Know Your Network (s)

Blue Cross and Blue Shield of PPO, Blue Choice PPOSM and Blue Precision HMOSM Hospital Networks as of December 2014 Know Your Network. Your plan has its own provider network, a select group of doctors, clinics, and pharmacies that have agreed to provide a full range of covered health care services for your plan. To get the most of your benefits, it’s important to use providers in your plan’s network. You will have to pay more if you use a provider who isn’t in network. If you have an HMO, you may even have to pay the full amount. Using a hospital out of your network could mean you pay some or all of the hospital bills. The following hospitals are providers in the Blue Cross and Blue Shield of Illinois PPO, Blue Choice PPO and Blue Precision HMO Hospital Networks. Hospitals that belong to a network have a dot in that network’s column. Hospitals are listed in alphabetical order by city. If you require care when you are outside the local service area, you can find a BlueCard® participating provider by calling 1-800-676-BLUE (2583). Although there may be some change in your from time to time, selection of Participating Hospitals will continue to be based on range of services, geographic location, and cost effectiveness of care. Please visit our online Provider Finder® at bcbsil.com for an up-to-date listing.

Blue Blue Blue Blue City Hospital PPO Choice Precision City Hospital PPO Choice Precision PPO HMO PPO HMO Aledo Genesis Medical • • Carrollton Thomas H. Boyd • Center, Aledo Memorial Hospital Alton Alton Memorial Hospital • Carthage Memorial Hospital • • OSF Saint Anthony’s • Centralia St. Mary’s Hospital • Health Center Champaign The Pavilion Hospital • Anna Union County Hospital • Chester Memorial Hospital • Arlington Hts Northwest Community • • • Advocate Illinois • • Hospital Masonic Medical Center Aurora Rush-Copley • • • Advocate Trinity Hospital • • Medical Center Chicago • • • Presence Mercy • • • Lakeshore Hospital Medical Center Hartgrove Hospital • Barrington Advocate Good • • Shepherd Hospital Holy Cross Hospital • • • Belleville Memorial Hospital • • Jackson Park Hospital • • Scott Airforce Base • John H. Stroger Jr. • • Medical Center Hospital (Cook County Hospital) St. Elizabeth’s Hospital • • Kindred Chicago • • • Benton Franklin Hospital • Central Hospital Berwyn Macneal Hospital • • • La Rabida Children’s • • • Bloomington OSF St. Joseph • • Hospital Medical Center Loretto Hospital • Blue Island Metrosouth Medical • • Weiss Memorial Hospital • • • Center Mercy Hospital And • • • Bolingbrook Adventist Bolingbrook • • • Medical Center Hospital Methodist Hospital • • Breese St. Joseph’s Hospital • • of Chicago Breese Mount Sinai Hospital • • • Canton Graham Hospital • Northwestern • • Carbondale Memorial Hospital • • Memorial Hospital of Carbondale Norwegian • • • Carlinville Carlinville Area Hospital • • American Hospital 30103.1214 Blue Blue Blue Blue City Hospital PPO Choice Precision City Hospital PPO Choice Precision PPO HMO PPO HMO Chicago Presence Our Lady • • • Eldorado Ferrell Hospital • (continued) of The Resurrection Elgin Advocate Sherman • • Medical Center Hospital Presence St. Joseph • • • Presence St. Joseph • • • Health Center Hospital Elgin Presence St. Mary’s • • • Elk Grove Alexian Brothers • • • Hospital Village Medical Center Presence St. Elizabeth’s • • • Elmhurst Elmhurst Memorial • • • Hospital Hospital Provident Hospital of • • Eureka Advocate Eureka • Cook County Hospital Rehabilitation Institute • • Evanston North Shore University • • of Chicago Healthsystem - Evanston RML Specialty • • • Presence St. Francis • • • Hospital - Chicago Hospital Roseland • • Evergreen Park Little Company of • • • Mary Hospital Rush University • • Fairfield Fairfield • Medical Center Memorial Hospital Schwab • • • Flora Clay County Hospital • Riveredge Hospital • • • Shriners Hospitals • Forest Park for Children Freeport Freeport • Memorial Hospital South Shore Hospital • Midwest Medical Center • St. Anthony Hospital • • • Galena OSF St. Mary • St. Bernard Hospital • • • Galesburg Medical Center Swedish • • • Geneseo Hammond Henry • Covenant Hospital District Hospital The Anne & Robert H. • • Geneva Delnor • • Lurie Children’s Hospital Community Hospital Thorek Hospital • • • Gibson City Gibson Community • University of Chicago • • Hospital Association Medical Center Glendale Adventist • • • University of • • • Heights GlenOaks Hospital Illinois Hospital Glenview North Shore University • • Chicago St. James Hospital - • • • Healthsystem - Heights Chicago Heights Campus Glenbrook VA Chicago • Granite City Gateway Regional • • Health Care System Medical Center Clinton Dr. John Warner Hospital • Greenville Greenville • Danville Presence United • • Samaritan Med Center Harrisburg Harrisburg • Medical Center VA Medical Center • Harvard Mercy Harvard Hospital • • Decatur Decatur Memorial • • Hospital Harvey Ingalls Memorial Hospital • • St. Mary’s Hospital • • Havana Mason District Hospital • Des Plaines Presence Holy Family • • • Hazel Crest Advocate South • • Medical Center Suburban Hospital Dixon Katherine Shaw • Herrin Herrin Hospital • • Bethea Hospital Highland St. Joseph’s Hospital • • Downers Grove Advocate - Good • • North Shore University • • Samaritan Hospital Highland Park Healthsystem - Du Quoin Marshall Browning • Highland Park Hospital Association Hillsboro Hillsboro Hospital • East St. Louis Touchette • VA Edward Hines • Regional Hospital Hines VA Hospital Effingham St. Anthony’s • Memorial Hospital Blue Blue Blue Blue Blue Blue City Hospital PPO Choice Precision City Hospital PPO Choice Precision City Hospital PPO Choice Precision PPO HMO PPO HMO PPO HMO Eldorado Ferrell Hospital • Hinsdale Adventist • • • Metropolis Massac • Hinsdale Hospital Memorial Hospital Elgin Advocate Sherman • • Hospital RML Specialty • • • Moline Unity Point Health Trinity • • Hospital - Hinsdale Presence St. Joseph • • • Monmouth OSF Holy Family • • Hospital Elgin Hoffman St. Alexius Hospital • • • Medical Center Estates Elk Grove Alexian Brothers • • • Monticello Kirby Medical Center • Village Medical Center Alexian Brothers • • • Morris Hospital • Behaviorial Health Morris Elmhurst Elmhurst Memorial • • • Morrison • • Hospital Hoopeston Hoopeston Community • Morrison Memorial Hospital Community Hospital Eureka Advocate Eureka • Mt. Carmel Wabash General Hospital • Hospital Hopedale Hopedale Hospital • Mt. Vernon Crossroads • Evanston North Shore University • • Jacksonville Passavant Memorial • • Community Hospital Healthsystem - Evanston Area Hospital Good Samaritan • • Presence St. Francis • • • Jerseyville Jersey • • Regional Health Center Hospital Community Hospital Murphysboro St. Joseph • • Evergreen Park Little Company of • • • Joliet Presence Saint • • • Memorial Hospital Mary Hospital Joseph Medical Center Naperville • • • Fairfield Fairfield • • • Memorial Hospital Linden Oaks Hospital • • Kankakee Presence St. • • • Flora Clay County Hospital • Mary’s Hospital Nashville • County Hospital Forest Park Riveredge Hospital • • • • • Normal Advocate Bromenn • • Freeport Freeport • Kewanee OSF Saint Luke • • Regional Medical Center Memorial Hospital Medical Center North Chicago VA Medical Center - • Galena Midwest Medical Center • Kishwaukee Kishwaukee • North Chicago Community Hospital Galesburg OSF St. Mary • Northlake Kindred Hospital • • • Medical Center La Grange Adventist Lagrange • • • Chicago Northlake Memorial Hospital Geneseo Hammond Henry • Oak Forest Oak Forest Hospital of • District Hospital Lake Forest Northwestern Lake • Cook County Forest Hospital Geneva Delnor • • Oak Lawn Advocate Christ • • Community Hospital Lawrenceville Lawrence County • Medical Center Memorial Hospital Gibson City Gibson Community • Oak Park Rush Oak Park Hospital • • Hospital Association Libertyville Advocate Condell • • Medical Center Tenet West • • Glendale Adventist • • • Suburban Hospital Heights GlenOaks Hospital • • Memorial Hospital Olney Richland Memorial • Glenview North Shore University • • Hospital Healthsystem - Litchfield St. Francis Hospital • Glenbrook Olympia Fields Franciscan St. James • • • Macomb Mcdonough • Health - Olympia Fields Granite City Gateway Regional • • District Hospital Medical Center Ottawa OSF St. Elizabeth • Marion Heartland Regional • Medical Center Greenville Greenville • Medical Center Regional Hospital Palos • • VA Medical Center • Palos Heights Community Hospital Harrisburg Harrisburg • Maryville Anderson Hospital • • Medical Center Pana Pana Community • Mattoon Sarah Bush Lincoln • Hospital Mercy Harvard Hospital • • Harvard Health Center Paris Paris Community • Harvey Ingalls Memorial Hospital • • Maywood Loyola University • • • Hospital Havana Mason District Hospital • Medical Center Park Ridge Advocate Lutheran • • Hazel Crest Advocate South • • Mc Henry Northern Illinois • • General Hospital Suburban Hospital Medical Center Pekin Pekin Hospital • Herrin Herrin Hospital • • Centegra Hospital - • • Kindred Hospital • McHenry Peoria Highland St. Joseph’s Hospital • • Peoria Mcleansboro Hamilton • Unity Point Methodist • Highland Park North Shore University • • Memorial Hospital Healthsystem - Medical Center of Illinois Highland Park Melrose Park Gottlieb • • • Unity Point Proctor • • Memorial Hospital Hillsboro Hillsboro Hospital • Community Hospital Tenet Westlake • • OSF St. Francis Hospital • Hines VA Edward Hines • Community Hospital VA Hospital Medical Center Mendota Mendota • Illinois Valley • • Community Hospital Peru Community Hospital Blue Blue Blue Blue City Hospital PPO Choice Precision City Hospital PPO Choice Precision PPO HMO PPO HMO Pinckneyville Pinckneyville • Spring Valley St. Margaret’s Hospital • • Community Hospital Springfield Memorial • • Pittsfield Illini Community Hospital • Medical Center Pontiac St. James Hospital • St. Johns Hospital • • Princeton Perry Memorial Hospital • • Staunton Community Memorial • Hospital Association Quincy Blessing Hospital • Sterling CGH Medical Center • • Red Bud Red Bud • • Regional Hospital Streamwood Streamwood Hospital • Robinson Crawford • Streator St. Mary’s Hospital • Memorial Hospital Sycamore Kindred • • Rochelle Rochelle • Hospital Sycamore Community Hospital Taylorville Taylorville • • Rock Island Trinity Medical Center • • Memorial Hospital Rockford Rockford Memorial • Urbana Carle • Foundation Hospital OSF St. Anthony • • Medical Center Presence Covenant • • Medical Center Urbana Swedish • • American Hospital Vandalia Fayette County Hospital • Van Matre Healthsouth • • Watseka Iroquois • Rehabilitation Hospital Memorial Hospital Rosiclare Hardin County • Waukegan Vista Medical • • • General Hospital Center - East Rushville Sarah D. Culbertson • Vista Medical • • • Memorial Hospital Center - West Salem Salem Township Hospital • Wheaton Marianjoy • • • Rehabilitation Hospital Sandwich Valley West • • Community Hospital Winfield Central Dupage Hospital • • Shelbyville Shelby • Woodstock Centegra Hosptial - • • Memorial Hospital Woodstock Silvis Genesis Illini Hospital • Zion CTCA At Midwestern • Regional Med Center Skokie North Shore University • • Healthsystem- Skokie Sparta Sparta • Community Hospital

Indiana Hospitals

Blue Blue CITY Hospital PPO Choice Precision PPO HMO Crown Point Franciscan St. Anthony Medical Center • • Dyer St. Margaret Mercy Hospital South • • Gary Methodist Hospital Northlake • • Hammond St. Margaret Mercy Healthcare Centers • • Merrillville Methodist Hospital Southlake • • City Memorial Medical Center • • St. Anthony Memorial Health Center • • Munster Surgical Hospital of Munster • •

Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association