PPO Select Narrow Network

Hospital County Tier ALAMEDA HOSPITAL ALAMEDA 1 ST ROSE HOSPITAL ALAMEDA 1 CHILDREN'S HOSPITAL OAKLAND ALAMEDA 2 VALLEYCARE MEDICAL CENTER ALAMEDA 2 HOSPITAL ALAMEDA 2 SUTTER AMADOR HOSPITAL AMADOR 1 BIGGS MEMORIAL HOSPITAL BUTTE 1 FEATHER RIVER HOSPITAL BUTTE 1 & MEDICAL CENTER BUTTE 1 ENLOE MEDICAL CENTER INC BUTTE 2 MARK TWAIN ST JOSEPH'S HOSPITAL CALAVERAS 1 COLUSA REGIONAL MEDICAL CENTER COLUSA 1 DOCTORS MEDICAL CENTER – SAN PABLO/PINOLE CONTRA COSTA 1 SAN RAMON REGIONAL MEDICAL CENTER CONTRA COSTA 1 JOHN MUIR MEDICAL CENTER – CONCORD CAMPUS CONTRA COSTA 2 JOHN MUIR MEDICAL CENTER – WALNUT CREEK CONTRA COSTA 2 SUTTER COAST HOSPITAL DEL NORTE 1 MARSHALL MEDICAL CENTER EL DORADO 1 BARTON MEMORIAL HOSPITAL EL DORADO 2 CLOVIS FRESNO 1 COALINGA REGIONAL MEDICAL CENTER FRESNO 1 COMMUNITY MEDICAL CENTER – FRESNO FRESNO 1 FRESNO HEART HOSPITAL FRESNO 1 FRESNO SURGICAL HOSPITAL FRESNO 1 SAN JOAQUIN VALLEY FRESNO 1 SIERRA KINGS DISTRICT HOSPITAL FRESNO 1 ST AGNES MEDICAL CENTER FRESNO 1 KINGSBURG DISTRICT HOSPITAL FRESNO 2 GLENN MEDICAL CENTER GLENN 1 MAD RIVER COMMUNITY HOSPITAL HUMBOLDT 1 JEROLD PHELPS COMMUNITY HOSPITAL HUMBOLDT 2 REDWOOD MEMORIAL HOSPITAL HUMBOLDT 2 ST JOSEPH HOSPITAL – EUREKA HUMBOLDT 2 EL CENTRO REGIONAL MEDICAL CENTER IMPERIAL 1 PIONEERS MEMORIAL HEALTHCARE DISTRICT IMPERIAL 1 NORTHERN INYO HOSPITAL INYO 1 SOUTHERN INYO HOSPITAL INYO 1 GOOD SAMARITAN HOSPITAL KERN 1 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL KERN 1 KERN VALLEY HEALTHCARE DISTRICT KERN 1 SAN JOAQUIN COMMUNITY HOSPITAL KERN 1

Hospital County Tier BAKERSFIELD MEMORIAL HOSPITAL KERN 2 DELANO REGIONAL MEDICAL CENTER KERN 2 MERCY HEALTHCARE BAKERSFIELD KERN 2 RIDGECREST KERN 2 TEHACHAPI HOSPITAL KERN 2 CENTRAL VALLEY GENERAL HOSPITAL KINGS 1 CORCORAN DISTRICT HOSPITAL KINGS 1 HANFORD COMMUNITY MEDICAL CENTER KINGS 1 ST HELENA HOSPITAL CLEARLAKE LAKE 1 SUTTER LAKESIDE HOSPITAL LAKE 2 BANNER LASSEN MEDICAL CENTER LASSEN 1 ALHAMBRA HOSPITAL MEDICAL CENTER LOS ANGELES 1 LOS ANGELES 1 BARLOW HOSPITAL LOS ANGELES 1 BELLFLOWER MEDICAL CENTER LOS ANGELES 1 BEVERLY HOSPITAL LOS ANGELES 1 BROTMAN MEDICAL CENTER LOS ANGELES 1 CHILDRENS HOSPITAL LOS ANGELES LOS ANGELES 1 CITRUS VALLEY MED CTRS – INTER-COMMUNITY CAMPUS LOS ANGELES 1 CITRUS VALLEY MED CTRS – QUEEN OF THE VALLEY LOS ANGELES 1 DOCTORS HOSPITAL OF WEST COVINA LOS ANGELES 1 DOWNEY REGIONAL MEDICAL CENTER LOS ANGELES 1 FOOTHILL PRESBYTERIAN HOSPITAL LOS ANGELES 1 GLENDALE ADVENTIST MEDICAL CENTER LOS ANGELES 1 GOOD SAMARITAN HOSPITAL LOS ANGELES 1 GREATER EL MONTE COMMUNITY HOSPITAL LOS ANGELES 1 HENRY MAYO NEWHALL MEMORIAL HOSPITAL LOS ANGELES 1 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES 1 LAKEWOOD REGIONAL MEDICAL CENTER LOS ANGELES 1 LANCASTER COMMUNITY HOSPITAL LOS ANGELES 1 LONG BEACH MEMORIAL MEDICAL CENTER LOS ANGELES 1 MARINA DEL REY HOSPITAL LOS ANGELES 1 MISSION COMMUNITY HOSPITAL – PANORAMA CAMPUS LOS ANGELES 1 MONTEREY PARK HOSPITAL LOS ANGELES 1 OLYMPIA MEDICAL CENTER LOS ANGELES 1 ORTHOPAEDIC HOSPITAL LOS ANGELES 1 PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES 1 PACIFICA HOSPITAL OF THE VALLEY LOS ANGELES 1 PROVIDENCE HOLY CROSS MEDICAL CENTER LOS ANGELES 1 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL LOS ANGELES 1 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CTR LOS ANGELES 1 ST JOHN'S HOSPITAL AND HEALTH CENTER LOS ANGELES 1 TORRANCE MEMORIAL MEDICAL CENTER LOS ANGELES 1 TRI-CITY REGIONAL MEDICAL CENTER LOS ANGELES 1

Hospital County Tier VALLEY PRESBYTERIAN HOSPITAL LOS ANGELES 1 VERDUGO HILLS HOSPITAL LOS ANGELES 1 WEST HILLS HOSPITAL & MEDICAL CENTER LOS ANGELES 1 WHITE MEMORIAL MEDICAL CENTER LOS ANGELES 1 WHITTIER HOSPITAL MEDICAL CENTER LOS ANGELES 1 AHMC GARFIELD MEDICAL CENTER LOS ANGELES 2 HOSPITAL MEDICAL CENTER LOS ANGELES 2 CATALINA ISLAND MEDICAL CENTER LOS ANGELES 2 CEDARS-SINAI MEDICAL CENTER LOS ANGELES 2 CITY OF HOPE NATIONAL MEDICAL CENTER LOS ANGELES 2 COMMUNITY AND MISSION HOSPITAL OF HUNTINGTON LOS ANGELES 2 EAST LOS ANGELES DOCTORS HOSPITAL LOS ANGELES 2 GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER LOS ANGELES 2 HUNTINGTON MEMORIAL HOSPITAL LOS ANGELES 2 KENNETH NORRIS JR CANCER HOSPITAL LOS ANGELES 2 KINDRED HOSPITAL OF LA MIRADA LOS ANGELES 2 LAC HARBOR UCLA MED CTR LOS ANGELES 2 LAC OLIVE VIEW MED CTR MID VALLEY LOS ANGELES 2 LAC RANCHO LOS AMIGOS NATL REHABILITATION CTR LOS ANGELES 2 LAC USC MEDICAL CENTER LOS ANGELES 2 MILLER CHILDREN'S HOSPITAL LOS ANGELES 2 MOTION PICTURE & TELEVISION HOSPITAL LOS ANGELES 2 NORTHRIDGE HOSPITAL MEDICAL CENTER LOS ANGELES 2 ST MARY MEDICAL CENTER LOS ANGELES 2 PACIFIC HOSPITAL OF LONG BEACH LOS ANGELES 2 PRESBYTERIAN INTERCOMMUNITY HOSPITAL LOS ANGELES 2 PROMISE HOSP OF EAST LOS ANGELES – SUBURBAN LOS ANGELES 2 PROVIDENCE SAINT JOSEPH MEDICAL CENTER LOS ANGELES 2 PROVIDENCE TARZANA MEDICAL CENTER LOS ANGELES 2 RONALD REAGAN UCLA MEDICAL CENTER LOS ANGELES 2 SAN GABRIEL VALLEY MEDICAL CENTER LOS ANGELES 2 SANTA MONICA UCLA MEDICAL CENTER LOS ANGELES 2 ST FRANCIS MEDICAL CENTER LOS ANGELES 2 ST VINCENT MEDICAL CENTER LOS ANGELES 2 TEMPLE COMMUNITY HOSPITAL LOS ANGELES 2 USC UNIVERSITY HOSPITAL LOS ANGELES 2 CHILDREN'S HOSPITAL CENTRAL CALIFORNIA MADERA 1 MADERA COMMUNITY HOSPITAL MADERA 1 NOVATO COMMUNITY HOSPITAL MARIN 1 KENTFIELD REHABILITATION AND SPECIALTY HOSPITAL MARIN 2 MARIN GENERAL HOSPITAL MARIN 2 JOHN C FREMONT HEALTHCARE DISTRICT MARIPOSA 1 FRANK R HOWARD MEMORIAL HOSPITAL MENDOCINO 1 UKIAH VALLEY MEDICAL CENTER MENDOCINO 1

Hospital County Tier MENDOCINO COAST DISTRICT HOSPITAL MENDOCINO 2 MERCY MEDICAL CENTER MERCED MERCED 2 MODOC MEDICAL CENTER MODOC 1 SURPRISE VALLEY COMMUNITY HOSPITAL MODOC 1 MAMMOTH HOSPITAL MONO 1 COMMUNITY HOSPITAL OF MONTEREY PENINSULA MONTEREY 1 GEORGE L MEE MEMORIAL HOSPITAL MONTEREY 2 SALINAS VALLEY MEMORIAL HEALTHCARE DISTRICT MONTEREY 2 ST HELENA HOSPITAL & HEALTH CENTER NAPA 1 QUEEN OF THE VALLEY MEDICAL CENTER NAPA 2 SIERRA NEVADA MEMORIAL HOSPITAL NEVADA 1 TAHOE FOREST HOSPITAL DISTRICT NEVADA 2 ANAHEIM GENERAL HOSPITAL ORANGE 1 ANAHEIM MEMORIAL MEDICAL CENTER ORANGE 1 CHAPMAN MEDICAL CENTER ORANGE 1 CHILDREN'S HOSPITAL AT MISSION ORANGE 1 COASTAL COMMUNITIES HOSPITAL ORANGE 1 HEALTHBRIDGE CHILDRENS HOSPITAL – ORANGE ORANGE 1 HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL ORANGE 1 LOS ALAMITOS MEDICAL CENTER ORANGE 1 ORANGE COAST MEMORIAL MEDICAL CENTER ORANGE 1 PLACENTIA LINDA HOSPITAL ORANGE 1 SADDLEBACK MEMORIAL MEDICAL CENTER ORANGE 1 SOUTH COAST MEDICAL CENTER ORANGE 1 UC IRVINE MEDICAL CENTER ORANGE 1 WESTERN MEDICAL CENTER – ANAHEIM ORANGE 1 WESTERN MEDICAL CENTER – SANTA ANA ORANGE 1 CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE 2 FOUNTAIN VALLEY REGIONAL HOSPITAL AND MED CTR ORANGE 2 MEMORIAL HOSPITAL PRESBYTERIAN ORANGE 2 MISSION HOSPITAL REGIONAL MEDICAL CENTER ORANGE 2 ST JOSEPH HOSPITAL – ORANGE ORANGE 2 ST JUDE MEDICAL CENTER ORANGE 2 PLUMAS DISTRICT HOSPITAL PLUMAS 1 EASTERN PLUMAS HEALTH CARE PLUMAS 2 SENECA DISTRICT HOSPITAL PLUMAS 2 CORONA REGIONAL MEDICAL CENTER RIVERSIDE 1 EISENHOWER MEDICAL CENTER RIVERSIDE 1 HEMET VALLEY MEDICAL CENTER RIVERSIDE 1 JOHN F KENNEDY MEMORIAL HOSPITAL RIVERSIDE 1 MENIFEE VALLEY MEDICAL CENTER RIVERSIDE 1 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER RIVERSIDE 1 RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE 1 SAN GORGONIO MEMORIAL HOSPITAL RIVERSIDE 1

Hospital County Tier SOUTHWEST HEALTHCARE SYSTEM – MURRIETA RIVERSIDE 1 DESERT REGIONAL MEDICAL CENTER RIVERSIDE 2 PALO VERDE HOSPITAL RIVERSIDE 2 KINDRED HOSPITAL SACRAMENTO SACRAMENTO 1 MERCY SAN JUAN HOSPITAL SACRAMENTO 1 UC DAVIS MEDICAL CENTER SACRAMENTO 1 MERCY GENERAL HOSPITAL SACRAMENTO 2 MERCY HOSPITAL OF FOLSOM SACRAMENTO 2 METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO 2 HAZEL HAWKINS MEMORIAL HOSPITAL SAN BENITO 1 COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO 1 HI-DESERT MEDICAL CENTER SAN BERNARDINO 1 MOUNTAINS COMMUNITY HOSPITAL SAN BERNARDINO 1 REDLANDS COMMUNITY HOSPITAL SAN BERNARDINO 1 SAN ANTONIO COMMUNITY HOSPITAL SAN BERNARDINO 1 ST BERNARDINE MEDICAL CENTER SAN BERNARDINO 1 VIBRA SPECIALTY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO 1 VICTOR VALLEY COMMUNITY HOSPITAL SAN BERNARDINO 1 BARSTOW COMMUNITY HOSPITAL SAN BERNARDINO 2 BEAR VALLEY COMMUNITY HOSPITAL SAN BERNARDINO 2 RIVER MEDICAL CENTER SAN BERNARDINO 2 LOMA LINDA UNIVERSITY MEDICAL CENTER SAN BERNARDINO 2 ST MARY MEDICAL CENTER SAN BERNARDINO 2 ALVARADO HOSPITAL LLC 1 CONTINENTAL REHABILITATION HOSPITAL OF SAN DIEGO SAN DIEGO 1 FALLBROOK HOSPITAL DISTRICT SAN DIEGO 1 SAN DIEGO 1 POMERADO HOSPITAL SAN DIEGO 1 RADY CHILDRENS HOSPITAL SAN DIEGO SAN DIEGO 1 TRI-CITY MEDICAL CENTER SAN DIEGO 1 GROSSMONT DISTRICT HOSPITAL SAN DIEGO 2 PROMISE HOSPITAL OF SAN DIEGO SAN DIEGO 2 SCRIPPS GREEN HOSPITAL SAN DIEGO 2 SCRIPPS MEMORIAL HOSPITAL – ENCINITAS SAN DIEGO 2 SCRIPPS MEMORIAL HOSPITAL – LA JOLLA SAN DIEGO 2 SAN DIEGO 2 SHARP CHULA VISTA MEDICAL CENTER SAN DIEGO 2 SHARP CORONADO HOSPITAL & HEALTHCARE CENTER SAN DIEGO 2 SAN DIEGO 2 UCSD MEDICAL CENTER SAN DIEGO 2 CHINESE HOSPITAL 1 ST FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO 1 UCSF MEDICAL CENTER SAN FRANCISCO 1 ST MARY'S MEDICAL CENTER SAN FRANCISCO 2

Hospital County Tier DAMERON HOSPITAL SAN JOAQUIN 1 DOCTORS HOSPITAL OF MANTECA INC SAN JOAQUIN 1 SAN JOAQUIN GENERAL HOSPITAL SAN JOAQUIN 1 LODI MEMORIAL HOSPITAL SAN JOAQUIN 2 ST JOSEPH'S MEDICAL CENTER OF STOCKTON SAN JOAQUIN 2 SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO 1 TWIN CITIES COMMUNITY HOSPITAL INC SAN LUIS OBISPO 1 ARROYO GRANDE COMMUNITY HOSPITAL SAN LUIS OBISPO 2 FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO 2 SAN MATEO COUNTY GENERAL HOSPITAL SAN MATEO 1 SEQUOIA HEALTH SERVICES SAN MATEO 1 SETON MEDICAL CENTER SAN MATEO 2 CHW CENTRAL COAST – MARIAN MEDICAL CENTER SANTA BARBARA 1 LOMPOC HEALTHCARE DISTRICT SANTA BARBARA 1 SANTA YNEZ VALLEY SANTA BARBARA 1 GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA 2 SANTA BARBARA COTTAGE HOSPITAL SANTA BARBARA 2 COMMUNITY HOSPITAL OF LOS GATOS SANTA CLARA 1 EL CAMINO HOSPITAL SANTA CLARA 1 GOOD SAMARITAN HOSPITAL SANTA CLARA 1 REGIONAL MEDICAL CENTER OF SAN JOSE SANTA CLARA 1 LUCILE SALTER PACKARD CHILDRENS HOSPITAL SANTA CLARA 2 O'CONNOR HOSPITAL SANTA CLARA 2 SAINT LOUISE REGIONAL HOSPITAL SANTA CLARA 2 SANTA CLARA VALLEY HEALTH & HOSPITAL SYSTEM SANTA CLARA 2 STANFORD UNIVERSITY HOSPITAL SANTA CLARA 2 WATSONVILLE COMMUNITY HOSPITAL SANTA CRUZ 1 DOMINICAN SANTA CRUZ HOSPITAL SANTA CRUZ 2 NORTHERN CALIFORNIA REHABILITATION HOSPITAL SHASTA 1 MERCY MEDICAL CENTER – REDDING SHASTA 1 HOSPITAL OF REDDING SHASTA 1 MAYERS MEMORIAL HOSPITAL SHASTA 2 FAIRCHILD MEDICAL CENTER SISKIYOU 1 MERCY MEDICAL CENTER – MT SHASTA SISKIYOU 2 NORTHBAY MEDICAL CENTER SOLANO 2 VACA VALLEY HOSPITAL SOLANO 2 HEALDSBURG DISTRICT HOSPITAL SONOMA 1 PALM DRIVE HOSPITAL SONOMA 1 SANTA ROSA MEMORIAL HOSPITAL SONOMA 1 SONOMA VALLEY HOSPITAL SONOMA 1 PETALUMA VALLEY HOSPITAL SONOMA 2 DOCTORS MEDICAL CENTER OF MODESTO STANISLAUS 1 EMANUEL MEDICAL CENTER STANISLAUS 1 STANISLAUS CENTER STANISLAUS 1

Hospital County Tier

OAK VALLEY DISTRICT HOSPITAL STANISLAUS 2 ST ELIZABETH COMMUNITY HOSPITAL TEHAMA 1 TRINITY HOSPITAL TRINITY 1 KAWEAH DELTA MEDICAL CENTER TULARE 1 TULARE LOCAL HEALTH CARE DISTRICT TULARE 1 SIERRA VIEW DISTRICT HOSPITAL TULARE 2 SONORA REGIONAL MEDICAL CENTER TUOLUMNE 1 COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA VENTURA 1 SIMI VALLEY HOSPITAL VENTURA 1 THOUSAND OAKS SURGICAL HOSPITAL VENTURA 1 VENTURA COUNTY MEDICAL CENTER VENTURA 1 LOS ROBLES REGIONAL MEDICAL CENTER VENTURA 2 ST JOHN'S PLEASANT VALLEY HOSPITAL VENTURA 2 ST JOHN'S REGIONAL MEDICAL CENTER VENTURA 2 WOODLAND MEMORIAL HOSPITAL YOLO 1 RIDEOUT MEMORIAL HOSPITAL YUBA 2 RENOWN REGIONAL MEDICAL CENTER OUTSIDE CA 1 RENOWN SOUTH MEADOWS MEDICAL CENTER OUTSIDE CA 1 ST. MARY’S MEDICAL CENTER OUTSIDE CA 1

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

02/12