Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

ALABAMA BUTLER L V STABLER MEMORIAL HOSPITAL 29 L V STABLER DR GREENVILLE 36037 (334) 382-2671 ALABAMA Calhoun Jacksonville Regional Medical Center 1701 South Pelham Rd Jacksonville 36265 (256) 435-4970 ALABAMA Coffee Medical Center Enterprise 400 N Edwards St Enterprise 36330 (334) 347-0584 ALABAMA COLBERT SHOALS HOSPITAL 201 AVALON AVE MUSCLE SHOALS 35661 (256) 386-1600 ALABAMA COVINGTON ANDALUSIA REGIOAtrium Medical Center At Corint 849 S THREE NOTCH ST ANDALUSIA 36420 (334) 222-8466 ALABAMA Covington Andalusia Regional Hospital 849 S Three Notch St Andalusia 36420 (334) 222-6907 ALABAMA Covington Mizell Memorial Hospital 702 N Main St Opp 36467 (334) 493-2342 ALABAMA COVINGTON MIZELL MEMORIAL HOSPITAL 702 N MAIN ST OPP 36467 (334) 493-3541 ALABAMA DALE DALE MEDICAL CENTER 126 HOSPITAL AVE OZARK 36360 (334) 774-2601 ALABAMA Dale Dale Medical Center 126 Hospital Ave Ozark 36360 (334) 793-8087 ALABAMA DALLAS VAUGHAN REGIONAL MEDICAL CENTER 1015 MEDICAL CENTER PKWY SELMA 36701 (334) 418-4100 ALABAMA ELMORE COMMUNITY HOSPITAL INC 805 FRIENDSHIP RD TALLASSEE 36078 (334) 283-6541 ALABAMA ELMORE ELMORE COMMUNITY HOSPITAL 500 HOSPITAL DR WETUMPKA 36092 (334) 567-4311 ALABAMA Etowah Gadsden Regional Medical Center 1007 Goodyear Blvd Gadsden 35903 (256) 494-4000 ALABAMA Houston Southeast Alabama Medical Center 1108 Ross Clark Circle Dothan 36301 (334) 793-8111 ALABAMA JEFFERSON HILL CREST BEHAVIORAL HEALTH SERVICES 6869 5TH AVE S BIRMINGHAM 35212 (205) 833-9000 ALABAMA JEFFERSON SELECT SPECIALTY HOSPITAL BIRMINGHAM 2010 BROOKWOOD MEDICAL CTR DR BIRMINGHAM 35209 (205) 599-4600 ALABAMA LAUDERDALE NORTH ALABAMA MEDICAL CENTER 414 NAVARRO ST STE 1720 FLORENCE 35630 (256) 629-1000 ALABAMA Madison Healthsouth Rehabilitation Hospital Of North Alaba 107 Governors Dr Sw Huntsville 35801 256-535-2300 ARIZONA Apache Sage Memorial Hospital Hwy 264 Ganado 86505 (928) 755-4500 ARIZONA APACHE SAGE MEMORIAL HOSPITAL HWY 264 GANADO 86505 (928) 755-4557 ARIZONA COCHISE COPPER QUEEN COMMUNITY HOSPITAL 101 COLE AVE BISBEE 85603 (520) 432-5383 ARIZONA COCHISE LIFE CARE CENTER OF SIERRA VISTA 2305 E WILCOX DR SIERRA VISTA 85635 (520) 458-1050 ARIZONA GILA PAYSON CARE CENTER 107 E LONE PINE ST PAYSON 85541 (520) 474-6896 ARIZONA MARICOPA BUENA VISTA RECOVERY 29858 N TATUM BLVD CAVE CREEK 85331 (800) 922-0094 ARIZONA MARICOPA BUENA VISTA RECOVERY 3033 S ARIZONA AVE CHANDLER 85248 (800) 922-0094 ARIZONA MARICOPA CURAHEALTH PHOENIX 40 E INDIANOLA AVE PHOENIX 85012 (602) 280-7000 ARIZONA MARICOPA CURAHEALTH PHOENIX NORTHWEST 13216 N PLAZA DEL RIO BLVD PEORIA 85381 (623) 974-5463 ARIZONA MARICOPA DESERT COVE NURSING CENTER 1750 W FRYE RD CHANDLER 85224 (480) 899-0641 ARIZONA MARICOPA DESERT VISTA HOSPITAL 570 W BROWN RD MESA 85201 (480) 344-2000 ARIZONA MARICOPA DESTINY SPRINGS HEALTHCARE 17300 N DYSART RD SURPRISE 85378 (623) 233-3000 ARIZONA MARICOPA LIFE CARE CENTER OF PARADISE VALLEY 4065 E BELL RD PHOENIX 85032 (602) 867-0212 ARIZONA MARICOPA LIFE CARE CENTER OF SCOTTSDALE 9494 E BECKER LN SCOTTSDALE 85260 (480) 860-6396 ARIZONA MARICOPA MI CASA NURSING CENTER 330 S PINNULE CIR MESA 85206 (480) 981-0687 ARIZONA MARICOPA NEW FOUNDATION ASAP 1200 N 77TH ST SCOTTSDALE 85257 (480) 945-3302 ARIZONA MARICOPA NEW FOUNDATION ASAP 1901 W OCOTILLO RD PHOENIX 85015 (480) 945-3302 ARIZONA MARICOPA NEW FOUNDATION ASAP 2530 S ALMA SCHOOL RD MESA 85210 (480) 945-3302 ARIZONA MARICOPA NEW FOUNDATION ASAP 2902 E SHEA BLVD PHOENIX 85028 (480) 945-3302 ARIZONA MARICOPA NEW FOUNDATION ASAP 6153 W OLIVE AVE GLENDALE 85302 (480) 945-3302 ARIZONA MARICOPA SELECT SPECIALTY HOSPITAL PHOENIX INC 350 W THOMAS RD PHOENIX 85013 (602) 406-6810 ARIZONA MARICOPA WESTERN REGIONAL MEDICAL CENTER 14200 W CELEBRATE LIFE WAY GOODYEAR 85338 (623) 207-3000 ARIZONA PIMA BUENA VISTA RECOVERY 5151 E PIMA ST TUCSON 85712 (800) 922-0094 ARIZONA PIMA CURAHEALTH TUCSON 355 N WILMOT RD TUCSON 85711 (520) 584-4500 ARIZONA Pima Northwest Medical Center 6200 North La Cholla Blvd Tucson 85741 (520) 742-9000 ARIZONA Pima Northwest Medical Center Rancho Vistoso Urgent C 13101 North Oracle Road Tucson 85739 (520) 818-2000 ARIZONA Pima Northwest Rancho Vistoso Imaging Services 13101 North Oracle Road Tucson 85739 (520) 818-2000 ARIZONA Pima Northwest Urgent Care at Orange Grove 3870 W River Rd #126 Tucson 85741 (520) 219-6616 ARIZONA PIMA SANTA CRUZ VALLEY REGIONAL HOSPITAL 4475 S I 19 FRONTAGE RD GREEN VALLEY 85614 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 3345 N WINDSONG DR PRESCOTT VALLEY 86314 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 3345 N WINDSONG DR PRESCOTT VALLEY 86314 (928) 583-6411 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 3347 N WINDSONG DR PRESCOTT VALLEY 86314 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 3347 N WINDSONG DR PRESCOTT VALLEY 86314 (928) 583-6411 CL-HOSPNT Updated September 27, 2021 Page 1 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 505 S CORTEZ ST PRESCOTT 86303 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 505 S CORTEZ ST PRESCOTT 86303 (928) 583-6411 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 555 W ROAD 3 N CHINO VALLEY 86323 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 555 W ROAD 3 N CHINO VALLEY 86323 (928) 583-6411 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 625 W HILLSIDE AVE PRESCOTT 86301 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 625 W HILLSIDE AVE PRESCOTT 86301 (928) 583-6411 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 642 DAMERON DR PRESCOTT 86301 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 642 DAMERON DR PRESCOTT 86301 (928) 583-6411 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 711 W HILLSIDE AVE PRESCOTT 86301 (928) 710-0922 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 8655 E EASTRIDGE RD PRESCOTT VALLEY 86314 (928) 445-5211 ARIZONA YAVAPAI WEST YAVAPAI GUIDANCE CLINIC 8655 E EASTRIDGE RD B PRESCOTT VALLEY 86314 (928) 445-5211 ARIZONA YUMA LIFE CARE CENTER OF YUMA 2450 S 19TH AVE YUMA 85364 (928) 344-0425 ARKANSAS ARKANSAS DEWITT HOSPITAL AND NURSING HOME 1641 S WHITEHEAD DR DE WITT 72042 (870) 946-3571 ARKANSAS BENTON OZARKS COMMUNITY HOSPITAL OF GRAVETTE 1101 JACKSON ST SW GRAVETTE 72736 (479) 787-5291 ARKANSAS Crawford Baptist Health-Van Buren 211 Crawford Memorial Dr Van Buren 72956 (479) 474-3401 ARKANSAS FULTON FULTON COUNTY HOSPITAL 679 NORTH MAIN ST SALEM 72576 (870) 895-2691 ARKANSAS GARLAND CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS 71913 (501) 622-1000 ARKANSAS GARLAND NATIONAL PARK MEDICAL CENTER 1910 MALVERN AVE HOT SPRINGS 71901 (501) 321-1000 ARKANSAS Garland National Park Medical Center 1910 Malvern Avenue Hot Springs 71901 (501) 321-1000 ARKANSAS Greene Arkansas Methodist Medical Center 900 W Kingshighway Paragould 72450 (870) 239-7000 ARKANSAS JACKSON UNITY HEALTH HARRIS MEDICAL CENTER 1205 MCLAIN ST NEWPORT 72112 (870) 523-8911 ARKANSAS LITTLE RIVER LITTLE RIVER MEMORIAL HOSPITAL 451 W LOCKE ST ASHDOWN 71822 (870) 898-5011 ARKANSAS MARICOPA SELECT SPECIALTY HOSPITAL PHOENIX DOWNTO 1111 E MCDOWELL RD PHOENIX 85006 (602) 239-6550 ARKANSAS Pulaski St Vincent Doctors Hospital 6101 St Vincent Circle Little Rock 72205 (501) 552-6000 ARKANSAS PULASKI ST VINCENT INFIRMARY MEDICAL CENTER 2 SAINT VINCENT CIR LITTLE ROCK 72205 (501) 552-3000 ARKANSAS Pulaski St Vincent Infirmary Medical Center 2 St. Vincent Circle Little Rock 72205 (501) 552-3000 ARKANSAS Pulaski St Vincent Medical Center North 2215 Wildwood Ave. Sherwood 72120 (501) 552-7100 ARKANSAS PULASKI ST VINCENT NORTH 2215 WILDWOOD AVE NORTH LITTLE ROCK 72120 (501) 552-7100 ARKANSAS RANDOLPH FIVE RIVERS MEDICAL CENTER 2801 MEDICAL DR POCAHONTAS 72455 (870) 892-6070 ARKANSAS SALINE RIVENDELL BEHAVIORAL HEALTH SERVICES 100 RIVENDELL DR BENTON 72015 (501) 316-1255 ARKANSAS SEBASTIAN ENCOMPASS HEALTH REHABILITATION HOSPITAL 1401 S J ST FORT SMITH 72901 (479) 785-3300 ARKANSAS SEBASTIAN SELECT SPECIALTY HOSPITAL FORT SMITH INC 1001 TOWSON AVE FORT SMITH 72901 (479) 441-3980 ARKANSAS WHITE UNITY HEALTH WHITE COUNTY MEDICAL CENTER 3214 E ACE AVE SEARCY 72143 (501) 268-6121 ARKANSAS White White County Medical Center South 1200 S. Main St Searcy 72143 (501) 278-3100 ARKANSAS YELL RIVER VALLEY MEDICAL CENTER 200 N 3RD ST DARDANELLE 72834 (479) 229-4677 CALIFORNIA Goleta Valley Cottage Hospital 351 S Patterson Ave Santa Barbara 93111 CALIFORNIA Santa Barbara Cottage Hospital 400 W Pueblo St Santa Barbara 93105 CALIFORNIA Santa Ynez Valley Cottage Hospital 2050 Viborg Rd Solvang 93463 CALIFORNIA Alameda Alameda Hospital 2070 Clinton Ave Alameda 94501 (510) 522-3700 CALIFORNIA ALAMEDA CITY OF ALAMEDA HEALTH CARE DISTRICT 2070 CLINTON AVE ALAMEDA 94501 (510) 522-3700 CALIFORNIA ALAMEDA KINDRED HOSPITAL SAN FRANCISCO BAY AREA 2800 BENEDICT DR SAN LEANDRO 94577 (510) 357-8300 CALIFORNIA Butte Oroville Hospital 2767 Olive Highway Oroville 95966 (530) 533-8500 CALIFORNIA BUTTE OROVILLE HOSPITAL 2767 OLIVE HWY OROVILLE 95966 (530) 533-8500 CALIFORNIA Fresno Coalinga Regional Medical Center 1191 Phelps Ave Coalinga 93210 (559) 935-6400 CALIFORNIA FRESNO COALINGA REGIONAL MEDICAL CENTER 1191 PHELPS AVE COALINGA 93210 (559) 935-6562 CALIFORNIA KERN CENTRE FOR NEURO SKILLS 5215 ASHE RD BAKERSFIELD 93313 (661) 872-3408 CALIFORNIA KERN DELANO REGIONAL MEDICAL CENTER 1401 GARCES HWY DELANO 93215 (661) 721-5213 CALIFORNIA Kern Delano Regional Medical Center 1401 Garces Hwy Delano 93215 (661) 725-4800 CALIFORNIA KERN GOOD SAMARITAN HOSPITAL 901 OLIVE DR BAKERSFIELD 93308 (661) 399-4461 CALIFORNIA KERN HEALTHSOUTH BAKERSFIELD REHABILITATION H 5001 COMMERCE DR BAKERSFIELD 93309 (661) 323-5500 CALIFORNIA LOS ANGELES BEVERLY HOSPITAL 309 W BEVERLY BLVD MONTEBELLO 90640 (323) 726-1222 CALIFORNIA LOS ANGELES CASA DE LAS AMIGAS 160 N EL MOLINO AVE PASADENA 91101 (626) 792-2770 CALIFORNIA LOS ANGELES COAST PLAZA DOCTORS HOSPITAL 13100 STUDEBAKER RD NORWALK 90650 (562) 868-3751 CALIFORNIA LOS ANGELES COLLEGE HOSPITAL CERRITOS 10802 COLLEGE PL CERRITOS 90703 (562) 924-9581 CALIFORNIA LOS ANGELES IMPERIAL CONVALESCENT HOSPITAL 11926 LA MIRADA BLVD LA MIRADA 90638 (562) 943-7156 CALIFORNIA LOS ANGELES KINDRED HOSPITAL BALDWIN PARK 14148 FRANCISQUITO AVE BALDWIN PARK 91706 (626) 388-2700 CALIFORNIA LOS ANGELES KINDRED HOSPITAL LA MIRADA 14900 IMPERIAL HWY LA MIRADA 90638 (562) 944-1900 CALIFORNIA LOS ANGELES KINDRED HOSPITAL LOS ANGELES 5525 W SLAUSON AVE LOS ANGELES 90056 (310) 642-0325 CALIFORNIA LOS ANGELES KINDRED HOSPITAL PARAMOUNT 16453 COLORADO AVE PARAMOUNT 90723 (562) 531-3110 CL-HOSPNT Updated September 27, 2021 Page 2 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

CALIFORNIA LOS ANGELES KINDRED HOSPITAL SAN GABRIEL VALLEY 845 N LARK ELLEN AVE WEST COVINA 91791 (626) 339-5451 CALIFORNIA LOS ANGELES LOS ANGELES COMMUNITY HOSPITAL 4081 E OLYMPIC BLVD LOS ANGELES 90023 (323) 267-0477 CALIFORNIA LOS ANGELES LOS ANGELES COMMUNITY HOSPITAL AT BELLFL 9542 ARTESIA BLVD BELLFLOWER 90706 (562) 273-1800 CALIFORNIA LOS ANGELES METHODIST HOSPITAL OF SOUTHERN CALIFORNI 300 W HUNTINGTON DR ARCADIA 91007 (626) 898-8000 CALIFORNIA LOS ANGELES MIRACLE MILE MEDICAL CENTER 6000 SAN VICENTE BLVD LOS ANGELES 90036 (323) 930-1040 CALIFORNIA LOS ANGELES NORWALK COMMUNITY HOSPITAL 13222 BLOOMFIELD AVE NORWALK 90650 (562) 863-4763 CALIFORNIA LOS ANGELES PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO RD SUN VALLEY 91352 (818) 767-3310 CALIFORNIA LOS ANGELES SOUTHERN CALIFORNIA HOSPITAL AT C 3828 DELMAS TER CULVER CITY 90232 (310) 836-7001 CALIFORNIA LOS ANGELES SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD 6425 DE LONGPRE AVE HOLLYWOOD 90028 (323) 462-2271 CALIFORNIA LOS ANGELES SOUTHERN CALIFORNIA HOSPITAL AT VAN NUYS 14433 EMELITA ST VAN NUYS 91401 (818) 787-1511 CALIFORNIA LOS ANGELES TARZANA TREATMENT CENTER 18646 OXNARD ST TARZANA 91356 (818) 996-1051 CALIFORNIA LOS ANGELES TWIN TOWN TREATMENT CENTERS 20300 S VERMONT AVE TORRANCE 90502 (310) 787-1335 CALIFORNIA LOS ANGELES TWIN TOWN TREATMENT CENTERS 6180 LAUREL CANYON BLVD NORTH HOLLYWOOD 91606 (818) 985-0560 CALIFORNIA LOS ANGELES TWIN TOWN TREATMENT CENTERS 8739 SANTA MONICA BLVD WEST HOLLYWOOD 90069 (310) 623-1477 CALIFORNIA LOS ANGELES VISTA HOSPITAL OF SOUTH BAY 1246 W 155TH ST GARDENA 90247 (310) 768-2235 CALIFORNIA LOS ANGELES WEST COVINA MEDICAL CENTER 725 S ORANGE AVE WEST COVINA 91790 (626) 338-8481 CALIFORNIA MONTEREY NATIVIDAD MEDICAL CENTER 1441 CONSTITUTION BLVD SALINAS 93906 (831) 755-4111 CALIFORNIA ORANGE COLLEGE HOSPITAL COSTA MESA 301 VICTORIA ST COSTA MESA 92627 (949) 642-2734 CALIFORNIA ORANGE FOOTHILL REGIONAL MEDICAL CENTER 14662 NEWPORT AVE TUSTIN 92780 (714) 619-7700 CALIFORNIA ORANGE JOSHUA HOUSE 175 ROCHESTER ST COSTA MESA 92627 (949) 269-9207 CALIFORNIA ORANGE KINDRED HOSPITAL BREA 875 N BREA BLVD BREA 92821 (714) 529-6842 CALIFORNIA ORANGE KINDRED HOSPITAL SANTA ANA 1901 COLLEGE AVE SANTA ANA 92706 (714) 564-7800 CALIFORNIA ORANGE KINDRED HOSPITAL WESTMINSTER 200 HOSPITAL CIR WESTMINSTER 92683 (714) 893-4541 CALIFORNIA ORANGE OASIS TREATMENT CENTER INC 222 W BALL RD ANAHEIM 92805 (714) 991-4673 CALIFORNIA ORANGE OASIS TREATMENT CENTER INC 956 S FLORE ST ANAHEIM 92802 (714) 991-4673 CALIFORNIA ORANGE TUSTIN REHABILITATION HOSPITAL 14851 YORBA ST TUSTIN 92780 (714) 832-9200 CALIFORNIA ORANGE TWIN TOWN TREATMENT CENTERS 4388 KATELLA AVE LOS ALAMITOS 90720 (562) 596-0050 CALIFORNIA ORANGE TWIN TOWN TREATMENT CENTERS 705 W LA VETA AVE ORANGE 92868 (714) 532-9295 CALIFORNIA RIVERSIDE KINDRED HOSPITAL RIVERSIDE 2224 MEDICAL CENTER DR PERRIS 92571 (951) 436-3535 CALIFORNIA RIVERSIDE SAN GORGONIO MEMORIAL HOSPITAL 600 N HIGHLAND SPRINGS AVE BANNING 92220 (951) 845-1121 CALIFORNIA SAN BERNARDINO KINDRED HOSPITAL ONTARIO 550 N MONTEREY AVE ONTARIO 91764 (909) 391-0333 CALIFORNIA SAN BERNARDINO KINDRED HOSPITAL RANCHO 10841 WHITE OAK AVE RANCHO CUCAMONGA 91730 (909) 581-6410 CALIFORNIA SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL 29101 HOSPITAL RD LAKE ARROWHEAD 92352 (909) 336-3651 CALIFORNIA SAN DIEGO ALVARADO PARKWAY INSTITUTE 7050 PARKWAY DR LA MESA 91942 (619) 465-4411 CALIFORNIA SAN DIEGO KINDRED HOSPITAL SAN DIEGO 1940 EL CAJON BLVD SAN DIEGO 92104 (619) 543-4500 CALIFORNIA SAN FRANCISCO UCSF MEDICAL CENTER 505 PARNASSUS AVE SAN FRANCISCO 94143 (415) 476-1000 CALIFORNIA San Joaquin Dameron Hospital 525 Acacia St Stockton 95203 (209) 944-5550 CALIFORNIA SAN JOAQUIN DAMERON HOSPITAL 525 W ACACIA ST STOCKTON 95203 (209) 944-5550 CALIFORNIA SANTA CLARA STANFORD MEDICAL CENTER 300 PASTEUR DR STANFORD 94305 (650) 723-4000 CALIFORNIA SANTA CRUZ WATSONVILLE COMMUNITY HOSPITAL 75 NIELSON ST WATSONVILLE 95076 (831) 724-4741 CALIFORNIA STANISLAUS OAK VALLEY DISTRICT HOSPITAL 350 S OAK AVE OAKDALE 95361 (209) 847-3011 COLORADO ARAPAHOE KINDRED HOSPITAL AURORA 700 POTOMAC ST AURORA 80011 (720) 857-8333 COLORADO ARAPAHOE LIFE CARE CENTER OF AURORA 14101 E EVANS AVE AURORA 80014 (303) 751-2000 COLORADO DENVER KINDRED HOSPITAL DENVER 1920 HIGH ST DENVER 80218 (303) 320-5871 COLORADO DENVER NATIONAL JEWISH HEALTH 1400 JACKSON ST DENVER 80281 (303) 388-4461 COLORADO MORGAN COLORADO PLAINS MEDICAL CENTER 1000 LINCOLN ST FORT MORGAN 80701 (970) 867-3391 CONNECTICUT Hartford Bradley Memorial Campus 81 Meriden Ave Southington 06489 (860) 276-5186 CONNECTICUT HARTFORD BRADLEY MEMORIAL HOSPITAL AND HEALTH CEN 81 MERIDEN AVE SOUTHINGTON 6489 (860) 276-5000 DELAWARE NEW CASTLE SELECT SPECIALTY HOSPITAL WILMINGTON INC 7TH AND CLAYTON ST WILMINGTON 19801 (302) 421-4545 DISTRICT OF COLUM DISTRICT OF COLUMBIA HADLEY MEMORIAL HOSPITAL 4601 MARTIN LUTHER KING JR AVE WASHINGTON 20032 (202) 574-5700 DISTRICT OF COLUM DISTRICT OF COLUMBIA HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVE NW WASHINGTON 20060 (202) 865-6100 FLORIDA ALACHUA SELECT SPECIALTY HOSPITAL GAINESVILLE IN 2708 SW ARCHER RD GAINESVILLE 32608 (352) 337-3240 FLORIDA ALACHUA SHANDS HOSPITAL AT THE UNIVERSITY OF FLO 1600 SW ARCHER RD GAINESVILLE 32610 (352) 265-0111 FLORIDA ALACHUA SHANDS REHAB HOSPITAL 4101 NW 89TH BLVD GAINESVILLE 32606 (352) 265-5491 FLORIDA ALACHUA SHANDS VISTA BEHAVIORAL HEALTH 4101 NW 89TH BLVD GAINESVILLE 32606 (352) 265-5497 FLORIDA BAY SELECT SPECIALTY HOSPITAL PANAMA CITY IN 615 N BONITA AVE PANAMA CITY 32401 (850) 767-3180 FLORIDA BREVARD KINDRED HOSPITAL MELBOURNE 765 W NASA BLVD MELBOURNE 32901 (321) 409-4044 FLORIDA BREVARD WUESTHOFF HOSPITAL 110 LONGWOOD AVE ROCKLEDGE 32955 (321) 636-2211 FLORIDA BREVARD WUESTHOFF MEDICAL CENTER MELBOURNE 250 S WICKHAM RD MELBOURNE 32904 (321) 752-1200 CL-HOSPNT Updated September 27, 2021 Page 3 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

FLORIDA BROWARD BROWARD HEALTH CORAL SPRINGS 3000 CORAL HILLS DR CORAL SPRINGS 33065 (954) 344-3000 FLORIDA BROWARD BROWARD HEALTH IMPERIAL POINT 6401 N FEDERAL HWY FORT LAUDERDALE 33308 (954) 776-8500 FLORIDA BROWARD BROWARD HEALTH MEDICAL CENTER 1600 S ANDREWS AVE FORT LAUDERDALE 33316 (954) 355-4400 FLORIDA BROWARD BROWARD HEALTH NORTH 201 E SAMPLE RD POMPANO BEACH 33064 (954) 786-6400 FLORIDA BROWARD KINDRED HOSPITAL HOLLYWOOD 1859 VAN BUREN ST HOLLYWOOD 33020 (954) 920-9000 FLORIDA BROWARD KINDRED HOSPITAL SOUTH FLORIDA FORT LAUD 1516 E LAS OLAS BLVD FORT LAUDERDALE 33301 (954) 764-8900 FLORIDA CALHOUN CALHOUN LIBERTY HOSPITAL 20370 NE BURNS AVE BLOUNTSTOWN 32424 (850) 674-5411 FLORIDA Charlotte Bayfront Health Port Charlotte 2500 Harbor Blvd Port Charlotte 33952 (941) 766-4122 FLORIDA Charlotte Bayfront Health Punta Gorda 809 E Marion Ave Punta Gorda 33950 (941) 639-3131 FLORIDA Charlotte Fawcett Memorial Hospital 21298 Olean Blvd. Port Charlotte 33952 (941) 629-1181 FLORIDA Citrus Citrus Memorial Hospital 502 W Highland Blvd Inverness 34452 (352) 726-1551 FLORIDA Citrus Seven Rivers Regional Medical Center 6201 N Suncoast Blvd Crystal River 34428 (352) 795-6560 FLORIDA CLAY KINDRED HOSPITAL NORTH FLORIDA 801 OAK ST GREEN COVE SPRINGS 32043 (904) 284-9230 FLORIDA COLLIER NAPLES COMMUNITY HOSPITAL 350 7TH ST N NAPLES 34102 (239) 436-5000 FLORIDA COLLIER NCH NORTH NAPLES HOSPITAL 11190 HEALTH PARK BLVD NAPLES 34110 (239) 513-7000 FLORIDA Collier Physicians Regional - Collier 8300 Collier Blvd Naples 34114 (239) 354-6000 FLORIDA Collier Physicians Regional - Pine Ridge 6101 Pine Ridge Road Naples 34119 (239) 348-4000 FLORIDA COLLIER WILLOUGH AT NAPLES 9001 TAMIAMI TRL E NAPLES 34113 (239) 775-4500 FLORIDA DUVAL SHANDS JACKSONVILLE MEDICAL CENTER 655 W 8TH ST JACKSONVILLE 32209 (904) 244-0411 FLORIDA Duval Shands Jacksonville-Med. Center. 655 W Eighth St Jacksonville 32209 (904) 244-0411 FLORIDA Duval UF Health Neurology 580 W Eighth St Jacksonville 32209 (904) 244-0441 FLORIDA ESCAMBIA SELECT SPECIALTY HOSPITAL PENSACOLA INC 7000 COBBLE CRK PENSACOLA 32504 (850) 473-4800 FLORIDA Hernando Bayfront Health Brooksville 17240 Cortez Blvd Brooksville 34601 (352) 796-5111 FLORIDA Hernando Bayfront Health Spring Hill 10461 Quality Dr Spring Hill 34609 (352) 688-8200 FLORIDA HERNANDO BAYFRONT HEALTH SPRING HILL 104610 QUALITY DR SPRING HILL 34609 (352) 688-8200 FLORIDA Hernando Oak Hill Hospital 11375 Cortez Blvd Brooksville 34613 (352) 596-6632 FLORIDA HERNANDO SPRINGBROOK HOSPITAL 7007 GROVE RD BROOKSVILLE 34609 (352) 596-4306 FLORIDA Hillsborough H Lee Moffitt Cancer Center & Rsrch. Ins. 12902 Magnolia Dr Tampa 33612 (813) 972-4673 FLORIDA HILLSBOROUGH KINDRED HOSPITAL BAY AREA TAMPA 4555 S MANHATTAN AVE TAMPA 33611 (813) 839-6341 FLORIDA HILLSBOROUGH KINDRED HOSPITAL CENTRAL TAMPA 4801 N HOWARD AVE TAMPA 33603 (813) 874-7575 FLORIDA Hillsborough South Florida Baptist Hospital 301 N Alexander St Plant City 33563 (813) 757-1200 FLORIDA Hillsborough St Josephs Hospital 3001 W MLK Jr Blvd Tampa 33607 (813) 870-4000 FLORIDA Hillsborough St Joseph's Hospital South 6901 Simmons Loop Riverview 33578 (813) 302-8000 FLORIDA Hillsborough St Josephs Womens Hospital 3030 W MLK Jr Blvd Tampa 33607 (813) 879-4730 FLORIDA Indian River Indian River Medical Center 1000 36th Street Vero Beach 32960 (772) 567-4311 FLORIDA LAKE SOUTH LAKE HOSPITAL 1900 DON WICKHAM DR CLERMONT 34711 (352) 394-4071 FLORIDA Lee Lehigh Regional Medical Center 1500 Lee Blvd Lehigh Acres 33936 (239) 369-2101 FLORIDA LEON SELECT SPECIALTY HOSPITAL TALLAHASSEE IN 1554 SURGEONS DR TALLAHASSEE 32308 (850) 656-2975 FLORIDA Leon Tallahassee Memorial Regional Medical Center 1300 Miccosukee Road Tallahassee 32308 (850) 431-1155 FLORIDA Manatee Blake Medical Center 2020 59th St W Bradenton 34209 (941) 798-6611 FLORIDA Manatee Lakewood Ranch Medical Center 8330 Lakewood Ranch Bradenton 34202 (941) 782-2100 FLORIDA Manatee Manatee Memorial Hospital & Health System 206 Second Street East Bradenton 34208 (941) 746-5111 FLORIDA Marion Florida Hospital-Ocala 1500 SW 1st Ave Ocala 34471 (352) 351-7200 FLORIDA MARION KINDRED HOSPITAL OCALA 1500 SW 1ST AVE OCALA 34471 (352) 369-0513 FLORIDA MIAMI-DADE JACKSON MEMORIAL HOSPITAL 1611 NW 12TH AVE MIAMI 33136 (305) 585-1111 FLORIDA MIAMI-DADE JACKSON NORTH MEDICAL CENTER 160 NW 170TH ST NORTH MIAMI BEACH 33169 (305) 651-1100 FLORIDA Miami-Dade Jackson South Community Hospital 9333 Sw 152Nd St Miami 33157 (305) 251-2500 FLORIDA MIAMI-DADE JACKSON SOUTH MEDICAL CENTER 9333 SW 152ND ST MIAMI 33157 (305) 251-2500 FLORIDA MIAMI-DADE KINDRED HOSPITAL SOUTH FLORIDA CORAL GAB 5190 SW 8TH ST CORAL GABLES 33134 (305) 448-1585 FLORIDA Miami-Dade Mercy Hospital 3663 S Miami Avenue Miami 33133 (305) 854-4400 FLORIDA MIAMI-DADE MIAMI JEWISH HOME AND HOSPITAL 5200 NE 2ND AVE MIAMI 33137 (305) 751-8626 FLORIDA Miami-Dade Miami Jewish Home And Hospital 5200 Ne 2Nd Ave Miami 33137 (888) 997-4302 FLORIDA MIAMI-DADE PALMETTO HEALTH CENTER 6750 W 22ND CT HIALEAH 33016 (305) 823-3119 FLORIDA MIAMI-DADE SELECT SPECIALTY HOSPITAL MIAMI 955 NW 3RD ST MIAMI 33128 (305) 416-5700 FLORIDA MIAMI-DADE WESTCHESTER GENERAL HOSPITAL 2500 SW 75TH AVE MIAMI 33155 (305) 264-5252 FLORIDA Okaloosa North Okaloosa Medical Center 151 E, Redstone Avenue Crestview 32539 (850) 689-8100 FLORIDA OKALOOSA NORTH OKALOOSE MEDICAL CENTER 151 E REDSTONE AVE CRESTVIEW 32539 (850) 682-9731 FLORIDA ORANGE DR P PHILLIPS HOSPITAL 9400 TURKEY LAKE RD ORLANDO 32891 (407) 351-8500 FLORIDA Orange Health Central Hospital 10000 W Colonial Dr Ocoee 34761 (407) 296-1000 CL-HOSPNT Updated September 27, 2021 Page 4 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

FLORIDA ORANGE HEALTH CENTRAL HOSPITAL 10000 W COLONIAL DR OFC OCOEE 34761 (407) 296-1000 FLORIDA ORANGE ORLANDO HEALTH HORIZONS WEST HOSPITAL 17000 PORTER RD WINTER GARDEN 34787 FLORIDA ORANGE ORLANDO HMA CROSSROADS UNIVERSITY BEHAVI 2500 DISCOVERY DR ORLANDO 32826 (407) 281-7000 FLORIDA ORANGE ORLANDO REGIONAL MEDICAL CENTER 1400 S ORANGE AVE ORLANDO 32806 (321) 841-5111 FLORIDA ORANGE ORLANDO REGIONAL MEDICAL CENTER 52 W UNDERWOOD ST ORLANDO 32806 (321) 841-5111 FLORIDA ORANGE SELECT SPECIALTY HOSPITAL ORLANDO NORTH 2250 BEDFORD RD ORLANDO 32803 (407) 303-7869 FLORIDA ORANGE SELECT SPECIALTY HOSPITAL ORLANDO SOUTH 5579 S ORANGE AVE EDGEWOOD 32809 (407) 241-4861 FLORIDA ORANGE WINNIE PALMER HOSPITAL FOR WOMEN AND BABI 83 W MILLER ST ORLANDO 32806 (321) 843-2201 FLORIDA OSCEOLA BLACKBERRY CENTER 91 BEEHIVE CIR SAINT CLOUD 34769 (321) 805-5090 FLORIDA OSCEOLA ST CLOUD REGIONAL MEDICAL CENTER 2906 17TH ST SAINT CLOUD 34769 (407) 892-2135 FLORIDA Palm Beach Bethesda Hospital East 2815 S Seacrest Blvd Boynton Beach 33435 (561) 336-7000 FLORIDA PALM BEACH BETHESDA HOSPITAL EAST 2815 S SEACREST BLVD BOYNTON BEACH 33435 (561) 737-7733 FLORIDA PALM BEACH DARCY HALL OF LIFE CARE 2170 PALM BEACH LAKES BLVD WEST PALM BEACH 33409 (561) 683-3333 FLORIDA PALM BEACH KINDRED HOSPITALS THE PALM BEACHES 5555 W BLUE HERON BLVD RIVIERA BEACH 33418 (561) 840-0754 FLORIDA PALM BEACH LAKESIDE MEDICAL CENTER 39200 HOOKER HWY BELLE GLADE 33430 (561) 996-6571 FLORIDA PALM BEACH SELECT SPECIALTY HOSPITAL PALM BEACH INC 3060 MELALEUCA LN LAKE WORTH 33461 (561) 357-7201 FLORIDA Palm Beach Wellington Regional Medical Center 10101 Forest Hill Blvd Wellington 33414 (561) 798-8500 FLORIDA PALM BEACH WELLINGTON REGIONAL MEDICAL CENTER 10101 W FOREST HILL BLVD WELLINGTON 33414 (561) 798-8500 FLORIDA PASCO ADVENTHEALTH DADE CITY 13100 FORT KING RD DADE CITY 33525 (352) 521-1100 FLORIDA PASCO ADVENTHEALTH ZEPHYRHILLS INC 7050 GALL BLVD ZEPHYRHILLS 33541 (813) 788-0411 FLORIDA Pasco Florida Hospital Zephyrhills 7050 Gall Blvd Zephyrhills 33541 (813) 788-0411 FLORIDA Pasco Medical Center of Trinity 9330 State Road 54 Trinity 34655 (727) 848-1733 FLORIDA Pasco Morton Plant North Bay Hospital 6600 Madison St New Port Richey 34652 (727) 842-8468 FLORIDA PASCO NORTH BAY HOSPITAL 6600 MADISON ST NEW PORT RICHEY 34652 (727) 842-8468 FLORIDA Pasco Regional Medical Center Bayonet Point 14000 Fivay Rd Hudson 34667 (727) 819-2929 FLORIDA PASCO SPRINGBROOK HOSPITAL 1158 ALTERNATE HWY 19 HOLIDAY 34691 (727) 934-3223 FLORIDA PINELLAS BAYFRONT HEALTH ST PETERSBURG 701 6TH ST S SAINT PETERSBURG 33701 (727) 823-1234 FLORIDA Pinellas Bayfront Health St Petersburg 701 6th St S St Petersburg 33701 (727) 823-1234 FLORIDA Pinellas Florida Hospital North Pinellas 1395 South Pinellas Avenue Tarpon Springs 34689 (727) 942-5000 FLORIDA PINELLAS KINDRED HOSPITAL BAY AREA ST PETERSBURG 3030 6TH ST S SAINT PETERSBURG 33705 (727) 894-8719 FLORIDA Pinellas Largo Medical Center 201 14th Street SW Largo 33770 (727) 588-5200 FLORIDA Pinellas Largo Medical Center - Indian Rocks Campus 2025 Indian Rocks Rd Largo 33774 (727) 581-9474 FLORIDA Pinellas Mease Countryside Hospital 3231 McMullen Booth Rd Safety Harbor 34695 (727) 725-6111 FLORIDA Pinellas Mease Dunedin Hospital 601 Main St Dunedin 34698 (727) 733-1111 FLORIDA Pinellas Morton Plant Healthcare 300 Pinellas Street Clearwater 33756 (727) 462-7000 FLORIDA Pinellas Northside Hospital 6000 49th Street North St Petersburg 33709 (727) 521-4411 FLORIDA Pinellas St Anthonys Hospital 1200 Seventh Ave N St Petersburg 33705 (727) 825-1100 FLORIDA Polk Heart of Florida Regional Medical Center 40100 US Hwy 27 Davenport 33837 (863) 422-4971 FLORIDA Richmond Healthsouth Walton Rehabilitation Hospital 1355 Independence Dr Augusta 30901 706-724-7746 FLORIDA SAINT LUCIE OGLETHORPE PORT ST LUCIE 2550 SE WALTON RD PORT SAINT LUCIE 34952 (772) 335-0400 FLORIDA SANTA ROSA SANTA ROSA MEDICAL CENTER 6002 BERRYHILL RD MILTON 32570 (850) 626-7762 FLORIDA Santa Rosa Santa Rosa Medical Center 6002 Berryhill Road Milton 32570 (850) 626-7762 FLORIDA Sarasota Doctors Hospital of Sarasota 5731 Bee Ridge Rd Sarasota 34233 (941) 342-1100 FLORIDA Sarasota Venice Regional Bayfront Health 540 The Rialto Venice 34285 (941) 485-7711 FLORIDA SEMINOLE SOUTH SEMINOLE HOSPITAL 555 W STATE ROAD 434 LONGWOOD 32750 (407) 767-1200 FLORIDA Walton Health Mark Regional Med.Ctr 4413 U.S. Highway 331 S De Funiak Springs 32435 (850) 951-4500 GEORGIA Chatham Candler Hospital 5353 Reynolds Street Savannah 31405 (912) 819-6000 GEORGIA CHATHAM SELECT SPECIALTY HOSPITAL SAVANNAH INC 5353 REYNOLDS ST SAVANNAH 31405 (912) 819-7982 GEORGIA Chatham St Joseph's/Candler Health - St Joseph's 11705 Mercy Blvd Savannah 31419 (912) 819-4100 GEORGIA Coweta Southeastern Regional Medical Center 600 Celebrate Life Pkwy N Newnan 30265 (770) 400-6000 GEORGIA COWETA SOUTHEASTERN REGIONAL MEDICAL CENTER 600 PARKWAY N NEWNAN 30265 (847) 342-7472 GEORGIA Early Pioneer Community Hospital of Early 11740 Columbia St Blakely 39823 (229) 723-4241 GEORGIA FLOYD FLOYD MEDICAL CENTER 304 TURNER MCCALL BLVD SW ROME 30165 (706) 509-5000 GEORGIA FULTON KINDRED HOSPITAL ATLANTA 705 JUNIPER ST NE ATLANTA 30308 (404) 873-2871 GEORGIA FULTON SELECT SPECIALTY HOSPITAL ATLANTA INC 550 PEACHTREE ST NE ATLANTA 30308 (404) 686-2270 GEORGIA Fulton Shepherd Center 2020 Peachtree Rd NW Atlanta 30309 (404) 352-2020 GEORGIA Henry Piedmont Henry Hospital 1133 Eagle's Landing Parkway Stockbridge 30281 (678) 604-1000 GEORGIA MERIWETHER ROOSEVELT WARM SPRINGS INST FOR REHAB 6135 ROOSEVELT HWY WARM SPRINGS 31830 (706) 655-5000 GEORGIA MERIWETHER ROOSEVELT WARM SPRINGS LTAC HOSPITAL 6135 ROOSEVELT HWY WARM SPRINGS 31830 (706) 655-5360 CL-HOSPNT Updated September 27, 2021 Page 5 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

GEORGIA RICHMOND SELECT SPECIALTY HOSPITAL AUGUSTA INC 1537 WALTON WAY AUGUSTA 30904 (706) 731-1300 GEORGIA RICHMOND WALTON REHABILITATION HOSPITAL 1355 INDEPENDENCE DR AUGUSTA 30901 (706) 724-7746 GEORGIA Rockdale Rockdale Medical Center 1412 Milstead Aveune Conyers 30012 (770) 918-3000 IDAHO ADA NORTHPOINT RECOVERY 10787 USTICK RD BOISE 83713 (208) 949-0363 ILLINOIS CHRISTIAN PANA COMMUNITY HOSPITAL 101 E 9TH ST PANA 62557 (217) 562-2131 ILLINOIS COOK HARTGROVE HOSPITAL 5730 W ROOSEVELT RD CHICAGO 60644 (773) 413-1700 ILLINOIS Cook Hartgrove Hospital 5730 West Roosevelt Road Chicago 60644 (773) 413-1700 ILLINOIS COOK KINDRED HOSPITAL CHICAGO NORTHLAKE 365 E NORTH AVE NORTHLAKE 60164 (708) 345-8100 ILLINOIS COOK KINDRED HOSPITAL LAKESHORE 6130 N SHERIDAN RD CHICAGO 60660 (773) 381-1222 ILLINOIS COOK KINDRED HOSPITAL NORTH 2544 W MONTROSE AVE CHICAGO 60618 (773) 267-2622 ILLINOIS COOK LORETTO HOSPITAL 645 S CENTRAL AVE CHICAGO 60644 (773) 626-4300 ILLINOIS COOK MERCY HOSPITAL AND MEDICAL CENTER 2525 S MICHIGAN AVE CHICAGO 60616 (312) 567-2000 ILLINOIS Cook Mercy Hospital And Medical Center 2525 S Michigan Ave Chicago 60616 (312) 567-5622 ILLINOIS Cook Our Lady of Resurrection Medical Center 5645 W. Addison ST Chicago 60634 (773) 282-7000 ILLINOIS Cook Presence Holy Family Medical Center 100 River Road Des Plaines 60016 (847) 294-1800 ILLINOIS Cook Resurrection Medical Center 7435 W. Talcott Ave Chicago 60631 (773) 774-8000 ILLINOIS COOK RIVEREDGE HOSPITAL 8311 ROOSEVELT RD FOREST PARK 60130 (708) 771-7000 ILLINOIS Cook Rush Oak Park Hospital 520 South Maple Avenue Oak Park 60304 (708) 660-3950 ILLINOIS Cook Rush University Medical Center 1653 W Congress Parkway Chicago 60612 (312) 942-5000 ILLINOIS Cook Saint Anthony Hospital 2875 W 19Th St Chicago 60623 (773) 484-1000 ILLINOIS COOK SAINT ANTHONY HOSPITAL 2875 W 19TH ST CHICAGO 60623 (773) 484-4800 ILLINOIS Cook Saint Joseph Health Centers & Hospital 2900 N. Lake Shore Drive Chicago 60657 (773) 665-3000 ILLINOIS COOK SOUTH SHORE HOSPITAL 8012 S CRANDON AVE CHICAGO 60617 (773) 356-5000 ILLINOIS Cook St Elizabeths Hospital 1431 N. Claremont Ave Chicago 60622 (773) 278-2000 ILLINOIS Cook St Francis Hospital 355 Ridge Ave Evanston 60202 (847) 492-4000 ILLINOIS Cook St Mary of Nazareth Hospital Center 2233 W. Division St Chicago 60622 (312) 770-3882 ILLINOIS Cook The University of Chicago Hospitals and Health Syst 5841 S. Maryland Avenue Chicago 60637 (773) 702-1000 ILLINOIS Cook Thorek Memorial Hospital 850 W Irving Park Road Chicago 60613 (773) 525-6780 ILLINOIS COOK THRESHOLDS 4101 N RAVENSWOOD AVE CHICAGO 60613 (312) 472-4581 ILLINOIS Cook Westlake Community Hospital 1225 W. Lake St Melrose Park 60160 (708) 681-3000 ILLINOIS DEKALB BEN GORDON CENTER 12 HEALTH SERVICES DR DEKALB 60115 (815) 756-4875 ILLINOIS DEKALB BEN GORDON CENTER 631 S 1ST ST DEKALB 60115 (815) 756-5849 ILLINOIS DEKALB KINDRED HOSPITAL SYCAMORE 225 EDWARD ST SYCAMORE 60178 (815) 895-2144 ILLINOIS DUPAGE NORTHWESTERN MEDICINE CENTRAL DUPAGE HOS 27W350 HIGH LAKE RD WINFIELD 60190 (630) 653-4000 ILLINOIS FULTON GRAHAM HOSPITAL 210 W WALNUT ST CANTON 61520 (309) 647-5240 ILLINOIS Fulton Graham Hospital 210 W Walnut St Canton 61520 (940) 549-3400 ILLINOIS JEFFERSON CROSSROADS COMMUNITY HOSPITAL 8 DOCTORS PARK RD MOUNT VERNON 62864 (618) 244-5500 ILLINOIS Kankakee Riverside Medical Center 350 N Wall Street Kankakee 60901 (815) 933-1671 ILLINOIS Lake Midwestern Regional Medical Center 2520 Elisha Ave Zion 60099 (847) 872-0581 ILLINOIS LAKE MIDWESTERN REGIONAL MEDICAL CENTER 2520 ELISHA AVE ZION 60099 (847) 872-4561 ILLINOIS LAKE VISTA MEDICAL CENTER EAST 1324 N SHERIDAN RD WAUKEGAN 60085 (847) 360-3000 ILLINOIS MADISON GATEWAY REGIONAL MEDICAL CENTER 2100 MADISON AVE GRANITE CITY 62040 (618) 798-3000 ILLINOIS MERCER GENESIS MEDICAL CENTER 409 NW 9TH AVE ALEDO 61231 (309) 582-5301 ILLINOIS PEORIA KINDRED HOSPITAL PEORIA 500 W ROMEO B GARRETT AVE PEORIA 61605 (309) 680-1500 ILLINOIS RANDOLPH MEMORIAL HOSPITAL 1900 STATE ST CHESTER 62233 (618) 826-4581 ILLINOIS ROCK ISLAND UNITYPOINT HEALTH TRINITY MOLINE 500 JOHN DEERE RD MOLINE 61265 (309) 779-5000 ILLINOIS ROCK ISLAND UNITYPOINT HEALTH TRINITY ROCK ISLAND 2701 17TH ST ROCK ISLAND 61201 (309) 779-5000 ILLINOIS Tazwell Pekin Hospital 600 S 13th Street Pekin 61554 (309) 347-1151 ILLINOIS WILLIAMSON HEARTLAND REGIONAL MEDICAL CENTER 3333 W DEYOUNG ST MARION 62959 (618) 998-7000 ILLINOIS Winnebago OSF Saint Anthony Medical Center 5666 E State St Rockford 61108 (815) 226-2000 ILLINOIS WINNEBAGO SWEDISH AMERICAN HOSPITAL 1401 E STATE ST ROCKFORD 61104 (815) 968-4400 INDIANA ALLEN DUPONT HOSPITAL 2520 E DUPONT RD FORT WAYNE 46825 (260) 416-3000 INDIANA ALLEN SELECT SPECIALTY HOSPITAL 700 BROADWAY FORT WAYNE 46802 (260) 425-3810 INDIANA Clark Clark Memorial Hospital 1220 Missouri Ave Jeffersonville 47130 (812) 282-6631 INDIANA Clark Frazier Rehab Institute Clarksville 2201 N Greentree Blvd Clarksville 47129 (812) 218-6590 INDIANA Clark Frazier Rehab Institute Jeffersonville 4812 Hamburg PK Jeffersonville 47131 (812) 282-4257 INDIANA DUBOIS WATERS OF HUNTINGBURG 1712 N LELAND DR HUNTINGBURG 47542 (812) 683-4090 INDIANA Harrison Frazier Rehab Institute Corydon 313 Federal Drive NW Ste 110 Corydon 47112 (812) 738-4942 INDIANA JOHNSON KINDRED HOSPITAL INDIANAPOLIS SOUTH 607 GREENWOOD SPRINGS DR GREENWOOD 46143 (317) 888-8155 CL-HOSPNT Updated September 27, 2021 Page 6 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

INDIANA LA PORTE LIFE CARE CENTER OF MICHIGAN CITY 802 E US HIGHWAY 20 MICHIGAN CITY 46360 (219) 872-7251 INDIANA LAKE KINDRED HOSPITAL NORTHWEST INDIANA 5454 HOHMAN AVE HAMMOND 46320 (219) 937-9900 INDIANA Lawrence IU Health Bedford Hospital 2900 W 16th St Bedford 47421 (812) 275-1200 INDIANA MARION KINDRED HOSPITAL INDIANAPOLIS 1700 W 10TH ST INDIANAPOLIS 46222 (317) 636-4400 INDIANA MARION KINDRED HOSPITAL INDIANAPOLIS NORTH 8060 KNUE RD INDIANAPOLIS 46250 (317) 813-8889 INDIANA Marion Wishard Hospital 720 Eskenazi Avenue Indianapolis 46202 (317) 880-0000 INDIANA MONROE MONROE HOSPITAL 4011 S MONROE MEDICAL PARK BLV BLOOMINGTON 47403 (812) 825-1111 INDIANA Scott Scott Memorial Hospital 1451 North Gardner Street Scottsburg 47170 (812) 752-8500 INDIANA VANDERBURGH SELECT SPECIALTY HOSPITAL EVANSVILLE INC 400 SE 4TH ST EVANSVILLE 47713 (812) 421-2330 INDIANA VERMILLION UNION HOSPITAL CLINTON 801 S MAIN ST CLINTON 47842 (765) 832-1234 INDIANA Vermillion Union Hospital Clinton 801 South Main Street Clinton 47842 (765) 832-1234 INDIANA VIGO UNION HOSPITAL 1606 N 7TH ST TERRE HAUTE 47804 (812) 238-7000 INDIANA Vigo Union Hospital 1606 N 7th Street Terre Haute 47804 (812) 238-7000 INDIANA Washington Saint Vincent Salem Hospital 911 North Shelby Street Salem 47167 (812) 883-5881 IOWA MARION PELLA REGIONAL HEALTH CENTER 404 JEFFERSON ST PELLA 50219 (109) 337-9992 IOWA POLK BROADLAWNS MEDICAL CENTER 1801 HICKMAN RD DES MOINES 50314 (515) 282-2200 IOWA SCOTT SELECT SPECIALTY HOSPITAL QUAD CITIES IN 1111 W KIMBERLY RD DAVENPORT 52806 (563) 468-2000 IOWA SCOTT UNITYPOINT HEALTH TRINITY BETTENDORF 4500 UTICA RIDGE RD BETTENDORF 52722 (563) 742-5000 IOWA Story Story County Hospital 630 6Th St Nevada 50201 (515) 382-2111 IOWA STORY STORY COUNTY HOSPITAL 640 S 19TH ST NEVADA 50201 (515) 382-2111 KANSAS BOURBON MERCY HOSPITAL FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT 66701 (620) 223-2200 KANSAS GREENWOOD GREENWOOD COUNTY HOSPITAL 100 W 16TH ST EUREKA 67045 (620) 583-7451 KANSAS Johnson Heartland Spine and Specialty Hospital 10720 Nall Ave Overland Park 66211 (913) 754-5000 KANSAS JOHNSON HEARTLAND SURGICAL SPECIALTY HOSPITAL 10720 NALL AVE OVERLAND PARK 66211 (913) 754-5000 KANSAS SEDGWICK KANSAS SURGERY AND RECOVERY CENTER 2770 N WEBB RD WICHITA 67226 (316) 634-0090 KANSAS SEDGWICK SELECT SPECIALTY HOSPITAL WICHITA INC 929 N SAINT FRANCIS ST WICHITA 67214 (316) 268-5593 KANSAS SHAWNEE ST FRANCIS HOSPITAL AND MEDICAL CENTER 1700 SW 7TH ST TOPEKA 66606 (785) 295-8000 KANSAS WASHINGTON HANOVER HOSPITAL 205 S HANOVER ST HANOVER 66945 (785) 337-2214 KANSAS WYANDOTTE SELECT SPECIALTY HOSPITAL KANSAS CITY 1731 N 90TH ST KANSAS CITY 66112 (913) 541-3280 KENTUCKY Allen Medical Center At Scottsville 456 Burnely Road Scottsville 42164 (270) 622-2800 KENTUCKY BELL CUMBERLAND RIVER BEHAVIORAL HEALTH INC 215 E TENNESSEE AVE PINEVILLE 40977 (606) 337-6137 KENTUCKY BELL CUMBERLAND RIVER BEHAVIORAL HEALTH INC M 324 1/2 N 19TH ST MIDDLESBORO 40965 (606) 248-4949 KENTUCKY Bullitt Jewish Hospital Medical Center South 1903 W Hebron Ln Shepherdsville 40165 (502) 955-3000 KENTUCKY Carroll Carroll County Memorial Hospital 309 11th Street Carrollton 41008 (502) 732-4321 KENTUCKY CLAY CUMBERLAND RIVER BEHAVIORAL HEALTH INC M 565 MUDDY GAP RD MANCHESTER 40962 (606) 598-5172 KENTUCKY CLAY MANCHESTER MEMORIAL HOSPITAL 210 MARIE LANGDON DR MANCHESTER 40962 (606) 598-5104 KENTUCKY FAYETTE CRISIS STABILIZATION UNIT 3479 BUCKHORN DR LEXINGTON 40515 (859) 246-7201 KENTUCKY FAYETTE SCHWARTZ CENTER PROGRAM 3479 BUCKHORN DR LEXINGTON 40515 (859) 246-7282 KENTUCKY FAYETTE SELECT SPECIALTY HOSPITAL LEXINGTON INC 217 S 3RD ST FL4 DANVILLE 40422 (859) 226-7178 KENTUCKY Fayette UK Hospital Chandler Medical Center 800 Rose Street Lexington 40536 (859) 323-5000 KENTUCKY HARLAN CUMBERLAND RIVER BEHAVIORAL HEALTH INC H 134 COMPREHENSIVE DR HARLAN 40831 (606) 573-1624 KENTUCKY JACKSON CUMBERLAND RIVER BEHAVIORAL HEALTH INC M 1348 HIGHWAY 421 N MCKEE 40447 (606) 287-7137 KENTUCKY Jefferson Cherokee Park Rehabilitation 2100 Millvale Rd. Louisville 40205 (502) 451-0990 KENTUCKY Jefferson Frazier Neuro Rehab Program East 4912 US Hwy 42, Suite 104 Louisville 40222 (502) 429-8640 KENTUCKY Jefferson Frazier Rehab Institute 220 Abraham Flexner Way Louisville 40202 (502) 583-7400 KENTUCKY Jefferson Frazier Rehab Institute St Mary & Elizabeth Hospital 4402 Churchman Ave Louisville 40215 (502) 363-7800 KENTUCKY Jefferson Frazier Rehab Institute Fern Valley 100 High Rise Dr. Louisville 40213 (502) 966-4466 KENTUCKY Jefferson Frazier Rehab Institute Medical Center East 3920 Dutchmans Ln Louisville 40207 (502) 259-6608 KENTUCKY Jefferson Frazier Rehab Institute Medical Plaza 100 E Liberty St Louisville 40202 (502) 736-0421 KENTUCKY Jefferson Frazier Rehab Institute Newburg 3430 Newburg Road Suite 111A Louisville 40218 (502) 451-6886 KENTUCKY Jefferson Frazier Rehab Institute Northeast 2401 Terra Crossing Blvd, Suite 204 Louisville 40245 (502) 257-0209 KENTUCKY Jefferson Frazier Rehab Institute Southwest 6801 Dixie Manor Louisville 40258 (502) 937-2288 KENTUCKY Jefferson Frazier Rehab Institute Sports Medicine 215 Central Ave Louisville 40208 (502) 637-9313 KENTUCKY Jefferson Frazier Rehab Institute Stonestreet 9700 Stonestreet Rd Louisville 40272 (502) 995-2415 KENTUCKY Jefferson Frazier Rehab Institute Univerisy of Louisville 201 Abraham Flexner Way Louisville 40202 (502) 560-8300 KENTUCKY Jefferson Jewish Hospital 200 Abraham Flexner Way Louisville 40202 (502) 587-4011 KENTUCKY Jefferson Jewish Hospital Occupational Physician Services 100 High Rise Dr. Louisville 40213 (502) 966-4466 KENTUCKY Jefferson Jewish Hospital Outpatient Care Center 225 Abraham Flexner Way Louisville 40202 (502) 587-4698 KENTUCKY JEFFERSON KINDRED HOSPITAL AT JEWISH HOSPITAL 200 ABRAHAM FLEXNER WAY LOUISVILLE 40202 (502) 587-3999 CL-HOSPNT Updated September 27, 2021 Page 7 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

KENTUCKY JEFFERSON KINDRED HOSPITAL LOUISVILLE 1313 SAINT ANTHONY PL LOUISVILLE 40204 (502) 587-7001 KENTUCKY Jefferson Norton Audobon Hospital 1 Audobon Plaza Drive Louisville 40217 (502) 636-7111 KENTUCKY JEFFERSON NORTON AUDUBON HOSPITAL 1 AUDUBON PLAZA DR LOUISVILLE 40217 (502) 636-7111 KENTUCKY JEFFERSON NORTON BROWNSBORO HOSPITAL 4960 NORTON HEALTHCARE BLVD LOUISVILLE 40241 (502) 446-8000 KENTUCKY JEFFERSON NORTON HOSPITAL 200 E CHESTNUT ST LOUISVILLE 40202 (502) 629-8000 KENTUCKY JEFFERSON NORTON PAVILLION 315 E BROADWAY LOUISVILLE 40202 (502) 629-2000 KENTUCKY Jefferson Norton Pavillion 315 East Broadway Louisville 40232 (502) 629-2000 KENTUCKY Jefferson Norton Womens and Kosair Childrens Hospital 4001 Dutchmans Ln Louisville 40207 (502) 893-1000 KENTUCKY JEFFERSON NORTON WOMENS AND KOSAIR CHILDRENS HOSPT 4001 DUTCHMANS LN LOUISVILLE 40207 (502) 893-1000 KENTUCKY Jefferson University of Louisville Hospital 530 S Jackson Street Louisville 40202 (502) 562-3000 KENTUCKY Jefferson VNA Nazareth Home Care 539 S 4th St Louisville 40202 (502) 581-8621 KENTUCKY Johnson Paul B Hall Regional Medical Center 625 James S Trimble Boulevard Paintsville 41240 (606) 789-3511 KENTUCKY KNOX CUMBERLAND RIVER BEHAVIORAL HEALTH INC B 704 PITZER ST BARBOURVILLE 40906 (606) 546-3104 KENTUCKY LAUREL CUMBERLAND RIVER BEHAVIORAL HEALTH INC H 349 RIVER BEND DR LONDON 40744 (606) 878-7013 KENTUCKY LAUREL CUMBERLAND RIVER BEHAVIORAL HEALTH INC L 915 N LAUREL RD PITTSBURG 40755 (606) 864-2104 KENTUCKY Livingston Livingston Hospital and Healthcare Services 131 Hospital Dr Salem 42078 (270) 988-2299 KENTUCKY Madison Baptist Health Richmond 801 Eastern Bypass Richmond 40475 (859) 623-3131 KENTUCKY Meade Frazier Rehab Institute Meade County 534 Fairway Dr. Brandenburg 40108 (270) 422-1122 KENTUCKY Meade Jewish Hospital Health Center -Meade County 534 Fairway Dr. Brandenburg 40108 (270) 422-5000 KENTUCKY ROCKCASTLE CUMBERLAND RIVER BEHAVIORAL HEALTH INC M 260 VALLEY VIEW LANE MOUNT VERNON 40456 (606) 256-2129 KENTUCKY Shelby Jewish Hospital Shelbyville 727 Hospital Dr Shelbyville 40065 (502) 647-4000 KENTUCKY Taylor Taylor County Hospital 1700 Old Lebanon Rd Campbellsville 42718 (502) 465-3561 KENTUCKY Warren Medical Center At Bowling Green 250 Park Street Bowling Green 42101 (270) 745-1000 KENTUCKY WARREN RIVENDELL BEHAVIORAL HEALTH SERVICES 1035 PORTER PIKE BOWLING GREEN 42103 (270) 843-1199 KENTUCKY WHITLEY CUMBERLAND RIVER BEHAVIORAL HEALTH INC C 1203 AMERICAN GREETING CARD RD CORBIN 40701 (606) 528-7010 KENTUCKY WHITLEY CUMBERLAND RIVER BEHAVIORAL HEALTH INC W 285 CEMETERY RD WILLIAMSBURG 40769 (606) 549-1440 LOUISIANA Acadia Acadia General Hospital 1305 Crowley Rayne Hwy Crowley 70526 (337) 783-3222 LOUISIANA ALLEN ALLEN PARISH HOSPITAL 108 N 6TH ST KINDER 70648 (337) 738-2527 LOUISIANA ASCENSION OUR LADY OF THE LAKE ASCENSION 1125 W HIGHWAY 30 GONZALES 70737 (225) 647-5000 LOUISIANA ASSUMPTION ASSUMPTION COMMUNITY HOSPITAL 135 HIGHWAY 402 NAPOLEONVILLE 70390 (985) 369-3600 LOUISIANA BEAUREGARD BEAUREGARD MEMORIAL HOSPITAL 600 S PINE ST DERIDDER 70634 (337) 462-7100 LOUISIANA BOSSIER PROMISE HOSPITAL OF LOUISIANA BOSSIER CI 2525 VIKING DR BOSSIER CITY 71111 (318) 841-2525 LOUISIANA Bossier Parish Willis-Knighton Bossier 2400 Hospital Drive Bossier City 71111 (318) 752-7000 LOUISIANA CADDO PROMISE HOSPITAL OF LOUISIANA SHREVEPORT 1800 IRVING PL SHREVEPORT 71101 (318) 425-4096 LOUISIANA CADDO UNIVERSITY HEALTH SHREVEPORT 1541 KINGS HWY SHREVEPORT 71103 (318) 675-5000 LOUISIANA Caddo Parish Willis-Knighton Medical Center 2600 Greenwood Road Shreveport 71103 (318) 212-4000 LOUISIANA Caddo Parish Willis-Knighton Pierremont 8001 Youree Drive Shreveport 71115 (318) 212-3000 LOUISIANA Caddo Parish Willis-Knighton South 2510 Bert Kouns Industrial Loop Shreveport 71118 (318) 212-5000 LOUISIANA CALCASIEU CHRISTUS LAKE AREA HOSPITAL 4200 NELSON RD LAKE CHARLES 70605 (337) 474-6370 LOUISIANA CALCASIEU DEQUINCY MEMORIAL HOSPITAL 110 W 4TH ST DEQUINCY 70633 (337) 786-1200 LOUISIANA Calcasieu Lake Area Medical Center 4200 Nelson Rd Lake Charles 70605 (337) 474-6370 LOUISIANA Calcasieu Lake Charles Memorial Hospital 1701 Oak Park Blvd Lake Charles 70601 (337) 494-3000 LOUISIANA CALDWELL HARDTNER MEDICAL CENTER 1102 N PINE RD OLLA 71465 (318) 495-3131 LOUISIANA CONCORDIA PROMISE HOSPITAL OF MISS LOU 209 FRONT ST VIDALIA 71373 (318) 336-6500 LOUISIANA Concordia Riverland Medical Center 1700 E Wallace Blvd N Ferriday 71334 (318) 757-6551 LOUISIANA CONCORDIA RIVERLAND MEDICAL CENTER 1700 EE WALLACE BLVD N FERRIDAY 71334 (318) 757-6551 LOUISIANA De Soto Parish DeSoto Regional Health System 207 Jefferson Street Mansfield 71052 (318) 872-4610 LOUISIANA EAST BATON ROUGE BATON ROUGE BEHAVIORAL HOSPITAL 4040 NORTH BLVD BATON ROUGE 70806 (225) 300-8470 LOUISIANA EAST BATON ROUGE OUR LADY OF THE LAKE REGIONAL MEDICAL CE 5000 HENNESSY BLVD BATON ROUGE 70808 (225) 765-6565 LOUISIANA EAST BATON ROUGE SAGE REHABILITATION 8000 SUMMA AVE BATON ROUGE 70809 (225) 819-0703 LOUISIANA EAST BATON ROUGE SURGICAL SPECIALTY CENTER OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE 70810 (225) 408-8080 LOUISIANA East Baton Rouge Par Baton Rouge General Medical Center-Mid City 3600 Florida Boulevard Baton Rouge 70806 (225) 387-7000 LOUISIANA East Baton Rouge Par Baton Route General Health Center-Blue Bonnet 8585 Picardy Avenue Baton Rouge 70809 (225) 763-4000 LOUISIANA Evangeline Savoy Medical Center 801 Poinciana Ave Mamou 70554 (337) 468-0144 LOUISIANA IBERIA IBERIA EXTENDED CARE HOSPITAL 2315 E MAIN ST NEW IBERIA 70560 (337) 369-1100 LOUISIANA Iberia Parish Iberia Medical Center 2315 East Main Street New Iberia 70560 (337) 364-0441 LOUISIANA JEFFERSON EAST JEFFERSON GENERAL HOSPITAL 4200 HOUMA BLVD METAIRIE 70006 (504) 454-4000 LOUISIANA Jefferson East Jefferson General Hospital 4200 Houma Blvd Metairie 70006 (504) 503-4000 LOUISIANA JEFFERSON OCHSNER EXTENDED CARE HOSPITAL OF KENNER 180 W ESPLANADE AVE KENNER 70065 (504) 464-8590 CL-HOSPNT Updated September 27, 2021 Page 8 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

LOUISIANA Jefferson Ochsner Medical Center Kenner 180 W. Esplanade Ave Kenner 70065 (504) 468-8600 LOUISIANA Jefferson Ochsner Medical Center West Bank 2500 Belle Chasse Hwy. Gretna 70056 (504) 392-3131 LOUISIANA JEFFERSON RIVER OAKS HOSPITAL 1525 RIVER OAKS RD W NEW ORLEANS 70123 (504) 734-1740 LOUISIANA LAFAYETTE HEART HOSPITAL OF LAFAYETTE 1105 KALISTE SALOOM RD LAFAYETTE 70508 (337) 521-1000 LOUISIANA Lafayette Lafayette General Medical Center 1214 Coolidge St Lafayette 70503 (337) 289-7991 LOUISIANA Lafayette Lafayette General Surgical Center 1000 West Pinhook Rd Lafayette 70503 (337) 289-8095 LOUISIANA LAFAYETTE LOUISIANA EXTENDED CARE HOSPITAL OF LAFA 1214 COOLIDGE BLVD LAFAYETTE 70503 (337) 984-4224 LOUISIANA LAFAYETTE OUR LADY OF LOURDES REGIONAL MEDICAL CEN 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE 70508 (337) 289-2000 LOUISIANA LAFAYETTE PARK PLACE SURGICAL HOSPITAL 4811 AMBASSADOR CAFFERY PKWY S LAFAYETTE 70508 (337) 237-8119 LOUISIANA LAFAYETTE VERMILION BEHAVIORAL HOSPITAL 2520 N UNIVERSITY AVE LAFAYETTE 70507 (800) 821-2567 LOUISIANA LAFAYETTE VERMILLION SOUTH 1131 RUE DU BELIER LAFAYETTE 70506 (337) 991-0571 LOUISIANA Lafayette Parish Oil Center Surgical Plaza 1000 West Pinhook Rd, 2nd Floor Lafayette 70503 (337) 289-8238 LOUISIANA Lafayette Parrish University Hospital and Clinics 2390 West Congress Street Lafayette 70506 (337) 261-6000 LOUISIANA Lafourche Parish Thibodaux Regional Medical Center 602 North Acadia Road Thibodaux 70301 (985) 447-5500 LOUISIANA LINCOLN NORTHERN LOUISIANA MEDICAL CENTER 401 E VAUGHN AVE RUSTON 71270 (318) 254-2100 LOUISIANA Lincoln Northern Louisiana Medical Center 401 Vaughn Ave. Ruston 71270 (318) 254-2100 LOUISIANA NATCHITOCHES EXTENDED CARE HOSPITAL OF NATCHITOCHES 501 KEYSER AVE NATCHITOCHES 71457 (318) 354-2044 LOUISIANA ORLEANS COMMUNITY CARE HOSPITAL 1421 GENERAL TAYLOR ST NEW ORLEANS 70115 (504) 899-2500 LOUISIANA ORLEANS CURAHEALTH NEW ORLEANS 3601 COLISEUM ST NEW ORLEANS 70115 (504) 899-1555 LOUISIANA Orleans Ochsner Baptist Medical Center 2700 Napoleon Ave New Orleans 70115 (504) 899-9311 LOUISIANA OUACHITA BRFHH MONROE LLC 4864 JACKSON ST MONROE 71202 (318) 330-7000 LOUISIANA OUACHITA EXTENDED CARE HOSPITAL OF WEST MONROE 503 MCMILLAN RD WEST MONROE 71291 (318) 329-4300 LOUISIANA Ouachita P & S Surgical Hospital 312 Grammont St Monroe 71201 (318) 388-4040 LOUISIANA OUACHITA SPECIALTY HOSPITAL 309 JACKSON ST MONROE 71201 (318) 966-4126 LOUISIANA Ouachita St Francis Medical Center 309 Jackson St Monroe 71201 (318) 327-4000 LOUISIANA OUACHITA ST FRANCIS MEDICAL CENTER 312 GRAMMONT ST MONROE 71201 (318) 388-4040 LOUISIANA RAPIDES CENTRAL LOUISIANA STATE HOSPITAL 242 W SHAMROCK AVE PINEVILLE 71360 (318) 484-6200 LOUISIANA RAPIDES CHRISTUS CENTRAL LOUISIANA SURGICAL HOSP 651 N BOLTON AVE ALEXANDRIA 71301 (318) 443-3511 LOUISIANA RAPIDES ENCOMPASS HEALTH REHABILITATION HOSPITAL 104 N 3RD ST ALEXANDRIA 71301 (318) 449-1370 LOUISIANA RED RIVER CHRISTUS COUSHATTA HEALTH CARE CENTER 1635 MARVEL ST COUSHATTA 71019 (318) 932-2000 LOUISIANA Saint Helena St Helena Parish Hospital 16874 LA-43 Greensburg 70441 (225) 222-6111 LOUISIANA SAINT HELENA ST HELENA PARISH HOSPITAL HIGHWAY 43 NORTH GREENSBURG 70441 (225) 222-6111 LOUISIANA SAINT LANDRY EUNICE EXTENDED CARE HOSPITAL 3879 HIGHWAY 190 EUNICE 70535 (337) 546-0024 LOUISIANA Saint Landry Opelousas General Hospital 539 E. Prudhomme St Opelousas 70570 (337) 948-3011 LOUISIANA SAINT LANDRY ST LANDRY EXTENDED CARE HOSPITAL 539 E PRUDHOMME ST OPELOUSAS 70570 (337) 948-5184 LOUISIANA SAINT TAMMANY SOUTHERN SURGICAL HOSPITAL 1700 LINDBERG DR SLIDELL 70458 ( 98) 564-1600 LOUISIANA St John The Baptist River Parishes Hospital 500 Rue De Sante La Place 70068 (985) 652-7000 LOUISIANA St Landry Parish Acadian Medical Center 3501 Highway 190 East Eunice 70535 (337) 580-7500 LOUISIANA St Martin St Martin Hospital 210 Champagne Blvd Breaux Bridge 70517 (337) 332-2178 LOUISIANA St Mary Parish Franklin Foundation Hospital 1097 Northwest Boulevard Franklin 70538 (337) 828-0760 LOUISIANA St Tammany Ochsner Medical Center - Northshore 100 Medical Center Dr Slidell 70461 (985) 649-7070 LOUISIANA St Tammany Parish St. Tammany Parish Hospital 1202 South Tyler Street Covington 70433 (985) 898-4000 LOUISIANA St. James Parish Opelousas General Health System - South Campus 3983 1-49 S. Service Road Opelousas 70570 (337) 948-2100 LOUISIANA St. James Parish St. James Parish Hospital 1645 Lutcher Avenue Luchter 70071 (225) 869-5512 LOUISIANA TERREBONNE PHYSICIANS MEDICAL CENTER 218 CORPORATE DR HOUMA 70360 (985) 853-1390 LOUISIANA UNION REEVES MEMORIAL MEDICAL CENTER 409 1ST ST BERNICE 71222 (318) 285-9066 LOUISIANA Vermilion Abrom Kaplan Memorial Hospital 1310 W 7th St Kaplan 70548 (337) 643-8300 LOUISIANA VERNON BYRD REGIONAL HOSPITAL 1020 W FERTITTA BLVD LEESVILLE 71446 (337) 239-9041 LOUISIANA WASHINGTON OUR LADY OF THE ANGELS HOSPITAL INC 433 PLAZA ST BOGALUSA 70427 (985) 730-6700 LOUISIANA WASHINGTON RIVERSIDE MEDICAL CENTER 1900 MAIN ST FRANKLINTON 70438 (985) 839-4431 LOUISIANA Washington Parish Our Lady of the Angels 433 Plaza Street Bogalusa 70427 (985) 732-7122 LOUISIANA WEBSTER MINDEN MEDICAL CENTER 1 MEDICAL PLAZA PL MINDEN 71055 (318) 377-2321 LOUISIANA Webster Parish Springhill Medical Center 2001 Doctors Drive Springhill 71075 (318) 539-1000 MASSACHUSETTS BRISTOL LIFE CARE CENTER OF ATTLEBORO 969 PARK ST ATTLEBORO 02703 (508) 222-4182 MASSACHUSETTS BRISTOL LIFE CARE CENTER OF RAYNHAM 546 SOUTH ST E RAYNHAM 02767 (508) 821-5700 MASSACHUSETTS BRISTOL OAKS 4525 ACUSHNET AVE NEW BEDFORD 02745 (508) 998-7807 MASSACHUSETTS ESSEX BALDPATE HOSPITAL BALDPATE RD GEORGETOWN 01833 (978) 352-2131 MASSACHUSETTS ESSEX LIFE CARE CENTER OF THE NORTH SHORE 111 BIRCH ST LYNN 01902 (781) 592-9667 MASSACHUSETTS ESSEX NORTH SHORE MEDICAL CENTER UNION CAMPUS 500 LYNNFIELD ST LYNN 01904 (781) 581-9200 CL-HOSPNT Updated September 27, 2021 Page 9 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

MASSACHUSETTS ESSEX WILD ACRE INNS INC 56 SPARHAWK ST AMESBURY 01913 (617) 643-0643 MASSACHUSETTS Hampden Healthsouth Rehabilitation Hospital Of Western Ma 222 State Street Ludlow 01056 413-308-3300 MASSACHUSETTS HAMPDEN LIFE CARE CENTER OF WILBRAHAM 2399 BOSTON RD WILBRAHAM 01095 (413) 596-3111 MASSACHUSETTS MIDDLESEX LIFE CARE CENTER OF MERRIMACK VALLEY 80 BOSTON RD NORTH BILLERICA 01862 (978) 667-2166 MASSACHUSETTS MIDDLESEX LIFE CARE CENTER OF STONEHAM 25 WOODLAND RD STONEHAM 02180 (781) 662-2545 MASSACHUSETTS MIDDLESEX LITTLETON HOUSE NURSING HOME 191 FOSTER ST LITTLETON 01460 (978) 486-3512 MASSACHUSETTS MIDDLESEX SUBURBAN MANOR REHAB NURSING CENTER 1 GREAT RD ACTON 01720 (978) 263-9101 MASSACHUSETTS MIDDLESEX WILD ACRE INNS INC 108 PLEASANT ST ARLINGTON 02476 (617) 643-0643 MASSACHUSETTS MIDDLESEX WILD ACRE INNS INC 206 SUMNER ST NEWTON CENTER 02459 (617) 643-0643 MASSACHUSETTS MIDDLESEX WILD ACRE INNS INC 220 LEXINGTON ST BELMONT 02478 (617) 643-0643 MASSACHUSETTS MIDDLESEX WILD ACRE INNS INC 342-344 HARVARD ST CAMBRIDGE 02139 (617) 643-0643 MASSACHUSETTS MIDDLESEX WILD ACRE INNS INC 50 PERCY RD LEXINGTON 02421 (617) 643-0643 MASSACHUSETTS MIDDLESEX WILD ACRE INNS INC 8 PARKER RD WAKEFIELD 01880 (617) 643-0643 MASSACHUSETTS NORFOLK CURAHEALTH STOUGHTON 909 SUMNER ST STOUGHTON 02072 (781) 297-8200 MASSACHUSETTS NORFOLK GOOD SAMARITAN MEDICAL CENTER GODDARD CA 909 SUMNER ST STOUGHTON 02072 (508) 427-3000 MASSACHUSETTS Norfolk Kindred Hospital Northeast-Stoughton 909 Sumner St Stoughton 02072 (781) 397-8200 MASSACHUSETTS NORFOLK WILD ACRE INNS INC 1876 BEACON ST BROOKLINE 02445 (617) 643-0643 MASSACHUSETTS NORFOLK WILD ACRE INNS INC 57 DWIGHT ST BROOKLINE 02446 (617) 643-0643 MASSACHUSETTS NORFOLK WILD ACRE INNS INC 91 BABCOCK ST BROOKLINE 02446 (617) 643-0643 MASSACHUSETTS Plymouth Caritas Good Samaritan Medical Center 235 N Pearl St Brockton 02301 (508) 427-3000 MASSACHUSETTS PLYMOUTH GOOD SAMARITAN MEDICAL CENTER GODDARD CA 235 N PEARL ST BROCKTON 02301 (781) 297-8050 MASSACHUSETTS PLYMOUTH LIFE CARE CENTER OF PLYMOUTH 94 OBERY ST PLYMOUTH 02360 (508) 747-9800 MASSACHUSETTS PLYMOUTH LIFE CARE CENTER OF THE SOUTH SHORE 309 DRIFTWAY SCITUATE 02066 (781) 545-1370 MASSACHUSETTS PLYMOUTH LIFE CARE CENTER OF WEST BRIDGEWATER 765 W CENTER ST WEST BRIDGEWATER 02379 (508) 580-4400 MASSACHUSETTS PLYMOUTH WILD ACRE INNS INC 4 SCHOOL ST PEMBROKE 02359 (617) 643-0643 MASSACHUSETTS SUFFOLK FAULKNER HOSPITAL 1153 CENTRE ST BOSTON 02130 (617) 983-7000 MASSACHUSETTS SUFFOLK LEMUEL SHATTUCK HOSPITAL 170 MORTON ST JAMAICA PLAIN 02130 (617) 522-8110 MASSACHUSETTS SUFFOLK TUFTS MEDICAL CENTER 800 WASHINGTON ST BOSTON 02111 (617) 636-5000 MASSACHUSETTS Suffolk Tufts New England Medical Center 800 Washington St Boston 02111 (617) 636-5000 MASSACHUSETTS SUFFOLK WILD ACRE INNS INC 40 N BEACON ST BOSTON 02134 (617) 643-0643 MASSACHUSETTS WORCESTER LIFE CARE CENTER OF AUBURN 14 MASONIC CIR AUBURN 01501 (508) 832-4800 MICHIGAN BARAGA BARAGA COUNTY MEMORIAL HOSPITAL 18341 US HIGHWAY 41 LANSE 49946 (906) 524-3320 MICHIGAN CALHOUN SELECT SPECIALTY HOSPITAL KALAMAZOO INC 300 NORTH AVE BATTLE CREEK 49017 (269) 341-7100 MICHIGAN GENESEE SELECT SPECIALTY HOSPITAL FLINT INC 401 S BALLENGER HWY FLINT 48532 (801) 342-4550 MICHIGAN HILLSDALE HILLSDALE HOSPITAL 168 S HOWELL ST HILLSDALE 49242 (517) 437-4451 MICHIGAN KENT GREAT LAKES SPECIALTY HOSPITAL OAK 200 JEFFERSON AVE SE 5 S GRAND RAPIDS 49503 (616) 965-8700 MICHIGAN Macomb Michigan Surgical Hospital 21230 Dequindre Rd Warren 48091 (810) 759-4520 MICHIGAN MACOMB SELECT SPECIALTY HOSPITAL MACOMB COUNTY 215 NORTH AVE MOUNT CLEMENS 48043 (586) 307-9010 MICHIGAN MIDLAND TEN SIXTEEN TREATMENT CENTERS 1016 EASTMAN AVE MIDLAND 48640 (989) 631-0241 MICHIGAN MIDLAND TEN SIXTEEN TREATMENT CENTERS 1016 EASTMAN AVE MIDLAND 48640 (989) 835-3466 MICHIGAN MIDLAND TEN SIXTEEN TREATMENT CENTERS 220 W MAIN ST MIDLAND 48640 (989) 631-0241 MICHIGAN MIDLAND TEN SIXTEEN TREATMENT CENTERS 220 W MAIN ST MIDLAND 48640 (989) 835-3466 MICHIGAN Muskegon Muskegon General Hospital 1700 Oak Avenue Muskegon 49442 (231) 773-3311 MICHIGAN Muskegon Muskegon Mercy Campus 1500 E Sherman Boulevard Muskegon 49444 (231) 739-2000 MICHIGAN Oakland Doctors Hospital of Michigan 461 West Huron Street Pontiac 48341 (248) 857-7200 MICHIGAN OAKLAND HAVENWYCK HOSPITAL 1525 UNIVERSITY DR AUBURN HILLS 48326 (248) 373-9200 MICHIGAN OAKLAND SELECT SPECIALTY HOSPITAL PONTIAC INC 44405 WOODWARD AVE PONTIAC 48341 (248) 452-5202 MICHIGAN SAGINAW SELECT SPECIALTY HOSPITAL SAGINAW INC 1447 N HARRISON ST SAGINAW 48602 (989) 583-4850 MICHIGAN ST CLAIRE LAKE HURON MEDICAL CENTER 2601 ELECTRIC AVE PORT HURON 48060 (810) 985-1500 MICHIGAN WASHTENAW SELECT SPECIALTY HOSPITAL ANN ARBOR INC 5301 E HURON DR 7TH FLOOR YPSILANTI 48197 (734) 712-0103 MICHIGAN Wayne Beaumont Grosse Pointe Campus 468 Cadieux Road Grosse Pointe 48230 (313) 343-1327 MICHIGAN WAYNE GARDEN CITY HOSPITAL 6245 INKSTER RD GARDEN CITY 48135 (734) 421-3300 MICHIGAN WAYNE HEGIRA PROGRAMS 13325 FARMINGTON RD LIVONIA 48150 (313) 261-3760 MICHIGAN WAYNE HEGIRA PROGRAMS 43825 MICHIGAN AVE CANTON 48188 (734) 397-3088 MICHIGAN WAYNE HEGIRA PROGRAMS 670 GRISWOLD ST STE 3 NORTHVILLE 48167 (810) 347-3470 MICHIGAN WAYNE HEGIRA PROGRAMS 8623 N WAYNE RD WESTLAND 48185 (313) 425-0636 MICHIGAN WAYNE SELECT SPECIALTY HOSPITAL DOWNRIVER LLC 2333 BIDDLE AVE WYANDOTTE 48192 (734) 246-5500 MICHIGAN WAYNE SELECT SPECIALTY HOSPITAL GROSSE POINTE 468 CADIEUX RD 3 NE GROSSE POINTE 48230 (313) 476-6131 MICHIGAN WAYNE SELECT SPECIALTY HOSPITAL NORTHWEST DETR 6071 W OUTER DR DETROIT 48235 (313) 966-3939 CL-HOSPNT Updated September 27, 2021 Page 10 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

MINNESOTA HENNEPIN PROGRESS VALLEY I 3033 GARFIELD AVE MINNEAPOLIS 55408 (612) 827-2517 MINNESOTA HENNEPIN PROGRESS VALLEY II 308 E 78TH ST MINNEAPOLIS 55423 (612) 869-3223 MINNESOTA POLK RIVERVIEW HEALTH 323 S MINNESOTA ST CROOKSTON 56716 (218) 281-9200 MINNESOTA WATONWAN MADELIA HEALTH 121 DREW AVE SE MADELIA 56062 (507) 642-3255 MISSISSIPPI Adams Merit Health Natchez 54 Seargent Prentiss Dr Natchez 39120 (601) 443-2100 MISSISSIPPI DESOTO PARKWOOD BEHAVIORAL HEALTH SYSTEM 8135 GOODMAN RD OLIVE BRANCH 38654 (662) 895-4900 MISSISSIPPI Forest SE Lackey Memorial Hospital 330 N Broad St Forest 39074 (601) 469-4151 MISSISSIPPI Forrest Wesley Medical Center 5001 Hardy Street Hattiesburg 39402 (601) 268-8000 MISSISSIPPI HARRISON MERIT HEALTH BILOXI 150 REYNOIR ST BILOXI 39530 (228) 432-1571 MISSISSIPPI HARRISON SELECT SPECIALTY HOSPITAL GULF COAST INC 1520 BROAD AVE GULFPORT 39501 (228) 575-7566 MISSISSIPPI HINDS MERIT HEALTH CENTRAL 1850 CHADWICK DR JACKSON 39204 (601) 376-1000 MISSISSIPPI HINDS SELECT SPECIALTY HOSPITAL JACKSON INC 5903 RIDGEWOOD RD JACKSON 39211 (601) 899-3800 MISSISSIPPI Hinds University of Mississippi Medical Center 2500 North State Street Jackson 39216 (601) 984-1000 MISSISSIPPI Jones South Central Regional Medical Center 1220 Jefferson St Laurel 39440 (601) 426-4000 MISSISSIPPI LAMAR MERIT HEALTH WESLEY 5001 HARDY ST HATTIESBURG 39402 (601) 268-8000 MISSISSIPPI MADISON MERIT HEALTH MADISON 161 RIVER OAKS DR CANTON 39046 (601) 855-4000 MISSISSIPPI Marion Marion General Hospital 1560 Sumrall Rd Columbia 39429 (601) 736-6303 MISSISSIPPI PANOLA PANOLA MEDICAL CENTER 303 MEDICAL CENTER DR BATESVILLE 38606 (662) 563-5611 MISSISSIPPI Pearl River Pearl River County Hospital & Nursing Home 305 W Moody St Poplarville 39470 (601) 795-4543 MISSISSIPPI PIKE BEACHAM MEMORIAL HOSPITAL 205 N CHERRY ST MAGNOLIA 39652 (601) 783-2353 MISSISSIPPI RANKIN COPAC INC 3949 HIGHWAY 43 N BRANDON 39047 (601) 829-2500 MISSISSIPPI RANKIN COPAC INC 4309 LAKELAND DR FLOWOOD 39232 (601) 829-2500 MISSISSIPPI RANKIN MERIT HEALTH RANKIN 350 CROSSGATES BLVD BRANDON 39042 (601) 825-2811 MISSISSIPPI RANKIN MERIT HEALTH RIVER OAKS 1030 RIVER OAKS DR FLOWOOD 39232 (601) 932-1030 MISSISSIPPI RANKIN MERIT HEALTH WOMANS HOSPITAL 1026 N FLOWOOD DR JACKSON 39232 (601) 932-1000 MISSISSIPPI SCOTT LACKEY MEMORIAL HOSPITAL 330 N BROAD ST FOREST 39074 (601) 469-4151 MISSISSIPPI SIMPSON SIMPSON COMMUNITY HEALTHCARE INC 1842 SIMPSON HIGHWAY 149 MENDENHALL 39114 (601) 847-2221 MISSISSIPPI Simpson Simpson General Hospital 1842 Simpson Highway 149 Mendenhall 39114 (601) 847-2221 MISSISSIPPI Walthall Walthall County General 100 Hospital Dr Tylertown 39667 (601) 876-2122 MISSISSIPPI Warren River Region Medical Center 1111 N Frontage Road Vicksburg 39180 (601) 619-3800 MISSISSIPPI Warren River Region Medical Center - West Campus 2100 Highwway 61 North Vicksburg 39183 (601) 631-2131 MISSOURI CALLAWAY FULTON MEDICAL CENTER LLC 10 S HOSPITAL DR FULTON 65251 (573) 642-3376 MISSOURI Cape Girardeau County Southeast Missouri Hospital 1701 Lacey Street Cape Girardeau 63701 (573) 334-4822 MISSOURI CLAY EXCELSIOR SPRINGS MEDICAL CENTER 1700 RAINBOW BLVD EXCELSIOR SPRINGS 64024 (816) 630-6081 MISSOURI CLAY KINDRED HOSPITAL NORTHLAND 500 NW 68TH ST KANSAS CITY 64118 (816) 420-6300 MISSOURI GREENE MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE ST SPRINGFIELD 65804 (417) 820-2000 MISSOURI Greene Ozarks Community Hospital 2828 N National Ave Springfield 65803 (417) 837-4000 MISSOURI Greene Ozarks Community Hospital 2828 North National Springfield 65803 (417) 837-4000 MISSOURI GREENE SELECT SPECIALTY HOSPITAL SPRINGFIELD IN 1630 E PRIMROSE ST SPRINGFIELD 65804 (417) 885-4700 MISSOURI IRON IRON COUNTY MEDICAL CENTER 301 N HIGHWAY 21 PILOT KNOB 63663 (573) 546-1260 MISSOURI JACKSON KINDRED HOSPITAL KANSAS CITY 8701 TROOST AVE KANSAS CITY 64131 (816) 995-2000 MISSOURI JACKSON SELECT SPECIALTY HOSPITAL WESTERN MISSOU 2316 E MEYER BLVD KANSAS CITY 64132 (816) 276-3300 MISSOURI Jasper Landmark Hospital Of Joplin 2040 W 32Nd St Joplin 64804 (417) 627-1300 MISSOURI JASPER MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE 64836 (417) 358-8121 MISSOURI Jasper Mercy McCune-Brooks Hospital 3125 Dr. Russell Smith Way Carthage 64836 (417) 358-8121 MISSOURI JASPER OZARK CENTER 3010 MC CLELLAND BLVD JOPLIN 64804 (417) 347-7700 MISSOURI NEWTON FREEMAN HOSPITAL AND HEALTH SYSTEM 1102 W 32ND ST JOPLIN 64804 (417) 347-1111 MISSOURI NEWTON FREEMAN HOSPITAL AND HEALTH SYSTEM 932 E 34TH ST JOPLIN 64804 (417) 347-1111 MISSOURI NEWTON FREEMAN HOSPITAL AND HEALTH SYSTEM 932 E 34TH ST JOPLIN 64804 (417) 623-4640 MISSOURI NEWTON FREEMAN HOSPITAL EAST 932 E 34TH ST JOPLIN 64804 (417) 347-1111 MISSOURI NEWTON FREEMAN HOSPITAL WEST 1102 W 32ND ST JOPLIN 64804 (417) 347-1111 MISSOURI NEWTON FREEMAN NEOSHO HOSPITAL 113 W HICKORY ST NEOSHO 64850 (417) 451-1234 MISSOURI NEWTON LANDMARK HOSPITAL OF JOPLIN 2040 W 32ND ST JOPLIN 64804 (417) 627-1300 MISSOURI Ray Excelsior Springs Medical Center 1700 Rainbow Blvd Excelsior Springs 64024 (816) 630-6081 MISSOURI RAY RAY COUNTY MEMORIAL HOSPITAL 904 WOLLARD BLVD RICHMOND 64085 (816) 470-5432 MISSOURI SAINT CHARLES SELECT SPECIALTY HOSPITAL ST LOUIS 300 1ST CAPITOL DR SAINT CHARLES 63301 (636) 443-2665 MISSOURI SAINT LOUIS DELTA HEALTH 2117 BENTLEY PLZ FENTON 63026 (636) 825-2200 MISSOURI SAINT LOUIS KINDRED HOSPITAL ST ANTHONYS 10018 KENNERLY RD SAINT LOUIS 63128 (314) 525-8100 MISSOURI SAINT LOUIS CITY KINDRED HOSPITAL ST LOUIS 4930 LINDELL BLVD SAINT LOUIS 63108 (314) 361-8700 CL-HOSPNT Updated September 27, 2021 Page 11 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

MISSOURI St Louis Des Peres Hospital 2345 Dougherty Ferry Rd St Louis 63122 (314) 821-5850 MISSOURI St Louis St Louis University Hospital 3635 Vista at Grand Blvd St Louis 63110 (314) 577-8000 MONTANA Missoula Community Medical Center 2827 Fort Missoula Rd Missoula 59804 (406) 728-4100 MONTANA YELLOWSTONE ADVANCED CARE HOSPITAL OF MONTANA 3528 GABEL RD BILLINGS 59102 (406) 373-8000 NEBRASKA DOUGLAS OMAHA CENTRAL INC 1870 S 75TH ST OMAHA 68124 (402) 572-2780 NEBRASKA DOUGLAS QUALITY LIVING INC 6404 N 70TH PLZ OMAHA 68104 (402) 573-3700 NEBRASKA Douglas Select Specialty Hospital Omaha 1870 S 75th St Omaha 68124 (402) 361-5830 NEBRASKA PIMA WARREN MEMORIAL HOSPITAL 905 2ND ST FRIEND 68359 (402) 947-2541 NEVADA Clark Desert Springs Hospital Medical Center 2075 East Flamingo Road Las Vegas 89119 (702) 733-8800 NEVADA CLARK KINDRED HOSPITAL LAS VEGAS FLAMINGO 2250 E FLAMINGO RD LAS VEGAS 89119 (702) 784-4300 NEVADA CLARK KINDRED HOSPITAL LAS VEGAS SAHARA 5110 W SAHARA AVE LAS VEGAS 89146 (702) 871-1418 NEVADA Clark Spring Valley Hospital Medical Center 5400 So. Rainbow Blvd. Las Vegas 89118 (702) 853-3000 NEVADA Clark Summerlin Hospital Medical Center 657 Town Center Drive Las Vegas 89134 (702) 233-7000 NEVADA Clark Valley Hospital Medical Center 620 Shadow Ln Las Vegas 89106 (702) 388-4000 NEVADA Washoe Saint Marys Regional Medical Center 235 West Sixth St Reno 89503 (775) 770-3000 NEW HAMPSHIRE STRAFFORD WENTWORTH DOUGLASS HOSPITAL 789 CENTRAL AVE DOVER 3820 (603) 742-5252 NEW JERSEY BERGEN BERGEN REGIONAL MEDICAL CENTER 230 E RIDGEWOOD AVE PARAMUS 07652 (201) 967-4000 NEW JERSEY BERGEN RAMAPO RIDGE PSYCHIATRIC HOSPITAL 301 SICOMAC AVE WYCKOFF 07481 (201) 848-5200 NEW JERSEY BERGEN SELECT SPECIALTY HOSPITAL NORTHEAST NEW 96 PARKWAY ROCHELLE PARK 07662 (201) 221-2352 NEW JERSEY HUDSON JERSEY CITY MEDICAL CENTER 355 GRAND ST JERSEY CITY 07302 (201) 915-2000 NEW JERSEY HUDSON MEADOWLANDS HOSPITAL MEDICAL CENTER 55 MEADOWLANDS PKWY SECAUCUS 07094 (201) 392-3100 NEW JERSEY Hudson Meadowlands Hospital Medical Center 55 Meadowlands Pkwy Secaucus 07094 (201) 392-3200 NEW JERSEY MONMOUTH LAUREL BAY HEALTH AND REHABILITATION CEN 32 LAUREL AVE KEANSBURG 07734 (732) 787-8100 NEW JERSEY Morris Kindred Hospital Morris County 400 W Blackwell St Dover 07801 (973) 537-3816 NEW JERSEY MORRIS KINDRED HOSPITAL MORRIS COUNTY 400 W BLACKWELL ST DOVER 07801 (973) 537-3818 NEW JERSEY PASSAIC KINDRED HOSPITAL NEW JERSEY WAYNE 350 BOULEVARD PASSAIC 07055 (973) 636-7200 NEW JERSEY Passaic Kindred Hospital Wayne 224 Hamburg Tpke Wayne 07470 (973) 636-7200 NEW JERSEY SUSSEX PROGRESSIVE HEALTH OF PA 350 SPARTA AVE SPARTA 07871 (973) 726-8279 NEW JERSEY SUSSEX SUNRISE HOUSE 37 SUNSET INN RD LAFAYETTE 07848 (973) 383-6300 NEW JERSEY UNION KINDRED HOSPITAL NEW JERSEY RAHWAY 865 STONE ST FL 4 RAHWAY 07065 (732) 453-2950 NEW JERSEY Union Kindred Hospital Rahway 865 Stone St Rahway 07065 (732) 453-2950 NEW JERSEY UNION ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL 865 STONE ST RAHWAY 07065 (732) 381-4200 NEW MEXICO Bernalillo Heart Hospital Of New Mexico 504 Elm St Ne Albuquerque 87102 (505) 727-1100 NEW MEXICO BERNALILLO KINDRED HOSPITAL ALBUQUERQUE 700 HIGH ST NE ALBUQUERQUE 87102 (505) 242-4444 NEW MEXICO DONA ANA MESILLA VALLEY HOSPITAL 3751 DEL REY BLVD LAS CRUCES 88012 (505) 382-3500 NEW MEXICO SANTA FE CHRISTUS SAINT VINCENT REGIONAL MEDICAL 455 SAINT MICHAELS DR SANTA FE 87505 (505) 983-3361 NEW YORK Kings Coney Island Hospital 2601 Ocean Pkwy Brooklyn 11235 (718) 616-3000 NEW YORK Kings Kings County Hospital Center 451 Clarkson Ave Brooklyn 11203 (718) 245-3627 NEW YORK New York Bellevue Hospital Center 462 1St Ave New York 10016 (212) 562-1000 NEW YORK Westchester Mount Vernon Hospital 12 N 7Th Ave Mount Vernon 10550 (914) 664-8000 NORTH CAROLINA DURHAM SELECT SPECIALTY HOSPITAL DURHAM INC 3643 N ROXBORO ST DURHAM 27704 (919) 470-9159 NORTH CAROLINA GUILFORD KINDRED HOSPITAL GREENSBORO 2401 S SIDE BLVD GREENSBORO 27406 (336) 271-2800 NORTH CAROLINA GUILFORD SELECT SPECIALTY HOSPITAL AT GREENSBORO 1200 N ELM ST GREENSBORO 27401 (336) 832-5700 NORTH CAROLINA NEW HANOVER WILMINGTON TREATMENT CENTER 1524 HARBOUR DR WILMINGTON 28401 (910) 762-2727 NORTH CAROLINA NEW HANOVER WILMINGTON TREATMENT CENTER 2520 TROY DR WILMINGTON 28401 (910) 762-2727 NORTH CAROLINA Orange University of North Carolina Hospitals 101 Manning Dr Chapel Hill 27514 (919) 966-4131 NORTH CAROLINA PERSON PERSON COUNTY MEMORIAL HOSPITAL 615 RIDGE RD ROXBORO 27573 (336) 599-2121 NORTH CAROLINA Rockingham Annie Penn Memorial Hospital 618 S Main St Reidsville 27320 (336) 951-4000 NORTH CAROLINA STOKES LIFEBRITE COMMUNITY HOSPITAL OF STOKES 1570 N CAROLINA 89 HWY N DANBURY 27016 (336) 593-2831 OHIO ALLEN BATON ROUGE MEDICAL AND REHAB SERVICES 2440 BATON ROUGE LIMA 45805 (419) 331-2273 OHIO Allen Institute for Orthopaedic Surgery 801 Medical Drive Lima 45804 (419) 224-7586 OHIO ALLEN KINDRED HOSPITAL LIMA 730 W MARKET ST LIMA 45801 (419) 224-1888 OHIO ASHTABULA GLENBEIGH 2863 STATE ROUTE 45 N ROCK CREEK 44084 (440) 951-7000 OHIO Belmont East Ohio Regional Hospital 90 N Fourth St Martin's Ferry 43935 (740) 633-1100 OHIO BROWN GEORGETOWN BEHAVIORAL HOSPITAL 425 HOME ST GEORGETOWN 45121 OHIO BROWN GEORGETOWN BEHAVIORAL HOSPITAL 425 HOME ST GEORGETOWN 45121 (837) 483-4933 OHIO Butler Mercy Hospital of Fairfield 3000 Mack Rd Fairfield 45014 (513) 870-7000 OHIO BUTLER WEST CHESTER HOSPITAL 7700 UNIVERSITY DR WEST CHESTER 45069 (513) 298-3000 OHIO BUTLER WEST CHESTER HOSPITAL 7750 UNIVERSITY CT WEST CHESTER 45069 (513) 475-8300 CL-HOSPNT Updated September 27, 2021 Page 12 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 1054 E HIGH ST SPRINGFIELD 45505 (937) 390-7980 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 1086 MOUND ST SPRINGFIELD 45505 (937) 390-7980 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 1815 MIRACLE MILE SPRINGFIELD 45503 (937) 390-8004 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 474 N YELLOW SPRINGS ST SPRINGFIELD 45504 (937) 390-7973 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 50 W HIGH ST SPRINGFIELD 45502 (937) 324-9000 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 524 N DAYTON LAKEVIEW RD NEW CARLISLE 45344 (937) 845-9007 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 924 E HOME RD SPRINGFIELD 45503 (937) 390-7960 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 206 OCONNOR LN SPRINGFIELD 45504 (937) 399-9666 OHIO CLARK MENTAL HEALTH SERVICES FOR CLARK AND MAD 601 N FOUNTAIN AVE SPRINGFIELD 45504 (937) 390-7973 OHIO Clermont Clermont Hospital - Mercy Health 3000 Hospital Dr Batavia 45103 (513) 732-8200 OHIO CUYAHOGA GLENBEIGH 20800 CENTER RIDGE RD ROCKY RIVER 44116 (440) 356-7620 OHIO CUYAHOGA GLENBEIGH 3789 GREEN RD BEACHWOOD 44122 (216) 464-5800 OHIO CUYAHOGA SELECT SPECIALTY HOSPITAL CLEVELAND FAIR 11900 FAIRHILL RD CLEVELAND 44120 (216) 983-8030 OHIO CUYAHOGA SELECT SPECIALTY HOSPITAL GATEWAY 2351 E 22ND ST CLEVELAND 44115 (216) 592-2175 OHIO Cuyahoga St. John Medical Center 29000 Center Ridge Road Westlake 44145 (440) 835-8000 OHIO CUYAHOGA UNIVERSITY HOSPITAL UH PARMA MEDICAL CEN 7007 POWERS BLVD CLEVELAND 44129 (740) 743-3000 OHIO Defiance Community Memorial Hospital 208 N Columbus Street Hicksville 43526 (419) 542-6692 OHIO ERIE FIRELANDS REGIONAL MEDICAL CENTER 1111 HAYES AVE SANDUSKY 44870 (419) 557-7400 OHIO Erie Firelands Regional Medical Center - Main Campus 1111 Hayes Ave Sandusky 44870 (419) 626-7400 OHIO Erie Firelands Regional Medical Center - South Campus 1912 Hayes Ave Sandusky 44870 (419) 621-7000 OHIO ERIE FIRELANDS REGIONAL MEDICAL CENTER SOUTH 1912 HAYES AVE SANDUSKY 44870 (419) 557-7400 OHIO FAIRFIELD FAIRFIELD MEDICAL CENTER 401 N EWING ST LANCASTER 43130 (740) 687-8000 OHIO Franklin Ohio State University Hospital East 181 Taylor Ave Columbus 43205 (614) 257-3000 OHIO Franklin Ohio State University Hospitals 410 W 10th Ave Columbus 43210 (614) 293-8000 OHIO FRANKLIN SELECT SPECIALTY HOSPITAL COLUMBUS EAST 1492 E BROAD ST COLUMBUS 43205 (614) 685-1703 OHIO FRANKLIN SELECT SPECIALTY HOSPITAL COLUMBUS INC 1087 DENNISON AVE COLUMBUS 43201 (614) 458-9000 OHIO FRANKLIN SELECT SPECIALTY HOSPITAL COLUMBUS INC M 793 W STATE ST COLUMBUS 43222 (614) 234-0950 OHIO FRANKLIN WOODS AT PARKSIDE 349 OLDE RIDENOUR RD COLUMBUS 43230 (614) 471-2552 OHIO GUERNSEY CAMBRIDGE BEHAVIORAL HOSPITAL 66755 STATE ST CAMBRIDGE 43725 (740) 432-4906 OHIO GUERNSEY SOUTHEASTERN OHIO REGIONAL MEDICAL CENTE 1341 CLARK ST CAMBRIDGE 43725 (740) 439-8000 OHIO Guernsey Southeastern Ohio Regional Medical Center 1341 N Clark St Cambridge 43725 (740) 439-8000 OHIO HAMILTON CHRIST HOSPITAL 2139 AUBURN AVE CINCINNATI 45219 (513) 585-2000 OHIO HAMILTON DRAKE CENTER INC 151 W GALBRAITH RD CINCINNATI 45216 (513) 418-2500 OHIO Hamilton Mercy Health - Queen City Medical Center 3131 Queen City Ave Cincinnati 45238 (513) 389-5000 OHIO Hamilton Mercy Hospital Anderson 7500 State Rd Cincinnati 45255 (513) 624-4500 OHIO HAMILTON SELECT SPECIALTY HOSPITAL CINCINNATI INC 375 DIXMYTH AVE CINCINNATI 45220 (513) 862-4700 OHIO HAMILTON UNIVERSITY OF CINCINNATI MEDICAL CENTER 234 GOODMAN ST CINCINNATI 45267 (513) 584-1000 OHIO JEFFERSON TRINITY MEDICAL CENTER EAST 380 SUMMIT AVE STEUBENVILLE 43952 (740) 283-7000 OHIO JEFFERSON TRINITY MEDICAL CENTER WEST 4000 JOHNSON RD STEUBENVILLE 43952 (740) 264-8000 OHIO LUCAS GLENBEIGH 3425 EXECUTIVE PKWY TOLEDO 43606 (419) 536-4000 OHIO Lucas Mercy St Charles Hospital 2600 Navarre Ave Oregon 43616 (419) 696-7200 OHIO Lucas St Anne Mercy Hospital 3404 Sylvania Ave Toledo 43623 (419) 407-2663 OHIO Lucas St Vincents Mercy Health Center 2213 Cherry St Toledo 43608 (419) 251-3232 OHIO MADISON MENTAL HEALTH SERVICES FOR CLARK AND MAD 210 N MAIN ST LONDON 43140 (740) 852-6256 OHIO MAHONING SELECT SPECIALTY HOSPITAL YOUNGSTOWN INC 1044 BELMONT AVE YOUNGSTOWN 44504 (330) 480-2349 OHIO MAHONING SELECT SPECIALTY HOSPITAL YOUNGSTOWN INC 8401 MARKET ST YOUNGSTOWN 44512 (330) 729-1750 OHIO MONTGOMERY KINDRED HOSPITAL DAYTON 707 S EDWIN C MOSES BLVD DAYTON 45417 (937) 222-5963 OHIO MUSKINGUM SELECT SPECIALTY HOSPITAL ZANESVILLE INC 800 FOREST AVE ZANESVILLE 43701 (740) 588-7856 OHIO SANDUSKY ProMedica Memorial Hospital 715 S Taft Ave Fremont 43420 (419) 332-7321 OHIO Seneca Fostoria Community Hospital 501 Van Buren Street Fostoria 44830 (419) 435-7734 OHIO STARK SELECT SPECIALTY HOSPITAL NORTHEAST OHIO 1320 MERCY DR NW CANTON 44708 (330) 489-8198 OHIO SUMMIT SELECT SPECIALTY HOSPITAL AKRON LLC 200 E MARKET ST AKRON 44308 (330) 761-7500 OHIO TRUMBULL GLENBEIGH 29 NORTH RD NILES 44446 (330) 652-6770 OHIO Tuscarawas Trinity Hospital Twin City 819 N First Street Dennison 44621 (740) 922-2800 OHIO VAN WERT RIDGEVIEW BEHAVIORAL HOSPITAL 17872 LINCOLN HWY MIDDLE POINT 45863 (419) 968-2950 OKLAHOMA Atoka Atoka County Medical Center 1200 W Liberty Rd Atoka 74525 (580) 889-3333 OKLAHOMA ATOKA ATOKA MEMORIAL HOSPITAL 1200 W LIBERTY RD ATOKA 74525 (580) 889-3333 OKLAHOMA BEAVER BEAVER COUNTY MEMORIAL HOSPITAL 212 E 8TH ST BEAVER 73932 (580) 625-4551 OKLAHOMA BRYAN ALLIANCE HEALTH DURANT 1800 W UNIVERSITY BLVD DURANT 74701 (580) 924-3080 CL-HOSPNT Updated September 27, 2021 Page 13 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

OKLAHOMA CADDO PHYSICIANS HOSPITAL IN ANADARKO 1002 E CENTRAL BLVD ANADARKO 73005 (405) 247-2551 OKLAHOMA CUSTER WEATHERFORD REGIONAL HOSPITAL 3701 E MAIN ST WEATHERFORD 73096 (580) 772-5551 OKLAHOMA HUGHES HOLDENVILLE GENERAL HOSPITAL 100 MCDOUGAL DR HOLDENVILLE 74848 (405) 379-4200 OKLAHOMA MCCLAIN PURCELL MUNICIPAL HOSPITAL 1500 N GREEN AVE PURCELL 73080 (405) 527-6524 OKLAHOMA OKFUSKEE CREEK NATION COMMUNITY HOSPITAL 1800 E COPLIN ST OKEMAH 74859 (918) 623-1424 OKLAHOMA OKLAHOMA ALLIANCE HEALTH MIDWEST CITY 2825 PARKLAWN DR MIDWEST CITY 73110 (405) 610-8147 OKLAHOMA Oklahoma Community Hospital 3100 SW 89th St Oklahoma City 73159 (405) 602-8100 OKLAHOMA OKLAHOMA CURAHEALTH OKLAHOMA CITY 1407 N ROBINSON AVE OKLAHOMA CITY 73103 (405) 232-8000 OKLAHOMA OKLAHOMA CURAHEALTH OKLAHOMA CITY SOUTH 2129 SW 59TH ST OKLAHOMA CITY 73119 (405) 713-5955 OKLAHOMA Oklahoma Edmond Medical Center One South Bryant St Edmond 73034 (405) 341-6100 OKLAHOMA Oklahoma Midwest Regional Medical Center 2825 Parklawn Drive Midwest City 73110 (405) 610-4411 OKLAHOMA Oklahoma OU Medical Center 700 NE 13th St Oklahoma City 73104 (405) 271-4700 OKLAHOMA Oklahoma Presbyterian Tower Hospital 700 NE 13th St Oklahoma City 73104 (405) 271-5100 OKLAHOMA OKLAHOMA RED ROCK BEHAVIORAL HEALTH SERVICES 4400 N LINCOLN BLVD OKLAHOMA CITY 73105 (405) 424-7711 OKLAHOMA OKLAHOMA SELECT SPECIALTY HOSPITAL OKLAHOMA CITY 3524 NW 56TH ST OKLAHOMA CITY 73112 (405) 606-6937 OKLAHOMA OKLAHOMA SPECIALTY HOSPITAL OF MIDWEST CITY 8210 NATIONAL AVE MIDWEST CITY 73110 (405) 739-0800 OKLAHOMA OKMULGEE OMH MEDICAL CENTER 1401 MORRIS DR OKMULGEE 74447 (918) 756-4233 OKLAHOMA SEMINOLE ALLIANCEHEALTH SEMINOLE 2401 W WRANGLER BLVD SEMINOLE 74868 (405) 303-4000 OKLAHOMA Tulsa Oklahoma State University Medical Center 744 W 9th St Tulsa 74127 (918) 587-2561 OKLAHOMA TULSA SELECT SPECIALTY HOSPITAL TULSA MIDTOWN 744 W 9TH ST TULSA 74127 (918) 579-7300 OKLAHOMA TULSA SOUTHWESTERN REGIONAL MEDICAL CENTER 10109 E 79TH ST TULSA 74133 (918) 286-5000 OKLAHOMA WAGONER Wagoner Community Hospital 1200 West Cherokee St Wagoner 74467 (918) 485-5514 OREGON LANE PEACEHEALTH COTTAGE GROVE COMMUNITY MED 1515 VILLAGE DR COTTAGE GROVE 97424 (541) 767-5500 OREGON LANE PEACEHEALTH PEACE HARBOR HOSPITAL 400 9TH ST FLORENCE 97439 (541) 997-8412 OREGON LANE PEACEHEALTH SACRED HEART MEDICAL CENTER 1255 HILYARD ST EUGENE 97401 (541) 686-7300 OREGON LANE PEACEHEALTH SACRED HEART MEDICAL CENTER 3333 RIVERBEND DR SPRINGFIELD 97477 (541) 222-7300 OREGON Lane PeaceHealth Sacred Heart Medical Center Eugene 1255 Hilyard St Eugene 97401 (541) 686-7300 OREGON Lane PeaceHealth Sacred Heart Medical Center Springfiel 3333 Riverbend Dr Springfield 97477 (541) 222-7300 OREGON MARION SANTIAM HOSPITAL 1401 N 10TH AVE STAYTON 97383 (503) 769-2175 PENNSYLVANIA ALLEGHENY CURAHEALTH PITTSBURGH 7777 STEUBENVILLE PIKE OAKDALE 15071 (412) 494-5500 PENNSYLVANIA ALLEGHENY ENCOMPASS HEALTH REHABILITATION HOSPITAL 303 CAMPMEETING RD SEWICKLEY 15143 (412) 741-9500 PENNSYLVANIA ALLEGHENY SELECT SPECIALTY HOSPITAL MCKEESPORT INC 1500 5TH AVE MCKEESPORT 15132 (412) 664-2900 PENNSYLVANIA ALLEGHENY SELECT SPECIALTY HOSPITAL PITTSBURGH UPM 200 LOTHROP ST PITTSBURGH 15213 (412) 586-9819 PENNSYLVANIA BEAVER CURAHEALTH HERITAGE VALLEY 1000 DUTCH RIDGE RD BEAVER 15009 (724) 773-8480 PENNSYLVANIA BERKS ST JOSEPH MEDICAL CENTER 2500 BERNVILLE RD READING 19605 (610) 378-2000 PENNSYLVANIA Bucks Abington Health Center - Warminster 225 Newton Rd Warminster 18974 (215) 441-6600 PENNSYLVANIA CAMBRIA SELECT SPECIALTY HOSPITAL JOHNSTOWN INC 320 MAIN ST JOHNSTOWN 15901 (814) 534-7300 PENNSYLVANIA CHESTER LIFECARE HOSPITALS OF CHESTER COUNTY 400 E MARSHALL ST WEST CHESTER 19380 (484) 826-0400 PENNSYLVANIA CLARION CLARION PSYCHIATRIC CENTER 2 HOSPITAL DR CLARION 16214 (814) 226-9545 PENNSYLVANIA Clinton Lock Haven Hospital 24 Cree Dr Lock Haven 17745 (570) 893-5000 PENNSYLVANIA CUMBERLAND SELECT SPECIALTY HOSPITAL CENTRAL PA LP 503 N 21ST ST CAMP HILL 17011 (717) 972-4575 PENNSYLVANIA DAUPHIN SELECT SPECIALTY HOSPITAL CENTER PA LP H 111 S FRONT ST HARRISBURG 17101 (717) 724-6610 PENNSYLVANIA DELAWARE HORSHAM CLINIC 450 PARK WAY BROOMALL 19008 (610) 353-7357 PENNSYLVANIA DELAWARE KINDRED HOSPITAL PHILADELPHIA HAVERTOWN 2000 OLD WEST CHESTER PIKE HAVERTOWN 19083 (610) 853-2572 PENNSYLVANIA ERIE GLENBEIGH 4906 RICHMOND ST ERIE 16509 (814) 864-4226 PENNSYLVANIA ERIE SELECT SPECIALTY HOSPITAL ERIE INC 252 W 11TH ST ERIE 16501 (814) 874-5300 PENNSYLVANIA LACKAWANNA MARWORTH TREATMENT CENTER LILY LAKE RD WAVERLY 18471 (800) 442-7722 PENNSYLVANIA Lawrence Jameson Hospital 1211 Wilmington Ave New Carlisle 16105 (724) 658-9001 PENNSYLVANIA Mercer Grove City Medical Center 631 N Broad St Grove City 16127 (724) 450-7000 PENNSYLVANIA MERCER GROVE CITY MEDICAL CENTER 631 N BROAD STREET EXT GROVE CITY 16127 (724) 458-5442 PENNSYLVANIA MONTGOMERY CHESTNUT HILL REHAB HOSPITAL 8601 STENTON AVE WYNDMOOR 19038 (215) 233-6206 PENNSYLVANIA MONTGOMERY HORSHAM CLINIC 722 E BUTLER PIKE AMBLER 19002 (215) 643-7800 PENNSYLVANIA MONTOUR SELECT SPECIALTY HOSPITAL DANVILLE INC 100 N ACADEMY AVE DANVILLE 17822 (570) 214-9657 PENNSYLVANIA NATRONA HEIGHTS SELECT SPECIALTY HOSPITAL ALLE KISKI 1301 CARLISLE ST NATRONA HEIGHTS 15065 (724) 224-1574 PENNSYLVANIA PHILADELPHIA EPISCOPAL HOSPITAL 100 E LEHIGH AVE PHILADELPHIA 19125 (215) 707-1200 PENNSYLVANIA PHILADELPHIA HORSHAM CLINIC 9896 BUSTLETON AVE PHILADELPHIA 19115 (215) 676-4412 PENNSYLVANIA PHILADELPHIA KINDRED HOSPITAL PHILADELPHIA 6129 PALMETTO ST PHILADELPHIA 19111 (215) 722-8555 PENNSYLVANIA PHILADELPHIA MEADOWVIEW REHABILITATION AND NURSING CE 9209 RIDGE PIKE PHILADELPHIA 19128 (610) 825-6560 PENNSYLVANIA Philadelphia St Christophers Hospital for Children 160 Erie Ave Philadelphia 19134 (215) 427-5000 CL-HOSPNT Updated September 27, 2021 Page 14 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

PENNSYLVANIA PIKE PROGRESSIVE HEALTH OF PA 112 E HARFORD ST MILFORD 18337 (570) 296-5156 PENNSYLVANIA SOMERSET SOMERSET HOSPITAL CENTER FOR HEALTH 225 S CENTER AVE SOMERSET 15501 (814) 443-5040 PENNSYLVANIA WESTMORELAND SELECT SPECIALTY HOSPITAL LAUREL HIGHLAN 1 MELLON WAY LATROBE 15650 (724) 832-4210 PENNSYLVANIA WESTMORELAND WESTMORELAND HOSPITAL 532 W PITTSBURGH ST GREENSBURG 15601 (724) 832-4000 PENNSYLVANIA Westmoreland Westmoreland Hospital 532 W Pittsburgh St Greensburg 15601 (724) 832-4040 PENNSYLVANIA YORK ENCOMPASS HEALTH REHABILITATION HOSPITAL 1850 NORMANDIE DR YORK 17408 (717) 767-6941 PENNSYLVANIA YORK SELECT SPECIALTY HOSPITAL CENTRAL PA LP 1001 S GEORGE ST YORK 17403 (717) 812-2420 PUERTO RICO SAN JUAN HEALTHSOUTH REHABILITATION HOSPITAL OF S UNIVERSITY HOSPITAL RIO PIEDRAS 923 (787) 274-5100 RHODE ISLAND PROVIDENCE CHERRY HILL MANOR NURSING HOME 2 CHERRY HILL RD JOHNSTON 2919 (401) 231-3102 RHODE ISLAND PROVIDENCE EVERGREEN HOUSE HEALTH CENTER 1 EVERGREEN DR EAST PROVIDENCE 2914 (401) 438-3250 RHODE ISLAND PROVIDENCE ROGER WILLIAMS MEDICAL CENTER 825 CHALKSTONE AVE PROVIDENCE 2908 (401) 456-2000 SOUTH CAROLINA ALLENDALE ALLENDALE COUNTY HOSPITAL 1787 ALLENDALE FAIRFAX HWY FAIRFAX 29827 (803) 632-3311 SOUTH CAROLINA Allendale Allendale County Hospital Highway 278 West Fairfax 29827 (803) 632-3311 SOUTH CAROLINA Edgefield Edgefield County Hospital 300 Ridge Medical Plaza Rd Edgefield 29824 (803) 637-3174 SOUTH CAROLINA Florence Carolinas Hospital System 805 Pamplico Highway Florence 29505 (843) 674-5000 SOUTH CAROLINA GREENVILLE NHC HEALTHCARE OF GREENVILLE 1305 BOILING SPRINGS RD GREER 29650 (864) 458-7566 SOUTH CAROLINA HORRY WILMINGTON TREATMENT CENTER 1551 21ST AVE N MYRTLE BEACH 29577 (843) 626-6808 SOUTH DAKOTA MINNEHAHA SELECT SPECIALTY HOSPITAL SIOUX FALLS IN 1305 W 18TH ST SIOUX FALLS 57105 (605) 322-3300 SOUTH DAKOTA MINNEHAHA SIOUX FALLS SPECIALTY HOSPITAL 910 E 20TH ST SIOUX FALLS 57105 (605) 334-6730 TENNESSEE BEDFORD VANDERBILT BEDFORD HOSPITAL 2835 HIGHWAY 231 N SHELBYVILLE 37160 (931) 685-5433 TENNESSEE Bradley SKYRIDGE MEDICAL CENTER - MAIN CAMPUS 2305 CHAMBLISS AVE NW CLEVELAND 37311 (423) 559-6000 TENNESSEE Bradley SKYRIDGE MEDICAL CENTER - WESTSIDE CAMPUS 2800 WESTSIDE DR NW CLEVELAND 37312 (423) 339-4100 TENNESSEE BRADLEY TENNOVA HEALTHCARE CLEVELAND 2305 CHAMBLISS AVE NW CLEVELAND 37311 (423) 339-4100 TENNESSEE BRADLEY TENNOVA HEALTHCARE CLEVELAND 2305 CHAMBLISS AVE NW CLEVELAND 37311 (423) 559-6100 TENNESSEE BRADLEY TENNOVA HEALTHCARE CLEVELAND 2800 WESTSIDE DR NW CLEVELAND 37312 (423) 339-4100 TENNESSEE BRADLEY TENNOVA HEALTHCARE CLEVELAND 2800 WESTSIDE DR NW CLEVELAND 37312 (423) 559-6100 TENNESSEE COFFEE VANDERBILT TULLAHOMA HARTON HOSPITAL 1801 N JACKSON ST TULLAHOMA 37388 (931) 393-3000 TENNESSEE DAVIDSON CUMBERLAND HEIGHTS 8283 RIVER ROAD PIKE NASHVILLE 37209 (800) 646-9998 TENNESSEE DAVIDSON CURAHEALTH NASHVILLE 1412 COUNTY HOSPITAL RD NASHVILLE 37218 (615) 687-2600 TENNESSEE DAVIDSON PSYCHIATRIC HOSPITAL AT VANDERBILT 1601 23RD AVE S NASHVILLE 37212 (615) 327-7000 TENNESSEE DAVIDSON SELECT SPECIALTY HOSPITAL NASHVILLE INC 2000 HAYES ST NASHVILLE 37203 (615) 284-4599 TENNESSEE DAVIDSON VANDERBILT UNIVERSITY HOSPITAL 1211 MEDICAL CENTER DR NASHVILLE 37232 (615) 322-5000 TENNESSEE DAVIDSON VANDERBILT UNIVERSITY MEDICAL CENTER 1211 22nd Avenue S. Nashville 37232 (615) 322-5000 TENNESSEE HAMILTON KINDRED HOSPITAL CHATTANOOGA 709 WALNUT ST CHATTANOOGA 37402 (423) 266-7721 TENNESSEE Hardin Hardin Medical Center 935 Wayne Road Savanna 38372 (731) 926-8000 TENNESSEE Humphreys Three Rivers Hospital 451 Highway 13 S Waverly 37185 (509) 689-2517 TENNESSEE HUMPHREYS THREE RIVERS HOSPITAL 451 HIGHWAY 13 S WAVERLY 37185 (931) 296-4203 TENNESSEE KNOX NHC HEALTHCARE FORT SANDERS 2120 HIGHLAND AVE KNOXVILLE 37916 (865) 525-4131 TENNESSEE KNOX SELECT SPECIALTY HOSPITAL NORTH KNOXVILL 900 E OAK HILL AVE KNOXVILLE 37917 (865) 545-7350 TENNESSEE KNOX SELECT SPECIALTY HOSPTIAL OF KNOXVILLE I 1901 W CLINCH AVE KNOXVILLE 37916 (865) 541-2600 TENNESSEE KNOX UNIVERSITY OF TENNESSEE 1924 ALCOA HWY KNOXVILLE 37920 (865) 544-9000 TENNESSEE Knox University of Tennessee Medical Center 1924 Alcoa Hwy Knoxville 37920 (865) 544-9000 TENNESSEE LINCOLN MAGNOLIA RANCH RECOVERY LLC 39 STEVENS HOLLOW RD TAFT 38488 (561) 419-0575 TENNESSEE MARSHALL MARSHALL MEDICAL CENTER 1080 N ELLINGTON PKWY LEWISBURG 37091 (931) 359-6241 TENNESSEE MAURY MAURY REGIONAL HOSPITAL 1224 TROTWOOD AVE COLUMBIA 38401 (931) 381-1111 TENNESSEE MCMINN STARR REGIONAL MEDICAL CENTER ATHENS 1114 W MADISON AVE ATHENS 37303 (423) 475-1411 TENNESSEE MCMINN STARR REGIONAL MEDICAL CENTER ETOWAH 886 HIGHWAY 411 N ETOWAH 37331 (423) 263-3600 TENNESSEE Mcminn Woods Memorial Hospital 886 Highway 411 North Etowah 37331 (423) 263-3600 TENNESSEE RUTHERFORD NHC HEALTHCARE MURFREESBORO 420 N UNIVERSITY ST MURFREESBORO 37130 (615) 893-2602 TENNESSEE SCOTT BIG SOUTH FORK MEDICAL CENTER 18797 ALBERTA ST ONEIDA 37841 (423) 286-5500 TENNESSEE Shelby Delta Medical Center 3000 Getwell Rd Memphis 38118 (901) 410-4794 TENNESSEE Shelby Saint Francis Hospital 5959 Park Avenue Memphis 38119 (901) 765-1000 TENNESSEE SHELBY SELECT SPECIALTY HOSPITAL MEMPHIS INC 1265 UNION AVE FL 2ND MEMPHIS 38104 (901) 765-1245 TENNESSEE SHELBY SELECT SPECIALTY HOSPITAL MEMPHIS INC 1265 UNION AVE FL 4 MEMPHIS 38104 (901) 765-1245 TENNESSEE SULLIVAN SELECT SPECIALTY HOSPITAL TRI CITIES INC 1 MEDICAL PARK BLVD BRISTOL 37620 (423) 844-5916 TENNESSEE WAYNE WAYNE MEDICAL CENTER 103 JV MANGUBAT DR WAYNESBORO 38485 (931) 722-5411 TENNESSEE WILSON VANDERBILT WILSON COUNTY HOSPITAL 1411 W BADDOUR PKWY LEBANON 37087 (615) 444-8262 TENNESSEE WILSON VANDERBILT WILSON COUNTY HOSPITAL 500 PARK AVE LEBANON 37087 (615) 449-0500 TEXAS Anderson Palestine Regional Med. Center - E. Campus 2900 S Loop 256 Palestine 75801 (903) 731-1000 CL-HOSPNT Updated September 27, 2021 Page 15 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

TEXAS Anderson Palestine Regional Rehabilitiation Campus 4000 S Loop 256 Palestine 75801 (903) 731-5000 TEXAS ANDREWS PERMIAN REGIONAL MEDICAL CENTER 720 HOSPITAL DR ANDREWS 79714 (432) 523-2200 TEXAS Angelina Memorial Medical Center of East Texas 1201 Frank Lufkin 75904 (936) 634-8111 TEXAS Angelina Memorial Specialty Hospital 1201 Frank Lufkin 75904 (936) 634-8111 TEXAS ANGELINA WOODLAND HEIGHTS MEDICAL CENTER 505 S JOHN REDDITT DR LUFKIN 75904 (936) 634-8311 TEXAS Angelina Woodland Heights Medical Center 505 South John Redditt Dr Lufkin 75904 (936) 634-8311 TEXAS AUSTIN BELLVILLE MEDICAL CENTER 44 N CUMMINGS ST BELLVILLE 77418 (979) 865-3141 TEXAS BAILEY MULESHOE AREA MEDICAL CENTER 708 S 1ST ST MULESHOE 79347 (806) 272-4524 TEXAS BELL CEDAR CREST HOSPITAL AND RTC 3500 S INTERSTATE 35 BELTON 76513 (254) 939-2100 TEXAS Bexar HealthSouth Rehabilitation Institute of San Antonio 9119 Cinnamon Hill San Antonio 78240 (210) 691-0737 TEXAS BEXAR KINDRED HOSPITAL SAN ANTONIO 3636 MEDICAL DR SAN ANTONIO 78229 (210) 616-0616 TEXAS BEXAR KINDRED HOSPITAL SAN ANTONIO CENTRAL 111 DALLAS ST SAN ANTONIO 78205 (210) 297-7195 TEXAS Bexar Methodist Ambulatory Surgery Hospital 9150 Huebner Road San Antonio 78240 (210) 575-5000 TEXAS Bexar Methodist Hospital 7700 Floyd Curl Drive San Antonio 78229 (210) 575-4000 TEXAS Bexar Methodist Specialty & Transplant Hospital 8026 Floyd Curl Drive San Antonio 78229 (210) 578-8110 TEXAS Bexar Metropolitan Methodist Hospital 1310 McCullough Avenue San Antonio 78212 (210) 757-2200 TEXAS Bexar Northeast Methodist Hospital 12412 Judson Road San Antonio 78233 (210) 757-7000 TEXAS Bowie HealthSouth Rehabilitation Hospital of Texarkana 515 West 12th Street Texarkana 75501 (903) 793-0088 TEXAS Bowie Wadley Regional Medical Center 1000 Pine Street Texarkana 75501 (903) 798-8000 TEXAS Brazos St Josephs Home Health 3030 E 29th St, Suite 108 Bryan 77802 (979) 776-6544 TEXAS Brazos St Josephs Regional Health Center 2801 Franciscan Dr Bryan 77802 (979) 776-3777 TEXAS Brazos St Josephs Regional Rehabilitation Center 1600 Joseph Dr Bryan 77802 (979) 821-7500 TEXAS BROWN MID TEXAS COUNCIL ADA 901 AVENUE B BROWNWOOD 76801 (325) 646-8747 TEXAS BURLESON BURLESON ST JOSEPH HEALTH CENTER 1101 WOODSON DR CALDWELL 77836 (979) 567-3245 TEXAS Burleson CHI St Joseph Health Burleson Hospital 1103 Woodson Dr Caldwell 77836 (979) 567-7080 TEXAS Burleson CHI St Joseph Health Skilled Nursing and Rehab 1022 Presidential Corridor Caldwell 77836 (979) 567-7080 TEXAS Burleson Health Point Somerville 600 Memory Lane Somerville 77879 (979) 596-1441 TEXAS CAMERON RECOVERY CENTER OF CAMERON COUNTY 3567 W BUSINESS 83 HARLINGEN 78552 (956) 425-2733 TEXAS CAMERON RECOVERY CENTER OF CAMERON COUNTY 65 CASTELLANO CIR BROWNSVILLE 78526 (956) 548-0028 TEXAS CAMERON RECOVERY CENTER OF CAMERON COUNTY 700 E LEVEE ST BROWNSVILLE 78520 (956) 548-0028 TEXAS CAMP EAST TEXAS MEDICAL CENTER PITTSBURG 2701 US HIGHWAY 271 N PITTSBURG 75686 (903) 856-6663 TEXAS CHAMBERS RICELAND MEDICAL CENTER 538 BROADWAY WINNIE 77665 (409) 296-6000 TEXAS CHEROKEE EAST TEXAS MEDICAL CENTER JACKSONVILLE 501 S RAGSDALE ST JACKSONVILLE 75766 (903) 541-5000 TEXAS Cherokee East Texas Medical Center Rusk 500 N Bonner Rusk 75785 (903) 683-2273 TEXAS Cherokee Mother Frances Hospital - Jacksonville 2026 S. Jackson Jacksonville 75766 (903) 586-5678 TEXAS Clay Clay County Memorial Hospital 310 West South Street Henrietta 76365 (940) 538-5621 TEXAS COCHRAN COCHRAN MEMORIAL HOSPITAL 201 E GRANT AVE MORTON 79346 (806) 266-5565 TEXAS COLLIN CHILD AND FAMILY GUIDANCE CENTERS 3700 W 15TH ST PLANO 75075 (214) 351-3490 TEXAS Collin HealthSouth Plano Rehabilitation Hospital 2800 W 15th Street Plano 75075 (972) 612-9000 TEXAS CRANE CRANE MEMORIAL HOSPITAL 1310 S ALFORD ST CRANE 79731 (432) 558-3555 TEXAS CULBERSON CULBERSON HOSPITAL DISTRICT EISENHOWER ROAD FM 2185 VAN HORN 79855 (432) 283-2760 TEXAS Dallam Coon Memorial Hospital 1411 Denver Ave Dalhart 79022 (806) 244-4571 TEXAS DALLAS CENTRE FOR NEURO SKILLS 1320 W WALNUT HILL LN IRVING 75038 (972) 580-8500 TEXAS DALLAS CHILD AND FAMILY GUIDANCE CENTERS 1035 MILITARY PKWY MESQUITE 75149 (214) 351-3490 TEXAS DALLAS CHILD AND FAMILY GUIDANCE CENTERS 2200 MAIN ST DALLAS 75201 (214) 351-3490 TEXAS DALLAS CHILD AND FAMILY GUIDANCE CENTERS 633 W CENTERVILLE RD GARLAND 75041 (214) 351-3490 TEXAS DALLAS CHILD AND FAMILY GUIDANCE CENTERS 800 W AIRPORT FWY IRVING 75062 (214) 351-3490 TEXAS DALLAS CHILD AND FAMILY GUIDANCE CENTERS 8157 LEIGH ANN DR DALLAS 75232 (214) 351-3490 TEXAS DALLAS CHILD AND FAMILY GUIDANCE CENTERS 8915 HARRY HINES BLVD DALLAS 75235 (214) 351-3490 TEXAS DALLAS KINDRED HOSPITAL DALLAS CENTRAL 8050 MEADOW RD DALLAS 75231 (469) 232-6500 TEXAS DALLAS NEXUS RECOVERY CENTER 2519 OAK LAWN AVE DALLAS 75219 (214) 321-0156 TEXAS DALLAS NEXUS RECOVERY CENTER 8733 LA PRADA DR DALLAS 75228 (214) 321-0156 TEXAS Dallas Pine Creek Medical Center 9032 Harry Hines Blvd Dallas 75235 (214) 231-2273 TEXAS DALLAS SELECT SPECIALTY HOSPITAL DALLAS DOWNTOW 3500 GASTON AVE DALLAS 75246 (469) 801-4600 TEXAS DALLAS UHS OF TIMBERLAWN INC 1303 W WALNUT HILL LN IRVING 75038 (972) 717-3530 TEXAS DALLAS UHS OF TIMBERLAWN INC 17103 PRESTON RD DALLAS 75248 (214) 250-4971 TEXAS DALLAS UHS OF TIMBERLAWN INC 2707 BOLTON BOONE DR DESOTO 75115 (214) 283-2700 TEXAS DALLAS UHS OF TIMBERLAWN INC 4600 SAMUELL BLVD DALLAS 75228 (214) 320-9000 TEXAS DALLAS UHS OF TIMBERLAWN INC 4600 SAMUELL BLVD DALLAS 75228 (214) 381-7181 CL-HOSPNT Updated September 27, 2021 Page 16 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

TEXAS DALLAS UHS OF TIMBERLAWN INC 8035 E R L THORNTON FWY DALLAS 75228 (214) 320-9000 TEXAS DALLAS UHS OF TIMBERLAWN INC 8035 E R L THORNTON FWY DALLAS 75228 (214) 381-7181 TEXAS DALLAS VIBRA SPECIALTY HOSPITAL OF DALLAS LLC 2700 WALKER WAY DESOTO 75115 (214) 638-1500 TEXAS DENTON INTEGRITY TRANSITIONAL HOSPITAL 2813 S MAYHILL RD DENTON 76208 (940) 320-2300 TEXAS DENTON MAYHILL HOSPITAL 2809 S MAYHILL RD DENTON 76208 (940) 239-3000 TEXAS DENTON SELECT SPECIALTY HOSPITAL DALLAS INC 2329 PARKER RD CARROLLTON 75010 (469) 892-1278 TEXAS DENTON UNIVERSITY BEHAVIORAL HEALTH 2026 W UNIVERSITY DR DENTON 76201 (940) 320-8100 TEXAS EL PASO EAST EL PASO PHYSICIANS MEDICAL CENTER L 1416 GEORGE DIETER DR EL PASO 79936 (915) 598-4240 TEXAS EL PASO EL PASO BEHAVIORAL HEALTH SYSTEM 1900 DENVER AVE EL PASO 79902 (940) 320-8100 TEXAS EL PASO EL PASO PSYCHIATRIC CENTER 4615 ALAMEDA AVE EL PASO 79905 (915) 532-2202 TEXAS El Paso Foundation Surgical Hospital of El Paso 1416 George Dieter Dr El Paso 79936 (915) 598-4240 TEXAS EL PASO KINDRED HOSPITAL EL PASO 1740 CURIE DR EL PASO 79902 (915) 351-9044 TEXAS El Paso Providence Memorial Hospital 2001 North Oregon Street El Paso 79902 (915) 577-6011 TEXAS El Paso Sierra Medical Center 1625 Medical Center St. El Paso 79902 (915) 747-4000 TEXAS EL PASO UNIVERSITY MEDICAL CENTER OF EL PASO 4815 ALAMEDA AVE EL PASO 79905 (915) 544-1200 TEXAS ELLIS ENNIS REGIONAL MEDICAL CENTER 2201 W LAMPASAS ST ENNIS 75119 (972) 875-0900 TEXAS Ellis Ennis Regional Medical Center 2203 W Lampasas St Ennis 75119 (972) 875-0900 TEXAS ERATH SHORELINE INC 2209 W WASHINGTON ST STEPHENVILLE 76401 (800) 628-3265 TEXAS ERATH SUMMER SKY INC 1100 N MCCART ST STEPHENVILLE 76401 (254) 968-2907 TEXAS FALLS FALLS COMMUNITY HOSPITAL AND CLINIC 322 COLEMAN ST MARLIN 76661 (254) 803-3561 TEXAS FISHER FISHER COUNTY HOSPITAL DISTRICT 774 STATE HIGHWAY 70 N ROTAN 79546 (325) 735-2256 TEXAS FORT BEND ATRIUM MEDICAL CENTER 11929 W AIRPORT BLVD STAFFORD 77477 (281) 207-8200 TEXAS FORT BEND KINDRED HOSPITAL SUGAR LAND 1550 FIRST COLONY BLVD SUGAR LAND 77479 (281) 275-6000 TEXAS FORT BEND ST LUKES LAKESIDE HOSPITAL 17400 ST LUKES WAY THE WOODLANDS 77384 (281) 637-7000 TEXAS Fort Bend Sugar Land Rehabilitation Hospital 1325 Highway 6 Sugar Land 77478 (281) 276-7574 TEXAS FORT BEND SUGARLAND REHABILITATION HOSPITAL 1325 HIGHWAY 6 SUGAR LAND 77478 (281) 276-7587 TEXAS FORT BEND ST LUKES SUGAR LAND HOSPITAL 1317 LAKE POINTE PKWY SUGAR LAND 77478 (281) 637-7000 TEXAS FREESTONE FREESTONE MEDICAL CENTER 734 W COMMERCE ST FAIRFIELD 75840 (903) 389-2121 TEXAS GAINES MEMORIAL HOSPITAL 209 NW 8TH ST SEMINOLE 79360 (432) 758-5811 TEXAS GALVESTON DEVEREUX TEXAS TREATMENT NETWORK 1150 DEVEREUX DR LEAGUE CITY 77573 (281) 335-1000 TEXAS GALVESTON DEVEREUX TEXAS TREATMENT NETWORK 8901 EMMETT F LOWRY EXPY TEXAS CITY 77591 (409) 933-3003 TEXAS GRAYSON WILSON N JONES REGIONAL MEDICAL CENTER 500 N HIGHLAND AVE SHERMAN 75092 (903) 870-4611 TEXAS GRAYSON WILSON N JONES REGIONAL MEDICAL CENTER B 1111 GALLAGHER DR SHERMAN 75090 (903) 870-7322 TEXAS Grayson Wilson N. Jones Regional Medical Center 500 N Highland Ave Sherman 75092 (903) 870-4630 TEXAS Gregg Allegiance Specialty Hospital of Kilgore 1612 S Henderson Blvd Kilgore 75662 (903) 984-3505 TEXAS Gregg Good Shepherd Medical Center 700 E Marshall Ave Longview 75601 (903) 236-2000 TEXAS GREGG LONGVIEW REGIONAL MEDICAL CENTER 2901 N 4TH ST LONGVIEW 75605 (903) 758-1818 TEXAS Gregg Longview Regional Medical Center 2901 North 4th St Longview 75605 (903) 758-1818 TEXAS GREGG SELECT SPECIALTY HOSPITAL LONGVIEW INC 700 E MARSHALL AVE LONGVIEW 75601 (903) 315-1100 TEXAS Grimes Grimes St Joseph Health Center 210 S Judson St Navasota 77868 (936) 825-6585 TEXAS HARRIS CENIKOR FOUNDATION DEER PARK 4525 GLENWOOD AVE DEER PARK 77536 (888) 236-4567 TEXAS HARRIS DEVEREUX TEXAS TREATMENT NETWORK 1900 STRAWBERRY RD PASADENA 77502 (713) 477-5888 TEXAS Harris Doctors Hospital Tidwell 510 W Tidwell Rd. Houston 77091 (281) 618-8500 TEXAS Harris HealthSouth Rehabilitation Hospital 19002 McKay Drive Humble 77338 (281) 446-6148 TEXAS HARRIS KINDRED HOSPITAL CLEAR LAKE 350 BLOSSOM ST WEBSTER 77598 (281) 316-7800 TEXAS HARRIS KINDRED HOSPITAL HOUSTON MEDICAL CENTER 6441 MAIN ST HOUSTON 77030 (713) 790-0500 TEXAS HARRIS KINDRED HOSPITAL HOUSTON NORTH WEST 11297 FALLBROOK DR HOUSTON 77065 (281) 897-8114 TEXAS Harris Park Plaza Hospital 1313 Herman Drive Houston 77004 (713) 527-5000 TEXAS HARRIS PINE VALLEY SPECIALTY HOSPITAL 6160 SOUTH LOOP E HOUSTON 77087 (713) 640-2400 TEXAS Harris St Joseph Medical Center 1401 St Joseph Parkway Houston 77002 (713) 757-1000 TEXAS HARRIS ST LUKES HOSPITAL AT THE VINTAGE 20171 CHASEWOOD PARK DR HOUSTON 77070 (832) 534-5000 TEXAS HARRIS TOMBALL REGIONAL HOSPITAL 605 HOLDERRIETH BLVD TOMBALL 77375 (281) 351-1623 TEXAS HARRIS UNITED MEMORIAL MEDICAL CENTER 510 W TIDWELL RD HOUSTON 77091 (281) 618-8500 TEXAS HARRIS UNIVERSITY OF TX HOUSTON HARRIS CO PSYCH 2800 S MACGREGOR WAY HOUSTON 77021 (713) 741-5000 TEXAS HARRIS UNIVERSITY OF TX HOUSTON HARRIS CO PSYCH 3610 WILLOWBEND BLVD HOUSTON 77054 (713) 500-8800 TEXAS HARRIS UNIVERSITY OF TX HOUSTON HARRIS CO PSYCH 4514 LYONS AVE HOUSTON 77020 (713) 331-2500 TEXAS HARRISON CHOICES ADOLESCENT TREATMENT CENTER 4521 KARNACK HWY MARSHALL 75672 (903) 938-4455 TEXAS HARTLEY COON MEMORIAL HOSPITAL 1411 DENVER AVE DALHART 79022 (806) 244-4571 TEXAS HAY CHRISTUS SANTA ROSA HOSPITAL SAN MARCOS 1301 WONDER WORLD DR SAN MARCOS 78666 (512) 353-8979 CL-HOSPNT Updated September 27, 2021 Page 17 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

TEXAS Hidalgo Doctors Hospital at Renaissance 5501 S McColl Rd Edinburg 78539 (956) 362-8677 TEXAS HIDALGO DOCTORS HOSPITAL AT RENAISSANCE 5501 S MCCOLL RD EDINBURG 78539 (956) 661-7100 TEXAS Hidalgo Edinburg Regional Medical Center 1102 W Trenton Edinburg 78539 (956) 388-6000 TEXAS Hidalgo McAllen Medical Center 301 W Expwy 83 McAllen 78503 (956) 632-4000 TEXAS HIDALGO WESLACO REGIONAL REHABILITATION HOSPITAL 906 JAMES ST WESLACO 78596 (956) 969-2222 TEXAS JACKSON JACKSON HEALTHCARE CENTER 1013 S WELLS ST EDNA 77957 (361) 782-5241 TEXAS Jackson Jackson Healthcare Center 1013 S Wells St Edna 77957 (361) 782-7870 TEXAS JEFFERSON BAPTIST BEAUMONT HOSPITAL 3080 COLLEGE ST BEAUMONT 77701 (409) 212-5000 TEXAS Jefferson Baptist Beaumont Hospital 3080 College St Beaumont 77701 (409) 835-3784 TEXAS Jefferson HealthSouth Rehabilitation Hosp. of Beaumont 3340 Plaza Ten Blvd Beaumont 77707 (409) 835-0835 TEXAS Jones Anson General Hospital 101 Avenue J Anson 79501 (325) 823-3231 TEXAS JONES STAMFORD MEMORIAL HOSPITAL 1601 COLUMBIA ST STAMFORD 79553 (325) 773-2725 TEXAS KNOX KNOX COUNTY HOSPITAL DISTRICT 701 SE 5TH ST KNOX CITY 79529 (940) 657-3535 TEXAS LAMB LAMB HEALTHCARE CENTER 1500 S SUNSET AVE LITTLEFIELD 79339 (806) 385-6411 TEXAS Lee Burleson St Joseph Lexington Fam. Med Clinic 609 Main St Lexington 78947 (979) 773-9000 TEXAS Leon Powell Memorial Health Center 102 E Main Centerville 75833 (903) 536-2313 TEXAS Leon St Joseph - Normangee Fam. Med. Clinic 901 Main St Normangee 77871 (979) 396-2806 TEXAS LIMESTONE LIMESTONE MEDICAL CENTER 701 MCCLINTIC DR GROESBECK 76642 (254) 729-3281 TEXAS LUBBOCK GRACE MEDICAL CENTER 2412 50TH ST LUBBOCK 79412 (806) 788-4100 TEXAS Lubbock Grace Medical Center 2412 50TH ST Lubbock 79412 (808) 788-4071 TEXAS Lubbock University Medical Center 602 Indiana Ave Lubbock 79415 (806) 743-3111 TEXAS Madison Health Point Madisonville Clinic 100 W Cross St Madisonville 77864 (936) 348-3418 TEXAS Madison Madison St Joseph Health Center 100 W Cross St Madisonville 77864 (936) 348-2631 TEXAS MARTIN MARTIN COUNTY HOSPITAL DISTRICT 600 E INTERSTATE 20 STANTON 79782 (423) 607-3200 TEXAS MCLENNAN CENIKOR FOUNDATION WACO 3015 HERRING AVE WACO 76708 (254) 224-8881 TEXAS MCLENNAN CRESTVIEW HEALTHCARE RESIDENCE 1400 LAKE SHORE DR WACO 76708 (254) 753-0291 TEXAS MCLENNAN PROVIDENCE HEALTH CENTER 6901 MEDICAL PKWY WACO 76712 (254) 751-4000 TEXAS Midland HealthSouth Rehabilitation Hospital of Midland 1800 Heritage Boulevard Midland 79707 (432) 520-1600 TEXAS MILAM LITTLE RIVER HEALTHCARE 1700 BRAZOS AVE ROCKDALE 76567 (512) 446-2513 TEXAS Milam Little River Healthcare - Cameron Hospital 806 Crockett Ave. Cameron 76520 (254) 605-1300 TEXAS Milam Rockdale Hospital 1700 Brazos Ave Rockdale 76567 (512) 446-4500 TEXAS Montgomery HealthSouth Rehabilitation Hosp. of North Houston 18550 IH 45 South Conroe 77384 (291) 364-2000 TEXAS MONTGOMERY HEALTHSOUTH REHABILITATION HOSPITAL OF T 18550 INTERSTATE 45 S CONROE 77384 (281) 364-2000 TEXAS MONTGOMERY ST LUKES THE WOODLANDS HOSPITAL 17200 ST LUKES WAY THE WOODLANDS 77384 (936) 266-2000 TEXAS Nacogdoches Nacogdoches Medical Center 4920 NE Stallings Dr Nacogdoches 75965 (936) 569-9481 TEXAS NACOGDOCHES NACOGDOCHES MEMORIAL HOSPITAL 1204 N MOUND ST NACOGDOCHES 75961 (936) 564-4611 TEXAS Nueces Corpus Christi Medical Center 7101 S Padre Island Dr Corpus Christi 78412 (361) 761-1000 TEXAS Nueces Corpus Christi Medical Center Bay Area Surgery 7101 S Padre Island Dr Corpus Christi 78412 (361) 985-1200 TEXAS Nueces Corpus Christi Medical Center The Heart Hospital 7002 Williams Dr Corpus Christi 78412 (361) 761-6800 TEXAS Nueces Doctors Regional Medical Center 3315 S Alameda St Corpus Christi 78411 (361) 761-1400 TEXAS Nueces Northwest Regional Hospital 13725 Northwest Blvd Corpus Christi 78410 (361) 767-4400 TEXAS Orange Baptist Orange Hospital 608 Strickland Orange 77630 (409) 883-9361 TEXAS ORANGE BAPTIST ORANGE HOSPITAL 608 STRICKLAND DR ORANGE 77630 (409) 883-9361 TEXAS Panola East Texas Medical Center - Carthage 409 W Cottage Rd Carthage 75633 (903) 693-3841 TEXAS PANOLA EAST TEXAS MEDICAL CENTER CARTHAGE 409 COTTAGE RD CARTHAGE 75633 (903) 693-3841 TEXAS PECOS IRAAN GENERAL HOSPITAL DISTRICT 600 HWY 349 NORTH IRAAN 79744 (432) 639-2575 TEXAS PECOS PECOS COUNTY MEMORIAL HOSPITAL 387 INTERSTATE 10 W FORT STOCKTON 79735 (432) 336-2241 TEXAS Polk Memorial Medical Center - Livingston 1717 Hwy 59 Bypass Livingston 77351 (936) 329-8700 TEXAS POTTER BAPTIST ST ANTHONYS HEALTH SYSTEM 1600 WALLACE BLVD AMARILLO 79106 (806) 212-2000 TEXAS Potter Baptist St Anthonys Health System - Baptist Campus 1600 Wallace Blvd Amarillo 79106 (806) 212-2000 TEXAS Potter Baptist St Anthonys Health System - St Anthonys Ca 200 NW 7th Amarillo 79107 (806) 212-2000 TEXAS Potter Panhandle Surgical Hospital 7100 W 9th Ave Amarillo 79106 (806) 212-0247 TEXAS POTTER PHYSICIANS SURGICAL HOSPITAL 6819 PLUM CREEK DR AMARILLO 79124 (806) 354-6100 TEXAS POTTER PHYSICIANS SURGICAL HOSPITAL 7100 SW 9TH AVE AMARILLO 79106 (806) 212-0247 TEXAS POTTER PLUM CREEK SPECIALTY HOSPITAL 5601 PLUM CREEK DR AMARILLO 79124 (806) 351-0300 TEXAS Potter Quail Creek Surgical Hospital 6819 Plum Creek Amarillo 79124 (806) 354-6100 TEXAS Robertson St Joseph - Franklin Family Medicine Clinic 1 305 Gay St Franklin 77856 (979) 828-4540 TEXAS Robertson St Joseph - Hearne Family Medicine Clinic 1643 Market St Hearne 77859 (979) 279-3451 TEXAS San Augustine Memorial Medical Center - San Augustine 511 Hospital Street San Augustine 75972 (936) 275-3446 CL-HOSPNT Updated September 27, 2021 Page 18 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

TEXAS San Patricio Care Regional Medical Cener 1711 W Wheeler Ave Aransas Pass 78336 (361) 758-8585 TEXAS SAN PATRICIO SHORELINE INC 1220 GREGORY ST TAFT 78390 (361) 528-3356 TEXAS SCURRY COGDELL MEMORIAL HOSPITAL 1700 COGDELL BLVD SNYDER 79549 (325) 573-6374 TEXAS Scurry Cogdell Memorial Hospital 1700 Cogdell Blvd. Snyder 79549 (325) 573-6374 TEXAS SMITH CENIKOR FOUNDATION TYLER 1827 W GENTRY PKWY TYLER 75702 (888) 236-4567 TEXAS SMITH EAST TEXAS MEDICAL CENTER BEHAVIORAL CTR 4101 UNIVERSITY BLVD TYLER 75701 (903) 266-2200 TEXAS SMITH EAST TEXAS MEDICAL CENTER BEHAVIORAL CTR 4101 UNIVERSITY BLVD TYLER 75701 (903) 597-0351 TEXAS SMITH ETMC REHABILITATION HOSPITAL 701 OLYMPIC PLAZA CIR TYLER 75701 (903) 596-3161 TEXAS SMITH ETMC SPECIALTY HOSPITAL 1000 S BECKHAM AVE TYLER 75701 (903) 596-3600 TEXAS SMITH ETMC TRANSPLANT PROGRAM 1100 E LAKE ST TYLER 75701 (903) 531-8126 TEXAS Smith Mother Frances Rehabilitation Hospital of Tyler 3131 Troup Highway Tyler 75701 (903) 510-7000 TEXAS Smith Trinity Mother Frances Health Systems 800 E Dawson Tyler 75701 (903) 593-8441 TEXAS Smith Tyler ContinueCARE Hospital 800 E. Dawson Tyler 75701 (903) 531-4080 TEXAS SMITH TYLER CONTINUECARE HOSPITAL AT MOTHER FR 800 E DAWSON ST TYLER 75701 (903) 531-4080 TEXAS Smith University Of Texas Health Center At Tyler 11937 Highway 271 Tyler 75708 (903) 877-7777 TEXAS SMITH UNIVERSITY OF TEXAS HEALTH CENTER TYLER 11937 US HIGHWAY 271 TYLER 75708 (903) 877-3451 TEXAS Smith UT Health Northeast 11937 US Hwy 271 Tyler 75708 (903) 877-3451 TEXAS SMITH UTHEALTH TYLER 1000 S BECKHAM AVE TYLER 75701 (903) 597-0351 TEXAS STARR STARR COUNTY MEMORIAL HOSPITAL 128 N FM ROAD 3167 RIO GRANDE CITY 78582 (956) 487-5561 TEXAS TARRANT CENIKOR FOUNDATION FORTH WORTH 2209 S MAIN ST FORT WORTH 76110 (888) 236-4567 TEXAS Tarrant HealthSouth City View Rehabilitation Hospital 6701 Oakmont Boulevard Fort Worth 76132 (817) 370-4700 TEXAS Tarrant HealthSouth Rehabilitation Hospital of Arlington 3200 Matlock Road Arlington 76015 (817) 468-4000 TEXAS Tarrant HealthSouth Rehabilitation Hospital of Fort Worth 1212 W. Lancaster Avenue Fort Worth 76102 (817) 870-2336 TEXAS TARRANT KINDRED HOSPITAL MANSFIELD 1802 HIGHWAY 157 N MANSFIELD 76063 (817) 473-6101 TEXAS TARRANT KINDRED HOSPITAL TARRANT COUNTY ARLINGTO 1000 N COOPER ST ARLINGTON 76011 (817) 548-3400 TEXAS TARRANT KINDRED HOSPITAL TARRANT COUNTY FORT WOR 7800 OAKMONT BLVD FORT WORTH 76132 (817) 346-0094 TEXAS TARRANT TEXAS REHABILITATION HOSPITAL OF FORT WO 425 ALABAMA AVE FORT WORTH 76104 (817) 820-3300 TEXAS TARRANT TEXAS REHABILITATION HOSPITAL OF KELLER 791 N MAIN ST KELLER 76248 (817) 562-9700 TEXAS THROCKMORTON THROCKMORTON COUNTY MEMORIAL HOSPITAL 802 N MINTER AVE THROCKMORTON 76483 (940) 849-2151 TEXAS TOM GREEN SAN ANGELO COMMUNITY MEDICAL CENTER 3501 KNICKERBOCKER RD SAN ANGELO 76904 (325) 949-9511 TEXAS TRAVIS CENIKOR FOUNDATION AUSTIN 2410 HOWARD LN AUSTIN 78728 (888) 236-4567 TEXAS TRAVIS CROSS CREEK HOSPITAL 8402 CROSS PARK DR AUSTIN 78754 (512) 215-3900 TEXAS Travis HealthSouth Rehabilitation Hospital of Austin 330 W Ben White Blvd Austin 78704 (512) 474-5700 TEXAS UPTON MCCAMEY HOSPITAL 2500 S HWY 305 MCCAMEY 79752 (432) 652-8626 TEXAS VICTORIA DETAR HOSPITAL 506 E SAN ANTONIO ST VICTORIA 77901 (361) 575-7441 TEXAS VICTORIA DETAR HOSPITAL NORTH 101 MEDICAL DR VICTORIA 77904 (361) 573-6100 TEXAS WALKER HUNTSVILLE MEMORIAL HOSPITAL 110 MEMORIAL HOSPITAL DR HUNTSVILLE 77340 (936) 291-3411 TEXAS WEBB LAREDO MEDICAL CENTER 1700 E SAUNDERS ST LAREDO 78041 (956) 796-5000 TEXAS WHEELER SHAMROCK GENERAL HOSPITAL 1000 S MAIN ST SHAMROCK 79079 (806) 256-2114 TEXAS Wichita HealthSouth Rehabilitation Hospital of Wichita Falls 3901 Armory Road Wichita Falls 76302 (940) 720-5700 TEXAS WICHITA RED RIVER RECOVERY CENTER 2501 TAYLOR ST WICHITA FALLS 76309 (940) 761-3034 TEXAS WILSON CONNALLY MEDICAL CENTER 499 10TH ST FLORESVILLE 78114 (830) 393-1300 TEXAS Wilson Connally Memorial Medical Center 499 10Th St Floresville 78114 (830) 393-1300 TEXAS WINKLER WINKLER COUNTY MEMORIAL HOSPITAL 821 JEFFEE DR KERMIT 79745 (432) 586-5860 TEXAS WOOD EAST TEXAS MEDICAL CENTER QUITMAN 117 N WINNSBORO ST QUITMAN 75783 (903) 763-6300 TEXAS YOUNG OLNEY HAMILTON HOSPITAL 901 W HAMILTON ST OLNEY 76374 (940) 564-5521 UTAH Davis Davis Hospital & Medical Center 1600 W Antelope Dr Layton 84041 (801) 825-9561 UTAH Salt Lake Jordan Valley Hospital 3580 West 9000 South West Jordan 84088 (801) 561-8888 UTAH Salt Lake Pioneer Valley Hospital 3460 South Pioneer Parkway West Valley City 84120 (801) 964-3100 UTAH Salt Lake Salt Lake Regional Medical Center 1050 East South Temple Salt Lake City 84102 (801) 350-4111 UTAH Salt Lake University of Utah Hospitals and Clinics 50 North Medical Drive Salt Lake City 84132 (801) 581-2121 VIRGINIA Charlottesville City UVA Healthsouth Rehabilitation Hospital 515 Ray C Hunt Dr Charlottesville 22903 434-244-2000 VIRGINIA GOOCHLAND VALUEMARK WEST END BEHAVIORAL HEALTHCARE 12800 W CREEK PKWY RICHMOND 23238 (804) 784-2200 WASHINGTON ASTRIA TOPPENISH HOSPITAL 502 W 4TH AVE TOPPENISH 98948 WASHINGTON CLARK PEACEHEALTH SOUTHWEST MEDICAL CENTER 400 NE MOTHER JOSEPH PL VANCOUVER 98664 (360) 256-2000 WASHINGTON Clark PeaceHealth Southwest Medical Center 400 NE Mother Joseph Place Vancouver 98664 (360) 514-2000 WASHINGTON COWLITZ PEACEHEALTH SAINT JOHN MEDICAL CENTER 1615 DELAWARE ST LONGVIEW 98632 (360) 414-2000 WASHINGTON Cowlitz PeaceHealth St. John Medical Center 1615 Delaware St Longview 98632 (360) 414-2000 WASHINGTON Franklin Lourdes Medical Center 520 North Fourth Avenue Pasco 99301 (920) 433-3500 CL-HOSPNT Updated September 27, 2021 Page 19 of 20 Nassau Life Insurance Company of Texas - Medicare Select Participating Hospitals State COUNTY FACILITY NAME ADDRESS CITY ZIP PHONE

WASHINGTON KING KINDRED HOSPITAL SEATTLE FIRST HILL 1334 TERRY AVE SEATTLE 98101 (206) 682-2661 WASHINGTON KITTITAS KITTITAS VALLEY COMMUNITY HOSPITAL 603 S CHESTNUT ST ELLENSBURG 98926 (509) 962-9841 WASHINGTON PACIFIC WILLAPA HARBOR HOSPITAL 800 ALDER STREET SOUTH BEND 98586 (360) 875-5526 WASHINGTON Spokane Holy Family Hospital 5633 Lidgerwood Avenue Spokane 99204 (509) 482-0111 WASHINGTON Spokane Providence Sacred Heart Medical Center 101 West Eighth Avenue Spokane 99204 (509) 474-3131 WEST VIRGINIA KANAWHA SELECT SPECIALTY HOSPITAL CHARLESTON INC 333 LAIDLEY ST CHARLESTON 25301 (304) 720-7234 WEST VIRGINIA KANAWHA ST FRANCIS HOSPITAL 333 LAIDLEY ST CHARLESTON 25301 (304) 720-7234 WEST VIRGINIA KANAWHA THOMAS MEMORIAL HOSPITAL 4605 MACCORKLE AVE SW SOUTH CHARLESTON 25309 (304) 766-3600 WISCONSIN Brown Bellin Memorial Hospital 744 South Webster Avenue Green Bay 54301 (920) 433-3500 WISCONSIN DANE SELECT SPECIALTY HOSPITAL MADISON INC 801 BRAXTON PL MADISON 53715 (608) 260-2700 WISCONSIN MILWAUKEE ASCENSION COLUMBIA ST MARYS MILWAUKEE MILWAUKEE 53211 (414) 585-1000 WISCONSIN MILWAUKEE ASCENSION COLUMBIA ST MARYS MILWAUKEE 2323 N LAKE DR MILWAUKEE 53211 (414) 585-1000 WISCONSIN MILWAUKEE SELECT SPECIALTY HOSPITAL MILWAUKEE INC 2900 W OKLAHOMA AVE MILWAUKEE 53215 (414) 649-6991 WISCONSIN MILWAUKEE SELECT SPECIALTY HOSPITAL MILWAUKEE INC 3237 S 16TH ST MILWAUKEE 53215 (414) 649-6991 WISCONSIN MILWAUKEE SELECT SPECIALTY HOSPITAL MILWAUKEE INC 8901 W LINCOLN AVE MILWAUKEE 53227 (414) 328-7700 WISCONSIN Outagamie Appleton Medical Center 1818 N Meade St Appleton 54911 (920) 731-4101 WISCONSIN WASHBURN INDIANHEAD MEDICAL CENTER 113 4TH AVENUE SHELL LAKE 54871 (715) 468-7833 WISCONSIN Winnebago Theda Clark Medical Center 130 2nd St Neenah 54956 (920) 729-3100 WYOMING UINTA EVANSTON REGIONAL HOSPITAL 190 ARROWHEAD DR EVANSTON 82930 (307) 789-3636

CL-HOSPNT Updated September 27, 2021 Page 20 of 20