Personalized Directory June 14, 2012

Search Criteria

Distance From You: Less than 10 miles from 11203 Provider Category: Hospital

Our network of doctors and facilities is always evolving. Before you make an appointment, always check that the doctor or facility participates in your network. To find out, you can ask your doctor or facility or you can check on myuhc.com. Visit myuhc.com for: • -to-date list of network doctors and facilities • Resources to help you make informed decisions about your medical care • Credentials • Maps and directions If you don’t have access to the Internet, or want to check that a doctor or facility participates in your network, call Member Service at the toll free number on your ID card.

The UnitedHealth Premium® designation program is an information resource to help you choose a physician or specialty center. It may be used as one of many factors you consider when choosing the physicians or facilities from whom you receive care. If you already have a physician, you may also wish to confer with him or her for advice on selecting other physicians. You may also wish to discuss a physician’s designation with him or her, prior to selecting the physician. Like many performance assessment programs, physician evaluations have a risk of error. Please see myuhc.com® for detailed program information and methodologies. 2

Brookdale Hospital Medical 5909 8TH AVE 200 SOMERSET ST Hospitals Center BROOKLYN, NY 11220 NEW BRUNSWICK, NJ 08901 LINDEN BLVD & BROOKDALE (718) 250-8000 (732) 258-7000 General Hospital PLZ ID: 00000974670 12 ID: 00000019765 18 BROOKLYN, NY 11212 Bayonne Hospital Kessler (718) 240-5000 771 61ST ST 10 PLUM ST Insti ID: 00000029514 02 BROOKLYN, NY 11220 NEW BRUNSWICK, NJ 08901 2854 KENNEDY BLVD (718) 250-8000 (732) 258-7100 JERSEY CITY, NJ 07306 1 BROOKDALE PLZ STE 1CHC ID: 00000974670 13 ID: 00000019765 22 (201) 792-2582 BROOKLYN, NY 11212 ID: 00001862133 04 (718) 240-5000 699 92ND ST 94 STEVENS RD (718) 240-5741 BROOKLYN, NY 11228 TOMS RIVER, NJ 08755 21 W 25TH ST # 25 (718) 240-6204 (718) 250-8000 (732) 914-1100 BAYONNE, NJ 07002 ID: 00000029514 26 ID: 00000974670 11 ID: 00000019765 04 (201) 339-4160 ID: 00001862133 01 1 BROOKDALE PLAZA 2CHC C Elmhurst Hospital 3575 QUAKERBRIDGE RD BROOKLYN, NY 11212 7901 BROADWAY TRENTON, NJ 08619 Bellevue Hospital Center (718) 240-5045 ELMHURST, NY 11373 (908) 233-3720 462 1ST AVE ID: 00000029514 07 (718) 334-4000 ID: 00000019765 15 NEW YORK, NY 10016 ID: 00000781362 06 (212) 562-4141 650 AMBOY ST LOWR LEVEL 368 LAKEHURST RD ID: 00000358592 11 BROOKLYN, NY 11212 TOMS RIVER, NJ 08755 Calvary Hospital (718) 240-6852 (732) 281-3900 150 55 ST ID: 00000029514 20 ID: 00000019765 20 Beth Comprehensive BROOKLYN, NY 11220 Cancer Center (718) 518-2069 325 W 15TH ST 1380 LINDEN BLVD ID: 00000638258 02 Christ Hospital NEW YORK, NY 10011 BROOKLYN, NY 11212 176 PALISADE AVE (718) 240-5071 (212) 420-2000 1740 EASTCHESTER RD JERSEY CITY, NJ 07306 ID: 00000029514 09 ID: 00003166988 04 BRONX, NY 10461 (201) 795-8200 (718) 518-2069 ID: 00000212583 02 Beth Israel Medical Center 1110 PENNSYLVANIA AVE ID: 00000638258 01 No Extended Hours Petrie BROOKLYN, NY 11207 (718) 649-5519 16TH ST & 1ST AVE Coney Island Hospital Center ID: 00000029514 10 Childrens Specialized NEW YORK, NY 10003 Hospital 2601 OCEAN PKWY (212) 420-2000 BROOKLYN, NY 11235 263 7TH AVE 815 BROADWAY ID: 00000212175 08 BAYONNE, NJ 07002 (718) 616-3000 BROOKLYN, NY 11215 ID: 00001003782 02 (718) 246-8700 (201) 823-6010 10 NATHAN D PERLMAN PL ID: 00000029514 19 ID: 00000019765 19 NEW YORK, NY 10003 Family Physician Health (212) 420-2000 1135 BROAD ST Center ID: 00000212175 13 2554 LINDEN BLVD RM 2CHC BROOKLYN, NY 11208 CLIFTON, NJ 07013 5616 6TH AVE (718) 240-5132 (732) 281-3900 BROOKLYN, NY 11220 Beth Israel-Kings Highway ID: 00000029514 16 ID: 00000019765 21 (718) 439-5440 3201 KINGS HWY ID: 00002048713 03 BROOKLYN, NY 11234 150 NEW PROVIDENCE RD Brooklyn Hospital-Home (718) 252-3000 MOUNTAINSIDE, NJ 07092 Health Flushing Hospital Medical ID: 00001275018 01 (908) 233-3720 Center 121 DEKALB AVE ID: 00000019765 09 BROOKLYN, NY 11201 4500 PARSONS BLVD (718) 250-8000 FLUSHING, NY 11355 313 SOUTH AVE ID: 00000974670 01 (718) 670-5000 FANWOOD, NJ 07023 ID: 00000450621 09 (908) 233-3730 ID: 00000019765 14

Specialty centers with any quality designation and average or higher cost efficiency are eligible for the highest benefit. This is included in benefit plans where facility tiering is available for cardiac care, cardiac surgery, heart rhythm disorders, total joint replacement or spine surgery. 3

Hospitals - cont Hospital For Special Surgery 813 BROADWAY 288 BOULEVARD 535 E 70TH ST BAYONNE, NJ 07002 HASBROUCK HEIGHTS, NJ General Hospital - cont NEW YORK, NY 10021 (201) 436-2300 07604 80 MARCUS DR (212) 606-1000 ID: 00000497219 25 (201) 288-4950 MELVILLE, NY 11747 ID: 00000393029 02 ID: 00000497219 54 (631) 391-7889 654 BROADWAY FL 2 ID: 00000450621 12 Interfaith Medical Center BAYONNE, NJ 07002 142 JOHN ST 3RD FL 1545 ATLANTIC AVE (201) 339-1257 HACKENSACK, NJ 07601 Forest Hills Hospital BROOKLYN, NY 11213 ID: 00000497219 00 (201) 342-1404 10201 66TH RD (718) 613-4000 ID: 00000497219 95 FOREST HILLS, NY 11375 ID: 00000699657 03 21 W 25TH ST # 29 (718) 830-4000 BAYONNE, NJ 07002 210 W SAINT GEORGES AVE (201) 436-2300 LINDEN, NJ 07036 ID: 00000293078 04 Jamaica Hospital ID: 00000497219 26 (908) 587-1624 133-03 JAMAICA AVE ID: 00000497219 61 Hospital for Joint Disease RICHMOND HILL, NY 11418 301 E 17TH ST (718) 206-6942 140 48TH ST NEW YORK, NY 10003 ID: 00000434472 10 UNION CITY, NJ 07087 350 W SAINT GEORGES AVE (212) 598-6000 (201) 271-0800 LINDEN, NJ 07036 ID: 00000497219 90 (908) 925-6797 ID: 00000391831 07 8900 VAN WYCK EXPY ID: 00000497219 62 JAMAICA, NY 11418 318 E 23RD ST (718) 206-6000 8400 RIVER RD NEW YORK, NY 10010 ID: 00000434472 05 NORTH BERGEN, NJ 07047 1036 STUYVESANT AVE (212) 598-6500 (201) 861-1940 UNION, NJ 07083 ID: 00000391831 16 ID: 00000497219 73 (908) 851-0800 Jersey City Medical Center ID: 00000497219 89 115 CHRISTOPHER COLUMBUS 279 FERRY ST 324 E 23RD ST DR NEW YORK, NY 10010 NEWARK, NJ 07105 2033 MORRIS AVE JERSEY CITY, NJ 07302 (973) 491-5072 UNION, NJ 07083 (212) 598-6321 (201) 432-4600 ID: 00000391831 15 ID: 00000497219 10 (908) 851-0007 ID: 00000682667 09 ID: 00000497219 88 620 ESSEX ST 359 2ND AVE 377 JERSEY AVE NEW YORK, NY 10010 HARRISON, NJ 07029 20 VALLEY ST JERSEY CITY, NJ 07302 (973) 483-6159 SOUTH ORANGE, NJ 07079 (212) 598-6429 (201) 918-2239 ID: 00000391831 17 ID: 00000497219 53 (973) 763-0447 ID: 00000682667 08 ID: 00000497219 81 59-61 ELMORA AVE FL 1 63 DOWNING ST 355 GRAND ST NEW YORK, NY 10014 ELIZABETH, NJ 07202 300 MARKET ST JERSEY CITY, NJ 07302 (908) 436-1039 SADDLE BROOK, NJ 07663 (212) 598-6000 (201) 915-2000 ID: 00000391831 14 ID: 00000497219 04 (201) 368-6260 ID: 00000682667 04 ID: 00000497219 79 530 1ST AVE 626 RIDGE RD Kessler Institute For NEW YORK, NY 10016 LYNDHURST, NJ 07071 251 CLIFTON AVE Rehabilitation (212) 598-6000 (201) 372-3240 CLIFTON, NJ 07011 200 WASHINGTON ST FL 3 ID: 00000391831 09 ID: 00000497219 23 (973) 340-7092 HOBOKEN, NJ 07030 ID: 00000497219 36 (201) 846-5200 614 2ND AVE 370 GRAND AVE (201) 876-5200 ENGLEWOOD, NJ 07631 1358 BROAD ST NEW YORK, NY 10016 ID: 00000497219 98 (212) 598-6000 (201) 541-3900 CLIFTON, NJ 07013 ID: 00000391831 13 ID: 00000497219 46 (973) 249-0249 2854 KENNEDY BLVD ID: 00000497219 38 JERSEY CITY, NJ 07306 333 E 38TH ST (201) 792-2582 NEW YORK, NY 10016 ID: 00000497219 16 (646) 501-7440 ID: 00000391831 10

Specialty centers with any quality designation and average or higher cost efficiency are eligible for the highest benefit. This is included in benefit plans where facility tiering is available for cardiac care, cardiac surgery, heart rhythm disorders, total joint replacement or spine surgery. 4

Hospitals - cont 190 ELM ST 320 STATE ROUTE 10 1055 PARSIPPANY BLVD WESTFIELD, NJ 07090 EAST HANOVER, NJ 07936 PARSIPPANY, NJ 07054 General Hospital - cont (908) 232-0460 (973) 994-4300 (973) 263-9000 1135 BROAD ST ID: 00000497219 93 ID: 00000497219 96 ID: 00000497219 75 CLIFTON, NJ 07013 (973) 574-8585 1025 MCBRIDE AVE 701 HAMBURG TPKE 150 TRIANGLE 17 PLAZA ID: 00000497219 37 WEST PATERSON, NJ 07424 WAYNE, NJ 07470 RAMSEY, NJ 07446 (973) 237-3275 (973) 636-6550 (201) 818-1282 1250 STATE RT 27 ID: 00000497219 14 ID: 00000497219 91 ID: 00000497219 07 COLONIA, NJ 07067 (732) 382-7118 10 PARSONAGE RD 445 GODWIN AVE 3455 STATE ROUTE 66 ID: 00000497219 39 EDISON, NJ 08837 MIDLAND PARK, NJ 07432 NEPTUNE, NJ 07753 (732) 906-1144 (201) 444-4991 (732) 643-0098 140 CENTRAL AVE ID: 00000497219 44 ID: 00000497219 68 ID: 00000497219 71 CLARK, NJ 07066 (732) 680-9561 3 PROGRESS ST STE 106 2 INDUSTRIAL WAY 220 CENTENNIAL AVE ID: 00000497219 34 EDISON, NJ 08820 EATONTOWN, NJ 07724 PISCATAWAY, NJ 08854 (908) 822-8681 (732) 542-5266 (732) 980-6235 1199 PLEASANT VALLEY WAY ID: 00000497219 11 ID: 00000497219 43 ID: 00000497219 05 WEST ORANGE, NJ 07052 (973) 731-3600 33 NEWMAN SPRINGS RD 263 CHANGEBRIDGE RD 92 STATE RT 23 ID: 00000497219 14 TINTON FALLS, NJ 07724 PINE BROOK, NJ 07058 RIVERDALE, NJ 07457 (732) 450-8000 (973) 575-1112 (973) 616-8140 125 WASHINGTON AVE ID: 00000497219 83 ID: 00000497219 06 ID: 00000497219 78 DUMONT, NJ 07628 (201) 385-6272 440 OLD HOOK RD 802 W PARK AVE STE 211 500 N FRANKLIN TPKE ID: 00000497219 05 EMERSON, NJ 07630 OCEAN, NJ 07712 RAMSEY, NJ 07446 (201) 265-0500 (732) 918-4848 (201) 760-2180 100 COMMERCE PL ID: 00000497219 45 ID: 00000497219 74 ID: 00000497219 77 CLARK, NJ 07066 (732) 827-8501 223 OLD HOOK RD STE 101 300 HIGHWAY 18 3499 US ID: 00000497219 35 WESTWOOD, NJ 07675 EAST BRUNSWICK, NJ 08816 FREEHOLD, NJ 07728 (201) 666-2056 (732) 254-3971 (732) 294-0024 275 FOREST AVE ID: 00000497219 94 ID: 00000497219 02 ID: 00000497219 50 PARAMUS, NJ 07652 (201) 634-6900 1070 STATE ROUTE 34 221 W GRAND AVE 400 FRANKLIN TPKE ID: 00000497219 15 MATAWAN, NJ 07747 MONTVALE, NJ 07645 MAHWAH, NJ 07430 (732) 290-0405 (201) 307-9209 (201) 825-2027 33-00 BROADWAY ID: 00000497219 65 ID: 00000497219 97 ID: 00000497219 64 FAIRLAWN, NJ 07410 (201) 703-8820 265 AMBOY AVE 2345 RTE 66 976 TABOR RD ID: 00000497219 47 METUCHEN, NJ 08840 OCEAN, NJ 07712 MORRIS PLAINS, NJ 07950 (732) 548-4870 (732) 493-3624 (973) 829-0200 15-01 BROADWAY STE 9 ID: 00000497219 67 ID: 00000497219 18 ID: 00000497219 03 FAIR LAWN, NJ 07410 (201) 791-8989 484 LAFAYETTE AVE 804 RYDERS LN 2186 STATE ROUTE 27 ID: 00000497219 48 HAWTHORNE, NJ 07506 EAST BRUNSWICK, NJ 08816 NORTH BRUNSWICK, NJ 08902 (973) 720-8200 (732) 238-4010 (732) 951-2440 550 KINDERKMACK RD ID: 00000497219 55 ID: 00000497219 41 ID: 00000497219 72 ORADELL, NJ 07649 (201) 262-1250 904 OAK TREE RD 99 RIDGEDALE AVE 4400 ROUTE 9 S STE 1500 ID: 00000497219 09 SOUTH PLAINFIELD, NJ 07080 CEDAR KNOLLS, NJ 07927 FREEHOLD, NJ 07728 (908) 756-6555 (973) 889-5382 (732) 625-2200 ID: 00000497219 82 ID: 00000497219 13 ID: 00000497219 51

Specialty centers with any quality designation and average or higher cost efficiency are eligible for the highest benefit. This is included in benefit plans where facility tiering is available for cardiac care, cardiac surgery, heart rhythm disorders, total joint replacement or spine surgery. 5

Hospitals - cont 141 US HIGHWAY 46 210 E 64TH ST FL 4 SCHNEIDER HSP/269-01 76TH BUDD LAKE, NJ 07828 NEW YORK, NY 10065 AVE General Hospital - cont (973) 691-4244 (212) 702-7600 NEW HYDE PARK, NY 11040 1200 US ID: 00000497219 32 ID: 00000582188 11 (718) 470-8100 BRIDGEWATER, NJ 08807 ID: 00000278661 03 (908) 722-9393 194 STATE ROUTE 31 100 E 77TH ST ID: 00000497219 30 FLEMINGTON, NJ 08822 NEW YORK, NY 10075 366 JERICHO TPKE (908) 788-3777 (212) 434-2000 MINEOLA, NY 11501 90 E MAIN ST ID: 00000497219 49 ID: 00000582188 03 (718) 470-8100 MENDHAM, NJ 07945 ID: 00000278661 11 (973) 543-7337 2904 ROUTE 37 E Long Island Jewish Medical ID: 00000497219 66 TOMS RIVER, NJ 08753 Center Lutheran Medical Center (732) 929-1993 95-25 QUEENS BLVD 150 55TH ST 1 ROBERTSON DR STE 20 ID: 00000497219 85 REGO PARK, NY 11374 BROOKLYN, NY 11220 BEDMINSTER, NJ 07921 (718) 470-8100 (718) 630-7000 (908) 719-2000 1465 STATE ROUTE 31 S ID: 00000278661 22 ID: 00000406162 08 ID: 00000497219 27 ANNANDALE, NJ 08801 (908) 735-6866 22022 HILLSIDE AVE 5610 2ND AVE 606 UNION AVE ID: 00000497219 24 QUEENS VILLAGE, NY 11427 BROOKLYN, NY 11220 BRIELLE, NJ 08730 (718) 470-8100 (718) 630-7942 (732) 223-2240 368 LAKEHURST RD ID: 00000278661 16 ID: 00000406162 12 ID: 00000497219 31 TOMS RIVER, NJ 08755 (732) 914-8500 40 ELMONT RD Maimonides Medical Center 4179 US HIGHWAY 9 ID: 00000497219 87 ELMONT, NY 11003 4802 10TH AVE HOWELL, NJ 07731 (718) 470-8100 BROOKLYN, NY 11219 (732) 905-9100 401 COVENTRY DR ID: 00000278661 13 (718) 283-2838 ID: 00000497219 12 PHILLIPSBURG, NJ 08865 ID: 00000070337 01 (908) 859-8342 7559 263RD ST 201 PLEASANT HILL ROAD ID: 00000497219 76 GLEN OAKS, NY 11004 4422 9TH AVE CHESTER, NJ 07930 (718) 470-8100 BROOKLYN, NY 11219 (973) 584-7500 Kings County Hospital Center ID: 00000278661 08 (718) 283-8930 ID: 00000497219 03 451 CLARKSON AVE ID: 00000070337 07 BROOKLYN, NY 11203 269-01 76TH AVE 1715 ROUTE 88 (718) 245-2921 NEW HYDE PARK, NY 11040 6323 SEVENTH AVE BRICK, NJ 08724 ID: 00000503831 03 (718) 470-8100 BROOKLYN, NY 11220 (732) 458-7976 ID: 00000278661 15 (718) 283-6980 ID: 00000497219 29 Kingsbrook Jewish Medical ID: 00000070337 05 Center 270-05 76TH AVE 2290 W COUNTY LINE RD FL 2 585 SCHENECTADY AVE NEW HYDE PARK, NY 11040 JACKSON, NJ 08527 Manhattan Eye Ear Throat BROOKLYN, NY 11203 (718) 470-8100 (732) 363-3900 Hospital (718) 604-5000 ID: 00000278661 06 ID: 00000497219 99 210 E 64TH ST ID: 00000392926 06 NEW YORK, NY 10065 1983 MARCUS AVE (212) 838-9200 1255 ROUTE 70 STE 22N 1110 EASTERN PKWY NEW HYDE PARK, NY 11040 ID: 00000615343 06 LAKEWOOD, NJ 08701 BROOKLYN, NY 11213 (718) 470-8100 (732) 370-8010 (718) 735-1900 ID: 00000278661 18 ID: 00000497219 60 Memorial Sloan Kettering ID: 00000392926 10 600 HEMPSTEAD TPKE Cancer Center 231 BRICK BLVD WEST HEMPSTEAD, NY 11552 1275 YORK AVE Lenox Hill Hospital BRICK, NJ 08723 (718) 470-8100 NEW YORK, NY 10065 1430 2ND AVE STE 103 (732) 920-7070 ID: 00000278661 12 (212) 639-2000 ID: 00000497219 07 NEW YORK, NY 10021 ID: 00002404659 07 (212) 434-2000 ID: 00000582188 07

Specialty centers with any quality designation and average or higher cost efficiency are eligible for the highest benefit. This is included in benefit plans where facility tiering is available for cardiac care, cardiac surgery, heart rhythm disorders, total joint replacement or spine surgery. 6

Hospitals - cont New York Eye and Ear New York University Health Richmond University Medical Infirmary Center Center General Hospital - cont 310 E 14TH ST 726 BROADWAY RM 457A 75 VANDERBILT AVE Metropolitan Hospital Center NEW YORK, NY 10003 NEW YORK, NY 10003 STATEN ISLAND, NY 10304 1901 FIRST AVE (212) 979-4000 (212) 443-1010 (718) 818-2423 NEW YORK, NY 10029 ID: 00000391462 09 (212) 443-1000 ID: 00000202040 21 (212) 423-6898 Weekend ID: 00002019946 02 ID: 00000015509 08 275 CASTLETON AVE New York Hospital Medical New York-Presbyterian/ STATEN ISLAND, NY 10301 Mount Sinai Hospital Center Queens Cornell (718) 447-2829 ID: 00000202040 22 633 3RD AVE 18219 HORACE HARDING 525 E 68TH ST NEW YORK, NY 10017 EXPRESSWAY NEW YORK, NY 10021 (212) 891-2160 NEW YORK, NY 10087 (212) 746-5454 355 BARD AVE ID: 00000031048 18 (718) 670-1231 ID: 00000517814 20 STATEN ISLAND, NY 10310 ID: 00000450454 19 (718) 818-1234 ID: 00000202040 14 625 MADISON AVE 525 E 168TH ST NEW YORK, NY 10022 73-15 NORTHERN BLVD NEW YORK, NY 10021 (212) 241-6500 JACKSON HEIGHTS, NY 11372 (212) 297-4545 800 CASTLETON AVE ID: 00000031048 12 (718) 670-1231 ID: 00000517814 24 STATEN ISLAND, NY 10310 ID: 00000450454 21 (718) 818-1515 ID: 00000202040 19 2510 30TH AVE 21 BLOOMINGDALE RD LONG ISLAND CITY, NY 11102 525 E 68TH ST WHITE PLAINS, NY 10605 (800) 627-4470 NEW YORK, NY 10065 (888) 694-5700 4434 AMBOY RD ID: 00000031048 20 (718) 670-1231 ID: 00000517814 16 STATEN ISLAND, NY 10312 ID: 00000450454 23 (718) 984-9658 ID: 00000202040 20 1 GUSTAVE L LEVY PL Nyu Hospitals Center Tisch NEW YORK, NY 10029 56-45 MAIN ST 550 1ST AVE (212) 241-7350 FLUSHING, NY 11355 NEW YORK, NY 10016 Roosevelt Hospital ID: 00000031048 01 (718) 670-1231 (212) 263-7300 1000 TENTH AVE ID: 00000450454 11 ID: 00000138790 06 NEW YORK, NY 10019 Mt Sinai Hospital of Queens (212) 523-4000 ID: 00000318581 06 30-71 29TH ST 16303 HORACE HARDING EXPY 207 E 84TH ST ASTORIA, NY 11102 FRESH MEADOWS, NY 11365 NEW YORK, NY 10028 (406) 488-2119 (718) 670-1231 (646) 754-3300 Shore Road Family Health ID: 00000695425 04 ID: 00000450454 20 ID: 00000138790 17 Center 9000 SHORE RD 59-16 174TH ST 25-10 30TH AVE Park Slope Health Center BROOKLYN, NY 11209 FRESH MEADOWS, NY 11365 LONG ISLAND CITY, NY 11102 220 13TH ST (718) 630-8870 (718) 670-1231 (718) 932-1000 BROOKLYN, NY 11215 ID: 00002048743 03 ID: 00000450454 22 ID: 00000695425 06 (718) 832-9677 ID: 00002048722 03 St Charles Hospital and 182-19 HORACE HARDING Rehabilitation Center New York Community Hospital EXPWY 4310 BROADWAY of Brooklyn FRESH MEADOWS, NY 11365 Queens Hospital Center ASTORIA, NY 11103 2525 KINGS HWY (718) 670-1231 8268 164TH ST # 5 (718) 267-6351 BROOKLYN, NY 11229 ID: 00000450454 14 JAMAICA, NY 11432 (718) 692-5300 (718) 883-2517 ID: 00000282713 06 ID: 00000188513 02 (718) 883-3000 New York Methodist Hosptital ID: 00000741576 07 201 WILLETS RD 506 6TH ST ALBERTSON, NY 11507 New York Downtown Hospital BROOKLYN, NY 11215 82-70 164TH ST (516) 739-4900 170 WILLIAM ST (718) 780-3000 JAMAICA, NY 11432 ID: 00000282713 21 NEW YORK, NY 10038 ID: 00000561679 04 (212) 312-5000 (718) 883-3000 ID: 00000029463 03 ID: 00000741576 05

Specialty centers with any quality designation and average or higher cost efficiency are eligible for the highest benefit. This is included in benefit plans where facility tiering is available for cardiac care, cardiac surgery, heart rhythm disorders, total joint replacement or spine surgery. 7

Hospitals - cont St Lukes Hospital 392 SEGUINE AVE Wyckoff Heights Medical 425 W 59TH ST STATEN ISLAND, NY 10309 Center General Hospital - cont NEW YORK, NY 10019 (718) 226-2000 374 STOCKHOLM ST 1895 WALT WHITMAN RD (888) 661-1166 ID: 00000011085 13 BROOKLYN, NY 11237 MELVILLE, NY 11747 ID: 00001140889 17 (718) 963-7272 (631) 474-6000 Sunset Park Family Health ID: 00000722656 13 ID: 00000282713 08 1000 10TH AVE Center NEW YORK, NY 10019 150 55TH ST 2179 VETERANS HWY (888) 661-1166 BROOKLYN, NY 11220 RONKONKOMA, NY 11779 ID: 00001140889 09 (718) 630-6830 (631) 580-8720 ID: 00002048705 03 ID: 00000282713 19 1111 AMSTERDAM AVE NEW YORK, NY 10025 Sunset Terrace Family Health 240 MIDDLE COUNTRY RD (888) 661-1166 C SMITHTOWN, NY 11787 ID: 00001140889 12 514 49TH ST (631) 382-4550 BROOKLYN, NY 11220 ID: 00000282713 18 St Marys Hospital Catholic (718) 436-2801 Medical Center ID: 00002048724 03 3279 VETERANS MEMORIAL 170 BUFFALO AVE HWY BROOKLYN, NY 11213 Suny Downstate MC at Lich RONKONKOMA, NY 11779 (718) 221-3000 340 HENRY ST (631) 880-8720 ID: 00001268099 02 ID: 00000282713 09 BROOKLYN, NY 11201 (718) 780-1000 Staten Island University 2100 MIDDLE COUNTRY RD ID: 00000561620 18 Hospital CENTEREACH, NY 11720 1 EDGEWATER ST FL 6 (631) 580-2526 339 HICKS ST STATEN ISLAND, NY 10305 ID: 00000282713 20 BROOKLYN, NY 11201 (718) 226-2000 (718) 780-1000 ID: 00000011085 18 3 TECHNOLOGY DR STE 400 ID: 00000561620 17 EAST SETAUKET, NY 11733 111 WATER ST (631) 476-5500 University Hospital of STATEN ISLAND, NY 10304 ID: 00000282713 17 Brooklyn (718) 226-2000 445 LENOX RD # 3 ID: 00000011085 16 77 ROUTE 112 BROOKLYN, NY 11203 PATCHOGUE, NY 11772 (718) 270-1000 777 SEAVIEW AVE (631) 207-2370 ID: 00000070131 04 STATEN ISLAND, NY 10305 ID: 00000282713 10 (718) 226-2000 450 CLARKSON AVE ID: 00000011085 14 200 BELLE TERRE RD BROOKLYN, NY 11203 PORT JEFFERSON, NY 11777 (718) 270-1000 475 SEAVIEW AVE (631) 474-6000 ID: 00000070131 05 STATEN ISLAND, NY 10305 ID: 00000282713 04 (718) 226-2000 699 92ND ST ID: 00000011085 11 806 E MAIN ST BROOKLYN, NY 11228 RIVERHEAD, NY 11901 (718) 270-1000 450 SEAVIEW AVE (631) 369-4440 ID: 00000070131 02 STATEN ISLAND, NY 10305 ID: 00000282713 12 (718) 226-2000 ID: 00000011085 15 Woodhull Medical and Mental St Josephs Hospital-Cmc Health Center 15840 79TH AVE 375 SEGUINE AVE 760 BROADWAY FLUSHING, NY 11366 STATEN ISLAND, NY 10309 BROOKLYN, NY 11206 (718) 558-6200 (718) 226-2000 (718) 963-8000 ID: 00000007709 03 ID: 00000011085 07 ID: 00000778994 01

Specialty centers with any quality designation and average or higher cost efficiency are eligible for the highest benefit. This is included in benefit plans where facility tiering is available for cardiac care, cardiac surgery, heart rhythm disorders, total joint replacement or spine surgery.