IN CASE OF A WORK-RELATED INJURY

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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. 610-669-9355 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. 103 11 Industrial Blvd. 254 W. Lancaster Ave. 266 Lancaster Ave., Suite 100 21 Industrial Blvd., Ste. 205 225 W. Lancaster Ave., Ste. 332 520 King Rd. 484-565-1293 610-644-7755 610-644-6900 / 610-647-8000 Neurology 610-647-3077 General Surgery Samuel Galib, M.D. 610-644-0600 Ophthalmology Rick Goldfine, D.C. 270 Lancaster Ave., C1 610-408-9400 Chiropractic

Aligned Medical Group 4 Industrial Blvd., Ste. 200 610-644-3166 Chiropractic CHESTER COUNTY Med 100 Dr. Ed O Dell, medical director 625 N. Pottstown Pike 610-903-0640 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 3 915 Old Fern Hill Rd. West Chester, PA 19380 830 W. Cypress St. Kennett Square, PA 19348 479 Thomas Jones Way, #300 780 W. Lincoln Highway 491 John Young Way, Ste. 210 610-738-2450 610-444-6214 610-280-9999 610-873-1188 610-644-6900 800-321-9999 170 N Henderson Rd King of Prussia, PA NovaCare Outpatient 113 Arrandale Blvd. 610-594-9333 Physical Rehab Chester County Eye Care 740 W. Lincoln Hwy. 610-696-1230 Ophthalmology (Eye injuries) Joseph Verna, D.C. 760 W. Lincoln Hwy. 610-594-5502 Chiropractic BERKS COUNTY Reading Hospital 6th Ave. & Spruce St. 484-628-4000 1000 Tuckerton Court U.S. HealthWorks 1114 Commons Blvd. 3225 N 5th Street Hwy Occupational Suite 4 Concentra 4201 Pottsville Pike (Rte. 61) Neil Chesen, M.D. 301 Penn Ave. #100 610-926-0960 610-921-2384 610-921-5811 610-372-2222 Ophthalmology

John Perry, M.D. 25 S. Pine Street 610-286-1660 Elverson, PA 19520 David Nowotarski, D.C. 3443 Penn Ave. 610-678-8600 Chiropractic Sinking Spring, PA 19608 Reading Hospital and 6th Ave & Spruce St. 484-628-3637 Emergency Medical BUCKS COUNTY WorkHealth- Bucks County 380 N. Oxford Valley Rd. 215-949-5165 / Physical 360 N. Oxford Valley Rd. 215-943-9000 / Physical St. Luke s Quakertown 1534 Park Ave., #240 215-529-6360 Hospital (Occumed) Quakertown, PA 18951 Stedman s Employee Medical 2636 Bristol Pike Bensalem, PA 19020 215-639-8770 (all injuries) Christopher Aland, M.D. Julia Pring, MD Lin Wei-Shen W MD 582 Middletown Blvd. 1534 Park Ave. Quakertown, PA 18951 215-702-0600 267-424-8850 Suburban Orthopedic Specialists University Orthopaedic Institute Total Eye Care Dr. H. Stein and associates Robert Kessler, D.C. 283 2nd Street Pike, Ste. 120 Southampton, PA 18966 215 Newtown Rd. Warminster, PA 18974 1568 Woodbourne Rd. Levittown, PA 19047 215-355-7220 215-830-9255 215-943-7800 Ophthalmology 2966 Street Rd. 215-698-5800 Chiropractic Bensalem, PA 19020 One Call Medical Multiple locations 800-872-2875 Call to schedule MRIs, CAT scans, and EMGs DELAWARE COUNTY 100 Lancaster Ave, Wynnewood, PA 19096 484-565-1293 154 Exton Square Pkwy, Crozer-Keystone for Taylor Hospital Crozer-Chester for Springfield Hospital WORKNET (Occupational 8 Morton Ave., Ste. 206 Ridley Park, PA 19078 196 W. Sproul Rd., Suite 210 Springfield, PA 19064 100 Diplomat Dr., Bay 1 Lester, PA 19113 Liberty 1 Bartol Ave., #100 Ridley Park, PA 19078 Eastern Orthopedic 1088 W. Baltimore Pike David Bosacco, M.D. Suite 2302 Thomas Kain III, M.D. Media, PA 19063 610-595-6811 610-328-8760 610-521-6880 610-521-8970 610-565-6445

Premier Orthopaedic & Sports Richard Jahnle, M.D. John Negrey, M.D. 2004 Sproul Rd. Broomall, PA 19008 2010 West Chester Pike, Ste. #310 Havertown, PA 19083 56 W. Eagle Rd. Havertown, PA 19083 1004 MacDade Blvd. #A Folsom, PA 19033 610-353-0800 610-446-2260 Ophthalmology 610-446-8080 Ophthalmology 610-534-2273 Chiropractic MacDade Chiropractic Paula Dimaio, D.C. MONTGOMERY COUNTY 850 Germantown Pike Plymouth Meeting, PA 19462 610-275-3884 Occupational @Careplex Main Line Health Detweiler Family 1800 Byberry Rd. Huntingdon Valley, PA 19006 170 N. Henderson Rd., Ste. 306 King of Prussia, PA 19406 81 Robinson St. Pottstown, PA 19464 599 Arcola Rd. Collegeville, PA 19426 1970 N. Broad St. Lansdale, PA 19446 215-947-5200 Occupational 610-337-1558 Occupational 610-326-2300 484-580-1800 215-368-1900 General Practice/Occupational 215-947-7550 Pennsylvania 727 Welsh Rd., Suite 111 Huntingdon Valley, PA 19006 Temple Health Ft. 515 Pennsylvania Ave. 215-641-0700 Washington Fort Washington, PA 19034 Northern Ophthalmic 1330 Powell St., Ste. 503 610-272-6888 Ophthalmology Norristown, PA 19401 Blue Bell Physical 1524 Dekalb Pike 610-275-0330 Physical Blue Bell, PA 19422 William Muscara, D.C. 921 Fayette St. 610-834-8724 Chiropractic Conshohocken, PA 19428 LEHIGH COUNTY 1621 N. Cedar Crest Blvd. 610-861-8080 Occupational Allentown, PA 18104 St. Luke s Occumed Resources 2775 Schoenersville Rd. Bethlehem, PA 18017 153 Brodhead Rd. Bethlehem, PA 400 S. Greenwood Ave. Easton, PA 18045 1503 N. Cedar Crest Blvd. Allentown, PA 18104 610-861-8080 Occupational 610-954-3005 610-515-8080 Occupational 610-821-4848

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. 2775 Schoenersville Rd. Bethlehem, PA 18017 3735 Nazareth Rd., #101 Easton, PA 18045 522 Delaware Ave. Bethlehem, PA 18015 610-691-0973 / 610-252-1600 610-861-8977 Ophthalmology 1125 S. Cedar Crest Blvd. Allentown, PA 18103 610-433-1500 Physical 2775 Schoenoersville Rd., 610-861-8080 Chiropractic Bethlehem, PA 18020 PHILADELPHIA COUNTY 1 Reed St. Philadelphia, PA 19147 215-467-5800 Occupational @ Hahnemann WorkHealth @FrankfordTorresdale Hahnemann Einstein Regional Temple University Northeast Orthopedic Association Penn Washington Square Chiropractic University Eye Broad and Vine Sts. 5800 Ridge Ave., Suite 234 Philadelphia, PA 19128 2010 Levick St. Philadelphia, PA 19149 2 Penn Blvd., Suite 220 Philadelphia, PA 19144 7000 Holstein Ave. Philadelphia, PA 19153 Suite 206- Medical Building 10800 Knights Rd. Philadelphia, PA 19114 Feinstein Bldg. 2nd Fl. 216 North Broad St. 5501 Old York Rd. Willowcrest Building, 4th Fl. Philadelphia, PA 19141 9331 Old Bustleton Ave. Philadelphia, PA 19115 (call for other office sites) 51 North 39th St. Philadelphia, PA 19104 604 S. Washington Square Philadelphia, 16106 219 N. Broad St., 3rd Fl. 215-762-8525 Occupational 215-487-4540 Occupational 215-537-4755 Occupational 215-438-5390 Occupational 215-365-7510 Occupational 215-612-4836 Occupational 215-762-2663 215-456-7900 215-969-9100 / 215-294-9111 / 215-925-8005 Chiropractic 215-832-0080 Ophthalmology (eye injuries) Specialists One Call Medical Multiple locations 800-872-2875 Call to schedule MRIs, CAT scans, and EMGs