home Health Ogden Office...... (801) 774-9698 Health and Hospice ...... (435) 623-3050 and Hospice - Layton ..... (801) 444-0221 Legacy Health Care - Gunnison Valley Home Health and Hospice ...... (435) 528-7246 Canyon County, ID Layton ...... (801) 771-9099 IHC Homecare Home Encompass Home Rocky Mountain Care - Health Mt. Pleasant ♿ .... (435) 462-3431 Health of Idaho - Layton ...... (801) 525-4850 Maple Creek Home Nampa ...... (208) 461-1600 Salus Homecare - Midvale ...... (801) 352-7358 Health and Hospice ♿ ..... (801) 798-5333 Carbon County Signature Healthcare at Community Nursing Kane County Home - Salt Lake City ..... (801) 463-2478 Services (CNS) - Price Encompass Health South Davis Home Office ...... (435) 613-8887 Home Health - Kanab ..... (435) 644-2200 Health & Hospice ...... (801) 298-8983 IHC Homecare Home Encompass Home Summit Home Health - Health of Utah - Kanab ... (435) 644-2200 Health Mt. Pleasant ♿ .... (435) 462-3431 Layton Office ...... (801) 542-7150 IHC Homecare Home Rocky Mountain Care - Symbii Home Health Price ...... (435) 637-0665 Health St. George ♿...... (435) 251-2367 and Hospice - Layton ..... (801) 444-0221 Zion's Way Home Health Daggett County Tender Care Home & Hospice - Kanab ...... (435) 688-0648 Good Shepherd Health & Hospice ♿ ...... (801) 294-0560 Madison County, ID Homecare ...... (435) 789-0499 Utah Home Health & Encompass Home Hospice ...... (801) 335-6455 Davis County Health of Idaho - A Step Forward - Duchesne County Rexburg ...... (208) 356-7087 Clearfield ♿ ...... (801) 562-8564 Good Shepherd Morgan County Applegate Homecare & Homecare ...... (435) 789-0499 Canyon Home Care & Hospice - Salt Lake ...... (801) 261-3023 Uintah Basin Home At Home Nursing Care - Health / Hospice ...... (435) 722-4691 Hospice Ogden ♿ ...... (801) 475-5300 Caregiver Support North Office ...... (801) 266-5126 Emery County Canyon Home Care & Network - Community Nursing Davis/Weber/Morgan Hospice Ogden ♿ ...... (801) 475-5300 Services (CNS) - Price Counties ...... (801) 547-0060 Caregiver Support Office ...... (435) 613-8887 Community Nursing Network - IHC Homecare Home Services (CNS) - Ogden Davis/Weber/Morgan Health Mt. Pleasant ♿ ... (435) 462-3431 Office ...... (801) 476-0088 Counties ...... (801) 547-0060 Hearts for Hospice & Community Nursing Garfield County Home Health - Services (CNS) - Layton Zion's Way Home Health Riverdale ...... (801) 475-0601 Office ...... (801) 774-4960 & Hospice - Kanab ...... (435) 688-0648

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 16 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

IHC Homecare Home Heartwood Home Maple Creek Home Health Ogden ♿ ...... (801) 399-1400 Health & Hospice ...... (801) 261-9490 Health and Hospice ♿ ..... (801) 798-5333 Ivy Lane Pediatrics - Home Watch CareGivers Zion's Way Home Health Ogden Office ...... (801) 774-9698 of Salt Lake ♿ ...... (801) 746-1080 & Hospice - Cedar City .... (435) 688-0648 Symbii Home Health Homewatch CareGivers Zion's Way Home Health and Hospice - SLC ...... (801) 433-0344 of Sandy ...... (801) 309-0718 & Hospice - Richfield ...... (435) 688-0648 Payette County, ID Homewatch CareGivers Sevier County Encompass Home of West Jordan ...... (385) 482-4269 Gunnison Valley Home Health and Hospice of Horizon Home Health & Health and Hospice ...... (435) 528-7246 Idaho - Fruitland ...... (208) 452-4972 Hospice - Salt Lake City IHC Homecare Home ♿ ㏄ ...... (801) 359-5437 Piute County Health Richfield ♿ ...... (435) 893-0371 Icare Home Health and IHC Homecare Home Zion's Way Home Health Hospice ...... (801) 228-0411 Health Richfield ♿ ...... (435) 893-0371 & Hospice - Cedar City .... (435) 688-0648 IHC Homecare Home Zion's Way Home Health Rich County Health Fillmore ♿...... (435) 743-8821 & Hospice - Richfield ...... (435) 688-0648 Canyon Home Care & IHC Homecare Home Summit County Hospice Ogden ♿ ...... (801) 475-5300 Health Salt Lake ♿ ...... (385) 887-6000 Applegate Homecare & Community Nursing Ivy Lane Pediatrics - Salt Hospice - Heber City ...... (801) 654-5983 Services (CNS) - Lake Office ...... (801) 728-4694 Applegate Homecare & Brigham Office ...... (435) 723-4404 Legacy Health Care - Hospice - Park City ...... (435) 647-3765 Community Nursing Cottonwood Heights...... (385) 831-7074 Canyon Home Care & Services (CNS) - Logan Maxim Healthcare Hospice Salt Lake ♿ ...... (801) 485-6166 Office ...... (435) 752-3355 Services ...... (801) 685-7070 Cozy Healthcare Home IHC Homecare Home Rocky Mountain Care - Health & Hospice ...... (801) 278-4663 Health Logan ♿ ...... (435) 716-5477 Salt Lake City ...... (801) 397-4900 Hearts for Hospice & Salus Homecare - Salt Lake County Home Health - Salt Midvale ...... (801) 352-7358 A Step Forward - Lake City ...... (888) 772-0243 Signature Healthcare at Murray ...... (801) 562-8564 IHC Homecare Home Home - Murray ...... (801) 463-2478 Applegate Homecare & Signature Healthcare at Health Salt Lake ♿ ...... (385) 887-6000 Hospice - Salt Lake ...... (801) 261-3023 Home - Salt Lake City ..... (801) 463-2478 Ivy Lane Pediatrics - Salt Ashby Health Care ♿ ...... (801) 478-2521 Summit Home Health - Lake Office ...... (801) 728-4694 At Home Nursing Care - Main Office ...... (801) 542-7150 Salus Homecare - Heber ... (435) 657-0574 Salt Lake Office ...... (801) 266-5126 Superior Home Care and Summit Home Health - Canyon Home Care & Main Office ...... (801) 542-7150 Hospice ♿ ...... (801) 254-3200 Hospice Salt Lake ♿ ...... (801) 485-6166 Symbii Home Health Symbii Home Health Community Nursing and Hospice - SLC ...... (801) 433-0344 and Hospice - SLC ...... (801) 433-0344 Services (CNS) - Synergy Homecare ♿ ㏄ .. (801) 946-0355 Tooele County Infusion Pharmacy ...... (801) 233-6120 Tender Care Home Canyon Home Care & Community Nursing Hospice Salt Lake ♿ ...... (801) 485-6166 Services (CNS) - Salt Health & Hospice ♿ ...... (801) 294-0560 Community Nursing Lake Corporate Office .... (801) 233-6100 Total Knee and Hip Services (CNS) - Tooele Cozy Healthcare Home Rehabilitation ...... (801) 576-6417 Office ...... (435) 882-3913 Health & Hospice ...... (801) 278-4663 San Juan County Cozy Healthcare Home Dignity Home Health - Community Nursing Health & Hospice ...... (801) 278-4663 Salt Lake County ...... (801) 649-5038 Services (CNS) - Moab Hearts for Hospice & Encompass Health Office ...... (435) 259-0466 Home Health - Salt Home Health - Murray ... (801) 747-5500 Rocky Mountain Care - Lake City ...... (888) 772-0243 First Choice Home Blanding ...... (435) 678-3266 IHC Homecare Home Health & Hospice - Sanpete County ♿ Murray ...... (801) 685-2233 Health Salt Lake ...... (385) 887-6000 Gunnison Valley Home Hearts for Hospice & Ivy Lane Pediatrics - Salt Health and Hospice ...... (435) 528-7246 Home Health - Salt Lake Office ...... (801) 728-4694 IHC Homecare Home Lake City ...... (888) 772-0243 Rocky Mountain Care - Health Mt. Pleasant ♿ ... (435) 462-3431 Tooele ...... (801) 397-4900

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 17 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Rocky Mountain Care - Summit Home Health - Canyon Home Care & Tooele ...... (435) 843-2099 Utah County ...... (801) 404-5599 Hospice Ogden ♿ ...... (801) 475-5300 Summit Home Health - Symbii Home Health Caregiver Support Main Office ...... (801) 542-7150 and Hospice - Orem ...... (801) 655-4272 Network - Twin Falls County, ID Utah Home Health & Davis/Weber/Morgan Encompass Home Hospice - Provo...... (801) 373-1400 Counties ...... (801) 547-0060 Health and Hospice of Zion's Way Home Health Community Nursing Idaho - Twin Falls ...... (208) 733-8600 & Hospice - Blanding ..... (435) 688-0648 Services (CNS) - Brigham Office ...... (435) 723-4404 Uintah County Wasatch County Applegate Homecare & Community Nursing Good Shepherd Services (CNS) - Ogden Homecare ...... (435) 789-0499 Hospice - Heber City ...... (801) 654-5983 Applegate Homecare & Office ...... (801) 476-0088 Utah County Hospice - Park City ...... (435) 647-3765 Cozy Healthcare Home A Caring Hand Home Canyon Home Care & Health & Hospice ...... (801) 278-4663 Care ♿ ...... (801) 377-2760 Hospice Salt Lake ♿ ...... (801) 485-6166 Dignity Home Health - Applegate Homecare & Encompass Health Weber/Davis County ...... (801) 492-4892 Hospice - American Home Health - Heber Encompass Health Fork ...... (801) 763-0101 City ...... (435) 654-1464 Home Health - Ogden..... (801) 392-8880 Canyon Home Care & IHC Homecare Home Hearts for Hospice & Home Health - Hospice Salt Lake ♿ ...... (801) 485-6166 Health Heber ♿ ...... (435) 657-4323 Riverdale ...... (801) 475-0601 Community Nursing Ivy Lane Pediatrics - Salt IHC Homecare Home Services (CNS) - Orem Lake Office ...... (801) 728-4694 ♿ Office ...... (801) 224-8138 Lighten Home Health & Health Ogden ...... (801) 399-1400 Dignity Home Health - Hospice ...... (801) 203-3131 Ivy Lane Pediatrics - Utah County ...... (801) 492-4892 Salus Homecare - Heber .. (435) 657-0574 Ogden Office ...... (801) 774-9698 Encompass Health Symbii Home Health Rocky Mountain Care - Home Health - Orem ...... (801) 221-0660 and Hospice - SLC ...... (801) 433-0344 Layton ...... (801) 525-4850 Encompass Health Signature Healthcare at Home Health - Payson ... (801) 465-4401 Washington County Home - Salt Lake City ..... (801) 463-2478 First Choice Home Applegate HomeCare & Summit Home Health - Health - Orem Office ...... (801) 434-4100 Hospice - St. George ...... (435) 628-1569 Layton Office ...... (801) 542-7150 Hearts for Hospice & Community Nursing Symbii Home Health Home Health - Services (CNS) - St. and Hospice - Layton ...... (801) 444-0221 American Fork ...... (801) 772-0243 George Office ...... (435) 652-9077 Tender Care Home Homewatch CareGivers Encompass Health Health & Hospice ♿ ...... (801) 294-0560 of Orem ...... (801) 309-0718 Home Health - St. George ...... (435) 634-9300 Horizon Home Health & Home Infusion Services Hospice - Provo/Orem Horizon Home Health - ♿ ㏄ Ada County, ID ♿ ㏄...... (801) 226-1919 St. George ...... (435) 688-9202 Option Care ...... (208) 884-2917 Icare Home Health and IHC Homecare Home Hospice ...... (801) 228-0411 Health St. George ♿ ...... (435) 251-2367 Clark County, NV IHC Homecare Home Rocky Mountain Care - Option Care ...... (866) 258-3099 St. George ...... (435) 673-6699 Health Provo ♿ ...... (801) 225-0584 Salt Lake County Zion's Way Home Health Ivy Lane Pediatrics - Salt Accredo Health ...... (724) 772-6000 & Hospice - Hildale ...... (435) 688-0648 Lake Office ...... (801) 728-4694 Community Nursing Zion's Way Home Health Maple Creek Home Services (CNS) - & Hospice - St. George... (435) 688-0648 Health and Hospice ♿ .... (801) 798-5333 Infusion Pharmacy...... (801) 233-6120 Rocky Mountain Care - Wayne County IHC Homecare Orem ...... (801) 765-4903 IHC Homecare Home Pharmacy South Salus Homecare - Health Richfield ♿ ...... (435) 893-0371 Jordan ♿ ...... (385) 887-6000 Midvale ...... (801) 352-7358 Weber County Option Care - Utah ...... (866) 978-9600 Signature Healthcare at At Home Nursing Care - UUHC Specialty and Home - Riverdale ...... (801) 475-7500 North Office ...... (801) 266-5126 Home Infusion Pharmacy ...... (801) 587-6334

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 18 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Spokane County, WA Glenwood Springs, CO IHC Medical Equipment - Logan Office ♿ Option Care ...... (800) 426-6101 Hanger Clinic: Prosthetics & Orthotics - 1300 N 200 E Ste 106 ... (435) 716-5396 Washington County Glenwood Springs Meridian, ID IHC Homecare 1901 Grand Ave Numotion - Idaho Ste 201 ...... (970) 404-3067 Pharmacy St. George ♿ .. (435) 251-2425 1270 E Fairview Ave Grand Junction, CO Ste 150...... (208) 288-5460 Washoe County, NV Apria Healthcare - Grand Junction Option Care ...... (800) 829-8416 Midvale 2845 Chipeta Ave ...... (970) 245-1604 Apria Healthcare - Midvale Hanger Clinic: Prosthetics & Orthotics - Home Medical Supplies / Durable 6952 High Tech Dr Grand Junction Ste A ...... (801) 261-5100 Medical Equipment (DME) 2470 Patterson Rd Eye Prosthetics of Utah ♿ American Fork Ste 9 ...... (970) 243-6000 7400 Un Park Ave Feminine Forms Numotion - Grand Junction Ste 102...... (801) 942-1600 345 S 500 E ...... (801) 770-0600 2517 Weslo Ave ...... (970) 242-3011 Fit Well Prosthetics - Midvale IHC Medical Equipment - American Fork Heber City 7575 S 900 E ...... (801) 364-3100 ♿ IHC Medical Equipment - Heber Office ♿ Jenco Prosthetics & Orthotics 98 N 1100 E Ste 301B ... (801) 855-3586 175 N Main St Ste 104 . (435) 657-4323 7026 S Commerce Peak Dr Ste 2...... (801) 566-5795 Aurora, CO Idaho Falls, ID National DME Numotion - Aurora Alpine Home Medical Equipment - Idaho 7757 S Allen St ...... (801) 262-3236 13450 E Smith Rd Falls Ste 660A ...... (303) 781-1474 2425 Channing Way ..... (208) 535-8627 Moab Community Nursing Services (CNS) - Blanding Kanab Moab Office Petersen Medical - Blanding Alpine Home Medical Equipment - Kanab 1030 Bowling Aly Ln 154 S Main St ...... (435) 678-2250 670 South Hwy 89 Ste 1...... (435) 259-0466 Bountiful Ste A ...... (435) 644-5100 Mt. Pleasant IHC Medical Equipment - Bountiful Office Kaysville IHC Medical Equipment - Mt. Pleasant ♿ Petersen Medical - Kaysville Office ♿ 1440 S 500 W ...... (801) 294-0636 870 W 300 N Ste 100 ... (800) 888-5137 130 W Main St ...... (435) 462-3431 Brigham City Las Vegas, NV Murray Advantage Medical Supply Numotion - Las Vegas Advanced Care Home Medical & Oxygen 590 Greenwood Dr ...... (888) 270-0202 101 N Pecos Rd 6182 Stratler St ...... (801) 262-2210 Community Nursing Services (CNS) - Ste 111-112 ...... (702) 431-1610 Alpine Home Medical Equipment - Salt Brigham Office Layton Lake City 345 N Main St Ste B...... (435) 723-4404 Community Nursing Services (CNS) - 4030 S State St ...... (801) 463-0044 Burley, ID Layton Office IHC Medical Equipment - Intermountain IHC Homecare Home Health Cassia ♿ 1492 W Antelope Dr Medical Center ♿ 1031 E Main St ...... (208) 678-8844 Ste 205 ...... (801) 774-4960 5171 S Cottonwood St Cedar City Hanger Clinic: Prosthetics & Orthotics - Ste 150...... (801) 507-9100 IHC Medical Equipment - Cedar City Layton Insight Orthotics and Prosthetics Office ♿ 1660 W Antelope Dr 457 W 4800 S...... (801) 269-1030 1333 N Main St Ste 120 ...... (801) 917-2870 Kal Medical Supplies - Murray ♿ ㏄ Ste 102 ...... (435) 868-5851 Lindon 621 W 3900 S Clearfield Apria Healthcare - Lindon Ste A100 ...... (801) 266-2795 National Seating & Mobility - Salt Lake Eclipse Home Medical ㏄ 400 N Geneva Rd ...... (801) 785-1000 City 570 E 1700 S Ste 204 .... (801) 217-3551 Littleton, CO 6553 S Cottonwood Aspen Medical Monitoring Cottonwood Heights St ...... (801) 281-6601 Chandler's Specialty Shoes 5142 S Xenophon Ct .... (303) 429-0509 Ogden 6321 S Highland Dr ...... (801) 274-6905 Logan Alpine Home Medical Equipment - Ogden Alpine Home Medical Equipment - Logan 4669 Harrison Blvd ...... (801) 393-0015 1395 N 400 E Ste A...... (435) 774-4500 Apria Healthcare - Ogden 206 W 36th St Ste A ...... (801) 392-5999

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 19 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Community Nursing Services (CNS) - Providence Loveaire Health Care Ogden Office Community Nursing Services (CNS) - 2830 S Redwood Rd ...... (801) 233-6100 5327 Adams Ave Logan Office Medicor Ste C ...... (801) 476-0088 221 North Gtwy Dr 2469 East Ft Un Blvd ..... (801) 942-5543 Compass Limb and Brace Ste G ...... (435) 752-3355 Peak Prosthetic Designs 1140 36th St Ste 165 .... (801) 392-0075 2120 S 900 E ...... (801) 972-5270 Provo Debra Lynn's Post-Mastectomy Pediatric Orthotic and Prosthetic Services Alpine Home Medical Equipment - Provo Specialties - West 1481 N State St ...... (801) 852-0077 1090 E 30th St ...... (801) 393-2885 1275 E Fairfax Rd ...... (801) 536-3827 IHC Medical Equipment - Provo Office ♿ Fit Well Prosthetics - Ogden Red Rock Medical Supply 289 W 1230 N ...... (801) 357-8250 4699 Harrison Blvd 450 S 900 E ...... (801) 886-9700 Northwest Orthotics and Prosthetics - Ste 302 ...... (801) 334-6000 Provo Sandy Hanger Clinic: Prosthetics & Orthotics - 1675 N Freedom Blvd MedSource Ogden Bldg 12-C ...... (801) 377-3433 10520 S 700 E Ste 210 .. (801) 771-3939 3585 Harrison Blvd Symbius Medical - Utah Branch Reno, NV Ste 100 ...... (801) 392-5999 427 W Universal Cir ...... (801) 576-8888 IHC Medical Equipment - Ogden Numotion - Reno 4421 Harrison Blvd 280 S Rock Blvd South Jordan Ste A1 ...... (801) 387-5450 Ste 210 ...... (775) 432-6843 IHC Medical Equipment - South Jordan Office ♿ National Seating & Mobility - Ogden Richfield 11520 S Redwood Rd .... (385) 887-7320 1719 W 2800 S Alpine Home Medical Equipment - Ste 102 ...... (801) 392-1010 Richfield South Ogden Western Diabetic Supplies 43 S Main St ...... (435) 896-6474 Hanger Clinic: Prosthetics & Orthotics - 3293 Harrison Blvd IHC Medical Equipment - Richfield Office South Ogden Ste 210 ...... (877) 937-8342 ♿ 1464 E Ridgeline Dr Orem 70 E 1000 N Ste B ...... (435) 896-5884 Ste 103...... (801) 392-5999 Community Nursing Services (CNS) - Roosevelt Spanish Fork Orem Office Uintah Basin - Durable Medical Supplies Northwest Orthotics and Prosthetics - 700 W 800 N 26 W 200 N ...... (435) 722-2418 Spanish Fork Ste 320A ...... (801) 224-8138 642 E Kirby Ln Ste 103 .. (801) 377-3433 Salt Lake City Hanger Clinic: Prosthetics & Orthotics - Byram Healthcare - Murray St. George Orem 645 E 4500 S Ste 200.... (800) 775-4372 Alpine Home Medical Equipment - St. 1415 S State St ...... (801) 356-1830 Byram Healthcare - Salt Lake City George Intermountain Orthopedic Care 3793 S State St ...... (801) 268-9699 42 South Riv Rd 1435 S State St ...... (801) 226-4741 Carol's Mastectomy Shoppe Ste 10...... (435) 674-0080 Orthopedic Services of Utah 3165 S Main St ...... (801) 483-1262 Apria Healthcare - St. George Service 555 S State St Ste 205 .. (801) 802-8464 City Creek Hearing Center Center TruMobility 447 E 100 S ...... (801) 532-1955 1509 S 270 E Ste 9 ...... (435) 673-3250 1164 W 675 N ...... (801) 607-1050 Fit Prosthetics Carol's Post Mastectomy Specialist Pleasant Grove 154 E Myrtle Ave 330 E 600 S ...... (435) 688-0452 Northwest Orthotics and Prosthetics - Ste 100 ...... (801) 912-0500 Community Nursing Services (CNS) - St. Pleasant Grove Handspring Clinical Services George Office 1988 W 930 N Ste C ..... (801) 377-3433 750 E 100 S ...... (801) 328-9728 720 South Riv Rd Price Hanger Clinic: Prosthetics & Orthotics - Ste E-101 ...... (435) 652-9077 Apria Healthcare - Price Salt Lake City Fit Well Prosthetics - St. George 60 S 700 E Ste 1 ...... (435) 637-9500 2785 E 3300 S ...... (801) 467-5483 720 South Riv Rd Community Nursing Services (CNS) - Price Hanger Clinic: Prosthetics & Orthotics - Ste B205 ...... (435) 634-0070 Office Salt Lake City Hanger Clinic: Prosthetics & Orthotics - 480 S Carbon Ave ...... (435) 613-8887 5316 S Woodrow St St. George Ste 101 ...... (801) 266-7768 630 S 400 E Ste 102 ...... (435) 673-6449 IHC Medical Equipment - Salt Lake Clinic IHC Medical Equipment - St. George ♿ Office ♿ 389 S 900 E ...... (385) 282-2200 923 South Riv Rd Ste 104...... (435) 251-2323

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 20 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Petersen Medical - St. George Encompass Home Carbon County 2019 E Riverside Dr Health of Idaho - Community Nursing Ste A100 ...... (435) 628-6041 Pocatello ...... (208) 637-1100 Services (CNS) - Price Utah Prosthetics and Orthotics Beaver County Office ...... (435) 613-8887 356 E 600 S ...... (435) 688-9338 Beaver Valley Hospital - Rocky Mountain Care - Tooele Home Health & Price ...... (435) 637-0665 Community Nursing Services (CNS) - Hospice ...... (435) 438-7100 Cassia County, ID Tooele Office Bonneville County, ID IHC Homecare Hospice 601 N Main St...... (435) 882-3913 Encompass Home Cassia ♿ ...... (208) 678-8844 Vernal Health of Idaho - Idaho Primrose Homecare & Petersen Medical - Vernal Falls...... (208) 528-8100 Hospice ...... (435) 787-1369 1147 West Hwy 40 Box Elder County Davis County Ste 106 ...... (435) 789-5398 Applegate Homecare & Applegate Homecare & Out of State Hospice - Ogden ...... (801) 394-3250 Hospice - Ogden ...... (801) 394-3250 180 Medical Canyon Home Care & Bristol Hospice Utah ...... (801) 924-0867 Oklahoma City, OK ...... (877) 688-2729 Hospice Ogden ♿ ...... (801) 475-5300 Canyon Home Care & Advanced Respiratory Community Nursing Hospice Ogden ♿ ...... (801) 475-5300 Saint Paul, MN...... (800) 426-4224 Services (CNS) - Community Nursing Apria Healthcare - Gilbert Brigham Office ...... (435) 723-4404 Services (CNS) - Layton Gilbert, AZ ...... (888) 492-7742 Community Nursing Office ...... (801) 774-4960 Daavlin Services (CNS) - Logan Heartwood Hospice ...... (801) 261-9490 Bryan, OH ...... (419) 633-3413 Office ...... (435) 752-3355 Horizon Home Health DJO Community Nursing Hospice - Salt Lake City .. (801) 293-8700 Vista, CA ...... (800) 548-3370 Services (CNS) - Ogden Inspiration Hospice ...... (801) 281-1314 Dynasplint Systems Office ...... (801) 476-0088 Inspiration Hospice ...... (801) 281-1314 Severna Park, MD ...... (800) 638-6771 Primrose Homecare & Rocky Mountain Care - Edgepark Medical Supplies Hospice ...... (435) 787-1369 Layton ...... (801) 525-4850 Signature Healthcare at Twinsburg, OH ...... (800) 321-0591 Cache County Joint Active Systems ㏄ Home - Salt Lake City ..... (801) 463-2478 Canyon Home Care & Effingham, IL ...... (800) 879-0117 South Davis Home Hospice Ogden ♿ ...... (801) 475-5300 KCI USA Health & Hospice ...... (801) 298-8983 Community Nursing San Antonio, TX ...... (800) 275-4524 Tender Care Hospice ...... (801) 294-0560 Services (CNS) - LifeWatch Services Utah Home Health & Brigham Office ...... (435) 723-4404 Rosemont, IL ...... (877) 774-9846 Hospice ...... (801) 335-6455 Community Nursing Orthofix Services (CNS) - Logan Duchesne County Lewisville, TX ...... (800) 535-4492 Office ...... (435) 752-3355 Uintah Basin Home Prentke Romich Company Encompass Health Health / Hospice ...... (435) 722-4691 Wooster, OH ...... (800) 262-1984 Hospice - Providence ..... (435) 753-7001 Emery County Respirtech IHC Homecare Hospice Community Nursing Plymouth, MN ...... (651) 379-8999 Logan ♿ ...... (435) 716-5361 Symbius Medical - Phoenix Headquarters Services (CNS) - Price Primrose Homecare & Phoenix, AZ ...... (623) 780-8686 Office ...... (435) 613-8887 Hospice ...... (435) 787-1369 Symbius Medical Retail Store: Disability Grand County Rocky Mountain Care - Empowerment Center of Arizona (DEC) Community Nursing Logan ...... (435) 753-8220 Phoenix, AZ ...... (602) 507-4212 Services (CNS) - Moab Signature Healthcare at Tobii Dynavox Office ...... (435) 259-0466 Home - Logan ...... (801) 463-2478 Pittsburgh, PA ...... (800) 344-1778 Moab Regional Hospital Canyon County, ID ♿ ...... (435) 719-4550 Encompass Home Hospice Care Iron County Health of Idaho - Bannock County, ID IHC Homecare Hospice Nampa ...... (208) 461-1600 Encompass Health Cedar City ♿ ...... (358) 685-5852 Hospice of Eastern Idaho - Pocatello ...... (208) 461-1600

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 21 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Juab County Community Nursing Tooele County Central Valley Home Services (CNS) - Salt Bristol Hospice Utah ...... (801) 924-0867 Health and Hospice ...... (435) 623-3050 Lake Corporate Office .... (801) 233-6100 Canyon Home Care & Gunnison Valley Home Encompass Health Hospice Salt Lake ♿ ...... (801) 485-6166 Health and Hospice ...... (435) 528-7246 Hospice - Salt Lake City .. (801) 747-5500 Community Nursing Maple Creek Home First Choice Home Services (CNS) - Tooele Health and Hospice ♿ .... (801) 798-5333 Health & Hospice - Office ...... (435) 882-3913 Murray ...... (801) 685-2233 Millard County Rocky Mountain Care - Good Shepherd Hospice .. (801) 277-6474 IHC Homecare Hospice Tooele ...... (801) 397-4900 Heartwood Hospice ...... (801) 261-9490 Summit Home Health - Fillmore ♿ ...... (435) 743-5430 Horizon Home Health Main Office ...... (801) 542-7150 Morgan County Hospice - Salt Lake City .. (801) 293-8700 Twin Falls County, ID Applegate Homecare & Icare Home Health and Encompass Home Hospice - Ogden ...... (801) 394-3250 Hospice ...... (801) 228-0411 Health and Hospice of Canyon Home Care & IHC Homecare Hospice Idaho - Twin Falls ...... (208) 733-8600 Hospice Ogden ♿ ...... (801) 475-5300 Salt Lake ♿ ...... (385) 887-7350 Community Nursing Lighthouse Hospice ...... (801) 562-2273 Utah County Services (CNS) - Ogden Rocky Mountain Care - A-Plus Home Health and Office ...... (801) 476-0088 Salt Lake City ...... (801) 397-4900 Hospice ...... (801) 225-0990 Bristol Hospice Utah ...... (801) 924-0867 Oneida County, ID Signature Healthcare at Home - Salt Lake City ..... (801) 463-2478 Canyon Home Care & Primrose Homecare & Silverado Hospice ...... (801) 506-1500 Hospice Salt Lake ♿ ...... (801) 485-6166 Hospice ...... (435) 787-1369 Summit Home Health - Community Nursing Payette County, ID Main Office ...... (801) 542-7150 Services (CNS) - Orem Encompass Home Superior Home Care and Office ...... (801) 224-8138 Health and Hospice of Hospice ♿ ...... (801) 254-3200 Encompass Health Idaho - Fruitland ...... (208) 452-4972 Hospice - Orem ...... (801) 221-0669 San Juan County First Choice Home Rich County Community Nursing Health - Orem Office ...... (801) 434-4100 Canyon Home Care & Services (CNS) - Moab Horizon Home Health Hospice Ogden ♿ ...... (801) 475-5300 Office ...... (435) 259-0466 Hospice - Provo/Orem .... (801) 225-7977 Community Nursing Rocky Mountain Care - Icare Home Health and Services (CNS) - Blanding ...... (435) 678-3266 Brigham Office ...... (435) 723-4404 Hospice ...... (801) 228-0411 Sanpete County Community Nursing IHC Homecare Hospice Gunnison Valley Home Services (CNS) - Logan Provo ♿ ...... (801) 225-0584 Health and Hospice ...... (435) 528-7246 Office ...... (435) 752-3355 Maple Creek Home IHC Homecare Hospice Primrose Homecare & Health and Hospice ♿ ..... (801) 798-5333 Hospice ...... (435) 787-1369 Mt. Pleasant ♿ ...... (435) 462-3431 Rocky Mountain Care - Maple Creek Home Salt Lake County Orem ...... (801) 765-4903 Health and Hospice ♿ .... (801) 798-5333 Signature Healthcare at A-Plus Home Health and Home - Riverdale ...... (801) 475-7500 Hospice ...... (801) 225-0990 Sevier County Utah Home Health & Canyon Home Care & Gunnison Valley Home Hospice - Provo ...... (801) 373-1400 Hospice Salt Lake ♿ ...... (801) 485-6166 Health and Hospice ...... (435) 528-7246 Caregiver Support IHC Homecare Hospice Wasatch County Network - Salt Lake Richfield ♿ ...... (435) 893-0371 Canyon Home Care & County ...... (801) 747-2100 Summit County Hospice Salt Lake ♿ ...... (801) 485-6166 Community Nursing Bristol Hospice Utah ...... (801) 924-0867 Encompass Health Services (CNS) - Canyon Home Care & Hospice - Heber ...... (435) 654-1464 Infusion Pharmacy ...... (801) 233-6120 Hospice Salt Lake ♿ ...... (801) 485-6166 Horizon Home Health Community Nursing Horizon Home Health Hospice - Provo/Orem .... (801) 225-7977 Services (CNS) - Hospice - Salt Lake City .. (801) 293-8700 IHC Homecare Hospice Respiratory ...... (801) 973-0900 Summit Home Health - Heber ♿ ...... (435) 657-4323 Main Office ...... (801) 542-7150 Lighten Home Health & Hospice ...... (801) 203-3131

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 22 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Washington County Centerville UUHC Sugarhouse Health Center Applegate HomeCare & UUHC Centerville Health Center 1138 E Wilmington Hospice - St. George ...... (435) 628-1569 26 S Main St ...... (801) 213-8844 Ave ...... (801) 213-8845 Community Nursing Farmington Sandy Services (CNS) - St. UUHC Farmington Health Center Granite Peaks Pathology George Office ...... (435) 652-9077 165 N University Ave ... (801) 213-3200 1393 E Sego Lily Dr ...... (801) 495-5725 Encompass Health South Jordan Hospice of Southern Layton UUHC South Jordan Health Center Utah - St. George ...... (435) 634-9300 Associates of Pathology IHC Homecare Hospice 1600 Antelope Dr ...... (801) 807-7130 5126 W Daybreak Pkwy ...... (801) 213-4500 St. George ♿ ...... (435) 868-5852 Lehi Rocky Mountain Care - Valley Central Lab - Lehi Stansbury Park St. George ...... (435) 673-6699 3000 N Triumph Blvd UUHC Stansbury Health Center 220 Millpond Rd Weber County Ste 200 ...... (801) 374-1801 Ste 100...... (435) 843-3096 Applegate Homecare & Logan Hospice - Ogden ...... (801) 394-3250 MTD Medical Services Vernal Bristol Hospice Utah...... (801) 924-0867 500 E 1400 N ...... (435) 716-5375 Southeastern Utah Pathology Canyon Home Care & Northern Utah Pathology 150 W 100 N ...... (435) 789-3342 Hospice Ogden ♿ ...... (801) 475-5300 500 E 1400 N ...... (435) 734-0101 West Valley City Community Nursing Midvale UUHC Westridge Health Center Services (CNS) - UUHC Greenwood Health Center 3730 W 4700 S...... (801) 213-8843 Brigham Office ...... (435) 723-4404 7495 S State St ...... (801) 213-8840 Out of State Community Nursing Orem Assurex Health Services (CNS) - Ogden UUHC Parkway Health Center Mason, OH ...... (513) 701-5000 Office ...... (801) 476-0088 145 W University Crescendo Bioscience Encompass Health Pkwy ...... (801) 234-8585 South San Francisco, Hospice - South Ogden .. (801) 395-8880 Valley Central Lab - Orem CA ...... (650) 351-1354 Encompass Health 700 W 800 N Ste 200 ... (801) 374-1801 Dianon Systems Hospice - Weber ...... (801) 392-8880 Valley Central Lab - Orem Community Oklahoma City, OK ...... (405) 290-4000 IHC Homecare Hospice 527 W 400 N Ste 4 ...... (801) 374-1801 Dominion Diagnostics - NC Ogden ♿ ...... (800) 339-1400 Valley Central Lab - Provo Greensboro, NC ...... (877) 734-9600 Primrose Homecare & 1900 N State St ...... (801) 374-1801 Esoterix Genetic Laboratories Hospice ...... (435) 787-1369 Santa Fe, NM ...... (800) 222-7566 Rocky Mountain Care - Park City Labcorp - Phoenix Layton ...... (801) 525-4850 UUHC Redstone Health Center Phoenix, AZ ...... (877) 434-0292 Signature Healthcare at 1743 W Redstone Ctr Dr LabCorp at Unify Community Health Home - Salt Lake City ..... (801) 463-2478 Ste 115 ...... (435) 658-9262 Spokane, WA ...... Silverado Hospice ...... (801) 506-1500 Pleasant Grove LabCorp Panorama Richards Laboratories Lacey, WA ...... Infusion Suites 45 N 100 E ...... (801) 561-5729 LabCorp Spokane Main Lab Murray Salt Lake City Spokane, WA ...... Wasatch Infusion ♿ ㏄ ARUP Laboratories Laboratory Corporation of America - NC 348 E 4500 S Ste 220 .... (801) 557-7055 500 Chipeta Way...... (800) 242-2787 Research Triangle Myriad Genetic Labs Park, NC ...... (919) 361-7700 Laboratory / Pathology 320 Wakara Way...... (801) 584-3600 Litholink Corporation UUHC Madsen Health Center Burlington, NC ...... (800) 222-7566 American Fork 555 S Foothill Blvd Myriad Women's Health Valley Central Lab - American Fork Ste 301 ...... (801) 213-8846 South San Francisco, 1248 E 90 N Ste 300 ..... (801) 374-1801 UUHC Redwood Health Center CA ...... (888) 268-6795 Boise, ID 1525 W 2100 S ...... (801) 213-9900 Quest Diagnostics Clinic Lab - Los Angeles Cole Diagnostics UUHC South Main Clinic Los Angeles, CA ...... (818) 737-5200 7988 W Marigold St 3690 S Main St ...... (801) 587-2525 Sequenom Center for Molecular Ste 150 ...... (800) 850-7284 Medicine - California Branch San Diego, CA ...... (877) 821-9001

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 23 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Sequenom Center for Molecular Great Falls, MT Salem Medicine - Michigan Branch Quest Diagnostics - Great Falls Quest Diagnostics - Salem (at Revere Grand Rapids, MI ...... (877) 821-7266 401 15th Ave S Health) Ste 107 ...... (406) 452-5000 555 W State Rte 164 ..... (801) 812-5468 Laboratory Draw Stations Helena, MT Salt Lake City American Fork Quest Diagnostics - Helena Internal Medicine at St. Mark's PSC Quest Diagnostics - American Fork (at 611 N Montana St ...... (406) 442-6200 1151 E 3900 S Revere Health) Idaho Falls, ID Ste 165-B ...... (801) 261-6300 1175 E 50 S Ste 151 ...... (801) 429-8000 Quest Diagnostics - Idaho Falls Labcorp - Medical Towers Salt Lake City 1060 E 100 S Ste L-7 ..... (801) 355-8559 Billings, MT 2001 S Woodruff Ave Labcorp - Salt Lake City Quest Diagnostics - Billings Ste 7 ...... (208) 552-4826 5199 South Grn St 708 Broadwater Ave .... (406) 256-2176 Layton Ste 100...... (801) 288-9000 Bountiful Quest Diagnostics - Layton Labcorp - St. Mark's Hospital Labcorp - Bountiful 1660 W Antelope Dr 1250 E 3900 S 185 S 400 E Ste 101 ...... (801) 294-4302 Ste 230 ...... (801) 779-2313 Bldg B Ste 302 ...... (801) 264-9675 MSCL at Medical Drive PSC Midvale LabCorp at St.Mark's Internal Medicine 425 S Medical Dr UUHC Greenwood Health Center 1160 E 3900 S Ste 120 ...... (801) 203-1028 7495 S State St ...... (801) 213-8840 Ste 1200...... (801) 261-9651 MSCL PSC Lakeview Hospital Outpatient Murray MSCL at St. Mark's Hospital Outpatient 520 E Medical Dr PSC Quest Diagnostics - Murray Ste 100A ...... (801) 294-7376 1220 E 3900 S Ste 2H .... (801) 261-8688 348 E 4500 S Ste 210.... (801) 262-5222 Bozeman, MT MSCL at St. Mark's Women's Ogden Quest Diagnostics - Bozeman 1140 E 3900 S Ste 320 .. (801) 262-1709 MSCL at Ogden Medical Plaza PSC 1735 W Main St ...... (406) 585-5465 UUHC Madsen Health Center 425 E 5350 S Ste 160.... (801) 337-5111 555 S Foothill Blvd Butte, MT Orem Ste 301...... (801) 213-8846 Quest Diagnostics - Butte UUHC Parkway Health Center UUHC Redwood Health Center 2500 Massachusetts 145 W University 1525 W 2100 S...... (801) 213-9900 Ave ...... (406) 494-4944 Pkwy ...... (801) 234-8585 UUHC South Main Clinic Centerville 3690 S Main St ...... (801) 587-2525 Park City UUHC Centerville Health Center UUHC Sugarhouse Health Center UUHC Redstone Health Center 26 S Main St ...... (801) 213-8844 1138 E Wilmington 1743 W Redstone Ctr Dr Ave ...... (801) 213-8845 Denver, CO Ste 115 ...... (435) 658-9262 Quest Diagnostics - Denver South Jordan Pocatello, ID 695 S Broadway ...... (303) 899-6000 UUHC South Jordan Health Center LabCorp Pocatello 5126 W Daybreak Draper 444 Hospital Way Pkwy ...... (801) 213-4500 Labcorp - Draper Ste 401 ...... (208) 232-6740 12176 S 1000 E ...... (801) 495-9514 Quest Diagnostics - Pocatello South Ogden MSCL PSC Lone Peak 1151 D Hospital Way Labcorp - Ogden 74 E Kimballs Ln Ste 200 ...... (208) 233-4804 6028 S Ridgeline Dr Ste 250 ...... (801) 523-5044 Ste 204...... (801) 475-7195 Price Quest Diagnostics - Draper Quest Diagnostics - Price Springville 424 E 12300 S Ste 100 .. (801) 571-6161 377 N Fairgrounds Rd .. (435) 637-5936 Labcorp - Springville Farmington 269 E 400 S Ste 102 ...... (801) 489-1006 Provo UUHC Farmington Health Center Quest Diagnostics - Provo (at Revere St. George 165 N University Ave .... (801) 213-3200 Health) Labcorp - St. George Grand Junction, CO 1055 N 500 W 1490 E Foremaster Dr Quest Diagnostics - Grand Junction Ste 113 ...... (801) 429-8000 Ste 130...... (435) 673-8266 2412 Patterson Rd Quest Diagnostics - St. George Ste 2 ...... (970) 242-0740 736 S 900 E Ste 103 ...... (435) 628-3419

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 24 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Stansbury Park Sandy Ogden UUHC Stansbury Health Center Insync Interpreters Ogden Regional Imaging Center North 220 Millpond Rd 9149 Monroe Plz Way 5322 S 400 E Ste 100 ...... (435) 843-3096 Ste C ...... (801) 838-8100 Washington Ter ...... (801) 475-0800 Tooele Out of State Ogden Regional Medical Center Labcorp - Tooele CyraCom 5475 S 500 E ...... (801) 479-2450 2356 N 400 E Ste 204 ... (435) 882-7106 Tucson, AZ ...... (520) 615-4439 Orem Quest Diagnostics - Tooele (at Mountain Trans Word Timpanogos Regional Hospital West Medical Center) Phoenix, AZ ...... (801) 664-6301 750 W 800 N ...... (801) 714-6000 2055 N Main St...... (435) 843-2500 UUHC Parkway Health Center West Valley City Mammography Screening Centers 145 W University Pkwy ...... (801) 234-8585 UUHC Westridge Health Center Bountiful 3730 W 4700 S ...... (801) 213-8843 Lakeview Hospital Panguitch Whitefish, MT 630 E Medical Dr ...... (801) 299-2200 Garfield Memorial Hospital Imaging 200 N 400 E ...... (435) 676-1280 Quest Diagnostics - Whitefish Brigham City 6580 Us Hwy 93 S ...... (406) 863-9100 Brigham City Community Hospital Park City Out of State Women's Imaging UUHC Redstone Health Center Quest Diagnostic - Miami 950 S Medical Dr ...... (435) 734-9471 1743 W Redstone Ctr Dr Ste 115...... (435) 658-9262 Miramar, FL ...... (866) 697-8378 Draper Quest Diagnostics - LabOne (Lenexa) Lone Peak Hospital Women's Center Payson Lenexa, KS ...... (800) 488-8890 11925 S State St ...... (801) 545-8036 Mountain View Hospital - Payson Quest Diagnostics - Seattle 1000 E 100 N ...... (801) 465-7000 Gunnison Seattle, WA ...... (206) 623-8100 Gunnison Valley Hospital Mammography Price Quest Diagnostics - Tucker 64 E 100 N ...... (435) 528-2125 Castleview Hospital Mammography Tucker, GA ...... (770) 934-9200 300 N Hospital Dr ...... (435) 636-4844 Reprosource Fertility Diagnostics Layton Woburn, MA ...... (800) 667-8893 Breast Care Center at Davis Hospital Roy 2132 N 1700 W Breast Care Center at Davis Hospital - Language Interpreter Services Ste B100 ...... (801) 807-7120 Weber Campus 3451 W 5600 S...... (801) 807-7120 Orem Lehi Salt Lake City Interwest Interpreting (American Sign Breast Care Center at Mountain Point Breast Care Center at Salt Lake Regional Language) Medical Center Medical Center 779 N 1180 E ...... (888) 224-7683 3000 N Triumph Blvd ... (385) 345-3000 1050 East South Midvale Provo Temple ...... (801) 350-8296 UUHC Greenwood Health Center 5 Star Interpreting Huntsman Cancer Institute 7495 S State St ...... (801) 213-8840 1495 N 1880 W ...... (877) 307-1265 1950 East Cir Of Hope .. (801) 581-5496 Salt Lake City Moab St. Mark's Women's Services Asian Association of Utah Moab Regional Hospital Imaging 1140 E 3900 S ...... (801) 313-1955 155 S 300 W ...... (801) 467-6060 450 W Williams Way .... (435) 719-3690 South Jordan Catholic Community Services Monticello UUHC South Jordan Health Center 745 E 300 S ...... (801) 977-9119 San Juan Hospital ♿ 5126 W Daybreak CommGap 380 W 100 N ...... (435) 587-2116 Pkwy ...... (801) 213-4500 7069 S Highland Dr Nephi West Jordan Ste 201 ...... (801) 944-4049 Central Valley Medical Center Diagnostic Breast Care at Jordan Valley Medical International Rescue Committee Imaging Center 221 S 400 W ...... (801) 328-1091 48 W 1500 N ...... (435) 623-3165 3580 W 9000 S...... (801) 617-1919 Language Med 5880 S Royalton Dr ...... (801) 750-4661 North Logan West Valley City Linguistica International Cache Valley Hospital Mammography Breast Care at Jordan Valley Medical 4250 W 5415 S ...... (801) 618-1454 Center Center - West Valley Campus 2380 N 400 E ...... (435) 713-9777 3460 S Pioneer Pkwy .... (801) 617-1919

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 25 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Personal/Home Care Agencies Idaho Falls, ID Salt Lake City ㏄ Gamma West Cancer Services - Salt Lake Cache County Gamma West Cancer Services - Idaho 3100 Channing Way ..... (208) 227-2700 County ㏄ ComForCare of 1050 East South Northern Utah ♿ ...... (435) 754-7676 Layton Gamma West Cancer Services - Davis Temple ...... (801) 350-8400 Carbon County Huntsman Cancer Institute ♿ County ㏄ Rocky Mountain 2000 Cir Of Hope ...... (801) 585-0303 2132 N 1700 W Personal Care - Price ...... (801) 397-9140 Millcreek Imaging Ste B-101 ...... (801) 807-7777 3738 S 900 E ...... (801) 268-7900 Davis County Mountain Medical Physician Specialists - Mountain Medical Imaging Center - Homewatch CareGivers Davis Hospital and Medical Center Mobile Mammography of Layton ♿ ...... (801) 608-1552 1600 W Antelope Dr .... (801) 807-1000 5323 S Woodrow St Rocky Mountain Open Imaging - Layton Ste 100...... (801) 713-0600 Personal Care ♿ ...... (801) 397-4140 2071 N Main St Mountain Medical Physician Specialists - Ste 100 ...... (801) 825-4040 Salt Lake County Salt Lake Regional Medical Center A Caring Hand Home Lindon 1050 East South Care ♿ ...... (801) 253-1265 Mobile Sound Imaging Temple ...... (801) 350-4111 Home Watch CareGivers 594 N Locust Ave ...... (801) 376-9797 Open Imaging State - Salt Lake City of Salt Lake ♿ ...... (801) 746-1080 Logan 3702 S State St Homewatch CareGivers Logan Radiology Group Ste 111...... (801) 550-6180 of Sandy ...... (801) 309-0718 1400 N 500 E ...... (800) 399-6438 University of Utah Hospital ♿ Homewatch CareGivers 50 N Medical Dr ...... (801) 581-2121 Mesquite, NV of West Jordan ...... (385) 482-4269 UUHC University Orthopaedic Center ♿ Gamma West Cancer Services - Nevada 590 Wakara Way ...... (801) 587-7109 San Juan County ㏄ Rocky Mountain 1301 Bertha Howe Ave Sandy Personal Care - Ste 10 ...... (435) 767-9104 Wasatch Imaging Blanding ...... (801) 397-9140 9844 S 1300 E Ste 175 .. (801) 576-1290 Moab Utah County Moab Regional Hospital Imaging South Ogden Homewatch CareGivers 450 W Williams Way .... (435) 719-3690 Utah Imaging Center - Ogden of Orem ...... (801) 309-0718 5322 S 400 E ...... (801) 475-0800 Ogden Washington County Gamma West Cancer Services - Weber St. George Rocky Mountain County ㏄ Gamma West Cancer Services - St. Personal Care - St. 5475 S 500 E ...... (801) 475-4571 George ㏄ George ...... (801) 397-4140 Mountain Medical Imaging Center - 1308 E 900 S Ste B ...... (435) 767-9104 Ogden Revere Health - Coral Desert Imaging Radiology / Imaging Centers 1486 E Skyline Dr ...... (801) 475-4552 1490 E Foremaster Dr Bldg C...... (435) 986-2238 American Fork Orem American Fork Imaging Gamma West Cancer Services - Orem Taylorsville 1175 E 50 S Ste 141 ...... (801) 492-5996 700 W 800 N Ste 140 ... (801) 852-0210 Open Imaging - Taylorsville ㏄ 6243 S Redwood Rd Draper Provo Ste 130...... (801) 288-9671 Pacific Mobile Diagnostics Blue Rock Medical Center 12659 S 125 E Ste B ...... (801) 503-0050 3152 N University Ave Tooele Oquirrh Radiology Associates Evanston, WY Ste 120 ...... (801) 356-0233 2055 N Main St ...... (435) 843-1180 Gamma West Cancer Services - Wyoming Revere Health - Provo Radiology & Tooele Valley Imaging ㏄ Osteoporosis Center 1055 N 500 W 2356 N 400 E 196 Arrowhead Dr Ste 112 ...... (801) 812-4624 Bldg B Ste 103 ...... (435) 882-1674 Ste 5 ...... (801) 475-4571 Utah Valley Obstetrical Ultrasound West Jordan Holladay 1055 N 300 W ...... (801) 602-4668 Mountain Medical Physician Specialists - Gamma West Cancer Services - Utah ㏄ Salem Jordan Valley Medical Center 1250 E 3900 S Salem Imaging 3580 W 9000 S...... (801) 561-8888 Ste B-10 ...... (801) 456-8401 555 W Sr 164 ...... (801) 812-4624

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 26 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

West Valley City South Davis Community Hospital Monticello Mountain Medical Physician Specialists - 401 S 400 E ...... (801) 295-2361 San Juan Hospital ♿ Pioneer Valley Hospital Brigham City 380 W 100 N ...... (435) 587-2116 3460 Pioneer Pkwy...... (801) 964-3100 Pioneer Care Center Murray Utah Imaging Center - West Valley 815 S 200 W ...... (435) 723-5289 Paramount Health & Rehab 3715 W 4100 S Willow Glen Health & Rehabilitation 4035 S 500 E ...... (801) 262-9181 Ste 150 ...... (801) 268-7900 775 N 200 E ...... (435) 723-7777 Rocky Mountain Care - Cottage On Vine Clearfield 835 E Vine St ...... (801) 693-3800 Rehabilitation Services Rocky Mountain Care - Clearfield Willow Wood Care Center Layton 1481 E 1450 S ...... (801) 728-4300 1205 E 4725 S ...... (801) 262-2908 Davis Hospital & Medical Center ♿ Draper Nephi 1600 W Antelope Dr .... (801) 807-1000 Draper Rehabilitation and Care Center ♿ Central Valley Medical Center Precision Health Services - Layton 12702 South Ft St...... (801) 571-2704 48 W 1500 N ...... (435) 623-3000 1649 W Antelope Dr Heritage Hills Rehabilitation and Care Ferron Ste 220 ...... (801) 266-0399 Center Emery County Care and Rehabilitation Ogden 1100 N 400 E ...... (435) 623-1721 Center Harrison Pointe Healthcare and 455 West Ml Rd ...... (435) 384-2301 Ogden Rehabilitation Harrison Pointe Healthcare and Gunnison 3430 Harrison Blvd ...... (801) 339-5609 Rehabilitation - Skill Nursing Gunnison Valley Hospital ♿ Roosevelt 3430 Harrison Blvd ...... (801) 399-5609 64 E 100 N ...... (435) 528-7246 Uintah Basin Rehabilitation and Senior Mountain View Health Villa Heber City 5865 S Wasatch Dr ...... (801) 479-8480 265 N 300 W ...... (435) 722-2497 Rocky Mountain Care - The Lodge Orem 544 E 1200 S ...... (435) 654-5500 Salt Lake City Cascades at Orchard Park Salt Lake Regional Medical Center ♿ Holladay 740 N 300 E ...... (801) 224-0921 1050 East South Holladay Healthcare Center Orem Nursing and Rehabilitation Center Temple ...... (801) 350-4111 4782 S Holladay Blvd ... (801) 277-7002 575 E 1400 S ...... (801) 225-4741 University of Utah Hospital ♿ Kanab Panguitch 50 N Medical Dr ...... (801) 581-2121 Kane County Hospital ♿ Garfield Memorial Hospital ♿ West Jordan 355 N Main St ...... (435) 644-5811 200 N 400 E ...... (435) 676-8811 Jordan Valley Medical Center ♿ Lehi Pleasant Grove 3580 W 9000 S ...... (801) 561-8888 Pointe Meadows Health and Alpine Valley Care Center ♿ Precision Health Services - West Jordan Rehabilitation ♿ 25 Alpine Dr ...... (801) 785-3568 6671 S Redwood Rd 2750 N Digital Dr ...... (385) 374-5600 Price Ste 120 ...... (801) 266-0399 Logan Castleview Hospital ♿ Rocky Mountain Care - Logan 300 N Hospital Dr ...... (435) 637-4800 Skilled Nursing Facilities 1480 N 400 E ...... (435) 750-5501 Parkdale Health and Rehab ♿ American Fork Sunshine Terrace Skilled Nursing & 250 E 600 N ...... (435) 637-2621 Heritage Care Center Rehabilitation Provo 248 W 300 N ...... (435) 752-0411 350 E 300 N ...... (801) 756-5293 Provo Rehabilitation and Nursing Beaver Midvale 1001 N 500 W ...... (801) 377-9661 Beaver Valley Hospital ♿ Cascades at Riverwalk ♿ Richfield 1012 W Jordan Riv 1109 N 100 West St ...... (435) 438-7100 Richfield Rehabilitation and Care Center Blvd ...... (801) 565-0800 Blanding 163 E 1000 N ...... (435) 896-8211 Blue Mountain Hospital ♿ Milford Stonehenge of Richfield 802 S 200 W ...... (435) 678-3993 Milford Memorial Hospital ♿ 125 E 600 N ...... (435) 896-2000 850 N Main St Bountiful Riverton Ut Hwy 257 ...... (435) 387-2411 Avalon Care Center - Bountiful Country Life Care Center 523 N Main St...... (801) 951-2273 Moab 13747 Redwood Rd ...... (801) 417-9400 North Canyon Care Center Moab Regional Hospital ♿ Rocky Mountain Care - Riverton 350 S 400 E ...... (801) 397-4700 450 W Williams Way .... (435) 719-4550 3419 W 12600 S...... (801) 693-3900

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 27 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

Roosevelt Sleep Study Labs Vision Centers (Optical Suppliers) Uintah Basin Rehabilitation and Senior American Fork American Fork Villa American Fork Hospital ♿ Excel Eye Center of American Fork 265 N 300 W ...... (435) 722-2497 170 N 1100 E ...... (801) 855-3300 12 N 1100 E ...... (801) 756-9627 Salt Lake City Bountiful Bountiful Avalon Valley Rehabilitation Center Lakeview Hospital ♿ Standard Optical - Bountiful Branch 2472 S 300 E ...... (801) 466-2211 630 E Medical Dr ...... (801) 299-2200 140 W 500 S...... (801) 292-0479 Avalon West Health & Rehabilitation Ogden Clinic - Cope Family Medicine Utah Eye Centers - Bountiful Hills 6246 S Redwood Rd ..... (801) 969-1420 Sleep Lab Location ㏄ Canyon Rim Care Center 185 S 400 E Ste 100...... (801) 475-3200 214 W 1500 S Ste 300 ... (801) 677-1122 2730 E 3300 S ...... (801) 487-0896 City Creek Post Acute Brigham City Draper 165 S 1000 E ...... (801) 322-5521 Brigham City Community Hospital ♿ Hidden Valley Eye Care & Framed Optical Highland Care Center 950 S Medical Dr ...... (435) 734-9471 1147 E Draper Pkwy ..... (801) 619-9555 4285 Highland Dr ...... (801) 278-2839 Delta Ephraim Meadow Brook Rehabilitation and Delta Community Hospital ♿ Eye Center of Ephraim Nursing 126 White Sage Ave ..... (435) 864-5591 43 E 450 N ...... (435) 283-5555 433 E 2700 S ...... (801) 487-2248 Layton Farmington Pine Creek Rehab and Nursing Davis Hospital & Medical Center ♿ 876 W 700 S ...... (801) 573-6357 Moran Eye Center - Station Park Eye 1600 W Antelope Dr .... (801) 807-1000 St. Joseph Villa Center 451 E Bishop Federal Ogden 165 N University Ave .... (801) 213-3405 Ln ...... (801) 487-7887 Ogden Clinic - Grandview Sleep Lab Harrisville Woodland Park Rehab and Care Center 4650 S Harrison Blvd .... (801) 475-3200 Standard Optical - Harrisville/North SLC Ogden Regional Medical Center ♿ Ogden Branch 3855 S 700 E ...... (801) 268-4766 5475 S 500 E ...... (801) 479-2111 460 N 325 E ...... (801) 827-9000 St. George Payson Hurricane Coral Desert Rehabilitation and Care Mountain View Hospital ♿ Hurricane Valley Eye Care 1490 E Foremaster Dr .. (435) 628-7770 1000 E 100 N ...... (801) 465-7000 20 S 850 W Ste 3 ...... (435) 635-7766 St. George Rehabilitation Price Layton 1032 E 100 S ...... (435) 628-0488 Castleview Hospital ♿ Standard Optical - Layton Branch Tooele 300 N Hospital Dr ...... (435) 637-4800 1076 Layton Hls Mall Mountain West Medical Center ♿ Roy Ste 2090...... (801) 546-0255 2055 N Main St...... (435) 843-3710 Ogden Clinic - Grand Valley Sleep Lab Lehi Rocky Mountain Care - Willow Springs 3485 N 5200 S ...... (801) 475-3320 Excel Eye Center of Lehi 85 E 2000 N ...... (435) 843-2000 Salt Lake City 220 N 1200 E Ste 101 ... (801) 341-6200 Vernal Salt Lake Regional Medical Center ♿ Standard Optical - Lehi Branch Ashley Regional Medical Center ♿ 1050 East South 1438 E Main St Ste 4 ..... (801) 753-7999 150 W 100 N ...... (435) 789-3342 Temple ...... (801) 350-4111 Logan Washington Terrace University of Utah Hospital ♿ Eye Care for You - Logan Mt. Ogden Health and Rehab Center 50 N Medical Dr ...... (801) 581-2121 1300 N 200 E Ste 104 ... (435) 752-6453 375 E 5350 S ...... (801) 479-5700 Sandy Standard Optical - Logan Branch West Jordan Alta View Hospital ♿ 1153 N Main St Copper Ridge Health Care 9660 S 1300 E ...... (801) 501-2600 Ste A120 ...... (435) 752-2092 3706 W 9000 S ...... (801) 280-2273 Tremonton Morgan West Valley City Bear River Valley Hospital ♿ Morgan Eye Care Rocky Mountain Care - Hunter Hollow 905 N 1000 W ...... (435) 207-4500 139 N State Bldg C-6 ..... (801) 829-3442 4090 W Pioneer Pkwy .. (801) 397-4400 West Jordan Murray Jordan Valley Medical Center ♿ Standard Optical - Murray Branch 3580 W 9000 S ...... (801) 561-8888 5289 S State St ...... (801) 506-1111

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 28 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Facilities & Ancillary Services

UUHC Moran Eye Center at Midvalley Provo St. George Health Center - Ophthalmology Excel Eye Center of Provo Southwest Vision 243 E 6100 S ...... (801) 585-3937 1735 N State St ...... (801) 374-1818 965 E 700 S Ste 100 ...... (435) 673-5577 Nephi Revere Health - Provo Ophthalmology Standard Optical - St. George Branch Nebo Vision Clinic and Eye Center 250 Red Clfs Dr Ste 7 .... (435) 674-2020 48 S Main St ...... (435) 623-2100 1055 N 500 W Stansbury Park Ste 201 ...... (801) 375-6565 Ogden UUHC Moran Eye Center at Stansbury Standard Optical - Provo Branch Clayson Williams Eye Center Health Center 1200 Provo Town Ctr 220 Millpond Rd 4403 Harrison Blvd Ste 1060 ...... (801) 373-2254 Ste 3600 ...... (801) 387-3550 Ste 100...... (435) 843-3000 Country Hills Eye Center Riverton Taylorsville 875 Country Hls Dr ...... (801) 399-1149 Moran Eye Center at Primary Children's Standard Optical - Taylorsville Branch Ogden Vision Center Outpatient Services at Riverton 3754 W 5400 S...... (801) 964-9911 3475 Harrison Blvd ...... (801) 394-8885 3741 W 12600 S ...... (801) 581-2352 Tooele Optical Associates Roosevelt Infocus Optical 1196 30th St ...... (801) 399-9873 Roosevelt Vision Clinic 2376 N 400 E Ste 101 ... (435) 843-8333 Standard Optical - Ogden Branch 165 W 200 N ...... (435) 722-2981 Standard Optical - Tooele Branch 4283 S Harrison Blvd Roy 966 N Main St ...... (435) 882-4815 Ste 8 ...... (801) 479-5060 Standard Optical - Roy Branch Tooele Vision Center Utah Eye Centers - Mount Ogden 5421 S 1900 W ...... (801) 825-9703 300 S Main St ...... (435) 882-3233 Location ㏄ 4360 Washington Salt Lake City West Jordan Blvd ...... (801) 476-0494 John A. Moran Eye Center Jordan Vision Clinic 65 N Mario Capecchi 9237 S Redwood Rd Orem Dr ...... (801) 581-2352 Ste 5-A ...... (801) 561-2020 Excel Eye Center of Orem Standard Optical - Holladay Branch Redwood Vision Center 820 N 980 W ...... (801) 426-9800 4878 S Highland Dr 6705 S Redwood Rd ...... (801) 268-0866 Standard Optical - Orem Branch Creekside Plz ...... (801) 272-8861 Standard Optical - West Jordan Branch 1455 S State St ...... (801) 226-3044 Standard Optical - Salt Lake Parkway 1656 W 9000 S...... (801) 255-5454 UUHC Moran Eye Center at Parkway Branch Health Center West Valley City 1901 West Pkwy Blvd .. (801) 972-0203 145 W University UUHC Moran Eye Center at Westridge Standard Optical - Salt Lake Sugarhouse Pkwy...... (801) 234-8600 Health Center Branch 3730 W 4700 S...... (801) 213-9200 Panguitch 2124 S Highland Dr ...... (801) 487-4138 Red Rock Eye Clinic Utah Eye Centers - Salt Lake City 415 E Main St ...... (435) 676-8646 440 D St Ste 210 ...... (801) 408-3705 Park City UUHC Moran Eye Center at Redwood UUHC Moran Eye Center at Redstone Health Center Health Center 1525 W 2100 S ...... (801) 213-9900 1743 W Redstone Ctr Dr Sandy Ste 115 ...... (435) 658-9200 Standard Optical - Sandy Branch Payson 834 E 9400 S ...... (801) 572-9280 Excel Eye Center of Payson South Jordan 1172 E 100 N Ste 4 ...... (801) 379-2904 Standard Optical - South Jordan Branch Perry 11514 S 4000 W Perry Eye Care Bldg H Ste 103 ...... (801) 727-8711 2480 South Hwy 89 UUHC Moran Eye Center at South Jordan Ste B ...... (435) 239-8756 Health Center 5126 W Daybreak Preston, ID Pkwy ...... (801) 213-4500 Eye Care for You - Preston 134 N State St Ste A ..... (208) 852-3030 Spanish Fork Advanced Family Eyecare ♿ ㏄ 57 E 1000 N ...... (801) 798-5341

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 Page 29 ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Healthy U Participating Primary Care Providers

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 * Not accepting new patients at this office Page 30 ㏄ ♿ ADA accesible - For specific accommodations contact the provider Cultural Competency training Healthy U Participating Specialty Providers

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a translator, please contact our Customer Service Department at 1-833-981-0212. 02/14/2020 * Not accepting new patients at this office Page 31 ㏄ ♿ ADA accesible - For specific accommodations contact the provider Cultural Competency training Healthy U Index of Providers By Languages Spoken

No index entries found.

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 32 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

Applegate Homecare & Hospice - Breast Care at Jordan Valley Medical Ogden ...... 21, 22, 23 Center - West Valley Campus ...... 25 1 Applegate Homecare & Hospice - Park Breast Care Center at Davis Hospital 25 City ...... 17, 18 Breast Care Center at Davis Hospital - 180 Medical ...... 21 Applegate Homecare & Hospice - Salt Weber Campus ...... 25 Lake ...... 16, 17 Breast Care Center at Mountain Point Applegate HomeCare & Hospice - St. Medical Center ...... 25 5 George ...... 18, 23 Breast Care Center at Salt Lake Apria Healthcare - Gilbert ...... 21 Regional Medical Center ...... 25 5 Star Interpreting ...... 25 Apria Healthcare - Grand Junction .... 19 Brigham City Community Hospital ... 10, Apria Healthcare - Lindon ...... 19 28 Apria Healthcare - Midvale ...... 19 Brigham City Community Hospital A Apria Healthcare - Ogden ...... 19 Women's Imaging ...... 25 Apria Healthcare - Price ...... 20 Bristol Hospice Utah ...... 21, 22, 23 A Caring Hand Home Care ...... 18, 26 Apria Healthcare - St. George Service Budge Diabetes Clinic ...... 14 A Step Forward - Clearfield ...... 16 Center ...... 20 Byram Healthcare - Murray ...... 14, 20 A Step Forward - Murray ...... 17 ARUP Laboratories ...... 23 Byram Healthcare - Salt Lake City 14, 20 Accredo Health ...... 18 Ashby Health Care ...... 17 Byram Healthcare Diabetes Specialty Advanced Care Home Medical & Ashley Regional Medical Center . 11, 28 Center ...... 14 Oxygen ...... 19 Asian Association of Utah ...... 25 Advanced Family Eyecare ...... 29 Aspen Medical Monitoring ...... 19 Advanced Respiratory ...... 21 Associates of Pathology ...... 23 C Advantage Medical Supply ...... 19 Assurex Health ...... 23 Alpine Home Medical Equipment - At Home Nursing Care - North Office Cache Valley Hospital ...... 10 Idaho Falls ...... 19 ...... 16, 18 Cache Valley Hospital Mammography Alpine Home Medical Equipment - At Home Nursing Care - Salt Lake Center ...... 25 Kanab ...... 19 Office ...... 17 Canyon Home Care & Hospice Ogden Alpine Home Medical Equipment - Avalon Care Center - Bountiful ...... 27 ...... 15, 16, 17, 18, 21, 22, 23 Logan ...... 19 Avalon Valley Rehabilitation Center . 28 Canyon Home Care & Hospice Salt Lake Alpine Home Medical Equipment - Avalon West Health & Rehabilitation 28 ...... 17, 18, 22 Ogden ...... 19 Avenues Surgical Center ...... 13 Canyon Rim Care Center ...... 28 Alpine Home Medical Equipment - Caregiver Support Network - Box Elder Provo ...... 20 and Cache Counties...... 15, 16 Alpine Home Medical Equipment - B Caregiver Support Network - Richfield ...... 20 Davis/Weber/Morgan Counties .. 16, Alpine Home Medical Equipment - Salt Bear River Health Department - 18 Lake City ...... 19 Brigham City ...... 12 Caregiver Support Network - Salt Lake Alpine Home Medical Equipment - St. Bear River Health Department - Logan County ...... 22 George ...... 20 ...... 13 Carol's Mastectomy Shoppe ...... 20 Alpine Valley Care Center ...... 27 Bear River Health Department - Carol's Post Mastectomy Specialist .. 20 Alta View - Sandy Diabetes Clinic...... 14 Tremonton ...... 13 Cascades at Orchard Park ...... 27 Alta View Hospital...... 10, 28 Bear River Valley Diabetes and Cascades at Riverwalk ...... 27 American Fork Diabetes Management Endocrinology ...... 14 Castleview Hospital ...... 10, 27, 28 Clinic ...... 14 Bear River Valley Hospital ...... 11, 28 Castleview Hospital Mammography . 25 American Fork Hospital ...... 10, 28 Beaver Valley Hospital ...... 10, 27 Catholic Community Services...... 25 American Fork Imaging ...... 26 Beaver Valley Hospital - Home Health Cedar City Diabetes Education Clinic 14 Anthem Dialysis ...... 15 & Hospice ...... 15, 21 Cedar City Hospital ...... 10 A-Plus Home Health and Hospice ..... 22 Blue Mountain Hospital ...... 10, 14, 27 Central Utah Public Health Dept - East Applegate Homecare & Hospice - Blue Rock Medical Center ...... 26 Millard Office ...... 12 American Fork ...... 18 Box Elder InstaCare ...... 11 Central Utah Public Health Dept - Juab Applegate Homecare & Hospice - Breast Care at Jordan Valley Medical Office...... 13 Heber City ...... 17, 18 Center ...... 25 Central Utah Public Health Dept - North Sanpete Office ...... 13

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 33 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

Central Utah Public Health Dept - Piute Country Life Care Center...... 27 Encompass Health Home Health - ...... 12 Cozy Healthcare Home Health & Ogden...... 18 Central Utah Public Health Dept - Hospice ...... 16, 17, 18 Encompass Health Home Health - Sevier Office ...... 13 Crescendo Bioscience ...... 23 Orem ...... 18 Central Utah Public Health Dept - CyraCom ...... 25 Encompass Health Home Health - South Sanpete Office ...... 13 Payson ...... 18 Central Utah Public Health Dept - Encompass Health Home Health - Wayne Office ...... 13 D Providence ...... 16 Central Utah Public Health Dept - West Encompass Health Home Health - St. Millard Office ...... 12 Daavlin ...... 21 George ...... 16, 18 Central Utah Surgical Center ...... 13 Davis County Health Department ..... 12 Encompass Health Hospice - Heber .. 22 Central Valley Home Health and Davis Hospital & Medical Center 10, 27, Encompass Health Hospice - Orem ... 22 Hospice ...... 16, 22 28 Encompass Health Hospice - Central Valley Medical Center .... 10, 27 Davis Hospital and Medical Center’s Providence ...... 21 Central Valley Medical Center Diabetes Care Clinic ...... 14 Encompass Health Hospice - Salt Lake Diagnostic Imaging ...... 25 Debra Lynn's Post-Mastectomy City ...... 22 Chandler's Specialty Shoes ...... 19 Specialties ...... 20 Encompass Health Hospice - South City Creek Hearing Center...... 20 Delta Community Hospital ...... 10, 28 Ogden...... 23 City Creek Post Acute...... 28 Diabetes Care Center of Utah at Jordan Encompass Health Hospice - Weber . 23 Clayson Williams Eye Center ...... 29 Valley Medical Center ...... 14 Encompass Health Hospice of Eastern Cole Diagnostics ...... 23 Diabetes Care Center of Utah at Jordan Idaho - Pocatello ...... 21 ComForCare of Northern Utah ...... 26 Valley Medical Center - West Valley Encompass Health Hospice of Southern CommGap ...... 25 Campus ...... 14 Utah - St. George...... 23 Community Nursing Services (CNS) - Diabetes Care Center of Utah at Salt Encompass Home Health and Hospice Brigham Office15, 16, 17, 18, 19, 21, Lake Regional Medical Center ...... 14 ...... 15 22, 23 Dianon Systems ...... 23 Encompass Home Health and Hospice Community Nursing Services (CNS) - Dignity Home Health - Salt Lake County of Idaho - Fruitland ...... 17, 22 Infusion Pharmacy ...... 17, 18, 22 ...... 17 Encompass Home Health and Hospice Community Nursing Services (CNS) - Dignity Home Health - Utah County . 18 of Idaho - Twin Falls ...... 18, 22 Layton Office ...... 16, 19, 21 Dignity Home Health - Weber/Davis Encompass Home Health of Idaho - Community Nursing Services (CNS) - County ...... 16, 18 Idaho Falls ...... 15, 21 Logan Office .... 15, 16, 17, 20, 21, 22 Dixie Regional Medical Center ...... 10 Encompass Home Health of Idaho - Community Nursing Services (CNS) - Dixie Regional Medical Center Diabetes Nampa...... 16, 21 Moab Office ...... 16, 17, 19, 21, 22 Education Clinic ...... 14 Encompass Home Health of Idaho - Community Nursing Services (CNS) - DJO ...... 21 Pocatello ...... 15, 21 Ogden Office .. 15, 16, 18, 20, 21, 22, Dominion Diagnostics - NC ...... 23 Encompass Home Health of Idaho - 23 Draper Rehabilitation and Care Center Rexburg ...... 16 Community Nursing Services (CNS) - ...... 27 Encompass Home Health of Utah - Orem Office ...... 18, 20, 22 Dynasplint Systems ...... 21 Kanab ...... 16 Community Nursing Services (CNS) - Esoterix Genetic Laboratories ...... 23 Price Office ...... 16, 20, 21 Excel Eye Center of American Fork ... 28 Community Nursing Services (CNS) - E Excel Eye Center of Lehi ...... 28 Respiratory...... 22 Excel Eye Center of Orem ...... 29 Community Nursing Services (CNS) - Eagle Mountain Family Medicine & Excel Eye Center of Payson ...... 29 Salt Lake Corporate Office ..... 17, 22 Urgent Care - Revere Health ...... 11 Excel Eye Center of Provo ...... 29 Community Nursing Services (CNS) - St. Eclipse Home Medical ...... 19 Exodus Healthcare Network - Magna George Office ...... 18, 20, 23 Edgepark Medical Supplies ...... 21 Health Center ...... 11 Community Nursing Services (CNS) - Emery County Care and Rehabilitation Eye Care for You - Logan ...... 28 Tooele Office ...... 17, 21, 22 Center ...... 27 Eye Care for You - Preston ...... 29 Compass Limb and Brace ...... 20 Encompass Health Home Health - Eye Center of Ephraim ...... 28 Copper Ridge Health Care ...... 28 Heber City ...... 18 Eye Prosthetics of Utah ...... 19 Copperview Medical Center ...... 12 Encompass Health Home Health - EyeSurg of Utah ...... 13 Coral Desert Rehabilitation and Care 28 Kanab ...... 16 Coral Desert Surgery Center ...... 13 Encompass Health Home Health - Country Hills Eye Center ...... 29 Murray ...... 17

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 34 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

F Granite Peaks Endoscopy...... 13 Homewatch CareGivers of Sandy 17, 26 Granite Peaks Pathology ...... 23 Homewatch CareGivers of West Jordan Gunnison Valley Home Health and ...... 17, 26 Family Surgical Suite - Murray ...... 13 Hospice ...... 16, 17, 22 Horizon Home Health - Cedar City .... 16 Family Surgical Suite - West Jordan .. 13 Gunnison Valley Hospital ...... 10, 27 Horizon Home Health - St. George .... 18 Farr West Urgent Care & Family Gunnison Valley Hospital Horizon Home Health & Hospice - Medicine ...... 11 Mammography ...... 25 Provo/Orem ...... 18 Feminine Forms ...... 19 Horizon Home Health & Hospice - Salt Fillmore Community Hospital ...... 10 Lake City ...... 17 First Choice Home Health - Orem H Horizon Home Health Hospice - Office ...... 18, 22 Provo/Orem ...... 22 First Choice Home Health & Hospice - Handspring Clinical Services ...... 20 Horizon Home Health Hospice - Salt Murray ...... 17, 22 Hanger Clinic Lake City ...... 21, 22 FirstMed Urgent Care - Central ...... 12 Prosthetics & Orthotics - Glenwood Huntsman Cancer Institute ... 10, 25, 26 FirstMed Urgent Care - East...... 11 Springs ...... 19 Hurricane Valley Eye Care ...... 28 FirstMed Urgent Care - Murray ...... 11 Prosthetics & Orthotics - Grand FirstMed Urgent Care - North ...... 11 Junction ...... 19 FirstMed Urgent Care - West Jordan 12 Prosthetics & Orthotics - Layton .. 19 I Fit Prosthetics ...... 20 Prosthetics & Orthotics - Ogden .. 20 Fit Well Prosthetics - Midvale ...... 19 Prosthetics & Orthotics - Orem .... 20 Icare Home Health and Hospice 17, 18, Fit Well Prosthetics - Ogden ...... 20 Prosthetics & Orthotics - Salt Lake 22 Fit Well Prosthetics - St. George ...... 20 City ...... 20 IHC Homecare Home Health Cassia .. 19 Prosthetics & Orthotics - South IHC Homecare Home Health Cedar City G Ogden ...... 20 ...... 15, 16 Prosthetics & Orthotics - St. George IHC Homecare Home Health Fillmore ...... 20 ...... 16, 17 Gagon Family Medicine & Urgent Care Harrison Pointe Healthcare and IHC Homecare Home Health Heber .. 18 ...... 12 Rehabilitation ...... 27 IHC Homecare Home Health Logan . 15, Gamma West Cancer Services - Davis Harrison Pointe Healthcare and 16, 17 County ...... 26 Rehabilitation - Skill Nursing ...... 27 IHC Homecare Home Health Mt. Gamma West Cancer Services - Idaho Hearts for Hospice & Home Health - Pleasant ...... 16, 17 ...... 26 American Fork ...... 18 IHC Homecare Home Health Ogden 16, Gamma West Cancer Services - Nevada Hearts for Hospice & Home Health - 17, 18 ...... 26 Riverdale ...... 15, 16, 17, 18 IHC Homecare Home Health Provo ... 18 Gamma West Cancer Services - Orem Hearts for Hospice & Home Health - IHC Homecare Home Health Richfield ...... 26 Salt Lake City ...... 17 ...... 17, 18 Gamma West Cancer Services - Salt Heartwood Home Health & Hospice 16, IHC Homecare Home Health Salt Lake Lake County ...... 26 17 ...... 16, 17 Gamma West Cancer Services - St. Heartwood Hospice ...... 21, 22 IHC Homecare Home Health St. George George ...... 26 Heber Valley Diabetes Clinic ...... 14 ...... 16, 18 Gamma West Cancer Services - Utah 26 Heber Valley Dialysis Center at IHC . 14, IHC Homecare Hospice Cassia ...... 21 Gamma West Cancer Services - Weber 15 IHC Homecare Hospice Cedar City .... 22 County ...... 26 Heber Valley Medical Center ...... 10 IHC Homecare Hospice Fillmore ...... 22 Gamma West Cancer Services - Heritage Care Center ...... 27 IHC Homecare Hospice Heber ...... 22 Wyoming ...... 26 Heritage Hills Rehabilitation and Care IHC Homecare Hospice Logan ...... 21 Garfield Memorial Hospital ...... 10, 27 Center ...... 27 IHC Homecare Hospice Mt. Pleasant 22 Garfield Memorial Hospital Imaging . 25 Hidden Valley Eye Care & Framed IHC Homecare Hospice Ogden ...... 23 Good Shepherd Homecare ...... 16, 18 Optical ...... 28 IHC Homecare Hospice Provo ...... 22 Good Shepherd Hospice ...... 22 Highland Care Center ...... 28 IHC Homecare Hospice Richfield ...... 22 Granger Medical Riverton - Urgent Holladay Healthcare Center ...... 27 IHC Homecare Hospice Salt Lake ...... 22 Care ...... 12 Home Watch CareGivers of Salt Lake IHC Homecare Hospice St. George .... 23 Granger Medical West Jordan - Urgent ...... 17, 26 IHC Homecare Pharmacy South Jordan Care ...... 12 Homewatch CareGivers of Layton ... 16, ...... 18 Granger Medical West Valley - Urgent 26 IHC Homecare Pharmacy St. George 19 Care ...... 12 Homewatch CareGivers of Orem 18, 26

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 35 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

IHC Medical Equipment - American J Legacy Health Care - Layton ...... 16 Fork ...... 19 LifeWatch Services ...... 21 IHC Medical Equipment - Bountiful Lighten Home Health & Hospice . 18, 23 Jenco Prosthetics & Orthotics ...... 19 Office ...... 19 Lighthouse Hospice ...... 22 John A. Moran Eye Center ...... 29 IHC Medical Equipment - Cedar City Linguistica International ...... 25 Joint Active Systems ...... 21 Office ...... 19 Litholink Corporation ...... 23 Jordan Valley Medical Center 11, 27, 28 IHC Medical Equipment - Heber Office Logan InstaCare ...... 11 Jordan Valley Medical Center - West ...... 19 Logan Radiology Group ...... 26 Valley Inpatient Psych ...... 11 IHC Medical Equipment - Logan Regional Hospital ...... 10 Jordan Valley Medical Center West Intermountain Medical Center .... 19 Logan Regional Hospital Diabetes Valley Campus ...... 10 IHC Medical Equipment - Logan Office Services ...... 14 Jordan Vision Clinic ...... 29 ...... 19 Logan Regional Hospital Dialysis Center IHC Medical Equipment - Mt. Pleasant ...... 15 Office ...... 19 Lone Peak Hospital...... 10 IHC Medical Equipment - Ogden ...... 20 K Lone Peak Hospital Women's Center 25 IHC Medical Equipment - Provo Office Lone Peak Surgery Center ...... 13 ...... 20 Kal Medical Supplies - Murray ...... 19 Loveaire Health Care ...... 20 IHC Medical Equipment - Richfield Kanab Nephrology Clinic ...... 15 Office ...... 20 Kane County Hospital...... 10, 27 IHC Medical Equipment - Salt Lake Kaysville Creekside InstaCare...... 11 M Clinic ...... 20 KCI USA ...... 21 KPC Promise Hospital of Salt Lake .... 11 IHC Medical Equipment - South Jordan Maple Creek Home Health and Hospice Office ...... 20 ...... 16, 17, 18, 22 IHC Medical Equipment - St. George Maxim Healthcare Services ...... 17 Office ...... 20 L McKay-Dee Endocrine & Diabetes IMC Utah Dialysis ...... 15 Clinic...... 14 Infocus Optical ...... 29 Labcorp - Bountiful ...... 24 McKay-Dee Hospital...... 10 Insight Orthotics and Prosthetics ...... 19 Labcorp - Draper ...... 24 McKay-Dee Surgical Center...... 13 Inspiration Home Health...... 16 Labcorp - Medical Towers Salt Lake Meadow Brook Rehabilitation and Inspiration Hospice ...... 21 City ...... 24 Nursing ...... 28 Insync Interpreters ...... 25 Labcorp - Ogden ...... 24 Medallus Medical - American Fork ... 11 Intermountain Hearing Centers - Labcorp - Phoenix ...... 23 Medallus Medical - Draper ...... 11 Layton ...... 15 Labcorp - Salt Lake City ...... 24 Medallus Medical - Holladay...... 11 Intermountain Hearing Centers - Labcorp - Springville...... 24 Medallus Medical - Layton ...... 11 Ogden ...... 15 Labcorp - St. George ...... 24 Medallus Medical - Sandy ...... 12 Intermountain Hearing Centers - Rock Labcorp - St. Mark's Hospital ...... 24 Medallus Medical - South Bangerter 12 Springs ...... 15 Labcorp - Tooele ...... 25 Medallus Medical - South Jordan...... 12 Intermountain Medical Center ...... 10 LabCorp at St.Mark's Internal Medicine Medallus Medical - West Valley ...... 12 Intermountain Medical Center ...... 24 Medicor...... 20 Diabetes Education ...... 14 LabCorp at Unify Community Health 23 MedSource ...... 20 Intermountain Medical Center Dialysis LabCorp Panorama ...... 23 Milford Memorial Hospital ...... 10, 27 Services ...... 15 LabCorp Pocatello ...... 24 Millcreek Imaging ...... 26 Intermountain Orthopedic Care ...... 20 LabCorp Spokane Main Lab ...... 23 Moab Regional Hospital ...... 10, 21, 27 Internal Medicine at St. Mark's PSC .. 24 Laboratory Corporation of America - Moab Regional Hospital Imaging 25, 26 International Rescue Committee ...... 25 NC ...... 23 Mobile Sound Imaging ...... 26 Interwest Interpreting (American Sign Lakeview Endoscopy Center ...... 13 Moran Eye Center - Station Park Eye Language)...... 25 Lakeview Hospital ...... 10, 25, 28 Center ...... 28 Ivy Lane Pediatrics - Ogden Office ... 15, Lakeview Hospital Diabetes Education Moran Eye Center at Primary 16, 17, 18 ...... 14 Children's Outpatient Services at Ivy Lane Pediatrics - Salt Lake Office 17, Language Med ...... 25 Riverton ...... 29 18 Layton Hospital ...... 10 Morgan Eye Care ...... 28 Layton InstaCare ...... 11 Mountain Medical Imaging Center - LDS Hospital ...... 10 Mobile Mammography ...... 26 Legacy Health Care - Cottonwood Mountain Medical Imaging Center - Heights ...... 17 Ogden...... 26

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 36 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

Mountain Medical Physician Specialists Numotion - Las Vegas ...... 19 Payson Family Medicine & Urgent Care - Davis Hospital and Medical Center Numotion - Reno ...... 20 - Revere Health ...... 12 ...... 26 Peak Prosthetic Designs ...... 20 Mountain Medical Physician Specialists Pediatric Orthotic and Prosthetic - Jordan Valley Medical Center .... 26 O Services - West ...... 20 Mountain Medical Physician Specialists Peregrine Home Health ...... 15 - Pioneer Valley Hospital ...... 27 Ogden Clinic - Canyon View Urgent Perry Eye Care ...... 29 Mountain Medical Physician Specialists Care ...... 11 Petersen Medical - Blanding ...... 19 - Salt Lake Regional Medical Center Ogden Clinic - Cope Family Medicine Petersen Medical - Kaysville ...... 19 ...... 26 Sleep Lab ...... 28 Petersen Medical - St. George ...... 21 Mountain Point Medical Center ...... 10 Ogden Clinic - Cope Family Medicine Petersen Medical - Vernal ...... 21 Mountain View Health ...... 27 Urgent Care ...... 11 Pine Creek Rehab and Nursing ...... 28 Mountain View Hospital ...... 10, 28 Ogden Clinic - Davis Family Physicians Pioneer Care Center ...... 27 Mountain View Hospital - Payson ..... 25 Urgent Care ...... 11 Pointe Meadows Health and Mountain West Endoscopy Center ... 13 Ogden Clinic - Farmington Urgent Care Rehabilitation ...... 27 Mountain West Medical Center . 10, 28 ...... 11 Precision Health Services - Layton .... 27 Mountain West Surgical Center ...... 13 Ogden Clinic - Grand Valley Sleep Lab Precision Health Services - West Jordan MSCL at Medical Drive PSC ...... 24 ...... 28 ...... 27 MSCL at Ogden Medical Plaza PSC .... 24 Ogden Clinic - Grand View Urgent Care Prentke Romich Company ...... 21 MSCL at St. Mark's Hospital Outpatient ...... 12 Preventice Services ...... 13 PSC ...... 24 Ogden Clinic - Grandview Sleep Lab . 28 Primary Children's Dialysis Center .... 15 MSCL at St. Mark's Women's ...... 24 Ogden Clinic - Mountain View Urgent Primary Children's Hospital ...... 10 MSCL PSC Lakeview Hospital Care ...... 12 Primary Children's Hospital Diabetes Outpatient ...... 24 Ogden Clinic - Professional Center Clinic...... 14 MSCL PSC Lone Peak ...... 24 Urgent Care ...... 11 Primary Children's Outpatient Mt. Ogden Health and Rehab Center 28 Ogden Clinic - Skyline Urgent Care ... 11 Endocrinology/Diabetes ...... 14 Mt. Ogden Surgical Center ...... 13 Ogden Clinic - South Ogden Center for Primary Children's Unit at Riverton Mt. Pleasant Family Medicine & Urgent Family Medicine Urgent Care...... 11 Hospital ...... 10 Care - Revere Health ...... 11 Ogden Regional Imaging Center North Primrose Homecare & Hospice .. 21, 22, MTD Medical Services...... 23 ...... 25 23 Myriad Genetic Labs ...... 23 Ogden Regional Medical Center 10, 25, Provo Family Medicine & Urgent Care - Myriad Women's Health ...... 23 28 Revere Health ...... 12 Ogden Vision Center ...... 29 Provo Rehabilitation and Nursing ..... 27 Open Imaging - Layton ...... 26 N Open Imaging - Taylorsville ...... 26 Open Imaging State - Salt Lake City .. 26 Q National DME ...... 19 Optical Associates ...... 29 National Seating & Mobility - Ogden 20 Option Care ...... 18, 19 Quest Diagnostic - Miami ...... 25 National Seating & Mobility - Salt Lake Option Care - Utah ...... 18 Quest Diagnostics - American Fork (at City ...... 19 Oquirrh Radiology Associates ...... 26 Revere Health) ...... 24 Nebo Vision Clinic ...... 29 Orem Community Hospital ...... 10 Quest Diagnostics - Billings ...... 24 North Cache Valley InstaCare ...... 11 Orem Nursing and Rehabilitation Quest Diagnostics - Bozeman ...... 24 North Canyon Care Center ...... 27 Center ...... 27 Quest Diagnostics - Butte ...... 24 North Ogden InstaCare ...... 11 Orthofix ...... 21 Quest Diagnostics - Denver ...... 24 Northern Utah Pathology ...... 23 Orthopedic Services of Utah ...... 20 Quest Diagnostics - Draper ...... 24 NorthPointe Surgical Center ...... 13 Quest Diagnostics - Grand Junction .. 24 Northwest Orthotics and Prosthetics - Quest Diagnostics - Great Falls ...... 24 Pleasant Grove ...... 20 P Quest Diagnostics - Helena ...... 24 Northwest Orthotics and Prosthetics - Quest Diagnostics - Idaho Falls ...... 24 Provo ...... 20 Pacific Mobile Diagnostics ...... 26 Quest Diagnostics - LabOne (Lenexa) 25 Northwest Orthotics and Prosthetics - Paramount Health & Rehab ...... 27 Quest Diagnostics - Layton ...... 24 Spanish Fork ...... 20 Park City Bonanza InstaCare (Ski Quest Diagnostics - Murray ...... 24 Numotion - Aurora...... 19 Season Only) ...... 11 Quest Diagnostics - Pocatello ...... 24 Numotion - Grand Junction ...... 19 Park City Hospital ...... 10 Quest Diagnostics - Price ...... 24 Numotion - Idaho ...... 19 Parkdale Health and Rehab ...... 27

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 37 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

Quest Diagnostics - Provo (at Revere Rocky Mountain Care - Tooele .... 18, 22 Southeastern Utah District Health Health) ...... 24 Rocky Mountain Care - Willow Springs Department - Price ...... 13 Quest Diagnostics - Salem (at Revere ...... 28 Southeastern Utah Pathology ...... 23 Health) ...... 24 Rocky Mountain Personal Care ...... 26 Southwest Utah Public Health Quest Diagnostics - Seattle ...... 25 Rocky Mountain Personal Care - Department - Beaver ...... 12 Quest Diagnostics - St. George ...... 24 Blanding ...... 26 Southwest Utah Public Health Quest Diagnostics - Tooele (at Rocky Mountain Personal Care - Price Department - Cedar City ...... 12 Mountain West Medical Center) . 25 ...... 26 Southwest Utah Public Health Quest Diagnostics - Tucker ...... 25 Rocky Mountain Personal Care - St. Department - Kanab ...... 12 Quest Diagnostics - Whitefish ...... 25 George ...... 26 Southwest Utah Public Health Quest Diagnostics Clinic Lab - Los Roosevelt Vision Clinic ...... 29 Department - Panguitch ...... 13 Angeles ...... 23 Roy Rock Run Family Medicine & Southwest Utah Public Health Urgent Care - Revere Health ...... 12 Department - St. George ...... 13 Southwest Vision ...... 29 R Spring Creek Surgical Center ...... 13 S St. George Clinic Urgent Care - Revere Red Rock Eye Clinic ...... 29 Health ...... 12 Red Rock Medical Supply ...... 20 Salem Imaging...... 26 St. George Rehabilitation ...... 28 Redwood Vision Center ...... 29 Salem Urgent Care - Revere Health .. 12 St. George Surgical Center ...... 13 Reprosource Fertility Diagnostics ..... 25 Salt Lake Regional Medical Center ... 10, St. Joseph Villa ...... 28 Respirtech ...... 21 27, 28 St. Mark's Hospital ...... 10 Revere Health - American Fork Surgery Salus Homecare - Heber ...... 17, 18 St. Mark's Hospital Diabetes Center . 14 Center ...... 13 Salus Homecare - Midvale .... 16, 17, 18 St. Mark's Outpatient Surgery Center Revere Health - Clinton ...... 12 San Juan Hospital ...... 10, 25, 27 ...... 13 Revere Health - Coral Desert Imaging Sanpete Valley Hospital ...... 10 St. Mark's Taylorsville Emergency ...... 26 Sanpete Valley Hospital Diabetes Center ...... 10 Revere Health - Provo Ophthalmology Education ...... 14 St. Mark's Women's Services ...... 25 and Eye Center ...... 29 Sequenom Center for Molecular Standard Optical - Bountiful Branch . 28 Revere Health - Provo Radiology & Medicine - California Branch ...... 23 Standard Optical - Harrisville/North Osteoporosis Center ...... 26 Sequenom Center for Molecular Ogden Branch ...... 28 Revere Health Family medicine ...... 11 Medicine - Michigan Branch ...... 24 Standard Optical - Holladay Branch .. 29 Richards Laboratories ...... 23 Sevier Valley Dialysis ...... 15 Standard Optical - Layton Branch ..... 28 Richfield Rehabilitation and Care Sevier Valley Hospital ...... 10 Standard Optical - Lehi Branch ...... 28 Center ...... 27 Sevier Valley Hospital Diabetes Standard Optical - Logan Branch ...... 28 Ridgeline Endoscopy Center ...... 13 Services ...... 14 Standard Optical - Murray Branch .... 28 Riverton Hospital ...... 10 Shriners Hospitals for Children ...... 10 Standard Optical - Ogden Branch ..... 29 Riverwoods Surgery Center ...... 13 Signature Healthcare at Home - Logan Standard Optical - Orem Branch ...... 29 Riverwoods Urgent Care ...... 12 ...... 16, 21 Standard Optical - Provo Branch ...... 29 Rocky Mountain Care - Blanding. 17, 22 Signature Healthcare at Home - Standard Optical - Roy Branch ...... 29 Rocky Mountain Care - Clearfield ..... 27 Murray ...... 17 Standard Optical - Salt Lake Parkway Rocky Mountain Care - Cottage On Signature Healthcare at Home - Branch ...... 29 Vine ...... 27 Riverdale ...... 18, 22 Standard Optical - Salt Lake Rocky Mountain Care - Hunter Hollow Signature Healthcare at Home - Salt Sugarhouse Branch ...... 29 ...... 28 Lake City ...... 16, 17, 18, 21, 22, 23 Standard Optical - Sandy Branch ...... 29 Rocky Mountain Care - Layton ... 16, 18, Silverado Hospice...... 22, 23 Standard Optical - South Jordan Branch 21, 23 South Davis Community Hospital 11, 27 ...... 29 Rocky Mountain Care - Logan 16, 21, 27 South Davis Home Health & Hospice16, Standard Optical - St. George Branch 29 Rocky Mountain Care - Orem ..... 18, 22 21 Standard Optical - Taylorsville Branch Rocky Mountain Care - Price ...... 16, 21 South Ogden InstaCare ...... 12 ...... 29 Rocky Mountain Care - Riverton ...... 27 South Pointe Surgical Center ...... 13 Standard Optical - Tooele Branch ..... 29 Rocky Mountain Care - Salt Lake City Southeastern Utah District Health Standard Optical - West Jordan Branch ...... 17, 22 Department - Castle Dale ...... 12 ...... 29 Rocky Mountain Care - St. George ... 18, Southeastern Utah District Health Stat MD Urgent Care Park City ...... 11 23 Department - Moab ...... 13 Stat MD Urgent Care West Jordan .... 12 Rocky Mountain Care - The Lodge .... 27 Sterling Urgent Care - Hailey ...... 11

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 38 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

Sterling Urgent Care - Idaho Falls ..... 11 U UUHC Farmington Bay Dialysis ...... 15 Sterling Urgent Care - Logan ...... 11 UUHC Farmington Health Center 23, 24 Sterling Urgent Care - North Logan... 11 UUHC Farmington Health Center - Uintah Basin - Durable Medical Stonehenge of Richfield ...... 27 Urgent Care ...... 11 Supplies ...... 20 Summit County Health Department - UUHC Gem State Dialysis ...... 15 Uintah Basin Dialysis Center ...... 15 Coalville Office ...... 12 UUHC Greenwood Health Center .... 23, Uintah Basin Home Health / Hospice Summit County Health Department - 24, 25 ...... 16, 21 Kamas Office ...... 12 UUHC Greenwood Health Center - Uintah Basin Medical Center ...... 10 Summit County Health Department - Urgent Care ...... 11 Uintah Basin Medical Center - Clinic 1 Park City Office ...... 13 UUHC Greenwood Health Center ...... 10 Summit Home Health - Layton Office Pharmacy ...... 14 Uintah Basin Rehabilitation and Senior ...... 16, 18 UUHC Hurricane Dialysis & Kidney Villa ...... 27, 28 Summit Home Health - Main Office . 17, Clinic...... 15 University of Utah Hospital .. 10, 26, 27, 18, 22 UUHC Iron Mission Dialysis & Kidney 28 Summit Home Health - Utah County 18 Clinic...... 14 University of Utah Hospital - Urgent Sunshine Home Health & Hospice .... 16 UUHC Kidney & Liver Clinic ...... 15 Care ...... 12 Sunshine Terrace Skilled Nursing & UUHC Kolff Dialysis ...... 15 University of Utah Hospital Pharmacy Rehabilitation...... 27 UUHC Lakeside Dialysis ...... 14 ...... 14 Superior Home Care and Hospice 17, 22 UUHC Madsen Health Center ..... 23, 24 Utah County Public Health Clinic ...... 13 Symbii Home Health and Hospice - UUHC Mark Lindsay Dialysis ...... 15 Utah Diabetes & Endocrinology Center Layton ...... 15, 16, 18 UUHC Moran Eye Center at Midvalley ...... 14 Symbii Home Health and Hospice - Health Center - Ophthalmology ... 29 Utah Eye Centers - Bountiful Hills Orem ...... 18 UUHC Moran Eye Center at Parkway Location ...... 28 Symbii Home Health and Hospice - SLC Health Center ...... 29 Utah Eye Centers - Mount Ogden ...... 17, 18 UUHC Moran Eye Center at Redstone Location ...... 29 Symbius Medical - Phoenix Health Center ...... 29 Utah Eye Centers - Salt Lake City ...... 29 Headquarters ...... 21 UUHC Moran Eye Center at Redwood Utah Home Health & Hospice ..... 16, 21 Symbius Medical - Utah Branch ...... 20 Health Center ...... 29 Utah Home Health & Hospice - Provo Symbius Medical Retail Store UUHC Moran Eye Center at South ...... 18, 22 Disability Empowerment Center of Jordan Health Center ...... 29 Utah Imaging Center - Ogden ...... 26 Arizona (DEC) ...... 21 UUHC Moran Eye Center at Stansbury Utah Imaging Center - West Valley ... 27 Synergy Homecare ...... 17 Health Center ...... 29 Utah Prosthetics and Orthotics ...... 21 Syracuse InstaCare ...... 12 UUHC Moran Eye Center at Westridge Utah Surgical Center ...... 13 Health Center ...... 29 Utah Valley Diabetes Management UUHC Orthopaedic Center Injury Clinic Clinic ...... 14 T ...... 12 Utah Valley Hospital ...... 10 UUHC Parkway Health Center23, 24, 25 Utah Valley Obstetrical Ultrasound .. 26 Tender Care Home Health & Hospice UUHC Parkway Health Center - Urgent Utah Valley Specialty Hospital ...... 11 ...... 16, 17, 18 Care ...... 11 Utah Valley Urgent Care & Family Tender Care Hospice ...... 21 UUHC Parkway Health Center Practice - Lehi ...... 11 The Orthopedic Specialty Hospital Pharmacy ...... 14 Utah Valley Urgent Care & Family (TOSH) ...... 10 UUHC Payson Dialysis & Kidney Clinic Practice - Orem ...... 11 Timpanogos Regional Hospital ... 10, 25 ...... 15 UUHC American Fork Dialysis ...... 14 Tobii Dynavox ...... 21 UUHC Pleasant View Dialysis ...... 15 UUHC Bonneville Dialysis ...... 15 Tooele County Health Department ... 13 UUHC Provo Dialysis & Kidney Clinic 15 UUHC Castleview Dialysis & Kidney Tooele Valley Dialysis at IHC ...... 15 UUHC Redstone Health Center .. 23, 24, Clinic ...... 15 Tooele Valley Imaging ...... 26 25 UUHC Centerville Health Center . 23, 24 Tooele Valley Urgent Care ...... 12 UUHC Redstone Health Center - Urgent UUHC Centerville Health Center - Tooele Vision Center ...... 29 Care ...... 12 Urgent Care ...... 11 Total Knee and Hip Rehabilitation .... 17 UUHC Redstone Health Center UUHC Centerville Health Center Trans Word ...... 25 Pharmacy ...... 14 Pharmacy ...... 14 TruMobility ...... 20 UUHC Redwood Health Center ... 23, 24 UUHC Desert Valley Dialysis & Kidney UUHC Redwood Health Center - Urgent Clinic ...... 15 Care ...... 12 UUHC Dixie Dialysis & Kidney Clinic .. 15

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 39 translator, please contact our Customer Service Department at 1-833-981-0212. Healthy U Index

UUHC Redwood Health Center UUHC Yellowstone Dialysis Center ... 15 Western Diabetic Supplies ...... 14, 20 Pharmacy ...... 14 Willow Glen Health & Rehabilitation 27 UUHC South Jordan Health Center .. 23, Willow Valley Clinic ...... 13 24, 25 V Willow Wood Care Center ...... 27 UUHC South Jordan Health Center - Woodland Park Rehab and Care Center Urgent Care ...... 12 Valley Central Lab - American Fork ... 23 SLC...... 28 UUHC South Jordan Health Center Valley Central Lab - Lehi ...... 23 Pharmacy ...... 14 Valley Central Lab - Orem ...... 23 UUHC South Main Clinic ...... 23, 24 Valley Central Lab - Orem Community Z UUHC South Valley Dialysis ...... 15 ...... 23 UUHC Specialty and Home Infusion Valley Central Lab - Provo ...... 23 Zion Surgery Center ...... 13 Pharmacy ...... 19 Zion's Way Home Health & Hospice - UUHC Stansbury Health Center .. 23, 25 Blanding ...... 16, 18 UUHC Stansbury Health Center W Zion's Way Home Health & Hospice - Pharmacy ...... 14 Cedar City ...... 15, 16, 17 UUHC Sugarhouse Health Center 23, 24 Wasatch County Health Department 12 Zion's Way Home Health & Hospice - UUHC University Orthopaedic Center Wasatch Endoscopy Center ...... 13 Hildale ...... 18 ...... 10, 26 Wasatch Imaging ...... 26 Zion's Way Home Health & Hospice - UUHC West Valley Dialysis ...... 15 Wasatch Infusion ...... 23 Kanab ...... 16 UUHC Westridge Health Center .. 23, 25 Washington Family Medicine & Urgent Zion's Way Home Health & Hospice - UUHC Westridge Health Center - Care - Revere Health ...... 12 Richfield ...... 17 Urgent Care ...... 12 Weber-Morgan Health Department . 13 Zion's Way Home Health & Hospice - UUHC Westridge Health Center Wee Care Pediatrics - Layton Office . 11 St. George ...... 18 Pharmacy ...... 14

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members are 02/14/2020 encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If you have questions or need a Page 40 translator, please contact our Customer Service Department at 1-833-981-0212.