United of Omaha Life Insurance Company A Mutual of Omaha Company. Medicare SELECT. Provider Directory. October 2010 U7558_1010

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1 United of Omaha Life Insurance Company A Mutual of Omaha Company Medicare SELECT Provider Directory October 2010 U7558_1010

2 WELCOME Welcome to the individual Medicare SELECT Medicare supplement program from United of Omaha Life Insurance Company, that is mutually beneficial. We are pleased to offer these hospitals to our policyholders. Medicare SELECT has a participating hospital network that is serving the medical needs of your community by containing costs while maintaining quality health care. For information on hospitals located in a specific area, please refer to the Provider listings on the following pages. IMPORTANT DIRECTORY INFORMATION With Medicare SELECT Medicare supplement coverage from United of Omaha Life Insurance Company, you have the freedom to choose any participating network hospital in your area. If you need emergency care, your policy pays the Medicare Part A deductible no matter what hospital you use. For non-emergency care, you must use a participating network hospital for the Medicare Part A deductible to be covered. IDENTIFICATION CARDS (ID) PARTICIPATING HOSPITALS Please understand that this directory lists participating hospitals as of the publication date. From time to time, hospitals may be added or removed from the participating hospital network. Before receiving care from a hospital, ask the hospital if it s still participating in the United of Omaha Medicare SELECT network. For current information on participating hospitals call (800) or visit our Web site at mutualofomaha.com/medicareselect. IF YOU HAVE QUESTIONS Our Customer Service staff will be glad to help with your questions or concerns about your coverage, participating hospitals or the care you receive. Please call Customer Service whenever you have a question, (800) For details about your coverage, please read your policy. United of Omaha Life Insurance Company does not supervise, control or guarantee the health care services of any hospital, including those participating in the United of Omaha Medicare SELECT hospital network. When you re issued your United of Omaha Medicare SELECT policy, you will receive an ID card. Please present your card whenever you receive medical services. TABLE OF CONTENTS Hospitals....1 Alphabetic Listing of Hospitals...6

3 louisiana Alexandria CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Dr. Alexandria, LA (318) Breaux Bridge St. Martin Hospital 210 Champagne Blvd. Breaux Bridge, LA (337) Chalmette Chalmette 9001 Patricia St. Chalmette, LA (504) Coushatta CHRISTUS Coushatta Health Care Center 1635 Marvel St. Coushatta, LA (318) Crowley American Legion Hospital 1305 Crowley Rayne Hwy. Crowley, LA (337) Gretna Meadowcrest Hospital 2500 Belle Chasse Hwy. Gretna, LA (504) Houma Terrebonne General 8166 Main St. Houma, LA (985) hospitals Kaplan Abrom Kaplan Memorial 1310 W. 7th St. Kaplan, LA (337) Kenner Kenner Regional 180 W. Esplanade Ave. Kenner, LA (504) La Place River Parishes Hospital 500 Rue De Sante La Place, LA (985) Lafayette Lafayette General 1214 Coolidge St. Lafayette, LA (337) Lafayette General Surgical Center 1000 W. Pinhook Rd. Lafayette, LA (337) Rehabilitation Hospital of Acadiana 310 Youngsville Hwy. Lafayette, LA (337) Lake Charles CHRISTUS St. Patrick Hospital 524 S. Ryan St. Lake Charles, LA (337) Metairie Doctors Hospital of Jefferson 4320 Houma Blvd. Metairie, LA (504) Monroe St. Francis 309 Jackson St. Monroe, LA (318) St. Francis North Hospital 3421 Medical Park Dr. Monroe, LA (318) New Orleans Memorial Baptist 2700 Napoleon Ave. New Orleans, LA (504) Memorial Mercy 301 N. Jefferson Davis Pkwy. New Orleans, LA (504) Methodist Hospital 5620 Read Blvd. New Orleans, LA (504) Opelousas Opelousas General Hospital 539 E. Prudhomme St. Opelousas, LA (337) Ruston Green Clinic Surgical Hospital 1118 S. Farmerville St. Ruston, LA (318)

4 Shreveport CHRISTUS Schumpert Hospital Highland 1453 E. Bert Kouns Shreveport, LA (318) CHRISTUS Schumpert Hospital St. Mary Place One St. Mary Place Shreveport, LA (318) Slidell NorthShore Regional 100 Dr. Slidell, LA (985) Springhill Springhill 2001 Doctors Dr. Springhill, LA (318) Vivian North Caddo 1000 S. Spruce St. Vivian, LA (318) MISSISSIPPI Columbia Marion General Hospital 1560 Sumrall Rd. Columbia, MS (601) Laurel South Central Regional 1220 Jefferson St. Laurel, MS (601) Picayune Crosby Memorial Hospital 801 Goodyear Blvd. Picayune, MS (601) Poplarville Pearl River County Hospital & Nursing Home 305 W. Moody St. Poplarville, MS (601) Tylertown Walthall County General 100 Hospital Dr. Tylertown, MS (601) ohio Akron Akron City Hospital SUMMA Health System 525 E. Market St. Akron, OH (330) St. Thomas Hospital 444 N. Main St. Akron, OH (330) Barberton Summa Barberton Citizens Hospital 155 Fifth St. N.E. Barberton, OH (330) Batavia Mercy Hospital Clermont 3000 Hospital Dr. Batavia, OH (513) Cincinnati Mercy Franciscan Hospital Mt. Airy Campus 2446 Kipling Ave. Cincinnati, OH (513) Mercy Franciscan Hospital Western Hills Campus 3131 Queen City Ave. Cincinnati, OH (513) Mercy Hospital Anderson 7500 State Rd. Cincinnati, OH (513) Columbus Arthur G. James Cancer Hospital 300 W. 10th Ave. Columbus, OH (614) Richard G. Solove Research Institute 300 W. 10th Ave. Columbus, OH (614) Ohio State University Hospitals 1492 E. Broad St. Columbus, OH (614) Ohio State University Hospitals 410 W. 10th Ave. Columbus, OH (614) Cuyahoga Falls Cuyahoga Falls General Hospital rd St. Cuyahoga Falls, OH (330) Fairfield Mercy Hospital of Fairfield 3000 Mack Rd. Fairfield, OH (513)

5 Lakewood Lakewood Hospital Detroit Ave. Lakewood, OH (216) Lorain Lorain Community Hospital/ St. Joseph Hospital & Health Center 3700 Kolbe Rd. Lorain, OH (440) Martin's Ferry East Ohio Regional Hospital 90 N. 4th St. Martin's Ferry, OH (740) Massillon Massillon Community Hospital 875 8th St., N.E. Massillon, OH (330) Oregon St. Charles Mercy Hospital 2600 Navarre Ave. Oregon, OH (419) Sandusky Firelands Regional Medical Center Main Campus 1111 Hayes Ave. Sandusky, OH (419) Firelands Regional Medical Center South Campus 1912 Hayes Ave. Sandusky, OH (419) Toledo St. Anne Mercy Hospital 3404 Sylvania Ave. Toledo, OH (419) St. Vincents Mercy Health Center 2213 Cherry St. Toledo, OH (419) Wadsworth Wadsworth-Rittman Hospital 195 Wadsworth Rd. Wadsworth, OH (330) Youngstown St. Elizabeth Health Center 1044 Beaumont Ave. Youngstown, OH (330) tennessee Germantown Germantown Hospital 7691 Poplar Germantown, TN (901) Knoxville University of Tennessee 1924 Alcoa Hwy. Knoxville, TN (865) Memphis Methodist Central Hospital 1265 Union Ave. Memphis, TN (901) Methodist Healthcare South Hospital 1300 Wesley Dr. Memphis, TN (901) Methodist Hospital of Memphis North 3960 New Covington Pike Memphis, TN (901) Nashville Vanderbilt University nd Ave. South Nashville, TN (615) texas Alice Alice 2500 E. Main St. Alice, TX (361) Amarillo Baptist St. Anthony Health System Baptist Campus 1600 Wallace Blvd. Amarillo, TX (806) Baptist St. Anthony Hospital System St. Anthony Campus 200 N.W. 7th Ave. Amarillo, TX (806) Aransas Pass North Bay Hospital 1711 W. Wheeler Ave. Aransas Pass, TX (512)

6 Beaumont Memorial Hermann Baptist Beaumont Hospital 3576 College St. Beaumont, TX (409) Beeville Beeville 1500 E. Houston St. Beeville, TX (361) Bryan St. Joseph Regional Health Center 2801 Franciscan Dr. Bryan, TX (979) Carthage East Texas Carthage 409 W. Cottage Rd. Carthage, TX (903) Center Shelby Regional 602 Hurst St. Center, TX (936) Centerville Powell Memorial Health Center 102 E. Main Centerville, TX (903) Corpus Christi Corpus Christi Bay Area Surgery 7101 S. Padre Island Dr. Corpus Christi, TX (361) Corpus Christi The Heart Hospital 7002 Williams Dr. Corpus Christi, TX (361) Corpus Christi 7101 S. Padre Island Dr. Corpus Christi, TX (361) Corpus Christi Memorial 2606 Hospital Blvd. Corpus Christi, TX (361) Corpus Christi Shoreline 600 Elizabeth St. Corpus Christi, TX (361) Corpus Christi South 5920 Saratoga Blvd. Corpus Christi, TX (361) Doctors Regional 3315 S. Alameda St. Corpus Christi, TX (361) Northwest Hospital Farm Rd. 624 Corpus Christi, TX (361) Eagle Lake Rice 600 S. Austin Rd. Eagle Lake, TX (979) Edinburg Edinburg Regional 1102 W. Trenton Edinburg, TX (903) Houston St. Joseph 1401 St. Joseph Pkwy. Houston, TX (713) Jacksonville Mother Frances Hospital Jacksonville 2026 S. Jackson Jacksonville, TX (903) Jasper CHRISTUS Jasper Memorial Hospital 1275 Marvin Hancock Dr. Jasper, TX (409) Katy CHRISTUS St. Catherine Health & Wellness Center 701 S. Fry Rd. Katy, TX (281) Kilgore Laird Memorial Hospital 1612 S. Henderson Blvd. Kilgore, TX (903) Kingsville Kleberg 1300 General Cavazos Blvd. Kingsville, TX (361) Livingston Memorial Livingston 1717 Hwy. 59 Bypass Livingston, TX (936)

7 Longview Longview Regional 2901 N. 4th St. Longview, TX (903) Lubbock University 602 Indiana Ave. Lubbock, TX (806) Lufkin Memorial of East Texas 1201 Frank Lufkin, TX (936) McAllen McAllen 301 W. Expressway 83 McAllen, TX (956) Nacogdoches Nacogdoches 4920 N.E. Stallings Dr. Nacogdoches, TX (936) Nassau Bay CHRISTUS St. John Hospital St. John Dr. Nassau Bay, TX (281) Odessa Hospital Odessa 500 W. 4th St. Odessa, TX (432) Orange Memorial Hermann Baptist Orange Hospital 608 Strickland Orange, TX (409) Palestine Palestine Regional Med. Center East Campus 2900 S. Loop 256 Palestine, TX (903) Palestine Regional West Campus 4000 S. Loop 256 Palestine, TX (903) Port Arthur CHRISTUS Hospital St. Mary 3600 Gates Blvd. Port Arthur, TX (409) San Antonio CHRISTUS Santa Rosa Hospital 519 W. Houston San Antonio, TX (210) CHRISTUS Santa Rosa 2827 Babcock Rd. San Antonio, TX (210) San Augustine Memorial San Augustine 511 Hospital St. San Augustine, TX (936) Terrell at Terrell 1551 Hwy. 34 South Terrell, TX (972) Tyler Trinity Mother Frances Health System 800 E. Dawson Tyler, TX (903) University of Texas Health Center at Tyler U.S. Hwy. 271 Tyler, TX (903)

8 ALPHABETIC LISTING OF HOSPITALS A Abrom Kaplan Memorial...1 Akron City Hospital SUMMA Health System...2 American Legion Hospital...1 Arthur G. James Cancer Hospital...2 B Baptist St. Anthony Health System Baptist Campus...3 Baptist St. Anthony Hospital System St. Anthony Campus...3 C Chalmette...1 CHRISTUS Coushatta Health Care Center...1 CHRISTUS Hospital St. Mary...5 CHRISTUS Jasper Memorial Hospital...4 CHRISTUS Santa Rosa Hospital...5 CHRISTUS Santa Rosa....5 CHRISTUS Schumpert Hospital Highland...2 CHRISTUS Schumpert Hospital St. Mary Place...2 Alice...3 Beeville...4 Kleberg....4 Corpus Christi Memorial...4 Corpus Christi Shoreline...4 Corpus Christi South...4 CHRISTUS St. Catherine Health & Wellness Center...4 CHRISTUS St. Frances Cabrini Hospital...1 CHRISTUS St. John Hospital...5 CHRISTUS St. Patrick Hospital...1 Corpus Christi Bay Area Surgery...4 Corpus Christi The Heart Hospital...4 Corpus Christi..4 Crosby Memorial Hospital...2 Cuyahoga Falls General Hospital...2 D Doctors Hospital of Jefferson...1 Doctors Regional Medical Center...4 E East Ohio Regional Hospital...3 East Texas Carthage...4 Edinburg Regional Medical Center...4 F Firelands Regional Medical Center Main Campus...3 Firelands Regional Medical Center South Campus...3 G Germantown Hospital...3 Green Clinic Surgical Hospital K Kenner Regional Medical Center...1 L Lafayette General Medical Center...1 Lafayette General Surgical Center...1 Laird Memorial Hospital...4 Lakewood Hospital...3 Longview Regional Medical Center...5 Lorain Community Hospital/ St. Joseph Regional Health Center...3 M Marion General Hospital...2 Massillon Community Hospital..3 McAllen...5 Meadowcrest Hospital...1 at Terrell...5 Hospital Odessa...5 Memorial Hermann Baptist Beaumont Hospital...4 Memorial Hermann Baptist Orange Hospital...5 Memorial Baptist...1 Memorial Livingston...4 Memorial Mercy...1 Memorial of East Texas...5 Memorial San Augustine...5 Mercy Franciscan Hospital Mt. Airy Campus...2

9 Mercy Franciscan Hospital Western Hills Campus...2 Mercy Hospital Anderson...2 Mercy Hospital Clermont...2 Mercy Hospital of Fairfield...2 Methodist Central Hospital...3 Methodist Healthcare South Hospital...3 Methodist Hospital...1 Methodist Hospital of Memphis North...3 Mother Frances Hospital Jacksonville...4 N Nacogdoches...5 North Bay Hospital...3 North Caddo...2 NorthShore Regional....2 Northwest Hospital O Ohio State University Hospitals...2 Opelousas General Hospital...1 P Palestine Regional Medical Center East Campus...5 Palestine Regional Medical Center West Campus...5 Pearl River County Hospital & Nursing Home...2 Powell Memorial Health Center....4 R Rehabilitation Hospital of Acadiana...1 Rice...4 Richard G. Solove Research Institute...2 River Parishes Hospital...1 S Shelby Regional Medical Center...4 South Central Regional Medical Center...2 Springhill...2 St. Anne Mercy Hospital...3 St. Charles Mercy Hospital...3 St. Elizabeth Health Center...3 St. Francis St. Francis North Hospital...1 St. Joseph...4 St. Joseph Regional Health Center...4 St. Martin Hospital... 1 St. Thomas Hospital...2 St. Vincents Mercy Health Center...3 Summa Barberton Citizens Hospital...2 T Terrebonne General...1 Trinity Mother Frances Health System...5 U University...5 University of Tennessee...3 University of Texas Health Center at Tyler...5 V Vanderbilt University...3 W Wadsworth-Rittman Hospital...3 Walthall County General...2 7

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