Medical Service in Russia

Dear Member,

We are pleased to inform you that DavidShield has a "Direct Billing" agreement with several leading medical service providers in , Russia. Your DavidShield member ID card enables you to enjoy the medical services offered by these “Network” providers with no need to pay in advance.

When you receive care, present your member ID card and photo ID to the provider. Pay the provider directly any member cost sharing due according to the terms of your benefit plan (if applicable). The remaining payment will be arranged directly by DavidShield. Please note: If you have elected the “waiver of deductible” rider in your policy, there will be no member cost sharing.

You may also choose medical providers who do not have a "Direct Billing" agreement with DavidShield. In such case, you will be required to pay the full cost of the medical treatment in advance, and submit a claim form and original receipts to DavidShield for reimbursement. The claim will be processed and you will be refunded in accordance with the policy term.

Attached is a list of local In-Network providers with “Direct Billing” agreement:

On the following page you will find detailed contact information for services in Moscow. Medical Service in Russia Contact Information

DavidShield Moscow Office:  Office telephone: 007-495-694-1963  Office fax: 007-495-694-6442.  Services: medical emergencies and provider services (selecting and locating providers, assistance at the provider’s office with claim forms and other provider issues)  Working Hours: Mon-Fri: 10 am to 7 p.m.  After Hours Assistance (until 9 pm on weekdays): о Ms. Elena Solopova, CEO: 007-929-650-3026 о Dr. Irina Sergeeva, Medical Advisor: 007-963-601-4357 о Mr. Israel Rotem, General Manager: 007-495-509-5982 (urgent matters)

 After Hours Assistance (after 9 pm and on weekends): о Please contact the DavidShield International Customer Service Center

Please visit DavidShield Russia web page at www.managedcare..ru

DavidShield International Customer Service Center:  Email: [email protected]  Office telephone: 8-800-333-74-90 (toll free from anywhere in Russia).  Office fax: +972-8-892-0900.  Services: Plan design, policy terms, eligibility, claim reimbursement, premium payment, website issues, and all other service issues.  Working Hours: 24 hours a day / 7 days a week

# Healthcare Provider Services Available Address Phone Working Hours URL 1. ADULTS/ ВЗРОСЛЫЕ

28 Komsomolsky Clinic: 8:00 - 21:00 Prospect, Frunzenskaya Trauma center: 24/7 Multiprofile: Moscow outpatient diagnostics 28 Posledniy Clinic: 8:00 - 21:00 Bud Zdorov Medical Centers and treatment 8 495 782 88 82 1.1. Pereulok, Sukharevskaya Trauma center: 8:00 www.7828882.ru office procedures 8 495 663 03 03 /"Будь Здоров"/ Moscow - 21:00 house calls trauma center 12 Suschevskiy Savelovskaya Clinic: 8:00 - 21:00 Val, Moscow

Multiprofile: Mon - Thu: 8:00 - outpatient diagnostics 20:00 11/2 Obraztsova www.rimc- 1.2. and treatment 8 495 663 23 55 Mari'na Roshcha Fri: 8:00 - 14:00 MCHU/МЧУ "Рамбам" Street, Moscow rambam.ru office procedures Sat: closed house calls Sun: 8:00 - 20:00

Multiprofile: Pushkinskaya / 26 bld. 4 Aquamed Clinic outpatient diagnostics 8 495 624 6620 Mon - Sun: 10:00 - 1.3. , www.aqua-med.ru and treatment 8 495 624 7926 Chehovskaya 20:00 /"Аквамед"/ Moscow office procedures /

Obstetrics/Gynaecology: outpatient diagnostics and treatment 8 495 952 02 52 Mon - Sat: 9:00 - 20 Lesteva minor interventions 8 495 225 52 68 Shabolovskaya 21:00 Street, Moscow house calls 8 495 954 63 68 Sun: 10:00 - 16:00 Zdorovoe Pokolenie Women's daycare center www.z-p.ru 1.4. Health Center prenatal care /"Здоровое Поколение"/

6 Fotievoy Street, Maternal Unit 8 499 137 29 10 Leninsky Prospect 24/7 Moscow

# Healthcare Provider Services Available Address Phone Metro Station Working Hours URL Mon - Fri: 8:00 - 66 Leninsky 8 495 651 2145 Universitet / 21:00 Prospect, 8 495 651 2146 Akademicheskaya Sat: 10:00 - 18:00 Moscow 8 495 651 2147 Sun: 10:00 - 16:00 29 Olympijski Mon - Fri: 9:00 - Multiprofile: 8 495 585 15 Prospect, 11(в) Medvedkovo 20:00 Nebolit Medical Centers outpatient diagnostics 1.5. and treatment Mytischi, 8 495 585 15 12 (11,5 km drive) Sat: 10:00 - 16:00 www.nebolit.ru /"Неболит"/ office procedures Moscow region (д) Sun: 10:00 - 14:00 house calls 3 8 495 840 48 Mon - Fri: 9:00 - 57/65 Academicheskaya 8 495 840 48 Tyopliy Stan 20:00 Ploschad, Troitsk, 67/68 (21 km drive) Sat: 10:00 - 17:00 Moscow 8 495 840 48- Sun: closed 75/73

Multiprofile: 8 499 250 26 40 Mon - Fri: 8:00 - outpatient diagnostics Guta Clinic 2 Fadeeva Street, 8 499 250 45 77 Mayakovskaya / 21:00 1.6. and treatment www.gutaclinic.ru Moscow 8 499 250 44 57 Sat: 10:00 - 18:00 /"Гута Клиник"/ office procedures 8 499 251 80 02 Sun: closed house callsŸ

Multiprofile: Mon - Fri: 8:00 - outpatient diagnostics 42 bld.4 8 800 777 31 31 Prospekt 21:00 1.7. and treatment Lobachevskogo www.k31.ru Clinic K+31 / Клиника К +31/ 8 499 143 99 00 Vernadskogo Sat, Sun: 09:00 - office procedures Street, Moscow 18:00 house callsŸ

Multiprofile: 5 Pisarevskiy 8 800 555 09 09 outpatient diagnostics Family Clinic # 3 /Семейная proezd, 8 496 580 72 72 Medvedkovo Mon - Sun: 8:00 - http://www.setpol.r 1.8. and treatment Pushkino, 8 926 014 72 72 (18 km drive) 21:00 u/clinic5 Поликлиника № 3/ office procedures Moscow Region house callsŸ

# Healthcare Provider Services Available Address Phone Metro Station Working Hours URL

Research Center for Obstetrics, Gynecology and Perinatology" Obstetrics/Gynaecology: Federal State Budget Institution outpatient diagnostics Mon - Fri: 8:00 - /ФГБУ «Научный центр and treatment 4 Academician Konkovo / 8 495 438 95 56 19:00 1.9. minor interventions Oparin Street, Belyaevo / www.ncagip.ru акушерства, гинекологии и 8 495 531 44 44 Sat: 10:00 - 14:00 house calls Moscow Yugo-Zapadnaya перинатологии им. академика Sun: closed В.И.Кулакова» Министерства daycare center prenatal care здравоохранения и социального развития РФ/

Multiprofile: Pirogov Medical-surgical Center Mon - Fri: 8:00 - outpatient diagnostics 65 Niznaja 8 499 464 44 54 /ФГУ Национальный медико- 20:00 www.pirogov- 1.10. and treatment 8 499 464 50 54 Pervomayskaya Sat, Sun: 09:00 - center.ru хирургический Центр имени Н.И. office procedures Street, Moscow 14:00 Пирогова/ house callsŸ

Multiprofile: outpatient diagnostics 43 Lomonosovsky Mon - Fri: 8:00 - www.medep.ru 1.11. MEDEP /МЕДЭП/ and treatment Prospect, 8 499 147 90 03 Universitet 20:00 office procedures Moscow Sat, Sun: closed house calls 125 8 499 781 90 36 Mon - Fri: 8:00 - Varshavskoye 8 499 781 79 83 20:00 Shosse, Moscow 8 499 685 0017 Sat, Sun: closed

11 Mon - Fri: 8:00 - Promishlennaya 8 495 737 43 89 Kantemirovskaya 20:00 St., Moscow Sat, Sun: closed

Multiprofile:  outpatient and 17 inpatient Komsomolskiy 8 495 663 86 00 diagnostics and Prospekt, bld. Mon - Fri: 8:00 - Alfa Insurance Health Center treatment 11, Moscow Frunzenskaya 21:00 Sat: 9:00 - www.alfazdrav.ru 1.12 /Альфа Центр Здоровья/ 19:00  office procedures Sun: Closed  house calls  stomatology

4/2 Mon - Fri: 9:00 - 22:00 Sat: 10:00 - Yaroslavskaya VDNH 20:00 St., Moscow Sun: 10:00 – 20:00

57 Lesnaya St., Mon - Fri: 8:00 - Multiprofile: Belorusskaya / 21:00 Sat: 9:00 -  bld.1, Moscow outpatient and Mendeleevskaya 20:00 inpatient Sun: 9:00 –18:00 8 495 777 48 49 diagnostics and 33/28 Klara Mon - Fri: 9:00 - treatment 22:00 Sat: 9:00 - 1.13 SM-Clinic /СМ-Клиника/ Cetkin St., Voykovskaya www.smclinic.ru  office procedures 20:00  house calls Moscow Sun: 10:00 – 20:00  trauma Unit 9/2 Kosmonavt Mon - Fri: 9:00 - ambulance 22:00 Sat: 9:00 - Volkov St., Voykovskaya 20:00 Moscow Sun: 10:00 – 20:00 8 Yarcevskaya St., Mon - Fri: 9:00 - 22:00 Sat: 9:00 - Moscow Molodezchnaya 20:00 Sun: 10:00 – 20:00 Multiprofile: 8 495 609 66 93  outpatient and 14 inpatient Mon - Fri: 7:30 - Landishevaja Planernaya / 21:00, : 9:00- Medkvadrat /Медквадрат/ diagnostics and Sat www.medkvadrat.ru 1.14 St., bld. 1., Rechnoy Vokzal 18:00, Sun: treatment 10:00-16:00  office procedures Kurkino

74 Kashirskoe 8 495 609 66 93 Shosse, bld. 1, Mon - Fri: 9:00 - Moscow 21:00, Sat: - Sun: 10:00-16:00

Multiprofile:  outpatient Normodent Central Clinic diagnostics and Sretenkiy Bulvar / treatment 13 Myasnitskaya Mon - Sun: 9:00 - 1.15 /Нормодент Центральная Chistie Prudi / 21:00 www.normodent.ru  office procedures St., bld. 13A, Клиника/ Moscow  house calls 8 495 644 00 26

8 495 223 22 Derbenevskaya 01 naberezhnaya7, Paveletskaya, Mn.-Fr. 8.00- nd 21.00 b. 22, 2 floor, Proletarskaya Sat.-.Sun.: day off Moscow 8 495 7 800 500

8 495 697 50 Skatertniy 11 pereulok 10, Arbatskaya, Mn.-Fr: 8.00- th 20.00 7 floor, Pushkinskaya Sat.-Sun.: day off Moscow 8 495 697 73 54

8 499 238 39 30 1.16 MEDSI Clinic Malaya Mn.-Fr.:8.00- St., 20.00 7/7, b.1, 8 499 238 39 Polyanka Sat.-Sun.:9.00- Moscow 21 16.00

Uspenskaya St., Mn.-Fr.:8.00- 5, Krasnogorsk 8 495 980 66 21.00 78 Sat.-Sun.:10.00- 17.00

8 495 751-03- Mn.-Fr.:8.00- Pyatnitskoe 29 shosse, 37, Pyatnizkaya 22.00 8 495 794 73 Sat.-Sun.:10.00- Moscow 08 17.00 Leningradskiy 8 495 229 18 Mn.-Fr.:8.00- 21.00 prospect, 52, 75 Sat.-Sun.:10.00- Moscow 17.00

8495 3573971

Maryino 849535779 86 Mn.-Fr.:8.00- 849535756 09 21.00 Marshala Sat.-Sun.:10.00- Golovanova St., 84953572615 17.00 1, b.2, Moscow

Mn.-Fr.:8.00- Komsomolskaya 8 495 725 37 Shelkovo city 21.00 5, Shelkovo city 08 Sat.-Sun.:10.00- 15.00

Multiprofile: Mn.-Fr.:8.00- •outpatient diagnostics Sretenka St. 9, 749566503 02 Trubnaya, and treatment 21.00 1.17 Capital Medical Clinic Moscow 749562527 02 Sretenkiy Bulvar / Sat.:9.00-20.00 http://cmclinic.ru/ •office procedures 749562522 63 Turgenevskaya, Sun.:9.00-18.00

84957804100

89175844821 Pyatnitskoe Pyatnitskoe shosse 1.18 Clinical Hospital №1 MEDSI Hospital shosse, 6 км Mn.-Fr: 8.00-20.00

849578041 00 Second 89175844821 Botkinskiy Mn.-Fr: 8.00- 1.19 Clinical Hospital № 2 MEDSI Hospital proezd 5, Dynamo 20.00 building 3 and 4, Moscow

8 495 780 41 00

8 917 584-48-21 56 Michurinskiy prospekt, Prospekt Mn.-Fr: 8.00- 1.20 Clinical Hospital № 3 MEDSI Hospital Vernadskogo 20.00 Moscow

ул. Саляма Адиля, д. 8 495 530 33 Сокол/ 1.22 Vorohobov City Clinical Hospital № 67 (new) Многопрофильная 2/44, г. 97 Полежаевская 24/7 http://67gkb.ru/ Москва

Москва, Ул. Часовая дом 20 Аэропорт

NUZ "Scientific Clinical Center of RZD" 8 495 531- 1.21 Russian Railways (new)/НУЗ «Научный Многопрофильная Пн.-П.т: 8.00- http://nccrzd.ru/ клинический центр ОАО» РЖД 3048 20.00 Волоколамск ое шоссе ,84 Сокол

Multiprofile: 7(495)917-88- • outpatient and 80; Mn-Fr: 08.00 - inpatient diagnostics 10, b/1, Tolstogo 1.22 ABC Medicina and Park kul`tury 21.00; http://www abc- treatment Street. Sat: 09.00 - 21.00; medicina.com • office procedures +7 (495) 917-99- Sun: 09.00 - 19.00 96

# Healthcare Provider Services Available Address Phone Metro Station Working Hours URL

2. CHILDREN/ ПЕДИАТРИЯ

8 495 952 02 52 20 Lesteva Mon - Sun: 9:00 - Multiprofile: 8 495 225 52 48 Shabolovskaya Street, Moscow 20:00 Zdorovoe Pokolenie Child Clinic outpatient diagnostics 8 495 225 52 41 2.1. and treatment www.z-p.ru /"Здоровое Поколение"/ Mon - Fri: 9:00 - office procedures 31 / 19 8 495 345 28 69 Bratislavskaya / 20:00 house calls Myachkovsky Blvd, Moscow 8 495 346 45 21 Mar'ino Sat - Sun: 9:00 - 14:00

Multiprofile: Alfa Insurance Health Center /Альфа Центр  outpatient and Здоровья/ inpatient diagnostics and 17 treatment Komsomolskiy Mon - Fri: 8:00 - 21:00 Sat: 9:00 - 2.2  office procedures Prospekt, bld. 8 495 663 86 00 Frunzenskaya www.alfazdrav.ru 11, Moscow 19:00  house calls Sun: Closed  stomatology 

Multiprofile:  outpatient and inpatient 8 495 777 48 49 36 Priorova St., Mon - Fri: 9:00 - diagnostics and 21:00 Sat: 9:00 - 2.3 SM-Clinic /См-Клиника/ treatment Moscow Voykovskaya 20:00 www.smclinic.ru  office procedures Sun: 10:00 – 20:00  house calls  stomatology

8 495 609 66 93 Multiprofile: 93 Prospekt  outpatient Vernadskogo, diagnostics and bld. 1, Moscow Mon - Fri: 9:00 - 2.4 Medkvadrat /Медквадрат/ treatment Yugo-Zapadnaya 21:00, Sat - Sun: www.medkvadrat.ru  office 10:00-16:00 procedures  house calls  stomatology

Rambam Russian-Israeli Medical Multiprofile: Mon - Thu: 8:00 - outpatient diagnostics 20:00 Center 11 / 2 Obraztsova www.rimc- 2.5 and treatment 8 495 663 23 55 Mari'na Roshcha Fri: 8:00 - 14:00 Street, Moscow rambam.ru /Российско-Израильский office procedures Sat: closed медицинский центр "Рамбам"/ house calls Sun: 8:00 - 20:00

Multiprofile: outpatient diagnostics Bud Zdorov Child Clinic 12 Suschevskiy 8 495 782 88 82 Mon - Sun: 8:00 - 2.6 and treatment Savelovskaya www.7828882.ru Val, Moscow 8 495 663 03 03 21:00 /"Будь Здоров"/ office procedures house calls 29 Olympijski Mon - Fri: 9:00 - Prospect, 8 495 588 3182 Medvedkovo 20:00 Multiprofile: Mytischi, 8 495 588 3183 (11,5 km drive) Sat: 10:00 - 16:00 Nebolit Medical Centers outpatient diagnostics Moscow region Sun: 10:00 - 14:00 2.7 and treatment www.nebolit.ru /"Неболит"/ 3 Mon - Fri: 9:00 - office procedures 8 499 922 3300 Academicheskaya Tyopliy Stan 20:00 house calls 8 499 922 3301 Ploschad, Troitsk, (21 km drive) Sat: 10:00 - 17:00 8 499 756 9308 Moscow Sun: closed

Research Center for Obstetrics, Gynecology and Perinatology" Obstetrics/Gynaecology: Federal State Budget Institution outpatient diagnostics Mon - Fri: 08:00 - /ФГБУ «Научный центр and treatment 4 Academician Konkovo / 8 495 438 95 56 19:00 2.8 minor interventions Oparin Street, Belyaevo / www.ncagip.ru акушерства, гинекологии и 8 495 531 44 44 Sat: 10:00 - 14:00 house calls Moscow Yugo-Zapadnaya перинатологии им. академика Sun: closed В.И.Кулакова» Министерства daycare center prenatal care здравоохранения и социального развития РФ/

# Healthcare Provider Services Available Address Phone Metro Station Working Hours URL Multiprofile: 8 499 250 26 40 Mon - Fri: 8:00 - outpatient diagnostics Guta Clinic 2 Fadeeva Street, 8 499 250 45 77 Mayakovskaya / 21:00 2.9 and treatment www.gutaclinic.ru Moscow 8 499 250 44 57 Novoslobodskaya Sat: 10:00 - 18:00 /"Гута Клиник"/ office procedures 8 499 251 80 02 Sun: closed house callsŸ

Multiprofile: Pirogov Child Center / Детский outpatient diagnostics Mon - Fri: 8:00 - and treatment 9A Delegatskaya 8 499 973 3798 Mendeleevskaya / 20:00 2.10 www.dkdc.ru консультативно-диагностический office procedures Street, Moscow 8 499 973 3853 Sat: 9:00 - 15:00 центр НМХЦ им. Пирогова/ daycare center Sun: closed house calls

8 800 555 09 09 Multiprofile: 8 495 669 30 96 outpatient diagnostics 5 Turgenev Family Clinic # 3 /Семейная 8 496 580 72 72 Medvedkovo Mon - Sun: 08:00 - http://www.setpol.r 2.11 and treatment Street, Pushkino, 8 496 580 73 73 (18 km drive) 20:00 u/clinic3 Поликлиника № 3/ office procedures Moscow Region 8 985 292 55 60 house callsŸ 8 926 014 72 72

Multiprofile: outpatient diagnostics 125 8 499 781 90 36 Mon - Fri: 9:00 - 2.12 MEDEP /МЕДЭП/ and treatment Varshavskoye 8 499 781 79 83 Yuzhnaya 20:00 www.medep.ru office procedures Shosse, Moscow 8 499 685 0017 Sat, Sun: closed house calls

Insitute of Emergency Surgery & 22 Bolshaya 8 495 959 51 20 Children's Trauma /НИИ Child trauma www.doctor- 2.13 Polyanka Street, 8 495 959 57 48 Polyanka 24/7 Emergency Surgery roshal.ru Неотложной детской хирургии и Moscow 8 495 959 51 20 травматологии/

Mn-Thu 9.00 - 20.00, Multiprofile: Fr - 9.00 - 18.00, • outpatient 8 499 241-14- Sat - 10.00 - 16.00, Family and Health diagnostics and Denezniy 36 Sun - 10.00 - 15.00 2.14 Children medical Center treatment pereulok, 24, Smolenskaya www.detmed.ru (Investmedkom) • office b.3, Moscow 8 499 241- procedures 78-66 • house calls

Multiprofile:

7 Bolshaya 84952237056 • outpatient Mn.-Fr.: 8.00-20.00 2.15 Child Clinic MEDSI diagnostics and treatment Pirogovskaya 89854349375 Park Kultury Sat.: 9.00-17.00 St., Moscow 89854349376 • office procedures

• house calls

Multiprofile: Mn.-Fr.:8.00- • outpatient 22.00 Pyatnitskoe diagnostics and 84957510329 2.16 Clinic MEDSI in treatment shosse 38, Pyatnitskaya Moscow 84957947308 • office Sat.-Sun.:10.00- procedures 17.00 • house calls

Multiprofile: Marshala Golovanova St., 1, b.2, 84953573971 • outpatient Moscow diagnostics and 84953577986 Mn.-Fr.:8.00-21.00 treatment 84953575 09 2.17 Medsi in MARINO 84953572615 • office Sat.-Sun.:10.00- procedures 17.00

• house calls Multiprofile:

• outpatient Uspenskaya diagnostics and St., 5, Пн.-Пт.:8.00- treatment Krasnogorsk 21.00 2.18 MEDSI in KRASNOGORSK city 8 495 980 66 78 Krasnogorsk city • office Сб.-Вс.:10.00- procedures 17.00

• house calls

Multiprofile:

• outpatient diagnostics and Пн.-Пт.:8.00- treatment Komsomolskay 21.00 2.19 MEDSI in г. Щелково a St., 2, 8 495 725 37 08 Shelkovo Shelkovo city • office Сб.-Вс.:10.00- procedures 15.00

• house calls

7(495)959-88- 4-й 01 , MOROZOVSKAYA City Добрынинск , 2.20 Children's Hospital (new) Hospital ий пер., 1/9, Oktyabrskaya 24/7 www.mdgkb.pro Москва 7(495)959-88- 03

20, 2/21 CENTRAL CHILDREN'S HOSPITAL № 38) Moskvorech`e 74993243464 Kashirskaya 24/7 http://www.dkb38.ru/ (new) Hospital Str,Moscow Multiprofile:

7(495)917- Пн-Пт с 08.00 • outpatient - 21.00 diagnostics and Лялин 88-80; Сб 09.00 - http://www abc- 2/22 ABS medicine (new) treatment переулок д, Курская 20.00 medicina.com 21 стр, 2 +7 (495) Вс 09.00 - • office 917-99-96 18.00 procedures • house calls Healthcare Provider Services Available Address Phone Metro Station Working Hours URL EMERGENCY / СКОРАЯ 3. ПОМОЩЬ

ambulance / ground 43 Lomonosovsky evacuation 3.1. Prospect, 8 499 147 90 03 Universitet 24/7 www.medep.ru MEDEP /МЕДЭП/ house callsŸ (adults Moscow and children)

ambulance / ground 8 495 729 41 22 Bud Zdorov Child Clinic evacuation 12 Suschevskiy 3.2. 8 495 782 88 82 Savelovskaya 24/7 www.7828882.ru house callsŸ (adults Val, Moscow /"Будь Здоров"/ 8 495 663 03 03 and children)

 ambulance / 8 495 777 48 49 ground 33/28 Klara 3.3 Sm-Clinic /См-Клиника/ evacuation Cetkin St., Voykovskaya 24/7 www.smclinic.ru  house calls (adults Moscow

and children)

4. MATERNITY HOUSES / РОДИЛЬНЫЕ ДОМА Research Center for Obstetrics, Gynecology and Perinatology" Federal State Budget Institution /ФГБУ «Научный центр 4 Academician Konkovo / delivery 8 495 438 95 56 4.1. Oparin Street, Belyaevo / 24/7 www.ncagip.ru акушерства, гинекологии и prenatal care 8 495 531 44 44 перинатологии им. академика Moscow Yugo-Zapadnaya В.И.Кулакова» Министерства здравоохранения и социального развития РФ/

Zdorovoe Pokolenie Maternity delivery 6 Fotieva St., 4.2. 8 499 137 2910 Leninsky Prospect 24/7 www.z-p.ru House № 25 /"МА Здоровое prenatal care Moscow Поколение – Роддом № 25"/