Optima Hospital Network Red Hospitalaria Optima This list is subject to change without prior notification Esta lista esta sujeta a cambios sin previa notificación (Rev. 04/01/2019) Super Special & Extra Bonus Benefits Beneficios de los hospitales Súper Especiales & Extra Bonus *Super Special **Extra Bonus Super Special Hospital Benefits (Beneficios de los hospitales Súper Especiales) Deductible reduction up to $1,000 (Reducción de deducible hasta $1,000) Coinsurance Waived (Eliminacion de Coaseguro) $500 Payable for Airline Ticket ($500 para pasaje aéreo) Extra Bonus Hospitals Benefits (Beneficios de Hospitales Extra Bonus) Deductible Up to $5,000 Waived (Eliminacion Del Deducible Hasta $5,000) Coinsurance Waived (Eliminacion del Coaseguro) $800 Payable for Airline Tickets if admitted to Extra Bonus Hospital ($800 rembolsables por boleto aéreo si es admitido en un hospital extra bono) 4 Days Lodging/Max $150 (4 Dias de Alojamiento/Max $150) $50 Car Rental/Max 5 Days ($50 Alquiler de Carro/Max 5 Dias) For admissions of less than 48 Hours in an Extra Bonus Hospital, only Super Special hospital benefits apply. (Para admisiones de menos de 48 horas en un hospital extra-bono, solo aplican los beneficios de un hospital súper especial.) For Organ Transplant Facilities, contact MWG International (Para facilidades de Trasplante de Órganos, contacte MWG International) AUTHORIZED FACILITIES FOR CANCER TREATMENT (CENTROS AUTORIZADOS PARA TRATAMIENTO DE CANCER) 21st Century Oncology USA California Hematology Oncology Med Group El Segundo State/Estado City/Ciudad Number/Numero ALABAMA Shelby Baptist Medical Center* Alabaster Stringfellow Memorial Hospital Aniston 256.235.8900 Brookwood Medical Center* Birmingham Princeton Baptist Medical Center* Birmingham Citizens Baptist Medical Center* Talladega ARIZONA Arizona Orthopedic and Surgical Specialty Hospital Chandler 480.603.9000 Banner Gateway Medical Center* Gilbert 480.543.2000 Mercy Gilbert Medical Center Gilbert 480.728.8000 Arrowhead Hospital* Glendale 623.561.1000 Banner Thunderbird Medical Center* Glendale 602.588.5555 Abrazo Campus West Goodyear Banner Baywood Heart Hospital* Mesa 480.854.5000 Banner Baywood Medical Center* Mesa 480.321.2000 Banner Desert Medical Center* Mesa 480.412.3000 Banner Mesa Medical Center* Mesa Carondelet Holy Cross Hospital Nogales Arizona Heart Hospital Phoenix 602.532.1000 Banner Estrella Medical Center* Phoenix 623.327.4000 Banner Good Samaritan Medical Center* Phoenix 602.839.2000 Banner University Medical Center Phoenix* Phoenix Abrazo Maryvale Campus Phoenix 623.848.5000 Abrazo Scottsdale Campus Phoenix Abrazo Central Campus Phoenix Banner Boswell Medical Center* Sun City 623.832.4000 Banner Del E Webb Medical Center* Sun City West 623.524.4000 Banner University Medical Center South* Tucson Banner University Medical Center Tucson* Tucson Carondelet St. Joseph's Medical Center Tucson 520.873.3000 Carondelet St. Mary's Medical Center Tucson 520.872.3000 ARKANSAS Magnolia Regional Medical Center Magnolia Howard Memorial Hospital Nashville Summit Medical Center* Van Buren 479.474.3401 CALIFORNIA West Anaheim Medical Center* Anaheim Chino Valley Medical Center Chino Clovis Community Medical Center Clovis Encino Hospital Medical Center* Encino Fountain Valley Regional Hospital & Medical Center Fountain Valley 714.966.7200 Community Regional Medical Center Fresno Fresno Fresno Heart & Surgical Hospital Fresno Garden Grove Hospital Medical Center Garden Grove Glendora Community Hospital Glendora Huntington Beach Hospital* Huntington Beach John F. Kennedy Memorial Hospital* Indio 760.347.6191 Centinela Hospital Medical Center* Inglewood Hi-Desert Medical Center Joshua Tree UCSD Medical Center - Thornton Hospital La Jolla 858.657.7000 La Palma Intercommunity Hospital* La Palma Lakewood Regional Medical Center Lakewood 562.531.2550 St. Mary's Medical Center Long Beach Long Beach 562.491.9000 Los Alamitos Medical Center Los Alamitos 562.598.1311 California Hospital Medical Center Los Angeles Keck Hospital of USC* Los Angeles 323.442.8500 Children’s Hospital of Los Angeles* Los Angeles USC Norris Cancer Hospital* Los Angeles Doctors Hospital of Manteca* Manteca 209.823.3111 Doctors Medical Center of Modesto* Modesto 209.578.1211 Montclair Hospital Medical Center* Montclair Paradise Valley Hospital* National City Desert Regional Medical Center* Palm Springs 760.416.4566 Placentia-Linda Hospital Placentia 714.993.2000 Eisenhower Medical Center* Rancho Mirage 760.340.3911 Shasta Regional Medical Center Redding Sequoia Hospital Redwood City 650.369.5811 Community Hospital San Bernardino San Bernardino St. Bernardine Medical Center San Bernardino Alvarado Hospital Medical Center* San Diego 619.287.3270 UCSD Medical Center San Diego 619.543.6222 San Dimas Community Hospital San Dimas Saint Francis Memorial Hospital San Francisco St. Mary's Medical Center San Francisco 415.668.1000 Sierra Vista Regional Medical Center San Luis Obispo 805.546.7600 San Ramon Regional Medical Center San Ramon 925.275.9200 Sherman Oaks Hospital Sherman Oaks Twin Cities Community Hospital* Templeton 805.434.3500 Emanuel Medical Center* Turlock Desert Valley Hospital* Victorville 760.241.8000 COLORADO Denver Health Medical Center Denver 303.436.6000 Presbyterian St. Luke's Medical Center Denver 303.839.6000 Rose Medical Center Denver 303.320.2121 FLORIDA Florida Hospital Altamonte* Altamonte Springs 407.303.2200 Florida Hospital Apopka* Apopka 407.889.1000 JFK Medical Center Atlantis Aventura Hospital and Medical Center* Aventura 305.682.7000 Bartow Regional Medical Center Bartow 863.533.8111 Florida Hospital Celebration Health* Celebration 407.303.4000 Coral Gables Hospital* Coral Gables Broward Health Coral Springs** (Extra Bonus) Coral Springs Heart of Florida Regional Medical Center Davenport 863.422.4971 Florida Hospital Memorial Medical Center Daytona Beach Broward Health North** (Extra Bonus) Deerfield Beach 954.941.8300 Florida Hospital Deland Deland 386.943.4522 Delray Medical Center* Delray Beach 561.498.4440 Broward General Medical Center** (Extra Bonus) Fort Lauderdale Broward Health Imperial Point** (Extra Bonus) Fort Lauderdale Cleveland Clinic Florida Health Systems Fort Lauderdale Holy Cross Hospital** (Extra Bonus) Fort Lauderdale 954.771.8000 Plantation General Hospital Fort Lauderdale Westside Regional Medical Center Fort Lauderdale Hialeah Hospital* Hialeah Palmetto General Hospital* Hialeah 305.823.5000 Lawnwood Regional Medical Center Key West 772.461.4000 Lower Keys Medical Center Key West 305.294.5531 Florida Hospital Kissimmee* Kissimmee 407.846.4343 Florida Hospital Heartland Lake Placid Lake Placid Lehigh Regional Medical Center* Lehigh Acres 239.369.2101 Palms West Hospital Loxahatchee 561.798.3300 Fishermen’s Hospital Marathon 305.743.5533 Anne Bates Leach Eye Hospital/Bascom Palmer Eye Institute** Miami (Extra Bonus) Holtz Children's Hospital** (Extra Bonus) Miami 305.585.5437 Jackson Memorial Hospital** (Extra Bonus) Miami 305.585.1111 Jackson South Community Hospital** (Extra Bonus) Miami Kendall Regional Medical Center Miami 305.223.3000 Mercy Hospital Miami 305.854.4400 Miami Childrens Hospital Miami North Shore Medical Center* Miami 305.835.6000 University of Miami Hospital & Clinics** (Extra Bonus) Miami 305.689.5511 Mount Sinai Medical Center Miami Beach 305.674.2121 Santa Rosa Medical Center Milton Physicians Regional Medical Center – Collier Blvd. Naples Physicians Regional Medical Center – Pine Ridge Naples Jackson North Medical Center** (Extra Bonus) North Miami Beach Raulserson Hospital Okeechobee Florida Hospital Fish Memorial Orange City 386.917.5000 Florida Hospital East Orlando* Orlando 407.303.8110 Florida Hospital Main Campus* Orlando Florida Hospital Oceanside Ormond Beach 386.672.4161 Palm Beach Gardens Medical Center* Palm Beach Gardens 561.622.1411 Florida Hospital Flagler Palm Coast 386.586.2000 Northwest Medical Center Pompano Beach 954.974.0400 St. Cloud Regional Medical Center Saint Cloud 407.892.2135 Florida Hospital Heartland Medical Center Sebring Highlands Regional Medical Center Sebring 863.385.6101 University Hospital & Medical Center Tamarac 954.721.2200 Florida Hospital Carrollwood Tampa Florida Hospital Tampa Tampa 813.971.6000 Florida Hospital North Pinellas Tarpon Springs Florida Hospital Waterman* Tavares 352.253.3333 West Boca Medical Center** (Extra Bonus) West Boca 561.488.3000 JFK Medical Center – North Campus West Palm Beach St. Mary's Medical Center* West Palm Beach 561.844.6300 Cleveland Clinic Florida Hospital Weston 954.659.5000 Florida Hospital Winter Park* Winter Park Florida Hospital Zephyrhills Zephyrhills GEORGIA East Georgia Regional Medical Center Statesboro Barrow Regional Medical Center Winder 770.867.3400 ILLINOIS MacNeal Hospital Berwyn 708.783.9100 Weiss Memorial Hospital* Chicago 773.878.8700 Westlake Hospital Melrose Park 708.681.3000 INDIANA Monroe Hospital* Bloomington 812.825.1111 KANSAS Providence Medical Center* Kansas City Saint John Hospital* Leavenworth KENTUCKY Paul B Hall Regional Medical Center Paintsville 606.789.3511 LOUISIANA Christus St. Frances Cabrini Alexandria 318.487.1122 Ochsner Mecical Group Baton Rouge 225.752.2470 Lafayette General Medical Center Lafayette 337.289.7991 Ochsner Baptist Medical Center New Orleans 504.899.9311 MASSACHUSETTS Beth Israel Deaconess Medical Center Boston Boston Childrens Heart Foundation Boston Massachusetts Eye and Ear Infirmary Boston Steward St. Elizabeth’s Medical Center Boston Tufts Medical Center Boston MetroWest Medical Center – Framingham