IN CASE OF A WORK-RELATED INJURY

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1 IN CASE OF A WORK-RELATED INJURY 1. If you suffer a work-related injury, Vanguard or its insurance company shall pay all reasonable surgical and medical services and supplies, orthopedic appliances, and prostheses, including training in their use. 2. In order to assure that reasonable medical treatment will be paid for by Vanguard or the insurance company, you are required to select one of the licensed physicians or practitioners of the healing arts listed below. 3. You must continue to visit one of these persons listed below if you need treatment for 90 days, starting from the date of your first visit. 4. After the 90-day period expires, if you still need treatment and Vanguard has provided a list as set forth below, you may choose to go to another licensed physician or practitioner of the healing arts for treatment, but you must notify Vanguard within 5 days of your first treatment with such provider. If you fail to give such notice, Vanguard is not liable for payment until notice has been given and may be relieved entirely if treatment is held to be unreasonable or unnecessary. 5. If one of the persons listed below refers you to another licensed specialist, Vanguard or our insurer will pay the bill for these services. 6. If you are faced with a medical emergency, you may secure assistance from a hospital, physician or practitioner of the healing arts of your choice on the list. If no hospitals are listed, you may go to a hospital of your choice. 7. If surgery is recommended, a second opinion from one of the panel providers is possible. VANGUARD MALVERN, PA CrewCare (managed by Premise Health) Majestic Building 100 Vanguard Blvd Initial Care/ Physical of Paoli Hospital Orthopaedics Surgery & Sports Group (RSZ Orthopaedics) Ruggiero Orthopedic Philip Adelman, M.D. Robert Fried, M.D. Orion Building 31 Morehall Rd. Paoli Pointe, Ste Industrial Blvd. 254 W. Lancaster Ave. 266 Lancaster Ave., Suite Industrial Blvd., Ste W. Lancaster Ave., Ste King Rd / Neurology General Surgery Samuel Galib, M.D Ophthalmology Rick Goldfine, D.C. 270 Lancaster Ave., C Chiropractic

2 Aligned Medical Group 4 Industrial Blvd., Ste Chiropractic CHESTER COUNTY Med 100 Dr. Ed O Dell, medical director 625 N. Pottstown Pike Dr. Richard Donze, medical director Dr. Richard Donze, medical director Advanced Drs. Lyons and Manta Andrew Frankel, M.D. Donald Mazur, M.D. Charles Odgers, M.D. Bldg. A Suite Old Fern Hill Rd. West Chester, PA W. Cypress St. Kennett Square, PA Thomas Jones Way, # W. Lincoln Highway 491 John Young Way, Ste N Henderson Rd King of Prussia, PA NovaCare Outpatient 113 Arrandale Blvd Physical Rehab Chester County Eye Care 740 W. Lincoln Hwy Ophthalmology (Eye injuries) Joseph Verna, D.C. 760 W. Lincoln Hwy Chiropractic BERKS COUNTY Reading Hospital 6th Ave. & Spruce St Tuckerton Court U.S. HealthWorks 1114 Commons Blvd N 5th Street Hwy Occupational Suite 4 Concentra 4201 Pottsville Pike (Rte. 61) Neil Chesen, M.D. 301 Penn Ave. # Ophthalmology

3 John Perry, M.D. 25 S. Pine Street Elverson, PA David Nowotarski, D.C Penn Ave Chiropractic Sinking Spring, PA Reading Hospital and 6th Ave & Spruce St Emergency Medical BUCKS COUNTY WorkHealth- Bucks County 380 N. Oxford Valley Rd / Physical 360 N. Oxford Valley Rd / Physical St. Luke s Quakertown 1534 Park Ave., # Hospital (Occumed) Quakertown, PA Stedman s Employee Medical 2636 Bristol Pike Bensalem, PA (all injuries) Christopher Aland, M.D. Julia Pring, MD Lin Wei-Shen W MD 582 Middletown Blvd Park Ave. Quakertown, PA Suburban Orthopedic Specialists University Orthopaedic Institute Total Eye Care Dr. H. Stein and associates Robert Kessler, D.C nd Street Pike, Ste. 120 Southampton, PA Newtown Rd. Warminster, PA Woodbourne Rd. Levittown, PA Ophthalmology 2966 Street Rd Chiropractic Bensalem, PA One Call Medical Multiple locations Call to schedule MRIs, CAT scans, and EMGs DELAWARE COUNTY 100 Lancaster Ave, Wynnewood, PA Exton Square Pkwy, Crozer-Keystone for Taylor Hospital Crozer-Chester for Springfield Hospital WORKNET (Occupational 8 Morton Ave., Ste. 206 Ridley Park, PA W. Sproul Rd., Suite 210 Springfield, PA Diplomat Dr., Bay 1 Lester, PA Liberty 1 Bartol Ave., #100 Ridley Park, PA Eastern Orthopedic 1088 W. Baltimore Pike David Bosacco, M.D. Suite 2302 Thomas Kain III, M.D. Media, PA

4 Premier Orthopaedic & Sports Richard Jahnle, M.D. John Negrey, M.D Sproul Rd. Broomall, PA West Chester Pike, Ste. #310 Havertown, PA W. Eagle Rd. Havertown, PA MacDade Blvd. #A Folsom, PA Ophthalmology Ophthalmology Chiropractic MacDade Chiropractic Paula Dimaio, D.C. MONTGOMERY COUNTY 850 Germantown Pike Plymouth Meeting, PA Main Line Health Detweiler Family 1800 Byberry Rd. Huntingdon Valley, PA N. Henderson Rd., Ste. 306 King of Prussia, PA Robinson St. Pottstown, PA Arcola Rd. Collegeville, PA N. Broad St. Lansdale, PA Occupational Occupational General Practice/Occupational Pennsylvania 727 Welsh Rd., Suite 111 Huntingdon Valley, PA Temple Health Ft. 515 Pennsylvania Ave Washington Fort Washington, PA Northern Ophthalmic 1330 Powell St., Ste Ophthalmology Norristown, PA Blue Bell Physical 1524 Dekalb Pike Physical Blue Bell, PA William Muscara, D.C. 921 Fayette St Chiropractic Conshohocken, PA LEHIGH COUNTY 1621 N. Cedar Crest Blvd Occupational Allentown, PA St. Luke s Occumed Resources 2775 Schoenersville Rd. Bethlehem, PA Brodhead Rd. Bethlehem, PA 400 S. Greenwood Ave. Easton, PA N. Cedar Crest Blvd. Allentown, PA Occupational Occupational

5 Orthopedic of Bethlehem and Easton Orthopedic of The Greater Lehigh Valley McDonald Ophthalmology & Nova Care Outpatient Rehab Kurt Brzezinski, D.C. Paul Duffy, D.C Schoenersville Rd. Bethlehem, PA Nazareth Rd., #101 Easton, PA Delaware Ave. Bethlehem, PA / Ophthalmology 1125 S. Cedar Crest Blvd. Allentown, PA Physical 2775 Schoenoersville Rd., Chiropractic Bethlehem, PA PHILADELPHIA COUNTY 1 Reed St. Philadelphia, PA Hahnemann Hahnemann Einstein Regional Temple University Northeast Orthopedic Association Penn Washington Square Chiropractic University Eye Broad and Vine Sts Ridge Ave., Suite 234 Philadelphia, PA Levick St. Philadelphia, PA Penn Blvd., Suite 220 Philadelphia, PA Holstein Ave. Philadelphia, PA Suite 206- Medical Building Knights Rd. Philadelphia, PA Feinstein Bldg. 2nd Fl. 216 North Broad St Old York Rd. Willowcrest Building, 4th Fl. Philadelphia, PA Old Bustleton Ave. Philadelphia, PA (call for other office sites) 51 North 39th St. Philadelphia, PA S. Washington Square Philadelphia, N. Broad St., 3rd Fl Occupational Occupational Occupational Occupational Occupational Occupational / / Chiropractic Ophthalmology (eye injuries) Specialists One Call Medical Multiple locations Call to schedule MRIs, CAT scans, and EMGs

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