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Forethought Life Insurance CompanyMedicare Select Provider Networkrev 3/09/2012
WELCOMEWelcome to the individual Medicare SELECTMedicare supplement program from Forethought LifeInsurance Company. We are pleased to offer thesehospitals to our policyholders. Medicare SELECThas a participating hospital network that is serving themedical needs of your community by containing costswhile maintaining quality health care.For information on hospitals located in a specific area,please refer to the provider listings on the followingpages.IMPORTANT DIRECTORYINFORMATIONWith Medicare SELECT Medicare supplementcoverage, you have the freedom to choose anyparticipating network hospital in your area. If youneed emergency care, your policy pays the MedicarePart A deductible no matter what hospital you use.For non-emergency care, you must use a participatingnetwork hospital for the Medicare Part A deductible tobe covered.IDENTIFICATION CARD (ID)When you’re issued your Medicare SELECT policy,you will receive an ID card. Please present your cardwhenever you receive medical services.PARTICIPATING HOSPITALSPlease understand that this directory lists participatinghospitals as of the publication date. From time totime, hospitals may be added or removed from theparticipating hospital network. Before receivingcare from a hospital, ask the hospital if it’s stillparticipating in our Medicare SELECT network.For current information on participating hospitals call(877) 492-5870.IF YOU HAVE QUESTIONSOur Customer Service staff will be glad to help withyour questions or concerns about your coverage,participating hospitals or the care you receive.Please call Customer Service whenever you have aquestion, (877) 492-5870.For details about your coverage, please read yourpolicy.Forethought Life Insurance Company does notsupervise, control or guarantee the health care servicesof any hospital, including those participating in itsMedicare SELECT hospital network.TABLE OF CONTENTSHospitals 1-7Forethought Medicare Select Provider Network03/09/2012
Medicare Select Provider Networkby State and CountyGEORGIAChathamSt. Josephs Hospital11705 Mercy BlvdSavannahGA31419CherokeeNorthside Hospital CherokeeInc.201 Hospital RdCantonGA30114CookMemorial Hospital of Adel706 N Parrish AveAdelGA31620GreeneCookMinnie G Boswell MemorialHospital1201 Siloam RdGreensboroGA30642Saint Joseph Health Ctr &Hospital2900 N Lake Shore DrChicagoIL60657JacksonSt Elizabeths Hospital1431 N Claremont AveChicagoIL60622BJC Medical Ctr70 Medical Ctr DrCommerceGA30529NewtonNewton General Hospital5126 Hospital Dr NECovingtonGA30014ILLINOISFanninCookFannin Regional Hospital2855 Old Hwy 5Blue RidgeGA30153Holy Family Medical Ctr100 River RdDes PlainesIL60016FultonOur Lady of ResurrectionMedical Ctr5645 W Addison StChicagoIL60634Kindred Hospital Atlanta705 Juniper St NEAtlantaGA30308Shepherd Center2020 Peachtree Rd NWAtlantaGAPage 1 of 7Resurrection Medical Ctr7435 W Talcott AveChicagoIL60631St Francis Hospital355 Ridge AveEvanstonIL60202St Mary of Nazareth HospitalCtr2233 W Division StChicagoIL60622The University of ChicagoHospitals and Health System5841 S Maryland AveChicagoIL60637Westlake CommunityHospital1225 W Lake StMelrose ParkIL60160PeoriaProctor Hospital5409 N Knoxville AvePeoriaIL6161430309Forethought Medicare Select Provider Network3/09/2012
Medicare Select Provider Networkby State and CountyLOUISIANAAcadiaAmerican Legion Hospital1305 Crowley Rayne HwyCrowleyLA70526BossierCHRISTUS SchumpertBossier2105 Airline DrBossier CityLA71111CaddoCHRISTUS Schumpert - St.Mary PlaceOne St Mary PlShreveportLA71101CHRISTUS SchumpertHighland1453 E Bert KounsShreveportLA71105CalcasieuCHRISTUS St PatrickHospital524 S Ryan StLake CharlesLAPage 2 of 770601EvangelineLincolnSavoy Medical Ctr801 Poinciana AveMamouLAGreen Clinic SurgicalHospital1118 S Farmerville StRustonLA70554JeffersonDoctors Hospital of Jefferson4320 Houma BlvdMetairieLA70006Kenner Regional Medical Ctr180 W Esplanade AveKennerLA70065Meadowcrest Hospital2500 Belle Chasse HwyGretnaLA70056LafayetteLafayette General MedicalCtr1214 Coolidge StLafayetteLA70503Lafayette General SurgicalCtr1000 W Pinhook RdLafayetteLA70503Rehabilitation Hospital ofAcadiana310 Youngsville HwyLafayetteLA7050871270OrleansMemorial Medical Ctr Baptist2700 Napoleon AveNew OrleansLA70115Memorial Medical Ctr - Mercy301 N Jefferson Davis PkwyNew OrleansLA70119Methodist Hospital5620 Read BlvdNew OrleansLA70127OuachitaP & S Surgical Hospital312 Grammont StMonroeLA71201St. Francis Medical Center309 Jackson StMonroeLA71210St. Francis North Hospital3421 Medical Prk DrMonroeLA71203Forethought Medicare Select Provider Network3/09/2012
Medicare Select Provider Networkby State and CountySt. TammanyRapidesCHRISTUS St Frances CabriniHospital3330 Masonic DrAlexandriaLA71301Red RiverCHRISTUS Coushatta HealthCare Ctr1635 Marvelle StCoushattaLA71019Saint LandryOpelousas General Hospital539 E Prudhomme StOpelousasLA70570St. John The BaptistRiver Parishes Hospital500 Rue De SanteLa PlaceLA70068Page 3 of 7TerrebonneTerrebonne General MedicalCtr8166 Main StHoumaLA70360VermilionAbrom Kaplan Memorial1310 W 7th StKaplanLA70548WebsterSpringhill Medical Ctr2001 Doctors DrSpringhillLA7107573104Presbyterian Tower Hospital700 NE 13th StOklahoma City OK73104TulsaHillcrest Medical Ctr1120 S Utica AveTulsaOK74104Oklahoma State UniversityMedical Ctr744 W 9th StTulsaOK74127TEXASPalestine Regional MedicalCtr - E Campus2900 S Loop 256PalestineTX75802Oklahoma70517OU Medical Ctr1200 N Everett DrOklahoma City OKAndersonOKLAHOMASt MartinSt. Martin Hospital210 Champagne BlvdBreaux Bridge LAOchsner Medical Center North Shore100 Medical Center DrSlidellLA70461Midwest Regional MedicalCtr2825 Parklawn DrMidwest CityOK73110Edmond Medical CtrOne S Bryant StEdmondOK73034Palestine Regional MedicalCtr - W Campus4000 S Loop 256PalestineTX75802Forethought Medicare Select Provider Network3/09/2012
Medicare Select Provider Networkby State and CountyAngelinaBrazosMemorial Medical Ctr of EastTexas1201 FrankLufkinTX75904St. Josephs Home Health3030 E 29th St Ste 108BryanTX77802Memorial Specialty Hospital1201 FrankLufkinTX75904BeeCHRISTUS Spohn HospitalBeeville1500 E Houston StBeevilleTX78102BexarChristus Santa Rosa Hospital519 W Houston StSan AntonioTX78207Christus Santa Rosa MedicalCtr2827 Babcock RdSan AntonioTX78229Christus Santa Rosa RehabHospital2827 Babcock Rd-1st FloorSan AntonioTX78229Page 4 of 7St. Josephs Regional HealthCtr2801 Franciscan DrBryanTX77802St. Josephs RegionalRehabilitation Ctr1600 Joseph DrBryanTX77802BurlesonBurleson St. Joseph HealthCtr1101 Woodson DrCaldwellTX77836Somerville Family MedicineClinic600 Avenue CSomervilleTX77879St. Joseph - Caldwell FamilyMedical Clinic1103 Woodson DrCaldwellTX77836CherokeeColoradoRice Medical Ctr600 S Austin RdEagle LakeTX77434EctorMedical Ctr Hospital Odessa500 W 4th StOdessaTX79760GreggGood Shepherd Medical Ctr700 E Marshall AveLongviewTX75601Allegiance Specialty Hospitalof Kilgore1612 S Henderson BlvdKilgoreTX75662Longview Regional MedicalCtr2901 N 4th StLongviewTX75605GrimesGrimes St. Joseph Health Ctr210 S Judson StNavasotaTX77868Mother Frances Hospital Jacksonville2026 S JacksonJacksonvilleTX75766Forethought Medicare Select Provider Network3/09/2012
Medicare Select Provider Networkby State and CountyHarrisJeffersonKlebergCHRISTUS St. CatherineHealth & Wellness Ctr701 S Fry RdKatyTX77450CHRISTUS Hospital St. Mary3600 Gates BlvdPort ArthurTX77642CHRISTUS Spohn HospitalKleberg1300 General Cavazos BlvdKingsvilleTX78363CHRISTUS St. John Hospital18300 St John DrNassau BayTX77058St. Joseph Medical Center1401 St Joseph PrkwyHoustonTX77002HidalgoEdinburg Regional MedicalCtr1102 W TrentonEdinburgTX78539McAllen Medical Ctr301 W Expwy 83McAllenTX78503JasperCHRISTUS Jasper MemorialHospital1275 Marvin Hancock DrJasperTX75951CHRISTUS Outpatient Ctr3701 Hwy 73Port ArthurTX77642Memorial Hermann BaptistBeaumont Hospital3576 College StBeaumontTX77701Burleson St. JosephLexington Family MedicalClinic609 Main StLexingtonTX78947LeonJim WellsCHRISTUS Spohn HospitalAlice2500 E Main StAliceTX78332JonesAnson General Hospital101 Avenue JAnson TX 79501Powell Memorial Health Ctr102 E MainCentervilleTX75833St. Joseph - NormangeeFamily Medical ClinicHwy 3 W Main and 9th StNormangeeTX77871LubbockUniversity Medical Ctr602 Indiana AveLubbockTX79415KaufmanMedical Ctr at Terrell1551 Hwy 34 STerrellTXLee75160MadisonJ B Heath Family Health Ctr100 W Cross StMadisonvilleTX77864Page 5 of 7Forethought Medicare Select Provider Network3/09/2012
Medicare Select Provider Networkby State and CountyMadison St. Joseph HealthCtr100 W Cross StMadisonvilleTX77864Corpus Christi Medical Ctr7101 S Padre Island DrCorpus Christi TX78469NacogdochesDoctors Regional Medical Ctr3315 S Alameda StCorpus Christi TX78469Nacogdoches Medical Ctr4920 NE Stallings DrNacogdoches TX75965Northwest Regional Hospital13725 NW BlvdCorpus Christi TX78469NuecesOrangeCHRISTUS Spohn HospitalCorpus Christi - Memorial2606 Hospital BlvdCorpus Christi TX78405Memorial Hermann BaptistOrange Hospital608 StricklandOrangeTX77630CHRISTUS Spohn HospitalCorpus Christi - Shoreline600 Elizabeth StCorpus Christi TX78404PanolaCHRISTUS Spohn HospitalCorpus Christi - South5920 Saratoga BlvdCorpus Christi TX78405Corpus Christi Medical CtrBay Area Surgery7101 S Padre Island DrCorpus Christi TX78469Corpus Christi Medical CtrThe Heart Hospital7002 Williams DrCorpus Christi TX78412Page 6 of 7East Texas Medical Ctr Carthage409 W Cottage RdCarthageTX75633PotterBaptist St. Anthonys HealthSystem - Baptist Campus1600 Wallace BlvdAmarilloTX79106Baptist St. Anthonys HealthSystem - St. AnthonysCampus200 NW 7thAmarilloTX79107Physicians Surgical Hospital6819 Plum CreekAmarilloTX79124Physicians Surgical Hospital7100 W 9thAmarilloTX79106RobertsonPolkSt. Joseph - Franklin FamilyMedicine Clinic305 Gay StFranklinTX77856Memorial Medical Ctr Livingston1717 Hwy 59 BypassLivingstonTX77351St. Joseph - Hearne FamilyMedicine Clinic709 Barton StHearneTX77859San AugustineMemorial Medical Ctr - SanAugustine511 Hospital SSan Augustine TX75972Forethought Medicare Select Provider Network3/09/2012
Medicare Select Provider Networkby State and CountySan PatricioNorth Bay Hospital1711 W Wheeler AveAransas Pass TX78336ShelbyShelby Regional Medical Ctr602 Hurst StCenterTX75935SmithTrinity Mother Frances HealthSystems800 E DawsonTylerTX75701Tyler ContinueCARE Hospital800 E DawsonTylerTX75701UT Health Ctr at Tyler11937 US Hwy 271TylerTXPage 7 of 775708Forethought Medicare Select Provider Network3/09/2012
Medicare supplement program from Forethought Life . Insurance Company. We are pleased to offer these hospitals to our policyholders. Medicare SELECT . Page 2 of 7 Forethought Medicare Select Provider Network 3/09/2012 by State and County. LOUISIANA. Acadia. American Legion Hospital. 1305 Crowley Rayne Hwy Crowley LA 70526.
