Count of ProviderName Network Type AAN(03) Clinic Dental Dx&Lab Hospital Optical Pharmacy AAN(03) Total AJM(06) Clinic

Dental Hospital Optical Pharmacy AJM(06) Total AUH(02) Clinic Dental Dx&Lab Hospital Optical Pharmacy AUH(02) Total Dibba(09) Clinic Pharmacy Dibba(09) Total DXB(04) Clinic Dental Dx&Lab Hospital Optical Pharmacy Physiotherapy Center DXB(04) Total FUJ(09) Clinic Hospital Optical Pharmacy FUJ(09) Total KFK(09) Clinic Pharmacy KFK(09) Total RAK(07) Clinic Dental Dx&Lab Hospital Optical Pharmacy RAK(07) Total SHJ(06) Clinic Dental

Total 23 1 2 5 5 26 62 28 1 2 1 28 60 88 13 4 17 6 112 240 2 4 6 268 28 25 18 50 323 1 713 15 2 2 10 29 5 6 11 35 11 1 2 6 35 90 145 6

SHJ(06)

Dx&Lab Hospital Optical Pharmacy Clinic Dental Pharmacy

SHJ(06) Total UAQ(06)

UAQ(06) Total Grand Total

12 9 4 118 294 6 1 8 15 1520

Exclusions & Remarks

Page 3 of 5

June 2012

Network Type AAN(03) Clinic AAN(03) Hospital AAN(03) AAN(03) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) AUH(02) DXB(04) DXB(04) DXB(04) DXB(04) DXB(04) DXB(04)

ProviderName Al Noor Hospital Clinics- Al Yahar Branch - AAN Al Noor Hospital-AAN

REMARKS Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Excluding: Dr. Amrou Salah - OB/GYN OB Gyn services other than Maternity are not accepted on direct billing / GN+ Provider Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Will not accept cardholders with Deductible in other currencies other than AED Excluding: Dental and Dermatology Excluding: Dental and Dermatology Excluding: Dental Department Excluding: Dental Department Excluding: Dental Department Excluding: Dr. Azza Nagib El Kilany - OBS Gyn

Pharmacy Al Noor Pharmacy LLC - Branch Mid Town - AUH Pharmacy Al Noor Pharmacy Midtown - Al Yahar - AAN Clinic Clinic Clinic Clinic Clinic Clinic Clinic Hospital Hospital Al Hendawy Medical Center - AUH Dr. Walaa Fakhr Center Al Noor Hospital Clinic - Mussafah Al Noor Hospital Clinics - Madinat Zayed Al Noor Hospital Speciality Clinic - Al Mirfa - AUH Al Noor Hospital Speciality Clinics - Al Musafah - AUH Al Noor Hospital Speciality Clinics - Madinat Zayed Al Noor Hospital - Airport Branch Al Noor Hospital-AUH

Pharmacy Al Noor Medical Company - Al Noor Pharmacy Branch Pharmacy Al Noor Pharmacy Pharmacy Al Noor Pharmacy - Al Marfa - AUH Pharmacy Al Noor Pharmacy - Madinat Zayed Branch 2 - AUH Pharmacy Al Noor Pharmacy - Al Mussafah 2 - AUH Pharmacy Al Noor Pharmacy - Mussafah Pharmacy Al Noor Pharmacy L.L.C. / Branch Pharmacy Al Noor Pharmacy Madinat Zayed Pharmacy New Al Noor Pharmacy - Khalifa Clinic Clinic Clinic Clinic Clinic Clinic Dubai London Clinic-DFC Dubai London Specialty Hospital- (Ex. Dubai London Clinic) MediCentres International - Al Barsha MediCentres International - Motorcity Symbiosis Healthcare (UK) FZ LLC (Ex. MediCentres International FZLLC - DHCC) Dr. Fathi Emara PolyClinic

NEXtCARE reserves the right to update this list. Pls call us at 042095900 to verify. Provider selection and medical management is the sole responsibility of physician and patient. This list is not reflective of coverage which is governed by the policy.

Exclusions & Remarks

Page 4 of 5

June 2012

Network DXB(04) DXB(04) DXB(04) DXB(04) DXB(04) DXB(04) DXB(04) DXB(04) DXB(04) AUH(02)

Type Clinic Clinic Clinic Dx&Lab Hospital Hospital Hospital Hospital Hospital Hospital

ProviderName Sultan Al Olama Medical Center - Mirdiff - DXB Sultan Al Olama Medical Center - Sheikh Zayed Road - DXB Dr. Raja Asfour Clinic Open MRI for Spine Surgery-DXB Emirates Hospital American Hospital MEDCARE Hospital Belhoul European Hospital International Modern Hospital Burjeel Hospital - AUH

REMARKS Excluding: ENT Services Excluding: ENT Services Vaccination are not covered on direct billing Excluding: Dr. Diib Maxwell Kayed Excluding: Dental Department Excluding: Dermatology Department, Vaccinations / GN+ Provider Excluding: Dr. Chris Whatley and Dr. Mark Sinclair Excluding: Ophthalmologist (Dr.Samir Jamal) Visiting Doctors: Dr. John George and Dr. Hafeez Rahman - Precerts will be up to agreed tariff with the hospital and excess amount will be borne by the member, the excess amount will not be eligible for cover under reimbursement. Excluding: Dental services

NEXtCARE reserves the right to update this list. Pls call us at 042095900 to verify. Provider selection and medical management is the sole responsibility of physician and patient. This list is not reflective of coverage which is governed by the policy.

General Network

Page 5 of 6 June 2012

Network

Type Al Zahrawi Hospital RAK Hospital

ProviderName

Area Al Nakheel Al Qusaidat

RAK(07) Hospital RAK(07) Hospital

Address Sheik Ahmed Bin Humaid Al Qassimi Bldg.,Opp. Choithram Supermarket POB:5442 Front of Saqr Hospital, Al Qusaidat, Ras al Khaimah POB:11393

Phone 2288544 2074234

Fax 2288558 2074458

REMARKS

NEXtCARE reserves the right to update this list. Pls call us at 042095900 to verify. Provider selection and medical management is the sole responsibility of physician and patient. This list isn't reflective of coverage which is governed by the policy.