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List Provider, 12 May 2010

List Provider, 12 May 2010

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PT.

Global Asistensi Manajemen Indonesia (GAMI)

Our Provider Network Listing
Welcome to our Provider Network! Note that we have many Networks to suit different Clients so make certain you are using the right List. Check with your Insurance Company, HRD or with our Customer Service staff if you are not sure. This is our Network List for Indonesia Only, All Services, All Classes. If you are not certain what services you are entitled to use on a cashless basis, please check your insurance policy or talk to your Human Resources Department (HRD). If you would like details of our other network providers, an "All Providers" list is available from our website at www.Global-Assistance.net. The cashless medical services available from each of the Facilities listed are indicated with a P mark (see below). Note also that the cashless services available to you personally will depend on your insurance policy or company entitlements. If you have any questions regarding this list, or if you experience any problems of any kind in accessing services from these Providers, please call the customer service number on the back of your Membership Card or call us on (021) 782 8022. We continue to build and expand our Network of Providers to suit our clients - so please check for updates to this list at our website www.Global-Assistance.net. Abbreviations used below are as follows... IP = Inpatient services MA = Maternity Services OP = Outpatient services DB = Basic Dental services DC = Complex Dental services Opt = Optical services MC = Medical Checkup services

INDONESIA
State/Province: Bali Denpasar
Facility Name Jimbaran Clinic Kimia Farma Clinic Klinik Penta Medica Kuta Clinic Merdeka Medical Centre (MMC) Nusa Dua Clinic Poliklinik&Apotek Metta Beliton RB Kasih Ibu Dalung Permai Remedium Care Clinic RS BaliMed RS Kasih Ibu Bali RS Prima Medika RSB Aricanti RSIA Puri Bunda Denpasar RSU Kasih Ibu Kedongan RSU Sari Dharma Type Clinic - 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - Not 24 Hours Hospital & Clinic Clinic - 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Hospital & Clinic Hospital & Clinic Hospital & Clinic Address JL. By Pass Ngurah Rai No. 95 XX, Kedonganan - Tuban Jl.Diponegoro No.125, Denpasar Jl. Teuku Umar Barat, Marlboro No. 88 Jl. Raya Kuta 100X, Kuta Jl. Merdeka VIII / 2 Tanjung Bungkak, Denpasar Jl.Pratama No.81A-81B, Nusa Dua Jl. Beliton No. 1 Kompleks Perumahan Bumi Dalung Permai Blok C1 - C4 Jl. By Pass Ngurah Rai No. 243, Sanur Jl. Mahendratta No. 57, Denpasar Jl. Teuku Umar 120, Denpasar Jl. P. Serangan No.9 X Jl. Raya Mas, Ubud Jl. Gatot Subroto VI/19, Denpasar Jl. Uluwatu No. 69 A, Kedongan - Kuta Jl. Pulau Seram 8, Denpasar Telephone (0361) 701467 (0361) 255 914 (0361) 7446144 (0361) 758 495 (0361) 233 790 (0361) 778 098 (0361) 227334 (0361) 3093939 (0361) 7430729 (0361) 8450773 (0361) 223 036 (0361) 236 225 (0361) 974 573 (0361) 437 999 (0361) 703270 (0361) 226 866 IP M O DB DC Opt M

P P P P P P P P P P P P P P P P

P P

P

P P P P P P P P P P P P P P P P

P P P

P P

P P

P P

Released: 12 May 2010, 1:53:55PM Network Listing - Indonesia Only All Services

Page 1 of 21

Maximizing Service, Minimizing Risk Health Benefits Administration & Risk Management
PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor, Jl. Letjend. T.B. Simatupang Kav 38, Jakarta 12540, Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Service@Global-Assistance.net

Facility Name

Type

Address

Telephone

IP M

O

DB

DC

Opt

M

State/Province: Bali Singaraja
RSU Grehosadha Parama Sidhi Hospital & Clinic Jl. Ahmad Yani No. 117 A, Baktiseraga - Singaraja (0362) 32701

P P

P

P

P

State/Province: Banten Cilegon
Klinik Al Falah Klinik Amalia Cilegon Klinik Bona Medika Klinik Prima Husada Cilegon Klinik Pusat Kesehatan Ananda Klinik Serang Medika Klinik Utama Medical Service II Klinik&Apotik Waringin Klinik-Apotik Prima Sehat RS Krakatau Medika RSIA Kurnia Cilegon RSIA Mutiara Bunda Cilegon Hospital & Clinic Clinic - 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - Not 24 Hours Clinic - Not 24 Hours Clinic - Not 24 Hours Clinic - Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Ruko Sukmajaya Blok B No. 20 Jl. SA. Tirtayasa No. 7 Festival Ruko Blok B. 10-11, Bonakarta Jl. Raya Merak No. 36 Jl. R. Suprapto KM 8 Jl. Raya Serang Cilegon Ruko Legok Sukma Jaya Jl. Letjend Suprapto No. 9 Rawanuju Jl. Raya Waringin Kurung Serdang Jl. SA. Tirtayasa No. 96 Jl. Semang Raya, Cilegon Jl. Jombang Mesjid No. 4 Jl. SA Tirtayasa No. 86 (0254) 7035602 (0254) 391307 (0254) 387684 (0254) 391688 (0254) 310609 (0254) 223992 (0254) 220422 (0254) 310609 (0254) 391688 (0254) 396 333 (0254) 391161 (0254) 376888

P P P P P P P P P P P

P P P P P P P P P P P P

P P P P P

Pangdeglang
Klinik Difa 24 Jam Clinic - 24 Hours Jl. Raya Labuan KM.12, Menes (0253) 502160

P

P

Rangkas Bitung
RS Misi Lebak Hospital & Clinic Jl. Multatuli No. 41 Rangkasbitung (0252) 201014

P P

P

P

P

Serang
Klinik & Apotik Ratu Farma Klinik Cijawa Medika Klinik Ikhlas Medika I Klinik Ikhlas Medika II Klinik Modern Medika Cikande Klinik Modern Medika Kragilan Klinik Utama Medical Service I Klinik Wahana Sehat Klinik Wisata Medika RS Kencana Serang RSIA Budi Asih Serang Clinic - Not 24 Hours Clinic - Not 24 Hours Clinic - 24 Hours Clinic - 24 Hours Clinic - Not 24 Hours Clinic - 24 Hours Clinic - Not 24 Hours Clinic - Not 24 Hours Clinic - Not 24 Hours Hospital & Clinic Hospital & Clinic Jl. Maulana Yusuf No. 17 Jl. KH. A. Fatah Hasan No. 8 Kompleks Bumi Agung Permai Jalan Raya Serang JakartaPakupatan Jl. Raya Serang KM. 68, Ruko Modern Medika, Cikande Jl. Raya Serang KM. 15 Ruko D-9, Kragilan - Serang Jl. Kol. H. Tb. Suwandi Ruko Puri Tiara No. 17 Jl. Juhdi No. 31 Jl. Raya Anyer No. 09 Jl. A. Yani No. 21 Jl. K.H Sokhari No. 39 (0254) 200465 (0254) 204735 (0254) 207918 (0254) 207918 (0254) 400554 (0254) 281720 (0254) 220422 (0254) 207374 (0254) 605141 (0254) 211554 (0254) 212484

P P P P P P P P P P P

P P P

P P P P P

P P P P

P

Released: 12 May 2010, 1:53:56PM Network Listing - Indonesia Only All Services

Page 2 of 21

Maximizing Service, Minimizing Risk Health Benefits Administration & Risk Management
PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor, Jl. Letjend. T.B. Simatupang Kav 38, Jakarta 12540, Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Service@Global-Assistance.net

Raya Jombang No. Karang Tengah Raya Jl. Aria Putra No. Ciputat Jl. Raya Serpong KM. MH Thamrin Blok B3 No. Simatupang Kav 38. Rd. Cipondoh Ruko Golden Madrid 2 Blok I . Cipondoh Jl.24 Hours Clinic . Gatot Subroto No. KH. HOS Cokroaminoto (Ciledug Raya) No.cibodas Jl.9. 1 .24 Hours Clinic . 96 KM.H Juanda No. Moh. Jl. Toha (Jl.24 Hours Clinic .net .Service@Global-Assistance. T.Rawabuntu Utara Sektor 1-2 Blk UA26-27. Ciputat Jl. Raya Serpong RE No. 92 Kawasan Industri CCM Kav. Pinang Jl. Kavling Pemda Karawaci Ruko Pondok Cabe Mutiara Blok C II 12A. 11. MH Thamrin No. 37. 1 Blok D3. Cibodasari . Letjen Sutopo BSD City JL. Bintaro Sektor IX Jl. Pamulang . KH.B. Kreo Selatan . HOS.24 Hours Clinic .Tangerang Jl. Jl. Desa Kelapa Dua PO Box 492 Jl.24 Hours Clinic .24 Hours Clinic .24 Hours Clinic . 5 Jl.Not 24 Hours Clinic .Tangerang Jl. Ir. KH. Juanda No.Larangan Jl. cokroaminoto No. 18.Honoris Raya Kav 6. Raya Serang KM. 10.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Banten Tangerang Apotek Century Plaza Bintaro Clinic Pamulang Medical Centre Klinik & RB Pinang Sari I Klinik Anakku BSD Klinik Banjar Medika Klinik Bunda Medika Klinik dan Apotik Mulya Klinik Dr. 11 Jatiuwung Jl.28. 3. 3.10. Pinang Villa Melati Mas. Lippo Karawaci 1600 (021) 7353485 (021) 740 5317 (021) 731 2915 (021) 7091 3227 (021) 5541401 (021) 740 2465 (021) 730 7888 (021) 7023 0383 (021) 5588776 (021) 742 7803 (021)7344 0767 (021) 7492619 021-55799768 (021) 537 0310 (021) 740 5330 (021) 552 0731 (021) 552 9035 (021) 53125555 (021) 737 1919 (021) 5525564 021-5902229 (021) 5374293 (021) 55780888 (021) 7456379 (021) 745 5500 (021) 552 3945 (021) 5954858 (021) 546 4466 (021) 552 2794 (021) 740 2718 (021) 5575 2575 (021) 7333430 (021) 7407422 (021) 5900136 (021) 7424639 (021) 740 9969 (021) 537 6002 (021) 5582732 (021) 596 9145 (021) 730 5663 (021) 732 2443 (021) 546 0055 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Released: 12 May 2010.24 Hours Clinic .45 BSD Sektor IV Jl. KH. 56. Pondok Jagung Jl. Raya Serang Km. KH.Pamulang Raya. Alam Sutera Boulevard Kav. Jatake Jl. 125. Imam Bonjol no 38. 3 Cikokol Jl. Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Jl. Hasyim Ashari 001/004 NO. Siloam No.8.5 Desa Bojong Cikupa Jl. Raya Pasar Baru No. Mas Mansyur no. Blok DII/2 Pamulang Jl. 25. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Ciputat Jl.18. 114. Sektor 7.Ir. Ciputat Jl. Pandaan Raya No. Ciputat Jl. Pamulang Jl.24 Hours Clinic . Sudimara. 43 . Jl Pondok Cabe Raya.1. Kedaung Pamulang Jl. Ciputat Baru Raya No.95. 19-20. Hasyim Ashari No. Hasyim Ashari No. Balaraja Komp. Siliwangi D2/ 11.Not 24 Hours Clinic . Melati Raya C II/No. Bintaro Utama IIIA Pondok Aren Jl. Islamic Village.24 Hours Clinic . Hasyim Ashari 24.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Maternity & Children Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Hospital & Clinic Hospital & Clinic Hospital & Clinic Plaza Bintaro Jaya LT. Merdeka No. Ciledug Pamulang Permai Blok D3 No.24 Hours Clinic .5. Jl. Hasyim Ashari no. Bintaro Jaya Jl. Serpong Jl. Saleh No. Jakarta 12540. Letjend. Prabu Siliwangi No.90. 28. FL -8. Imam Bonjol Kav. 10. Nenie Herawati Klinik Karuna Medika Klinik Medifarma Pondok Cabe Klinik Pinang Sari II Klinik Provita Klinik Sapta Mitra Tangerang Klinik Selaras Klinik Siliwangi Medika Klinik Sumber Sehat Medika Mayapada Hospital Omni Internasional Hospital RS Aminah RS An-Nisa Tangerang RS Ariya Medika RS Asshobirin RS Global Medika RS Ichsan Medical Centre (IMC) Bintaro RS Internasional Bintaro RS Melati RS Paramita RS QADR RS Sari Asih Karawaci RS Syarif Hidayatullah RS Usada Insani RS. Sari Asih Ciledug RSB Permata Sarana Husada RSIA Bunda Sejati RSIA Cinta Kasih RSIA Lestari Cirendeu Tanggerang RSIA Putra Dalima RSIA Sari Asih Sangiang RSIA Selaras RSU Bhakti Asih RSU Mulya Siloam Hospitals Lippo Village Pharmacy Clinic . H.6. 10 Sudimara Pinang. Tangerang Jl. BSD . 2. Industri Raya I Blok A No.Not 24 Hours Clinic . Raya Mauk) KM. 4A. 3 Jl. 38.Indonesia Only All Services Page 3 of 21 Maximizing Service. Karawaci Jl.5 Jl. Cirendeu Indah III No. Kota Modern Jl. Cibodas Jl. Cipondoh Jl. KH. 21 Perumnas I. 1:53:56PM Network Listing .

21.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Bengkulu RS Rafflesia Bengkulu Hospital & Clinic Jl. T. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Kembangan Selatan Jl. 2&3 Pasar Puri Indah.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Hospital & Clinic Hospital & Clinic Carrefour Daan Mogot KM. Kamal Raya A7 No. Lt.net . Jl. Dasar No.Service@Global-Assistance. Bumi Cengkareng Indah.Not 24 Hours Clinic . Letjend.Tenis Raya Klinik Kusuma Klinik Yadika Tegal Alur RS Hermina Daan Mogot RS Jantung Harapan Kita RS Kanker Dharmais RS Medika Permata Hijau RS MH. 55 Kebon Jeruk Jl.Raya Kebayoran Lama. 7-11. Kintamani Raya No.B. Jakarta 12540. 17.87. 64 Jl.Not 24 Hours Clinic . 87 Slipi Jl. Grogol Jl. 1:53:56PM Network Listing . Grogol Daan Mogot Mall Lt. Kamal Raya. 50 Jl. 7 Kembangan Selatan Gedung Graha Multi. Peta Selatan No. Slipi Jl. Slipi Jl. Parman Kav 84-86.Tenis Raya No. Cengkareng JL AIP II KS Tubun 92-94 Jl. Jl. No. Panjang No. Puri Indah Raya Blok S-2. 34. Daan Mogot Km. Kebon Jeruk (021) 5532226 (021) 5663612 (021) 5456134 (021) 5824860 (021) 5306 754 (021) 99711627 (021) 5419747 (021) 70605247 (021) 540 8989 (021) 5681111 (021) 568 1570 (021) 534 7411 (021) 619 4581 (021) 548 0608 (021) 2569 5322 (021) 56967788 (021) 566 8284 (021) 5437 2874 (021) 530 0888 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Released: 12 May 2010.Indonesia Only All Services Page 4 of 21 Maximizing Service. Ground Blok C No. Cengkareng Timur Jl Raya Pejuangan. Puri Indah Raya 1 No. 1 Mall Ciputra LT Upper Ground No. Jl. Mahoni No. Thamrin Cengkareng RS Pelni Petamburan RS Puri Indah RS Royal Taruma RSAB Harapan Kita RSUD Cengkareng Siloam Hospitals Kebon Jeruk Pharmacy Pharmacy Pharmacy Pharmacy Hospital & Clinic Clinic .2 Kawasan Daan Mogot JL. Letjen S Parman Kav. S Parman Kav. 8 C Jl. Tegal Alur Jl. Daan Mogot No. 10 (0736) 21710 P P P P P State/Province: Jakarta Jakarta Barat Apotek Century Carrefour Daan Mogot Apotek Century Mall Ciputra Apotek Century Mall Daan Mogot Apotek Century Puri Farma Jakarta Eye Center Kebon Jeruk Klinik Anggrek . Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Simatupang Kav 38. Letjen. S. 95 A.

98 Jl. Istana Sahid Apartment. Abd.128 Jl.Not 24 Hours Clinic .Salemba Tengah 26-28 Jl.137-139 Jl Cempaka Putih. 40 Jl Salemba Raya 41 Jl.Menteng Klinik Al . Cikini Raya No. Gereja Theresia 22 Jl. Percetakan Negara no. Raden Saleh Raya No. 46. Rawasari Barat No. 21. Taman Kimia No. Dr.45-47 Jl. Raden Saleh No. T. 74 C. Kebon Kacang I No.Sudirman 86 Jl.24 Ground Fl. Sawo No.net . Menteng Jl. K. Cikini Jl. Dr. H. Dr. Cokrominoto 33. AIP II KS Tubun No.24 Hours Jl. Jl.24 Hours Clinic . Gedung Dinar Lt.24 Hours Clinic . Rawamangun No.Indonesia Only All Services Page 5 of 21 Maximizing Service. Cik Ditiro NO. Manggarai Jl. HOS Cokroaminoto No. 18.Abang Jl. Jend.24 Jl.60 JL. Kramat Raya No. E281. Rachman Saleh No.24 Hours Clinic . Tengah I/1 Jl. A. Mas Mansyur No. Dr.764 Jl. Tanah .24 Jl. Kartika" RSPAD Gatot Soebroto (Pav Ika) RSPAD Gatot Soebroto Pav Dr Imam Sudjudi Sahid Sahirman Medical Centre SBU Garuda Sentra Medika Sentra Medika Internasional (SMI) Wellness Clinic Hospital & Clinic Clinic .9. Abd. Pegangsaan Timur No. Abdul Rahman Saleh No. 16 Jl. Kebon Sirih No. Rachman Saleh No. Rachman Saleh No.28.B.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Maternity & Children Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Clinic . Carolus RSIA Evasari RSIA Tambak RSPAD Gatot Soebroto "Pav. Dharmawan" RSPAD Gatot Soebroto "Pav.60 Jl. Menteng Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Jl. 1:53:56PM Network Listing . Tambak No. 39 Jl.Not 24 Hours Clinic . Kali Pasir No. 58 . Letjend. Efindy Klinik Medisari Klinik Rawasari Klinik Sarana Medika Raden Saleh Medical Centre RS (YPR) Yayasan Panti Raharja "SAWO" RS Abdi Waluyo RS Bersalin YPK RS Bunda Jakarta RS Husada RS Islam Jakarta Cempaka Putih RS Khusus THT Bedah "Proklamasi" RS Kramat 128 RS Menteng Mitra Afia RS MH.Afiat Klinik Baruna Klinik Citra Petamburan Klinik Drg.1 Jl. 44 Jl. Proklamasi 43 Jl. D . Abd. Teuku Cik Ditiro No.Yani No. No.24 Hours Clinic .24 Hours Clinic .Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jakarta Jakarta Pusat Jakarta Eye Centre . Megaria Complex (021) 3107 434 (021) 392 5206 (021) 314 1040 (021) 568 8846 (021) 30040151 (021) 422 4383 (021) 421 2528 (021) 31922 357 (021) 31923508 (021) 3192 2553 (021) 314 4989 (021) 3909725 (021) 3192 2005 (021) 649 0090 (021) 425 0451 (021) 390 0002 (021) 390 9514 (021) 315 4050 (021) 390 4422 (021) 421 1911 (021) 38997777 (021) 390 4441 (021) 420 2851 (021) 2303444 (021) 350 0004 (021) 384 0484 (021) 3441008 021-3504941-2 (021) 572 7208 (021) 424 1000 (021) 3144989 (021) 390 9672 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Released: 12 May 2010. Rawasari Jl. Mangga Besar. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Jend. HOS.Not 24 Hours Clinic . Jakarta 12540. 24 Jl.2.Service@Global-Assistance. By Pass Jl.24 Hours Clinic . Simatupang Kav 38. Menteng Jl. 4. Thamrin Internasional Salemba RS Pertamina Jaya RS PGI Cikini RS St. 1 Jl.24 Hours Clinic .

24 Hours Clinic . Letjend Supeno No. RT 005/06 Kec.43. 62. 59 Jl.24 Hours Clinic .Not 24 Hours Clinic . Senopati No. 8 Jl Raya Pasar Minggu No.24 Hours Clinic .Not 24 Hours Clinic . Tebet Raya No. Sultan Agung No. RS Fatmawati No. Jln. 15 Jl. Duren Tiga Raya No. 1:53:56PM Network Listing .24 Hours Dental Clinic Clinic . Minggu Jl. HR Rasuna said blok x-1 Gd.Sudirman 86 Jl.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Maternity Only Hospital Maternity Only Hospital Maternity & Children Hospital & Clinic Maternity & Children Hospital & Clinic Clinic . 4-8. Jeruk Raya No. Kebayoran Baru Jl. Taman Margasatwa No.B. Suyoto RS Gandaria RS Jakarta RS Jakarta Medical Center RS Khusus THT & Bedah Ciranjang RS Medistra RS Pondok Indah RS Prikasih RS Pusat Pertamina RS Setia Mitra RS Siaga Raya RS Tebet RS Tria Dipa RS Zahirah RSB Duren Tiga RSB Panti Nugraha RSIA Aulia RSIA Budhi Jaya RSIA Kemang Medical Care RSIA Muhammadiyah Taman Puring RSIA Yadika Kebayoran Lama Sahid Sahirman Memorial Hospital Suryatenggara Dental Clinic Brawijaya Women&Children Hospital Released: 12 May 2010.80-82 Jl. 23. Sudirman Kav. Sirsak No. Kebayoran Baru Jaksel Jl. Jend Sudirman Kav. Radio Dalam Raya No. Damai Raya No. Taman Brawijaya No. Pondok Labu Jl.34.3A. Ciputat Raya No. Margaguna Raya. 20 Jl. Buncit Raya No. 33 Jl. Gandaria I/20. Senayan No.Not 24 Hours Clinic .49 Jl. Jl. Jend.24 Hours Clinic . Gandaria Tengah II/6. Kyai Maja No.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jakarta Jakarta Selatan Apotek Century Duta Indah Clinic Aditya Medical Center Clinic ESTI deBlitz'R Dental Care Fira Aruan Medical Care Hendra Hidayat Implant Center Jakarta Medical Center Clinic Klinik & Apotik Namira Klinik All Care Dental Clinic Klinik Citra Kebayoran Klinik Dharma Bhakti Klinik Medika I Klinik Medika II Klinik Medika Pura Klinik Medira Jakarta Klinik Medusa Sentra Medika Klinik Petukangan Medical Centre Klinik Tiara Klinik Yadika Petukangan Medicare Clinic Medikaloka Health Care Center Nusantara Medical Center RS Agung Manggarai RS Asri Duren Tiga RS Dr. 24 Wisma Mulia Lt. 8A. 31 Jl.20&22.84 Jl. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Ragunan Jl. Pancoran Jl.24 Hours Clinic . Simatupang Kav 38. 38 Jl. Metro Duta Kav. 86 Jln. T. 42 Jl. Jagakarsa Jl. Jl. Petukangan Jl.27th Fl. Pancoran Jl. Raya Kebayoran Lama No. Granadi 3rd Fl.67. Kav. Buncit Raya No.Not 24 Hours Clinic .1 Petukangan Selatan Menara Kadin Ind.Not 24 Hours Clinic . Buncit Raya No. RS Fatmawati.HR Rasuna Said X/5. Sudirman No.2-3 Graha Irama 2nd floor.24 Hours Clinic . Pasar Minggu Plaza 5 Blok B/15 Jl. Pejaten Barat Ps. Siaga Raya Kav. Pondok Indah Jl. Kav. Veteran No. Kebayoran Baru Jl. Kebayoran Baru Jl.28-30 Bellezza Shopping Arcade Unit 230-231. Jl.26.24 Hours Clinic .Not 24 Hours Clinic . J. Jagakarsa Jl. Kebayoran Baru Jl.Not 24 Hours Clinic . 74. Ciranjang No. Ciledug Raya No. 45 Jl. Kebayoran Baru Jl. Haryono No. Jend.Not 24 Hours Dental Clinic Clinic . Ampera Raya No. 5. Rasuna said. Bangka Raya No.net . Jakarta 12540. 8-9 Kuningan Jl. RC. 1. 15 Jl. DR Saharjo No 120 Jl. 34 Jl.Not 24 Hours Hospital & Clinic Ruko Plaza Pondok Indah I Blok UA No. Adityawarman I/14.Service@Global-Assistance. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 34 Gedung BEJ .15.Jend Gatot Subroto Kav. 52-53 Sahid Sudirman Residence FI. Pondok Indah Jl. Gatot Subroto Kav. Manggarai Jl.UE.24 Hours Clinic .Not 24 Hours Clinic .Indonesia Only All Services Pharmacy Clinic . Cilandak KKO Raya No. No. 8 Jl. Jatipadang Raya No. Karet Pedurenan 240. Jl. Setiabudi Jl. Cipete Utara (021) 7692006 (021) 720 3180 (021) 719 4434 (021) 5366 4742 (021) 70556161 (021) 5250180 (021) 794 0836 (021) 7820645 (021) 7278 8688 (021) 536 73906 (021) 781 9848 (021) 725 0849 (021) 798 5178 (021) 83792701 (021) 780 1830 (021) 52906465 (021) 7340906 (021) 7210 980 (021) 737 0881 (021) 527 4556 (021) 5261118 (021) 527 4567 (021) 829 4955 (021) 7992211 (021) 734 2012 (021) 725 0718 (021) 573 2241 (021) 798 0888 (021) 7243 366 (021) 521 0200 (021) 765 7525 (021) 750 4669 (021) 7219400 (021) 765 6000 (021) 797 2750 (021) 830 7540 (021) 797 4071 (021) 78888723 (021) 7976605 (021) 722 3939 (021) 727 0208 (021) 8311722 (021) 27545454 (021) 7208358 (021) 729 1074 (021) 57853911 (021) 5225595 (021) 7211337 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Page 6 of 21 P P P P P P Maximizing Service. 1 Unit 1. Letjend. Jl.5 Kebayoran Lama Jl. 21.Tower 1 LL Floor.178 Bintaro Jl. Letjen MT. Duren Tiga Raya N0.

24 Hours Clinic . 126 Jl. Kramat Jati Jl. 28-30 Jl. Kepolisian Pusat Raden Said Sukanto RSIA Bunda Aliyah RSIA Hermina Jatinegara RSIA Resti Mulya Clinic .Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Maternity & Children Hospital & Clinic Jl. Pulomas Barat VI.Raya Pondok Gede Jl.1 Jl. Duren Sawit Jl. Cakung No. Deli No. Kemayoran Jl. Pahlawan Revolusi No. 5. Kramat Jati Jl. 2 Kelapa Gading Jl. (Klinik Devita) Jl. Tanjung Priok Jl. Pluit Raya No.Tarum Barat. Blok A No. Soekarno Hatta Pal Merah Jl. Simatupang Kav 38. Balai Rakyat No. Simatupang No. Penggilingan Raya No. Raya Bogor. Hari Sumitro Klinik Era Medika Klinik Medika Group Klinik Medista Jakarta Klinik Mitra Cakung Klinik Mitra Kramat Jati Klinik Sapta Mitra Duren Sawit Klinik Sartika Klinik Suci Husada Klinik Tjakra Cijantung Klinik Waras Medika RS Dharma Nugraha RS Fakultas Kedokteran UKI RS Haji Jakarta RS Harapan Bunda Jakarta RS Harum RS Islam Jakarta Timur RS Khusus Jantung Binawaluya RS Mediros RS MH. Batu Ampar III No. 10. 12 A.17. 100. 292c. Raya Jatinegara 57 A. No.B.24 Hours Clinic . Komarudin Raya No. Raya Bogor KM. Suci No. Jl.24 Hours Clinic . Kramat Jati Jl.24 Hours Clinic . Sutoyo . Kav. Agung Utara Raya. Cawang Jl. Jakarta 12540. H. 1:53:56PM Network Listing . 24 No. Danau Sunter Utara Paradise I (021) 43901357 (021) 660 6127 (021) 440 0778 (021)4585 2700 (021) 654 5555 021-43902350 (021) 4390 3355 (021) 6471 5200 (021) 640 4910 (021) 4393 8478 (021) 6400261 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P State/Province: Jambi RS Asia Medika Jambi RS St. Danau Agung II. 1 RT. Jatinegara Jl. 21 Susukan.Indonesia Only All Services Page 7 of 21 Maximizing Service. Perintis Kemerdekaan. Pahlawan Revolusi No. Raya Bogor Km. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Kali Malang JL. No. Ten No.41 Jl. Jl. Ciracas Jl. Landasan Pacu Timur. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Cawang Jl.19 (0741) 573333 (0741) 23119 P P P P P P P P P Released: 12 May 2010. 22 Jl.Amin No.net .Not 24 Hours Clinic . 5. Penggilingan (021) 8088 6446 (021) 46829425 (021) 8191312 (021) 851 6274 (021) 808 70172 (021) 808 86446 (021) 819 8693 (021) 921 3801 (021) 922 8909 (021) 8651331 (021) 910 0682 (021) 87798796 (021) 8401677 (021) 489 1244 (021) 470 7433 (021) 809 2317 (021) 800 0693 (021) 840 0257 (021) 861 7212 (021) 863 0654 (021) 8778 1605 (021) 472 1336 (021) 809 3602 (021) 280 0888 (021) 472 3332 (021) 4893531 (021) 861 5754 (021) 8093288 (021) 8660 2525 (021) 8191 223 (021) 4802192 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Jakarta Utara Oilia Medical Centre RS Atmajaya RS Islam Jakarta Utara RS Mitra Keluarga Kelapa Gading RS Mitra Kemayoran RS Port Medical Center RS Puri Medika Jakarta RS Satya Negara RSIA Hermina Podomoro RSUD Koja RS Royal Progress Clinic .Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jakarta Jakarta Timur Klinik Batu Ampar Klinik Bina Husada Bhakti Klinik Devita Klinik Drg. Balai Pustaka Baru. Raya Pondok Gede. Raya Jatinegara Barat. 19.24 Hours Clinic . Rawamangun Jl. 23-25 Jl.Not 24 Hours Dental Clinic Clinic . No. No. Bukit Gading Raya.Service@Global-Assistance.29-31. Theresia Hospital & Clinic Hospital & Clinic Jl. Enggano No. Pondok Kelapa Raya Ruko Blok C4 No. Otista Raya No.Not 24 Hours Clinic . Dr.47.01/07 Jl.10 Jl.Not 24 Hours Clinic .Tipar. Cijantung Jl. 5. 22 Jl. Dewi Sartika No. 4 Tanjung Priok Jl. 5. 2 Jl. 82 Jl. Pondok Bambu Jl.Not 24 Hours Clinic .Jatinegara Timur No. Blok E3 No. 149 Jl. 71 Jl. Cakung Timur Jl. Rawamangun Jl. Masyid Al . Sungai Bambu Raya 5. 5. Sukapura Jl. Raya Pondok Kopi Jl.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Hospital IPD Only Hospital & Clinic Jl. Sutomo No. Tanjung Priok Jl. Balai Pustaka Raya No. Batu Ampar III No. Swasembada Barat 12/2E Jl.Not 24 Hours Clinic . Dewi Sartika No. Raya Jatinegara Timur. T. Letjend.24 Hours Clinic . Pondok Bambu Jl. Kav. 2E. Thamrin Pondok Gede RS Mitra Internasional RS Omni Medical Center RS Rawamangun RS Yadika Pondok Bambu RS.85-87 Jl. TB.

Cihampelas No.33 . LL. Djundjunan No. Kebonjati No. 152 Jl. T. Veteran No. Setiabudi No. Sukarno Hatta No. Merdeka No 44 Jl. 1:53:56PM Network Listing .Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat Bandung Dr. 107 JL. M. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.53 Jl. Kes Klinik An-Nur Bandung Melinda Hospital Bandung RS Advent Bandung RS Al Islam Bandung RS Immanuel Bandung RS Kebon Jati. RE Martadinata No. 38 (022) 4202386 (022) 203 1922 (022) 4222788 (022) 203 4386 (022) 756 3231 (022) 520 1656 (022) 603 1969 (022) 730 1062 (022) 42077 70 (022) 6072 525 (022) 431 550 (022) 732 1964 (022) 4248333 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Released: 12 May 2010. 6 Jl. 517 Jl. 63 Jl. dr. No.Indonesia Only All Services Page 8 of 21 Maximizing Service.161 Jl.39 Jl.B. Bandung RS Muhammadiyah Bandung RSB Limijati RSIA Hermina Pasteur-Bandung RSU Bungsu RSU Pindad Bandung Santosa Bandung Internasional Hospital Practitioner Clinic . Pajajaran 46 Bandung Jl. Gatot Subroto. Soeseno Hadi. Simatupang Kav 38. Jl. Jakarta 12540. Ahmad Dahlan No. Kopo No 161 Jln.644 Jl. KH. Letjend.net . Kebonjati No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Service@Global-Assistance.Jend.Not 24 Hours Maternity & Children Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Maternity & Children Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.

Cikarang Baru Raya. Ir. Simatupang Kav 38.24 Hours Clinic .Tabrani Blok IA-IB. 33. 7 Perumahan Citra Villa Blok A-1/26. Cikarang Baru Jl. T. Jl. KH. Kongsi Rt.24 Hours Clinic .24 Hours Clinic .24 Hours Clinic . Sukaresmi.24 Hours Clinic .24 Hours Hospital & Clinic Clinic . 07. 6 Jl. Nangka Raya B II No. Cibitung Perumahan Villa Mutiara Jaya Blok M-85/9. Margamulya Jl.24 Hours Clinic . 58 C-D. 5. Tambun Kws Industri Jababeka B8.24 Hours Clinic .Not 24 Hours Clinic .24 Hours Clinic . Cibitung Jl.38C (021) 8990 3220 (021)8911 1431 (021) 897 1852 (021) 820 3272 (021) 8885 5333 (021) 8983 6243 (021) 897 6189 (021) 899 09010 (021) 7021 7179 (021) 8240 6922 (021) 8216390 (021) 88370203 (021) 898 1162 (021) 480 1285 (021) 88336674 (021) 88336674 (021) 88336674 (021) 883 38414 (021) 88363507 (021) 893 7941 (021) 88323971 (021) 8980734 (021) 88988163 (021) 8260 0148 (021) 89835757 (021) 880 7610 (021) 88362481 (021)891 09638 (021) 68700672 (021) 89106448 (021) 88339192 (021) 846 4030 (021) 880 3966 (021) 70266932 (021) 8975369 (021) 883 49427 (021)8836 8863 (021) 885 9988 (021) 8210779 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Page 9 of 21 P P P P P P P P P P P P P P P P P P P P P P P P P Klinik Yayasan Bina Medika Klinik Yayasan Karya Medika I Clinic . 1A Blok NN 3A.8.24 Hours Clinic .24 Hours Clinic . Cibitung Jl.24 Hours Clinic . Raya Cikarang-Cibarusah.24 Hours Jl. Noer Ali Kav.100.Raya Cibarusah Blok A-5. 1:53:56PM Network Listing . 6. Tambun Selatan. Zamrut Utara Blok U16 No.Ruko Elite Blok 3B No.Not 24 Hours Clinic . Tambun Jl. Bekasi Timur Jl. Cikarang Barat Ruko Mega Mall Blok C2. 2.Not 24 Hours Clinic . Raya Taman Aster. Cibitung Perumahan Telaga Harapan Blok E1/1.24 Hours Clinic .24.24 Hours Clinic . 175. Raya Jati Mulya. 17-18. Raya Nusantara No. Indo Farma I.Indonesia Only All Services Maximizing Service. Cibitung Jl. Perumnas III Jl. Taman Narogong Raya No. Depan Makro. Narogong Klinik Citra Sehat Tambun Klinik Fajar Medika Klinik Fikri Husada Klinik Harapan Sehat I Klinik Harapan Sehat II Klinik Harapan Sehat III Klinik Hosana Medica Cibitung Klinik Hosana Medica Mangun Jaya Klinik Hosana Medika Jababeka Klinik Indo Farma Klinik Industri Medika (INTRIMED) Klinik Jaya Medika Klinik Legenda Sehat Klinik Meditama Klinik Melviana Klinik Mulya Medika II Klinik Niza Asyifa' Bersama 1 Klinik Niza Asyifa' Bersama 2 Klinik Nugraha 1 Klinik Nugraha 2 Klinik Pondok Gede Agung Klinik Prima Husada Tambun Klinik Sapta Mitra Bekasi Utara Klinik Sapta Mitra Cikarang Klinik Sehat Sejahtera Klinik Trisa Klinik Vita Insani Klinik Wijaya Kesuma Clinic . Cikarang Jl. Jl. Ruko No. Pekayon Raya No. Setiadarma II No.24 Hours Clinic . Ruko Point.24 Hours Clinic .Not 24 Hours Clinic . Tambun Selatan Jl. 1 Kp.24 Hours Clinic .M. Tambun Ruko MM2100. Lippo Cikarang Jl.net .74-77. Narogong Saksi Raya A Blok A-20 No.24 Hours Clinic . 31 R. Mangun Jaya I Blok A No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Not 24 Hours Clinic . Cikarang Barat Perum Villa Mutiara Jaya Blok MB 16 No. Jakarta 12540.24 Hours Hospital & Clinic Clinic . Pondok Gede Jl. 16. Ruko Union-Lippo Cikarang Jl. Kawasan Industri MM-2100 Cibitung Perum Permata Harapan Baru Ruko Blok H-46. Sultan Hasanudin No. Raya Cibarusah No. Saparua Raya No. 39A Sukaresmi. Perumnas III Bekasi Perum Gramapuri Blok D1 No. Kalimalang Jl.Not 24 Hours Clinic . Raya Hankam No. Jl.24 Hours Clinic .Not 24 Hours Clinic . Cikarang Jl. Kawasan Industri Jababeka II Jl. Bekasi Barat Perumahan Taman Narogong Indah.Service@Global-Assistance. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Cibitung Teuku Umar No.12 Cibitung Jl. Industri Selatan No. Cikarang Selatan Jl. Cikarang Baru Jl. H. MH Thamrin Blok D15. Komp. Perum Harapan Baru. Ruko Sentra Cikarang Perumahan Villa Mutiara Jaya. Cibitung Ruko Perum Telaga Harapan Blok F No.19. Regency Jl.24 Hours Clinic . Kota Legenda Ruko Plaza Roxy B-11.24 Hours Clinic .Not 24 Hours Clinic .Not 24 Hours (021) 890 0050 (021) 880 1293 Released: 12 May 2010.239.24 Hours Clinic . Cibitung Jl.24 Hours Clinic . Letjend. Teuku Umar No. Medan Satria Jln. Juanda No. Cikarang Jl.24 Hours Clinic .Not 24 Hours Clinic .24 Hours Clinic . Blok N 78 No. Cibitung Perumahan Telaga Murni Blok C9/19. Gardena Raya B6-32. KH.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat Bekasi Bio Medi Centre Clinic & RB Hosana Medika 5 Clinic Renicha Putra Cikarang Clinic Yayasan Mulya Medika Global Awal Bros Hospital Klinik & RB Graha Bina Husada Klinik Annisa II Klinik Annisa III Klinik Asyifa Husada Klinik Citra Medika I Pekayon Klinik Citra Medika II Tm.Raya Cikarang Cibarusah.B.24 Hours Clinic .24 Hours Clinic . 02/II. Kasuari Raya.

3. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. H. Ry Ind Pasirgombong. Jababeka-Cikarang Jl. Beruang Raya HI/185-187.Rawa Lumbu Jl. Cikarang Barat Jl. Jend Ahmad Yani Jl.24 Hours Clinic . Harapan Keluarga RS. Taman sari. Legenda Raya No. 79. Harapan Indah. St. Blok ESA 2. Sultan Agung No. Kec. Pasir Randu RT. Kec Serang Baru Jl. Kp. Perjuangan No. Pekayon Raya No. Kota Jababeka. 202. Ir.Not 24 Hours Clinic .Indonesia Only All Services Maximizing Service. 9 Mustika Jaya J. Letjend.net . Cikarang Utara Jl. Wanasari Cibitung Jl.B. Kartini No.Raya Imam Bonjol No. Martadinata. 8-10. Pondok Tanah Mas . Gardu Sawah. Perumahan Gramapuri. Kel. Taman Harapan Baru Raya R-1 No.173 Jl.24 Hours Hospital & Clinic Clinic . Ratna No. Lippo Cikarang Jl. M. Cikarang Jl.2. Medan Satria Jl. Depan Perumnas II Jl. 7. Bojong Rawalumbu Jl. Kasuari Raya Kav. Desa Sukasari. 20-23. Pejuang.5 Jalan Utama B II Cibarusah Cikarang Jl. Bumi Sari RT. Pramuka No.Not 24 Hours Jl. Kemang Pratama. 60. 9B. 12 RT 004/002. Duren Jaya Jl. Cikarang Barat Jl. Elisabeth Bekasi RSB Ibu Soedibyo RSB Setia RSB Taman Harapan Baru Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Maternity Only Hospital Maternity Only Hospital (021) 822 1571 (021) 82422512 (021) 880 6140 (021) 8983 5838 (021) 82430101 (021) 880 2435 (021) 897 1240 (021) 8887 1202 P P P P P P P P P P P P P P P P P P P P P P RSIA Amanda Cikarang RSIA Anna Hospital & Clinic Hospital & Clinic (021) 89110011 (021) 8243 2211 P P P P Page 10 of 21 Released: 12 May 2010. Jakarta 12540. Desa Sukaragam.Service@Global-Assistance. 1:53:56PM Network Listing . 78 Jln. Cikarang Utara Jl. Sentra Niaga No. 1A&B.11 Jl. KH Agus Salim No. Raya Pondok Timur Ruko gading Mas 8F-G. Cikarang Jl.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat Klinik Yayasan Karya Medika III Klinik Yayasan Karya Medika IV Klinik Yayasan Karya Medika V Klinik&Apotek Guci Medika Klinik&Apotik Sapta Mitra Bekasi Timur Klinik&RB Hosana Medika Serang Baru PBDS & RSB Juwita RB & Klinik Annisa IV Clinic .30. Industri Tegal Gede. Teluk Buyung Jl. 83. Raya Serang Cibarusah Kp. Bantar Gebang Ruko Harko Jababeka. Kel Sepanjang Jaya. Kec Rawa Lumbu Ruko Thamrin Blok C No. Gramapuri I Blok CI No.24 Hours (021) 8829590 (021) 8995 4434 P RB&Klinik Indosehat 2003 RB&Klinik Ratna RB&Klinik Ridhoka Salma RB&Klinik Yayasan Angelika Medika RB&Praktek Bersama Kartika Husada RS Amanda Serang RS Ananda Bekasi RS Annisa Bekasi RS Bhakti Husada Cikarang RS Bhakti Kartini Bekasi RS Budi Lestari RS Citra Harapan Maternity Only Hospital Clinic . Juanda No.100 B jl.24 Hours Clinic . 326 Jl. Cikarang Baru No. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.24 Hours (021) 89834420 (021) 84998134 (021) 89116527 (021) 88330750 (021) 98172736 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic (021) 8971643 (021) 885 4338 (021) 890 4165 (021) 890 0530 (021) 880 1954 (021) 8893486 (021) 88870606 P P P P P P P P P P P P P P P P P P P P P P P RS Graha Juanda RS Hosana Medika Bekasi RS Hosana Medika Lippo Cikarang RS Karya Medika RS Medika Cikarang RS Medirossa RS Mekar Sari RS Miracle Medica Cikarang RS Mitra Keluarga Bekasi Barat RS Mitra Keluarga Bekasi Timur RS Permata Bekasi RS Permata Bunda Cibitung Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic (021) 881 1832 (021) 8221570 (021) 897 2472 (021) 890 3003 (021) 890 4160 (021) 89833216 (021) 880 1891 (021) 89116177 (021) 885 3333 (021) 881 7777 (021) 8254748 (021) 88328001 P P P RS Ratna Husada RS Rawa Lumbu RS Sentosa RS. Cikarang Baru Jl. Imam Bonjol No.1 Jl.3. Pengasinan Margahayu Jl. 07/04. 63. Cikarang Jl.Cibitung Pasar Sentral Lippo Cikarang. Mekar Sari No. Raya Narogong No. Jl.Not 24 Hours Clinic . Raya Harapan Indah Kaw.Not 24 Hours Clinic . Dasa Darma No. Sergangbaru Jl.31. KH Noer Ali No. Serang No. Raya Cibarusah Raya No.20. 36. 36 (021) 885 1152 (021) 825 4629 (021) 8983 2569 (021) 82433158 (021) 82602180 (021) 89952613 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Maternity Only Hospital Clinic . Lemah Abang Jl. 75 RT. Rawa lumbu Jl. Medan Satria Jl. 12-13. Pahlawan No.24 Hours Clinic . Kp.41 Jl. Dewantara No. Pramuka No. Raya Serang Cibarusah No. T. 005/09 Jati Kramat Jl. Hasibuan No. Simatupang Kav 38. Bossih Raya Blok E5 No. RE. KH. 3-5. Cikarang Selatan Jl. Raya Industri No. Narogong Km 11. Pramuka no. 011/006. Pengasinan . 33 Pilar.12 Narogong Jl. Cikarang Selatan Jl. Rawa Lumbu Jl.

24 Hours Clinic . 80.63. Raya Wangun No. Cikarang Barat Jl. Cibubur Jl. Raya Mangun jaya. Lapangan No.24 Hours Clinic . Cileungsi Jl. 97 Jl. Cileungsi Km.16 Limus Nunggal.24 Hours Clinic . Ir H Juanda No 141 Jl Raya Teuku Umar No. May. Kemakmuran No 39. Bogor Jl. 1:53:56PM Network Listing . Raya Parung No.Bojong Kolor. 12. Sumeru No.24 Hours Clinic . Bantarjati Ruko Warung Jambu Blok A . 79. Sutadi Klinik Dr. Legenda Wisata Cibubur Jl. Cibinong RS Bogor Medical Center RS Islam Bogor RS Karya Bhakti RS MH Thamrin Cileungsi RS PMI Bogor RSIA Citra Insani RSIA Hermina Bogor RSIA Mary Cileungsi Hijau Clinic . Imam Bonjol No. Alternatif Cibubur-Cileungsi No.Indonesia Only All Services Page 11 of 21 Maximizing Service. Pahlawan No.24 Hours Clinic . Pemagarsari Jl.9 Pekayon. Raya Narogong KM. Sindang Barang No. Raya Pajajaran 219 Jl.242 Lebakwangi.27. Raya Pancasan Tonggoh No.21. Studio ANTV.6A (021) 8230991 (021) 8459 1048 (021) 871 1515 021. Tambun Jl.24 Hours Clinic .Oking Jajaatmaja.Not 24 Hours Clinic .Sudirman No. Thamrin Kav. 105. Nasir No.14 Jl. Raya Cibanteng Babengket. 23.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat RSIA Bella RSIA Dokter Adam Talib RSIA Hermina Bekasi RSIA Jati Sampurna RSIA Jatimulya Medical Centre RSIA Sri Tina RSIA Yayasan Karya Medika II RSU Kartika Husada Siloam Hospitals Cikarang Maternity & Children Hospital & Clinic Maternity & Children Hospital & Clinic Maternity & Children Maternity & Children Maternity & Children Hospital & Clinic Hospital & Clinic Jl. Raya Leuwiliang No.24 Hours Clinic . Perdana Raya No. Jati sampurna Jl. Putri Jl. 10. Jatimulya Raya No.24 Hours Clinic . 22 Jl.24 Hours Clinic . Cileungsi (0251) 620 880 (021) 8240 3372 (0251) 324 460 (0251) 330702 (021) 87942723 (0251) 222 666 (0251) 240 379 (0251) 8641 056 (0251) 245 536 (0251) 385 976 (021) 8240 3372 (0251) 374860 (0251) 373 323 (0251) 314 940 (0251) 8318 456 (021) 875 3422 (0251) 8390 435 (0251) 8316 822 (0251) 8312 292 (021) 823 5052 (0251) 8324 080 (0251) 8611507 (0251) 8328 222 (021) 8249 2222 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Cianjur RSUD Cianjur Hospital & Clinic Jl.24 Hours Clinic . Ring Road . 40. Cikarang Barat Jl. T. Jakarta 12540. Raya Jend. 25.2. 159 A Jl.MKGR Klinik Medika III Klinik Medissa Klinik Medista Bogor Klinik Nurdin Medika Klinik Prima Klinik Siba Klinik Sudirman RS Azra Bogor RS Bina Husada. Kp. Alternatif Cibubur. Pajajaran Indah V No. Bantarjati Jl. Ashari No.Service@Global-Assistance. Hasanuddin No. 41 Cibubur Jl. Raya Jakarta-Bogor KM. Bogor Jl. Veteran No. Rumah Sakit No. 43 (021) 8763055 P P P P P Cibubur Holistic Care Dental Clinic Klinik Artha Sari Medika Klinik Yadika Cibubur RS MEILIA CIBUBUR RSIA & Klinik Spesialis Permata Cibubur Clinic . Cigombong Jl.24 Hours Clinic .25. 120 Jl. 363. Ciawi Jl.net . Simatupang Kav 38. Jl. Bondongan Jl. MH. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 1 Jl. Margajaya Jl. Letjend. HE Sukma no.24 Hours Clinic . Bogor Jl. Dr. 21. Box 59 Jl.B.M. Bogor Jl.G. Lippo Cikarang (021) 880 1775 (021) 88332304/6 (021) 884 2121 (021) 8541457 (021) 8203 785 (021) 8900579 (021) 8832 4366 (021) 88327281 (021) 897 2187 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Bogor Klinik Amanah Klinik Amanda Medika Klinik Dr. MayJend. Alternatif No.24 Hours Clinic .H. 81. Ry Narogong Km. Perum.24 Hours Hospital & Clinic Hospital & Clinic Little China Blok JB 06.I Kav. Rukem Tambun Jl. 1 (0263) 261 026 P P Cibinong RSIA Trimitra Maternity & Children Jl.Not 24 Hours Clinic .38 D. Pahlawan 73 B Citeureup Ruko Villa Mutiara Lido No. PO. 48C. Cibinong Jl. Taman Yasmin Bogor Jl.22 Cibinong Jl.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Maternity & Children Hospital & Clinic Jl. Raya Pajajaran. Ciampea Jl.8444 444 (021) 845 8806 P P P P P P P P P P P P P P P Released: 12 May 2010. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Sutadi II Klinik Insani Bogor Klinik Lido & Apotik Klinik Medika I .

net . H. Sisingamangaraja No. Juanda No.24 Hours Clinic . Muhtar No. Margonda Raya. 31 No. Kemakmuran Raya No. Maribaya Blok F2. Telaga Sari KM. Pancoran Mas (021) 754 5488 (0251) 611 054 (021) 7782 4756 (021) 777 3817 (021) 7721 0700 (021) 874 3790 (021) 8710870 (021) 7778899 (021) 77826267 (021) 8747620 (021) 871 2300 (021) 752 0082 (021) 78890551 (021) 772 02525 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Karawang Klinik & RB Wadas Medika Klinik Ananda Karawang Klinik AQMA Karawang Klinik CITO Karawang Klinik Mitra Sehat Karawang Klinik Purwa Medika Karawang Klinik&RB Fikri Medika RS Bayukarta Karawang RS Citra Sari Husada RS Dewi Sri Karawang RS Islam Karawang RSU AQMA RSU Fikri Medika RSU Proklamasi Rengasdengklok Clinic . Yani No. Kukusan Jl.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Hospital & Clinic Hospital & Clinic Maternity & Children Jl. Raya Bogor Km 29. Patra Raya Klayan Jl. T. 1:53:56PM Network Listing . 11 Jl.Cimanggis Jl. 19.34. 37. Sukmajaya Jl Raya Bogor Km.2 (0267) 510999 (0267) 4651056 (0267) 401 624 (0267) 410 173 (0267) 432 526 (0267) 433 653 (0267) 433636 (0267) 401 818 (0267) 437507 (0267) 402 855 (0267) 414520-5 (0264) 8386 830 (0267) 861 5555 (0267) 482 192 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Released: 12 May 2010.Not 24 Hours Clinic .10 Jl. 31. Klari Jl. 341 (022) 665 4852 P P P P P Cirebon RS Mitra Plumbon RS Pelabuhan Cirebon RS Pertamina Cirebon RS Putera Bahagia CIREBON RSIA Sumber Kasih Cirebon Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Jl. Raya Cibabat No.Not 24 Hours Clinic . Cinere-Sawangan Jl. Ds. Km. 33.24 Hours Clinic . 32 .Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat Cikampek Klinik AQMA Cikampek Klinik Keluarga Graha Medis Klinik Putra Medika Cikampek RS Karya Husada Clinic . Raya Kosambi.Not 24 Hours Clinic . Siliwangi 135 (0231) 323100 (0231) 205 657 (0231) 224646 (0231) 207351 (0231) 203 815 P P P P P P P P P P P P P P P P P P P P Depok Hospital Cinere Klinik Medisina Klinik Naura Medica RS Harapan Depok RS Mitra Keluarga Depok RS Sentra Medika Cisalak RS Tugu Ibu Cimanggis RSIA Graha Permata Ibu RSIA Hasanah Graha Afiah RSIA Simpangan Depok RSIA Tumbuh Kembang RSU Bhakti Yudha Depok RSU Bunda Margonda RSU Hermina Depok Hospital & Clinic Clinic . Cikampek Utara Jl. Cikampek (0264) 319 307 (0264) 310 101 (0264) 301 652 (0264) 316 188 P P P P P P P P Cimahi RS Mitra Kasih Hospital & Clinic Jl. Pondok Cina Jl. 53. 51. Letjend.B. Cimanggis Jl. 63. 36 Sukamaju. Klari Jl. Raya Rengasdengklok. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. KHM. 2 (By-Pass) Jln. Yani No. Klari Jl.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Sukasari Jl. 93 Cikampek Jl. Raya Tamelang No. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Indonesia Only All Services Page 12 of 21 Maximizing Service. Raden Saleh No. 1A Jl. Perumnas Jl. Pal Sigunung . Pangkal Perjuangan KM. 3. Simatupang Kav 38. 45 Jl. Sawangan Jln. Pancoranmas Jl. Raya Bogor Km. Raya Kosambi. Pemuda No. Raya Ciselang.29 Jl. Jl. A. Raya Kosambi. Blendung Jl. Cisalak Jl. 50. Depok II Tengah Jl. Arief Rahman Hakim. Raya Kosambi Curug. Ir. Margonda Raya No. Ciremei Raya No. Telaga Sari. Kertabumi No.24 Hours Clinic . 114. 98.23. 28. Stasiun no. Raya Siliwangi No. Raya Plumbon KM. 3.17.Service@Global-Assistance. Raya Bogor KM. 168.24 Hours Clinic . Raya Buahaseum No.24 Hours Hospital & Clinic Jl. Jend. Kertabumi No 44 Jl. 42 Jl. A. No.24 Hours Clinic . No. Johar Karawang Jl. Surotokunto No. Cikampek Jl. Lemahabang-Wadas Ruko Resinda F3/10 Jl. Jakarta 12540. Telagasari KM. Usman No. Mekarjaya Jl. Raya Sawangan Depok Jl.

3 Jl. Setiabudi.Service@Global-Assistance. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 186B. 39 Jl. 41 (0261) 2108 34 (0261) 201021 P P P P P P P P P P Tasikmalaya RS Jasa Kartini Hospital & Clinic Jln. 1 (0264) 270 830 (0264) 200 377 0264-202382 (0264) 219168 P P P P P P P P P Subang Klinik AQMA Subang RS II PTPN VIII Subang Clinic .B. Betha Medika Clinic . 4-6 (0293) 364 033 (0293) 362702 P P P P P P P P P P Pati Keluarga Sehat Hospital Hospital & Clinic Jl. 14. T. Margorejo (0295) 386111 P P P P P Pekalongan RS Siti Khodijah Pekalongan Klinik Diagnostik "CITO" Pekalongan Hospital & Clinic Clinic . R.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat Purwakarta Klinik AQMA Plered Klinik AQMA Purwakarta Klinik&Apotik KOPINDOSAT RS Efarina Etaham Clinic . 137 (0296) 421 727 P P P P P Cilacap RS Pertamina Cilacap RSI Fatimah Cilacap Hospital & Clinic Hospital & Clinic Jl. Bungur Sari No. 25. 1 (0260) 552 195 (0260 ) 411 632 P P P P Sukabumi Klinik Al . Jendral ahmad Yani No. Kartini no 37 (0287) 471 290 P P P P P Klaten RS Islam Klaten Hospital & Clinic Jl. Jakarta 12540. Sudirman No. Otto Iskandardinata No. No.33 (0285) 422 845 (0285) 422 458 P P P P Released: 12 May 2010. 12. 1:53:56PM Network Listing .24 Hours Hospital & Clinic Jl. Purwakarta Jl. 595 (0266) 733 033 (0266) 532 593 (0266) 731555 (0266) 9100989 (0266) 222 663 (0266) 6250902 (0266) 224128 P P P P P P P P P P P P P P P P P P P P P P P P P Sumedang RS Pakuwon Sumedang RSUD Sumedang Hospital & Clinic Hospital & Clinic Jln. Cibadak Jl. Plered Jl. Raya Siliwangi No. Tegal kamulyan Jl.24 Hours Clinic .Not 24 Hours Hospital & Clinic Jl. Raya Siliwangi No. Jend. Bandung 39 . RE. Ibrahim Singadilaga No. P Senopati No. Anjun No.24 Hours Clinic .47 Pekalongan Jl. P. Compreng No. 11 Jl. Cicurug Jl.24 Hours Clinic .Not 24 Hours Jl. Raya Sukaraja Jl. Jl. 110 (0291) 434 707 P P P P P Magelang RS Harapan Magelang RSIA Gladiool Hospital & Clinic Maternity & Children Jl. Surya Kencana Pamuyuran no.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. 9. Juanda 20 (0282) 531 633 (0282) 545 213 P P P P P Gombong RS Palang Biru Gombong Hospital & Clinic Jl. Mas Mansyur No.Indonesia Only All Services Page 13 of 21 Maximizing Service. Geusan Ulun No. Sudirman No. KH. Agil Kusumadiya. Letjend. Kenanga No.Ikhlas Klinik Citra II RS Bhakti Medicare RS Hermina Sukabumi RS Islam Assyifa Sukabumi RS Kartika Medical Center RS. Ir. 15 (0265) 331 641 P P State/Province: Jawa Tengah Cepu RS PKU Muhammadiyah Cepu Hospital & Clinic Jl. 18 A Jl. Martadinata No. Ronggolawe No. Raya Yogya Solo Km 2 (0272) 322 252 P P P P P Kudus RS Mardi Rahayu Kudus Hospital & Clinic Jl. 96. Raden Dewi Sartika No. Otto Iskandardinata No. 407. Raya Cisaat No. Simatupang Kav 38.net . Pusaka Jaya Jl. 17 Jl. Cicurug Jl. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.

Kec.Not 24 Hours Clinic . Temanggung Jl. 79 Jl. Jend. Gajahmada No. 1 Jl. Elisabeth Purwokerto RSU Bunda Purwokerto Hospital & Clinic Hospital & Clinic Jl. Bina Remaja 61 Jl.29 Jl.B. 98 Jl. Jakarta 12540. Cipto" RS Panti Wilasa Citarum RS Permata Medika Semarang RS Roemani Muhammadiyah Semarang RS St. Kalimas Raya No. Perumahan Solo Baru. Surakarta (0271) 643 139 (0271) 710 571 (0271) 714 422 P P P P P P P P P P Tegal Klinik Diagnostik "CITO" Tegal RS Mitra Keluarga Tegal RSI Harapan Anda Clinic . Raya Solo Sukoharjo. Yani No. Oen Solo Baru RS Panti Waluyo Hospital & Clinic Hospital & Clinic Komp. Moch Ichsan 93 -97. Simatupang Kav 38. 9 (0271) 593 814 P P P Surakarta RS Dr.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Clinic . Dr. Dr.4. Kalisat (0293) 596 008 (0293) 596704 P P P P P Released: 12 May 2010. 22 Jl. R Suprapto 06 Jl.24 Jl. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Not 24 Hours Clinic .net .Pandanaran No. Grobogan (0292) 421087 (0292) 422839 P P P P P P P P P P Purwokerto RS St. A.Jend. Indraprasta 81A (024) 354 9000 (024) 7461645 (0271) 714 455 (024) 760 0360 (024) 747 1519 (024) 8442525 (024) 658 0019 (024) 354 6040 (024) 3542224 (024) 762 5005 (024) 844 4623 (024) 831 0076 (024) 844 6000 (024) 351 5374 (024) 355 6853 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Solo RS Dr. Raya Kedu KM. Dr. Cipto Klinik Diagnostik "CITO" Indraprasta Clinic . Taman Bahagia No. Letjend.1-2 (0271) 620 220 (0271) 712 077 P P P P P P P P P P P Sukoharjo RS Nirmala Suri Hospital & Clinic Jl. Kemandungan Tegal Jl. 50 Jl.42. Purwokerto Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 1:53:56PM Network Listing . Ababil No. Ki Penjawi 7 Jl. Elisabeth Semarang RS Telogorejo Klinik Diagnostik "CITO" Dr. 169 (0298) 324141 (0298) 323209 P P P P P P P P P P Semarang Klinik Bina Sehat Klinik Diagnostik " CITO" Setiabudi Klinik Diagnostik " CITO" Solo Klinik Puri Husada RS Banyumanik RS Hermina Pandanaran-Semarang RS Islam Sultan Agung Semarang RS Panti Wilasa "Dr. Cipto 14A JL.24 Hours Clinic . A. Sukoharjo JL.Service@Global-Assistance. 4 Jl.Not 24 Hours Hospital & Clinic Hospital & Clinic Jl. T.Not 24 Hours Clinic . Surakarta Jl. Tegal (0283) 353 402 (0283) 394 999 (0283) 358 244 P P P P P P P P P Temanggung RS Ngesti Waluyo RS PKU Muhammadiyah Temanggung Hospital & Clinic Hospital & Clinic Jl. Mr. Hayam Wuruk No. Yani Pabelan.Not 24 Hours Jl.Grogol. Sipelem No. Citarum No. Ahmad Dahlan Jl. Jl. Slamet Riyadi 404.Indonesia Only All Services Page 14 of 21 Maximizing Service. Gatot Subroto No. Jendral Sudirman No. Setiabudi G 62 K-L Jl. Parakan. 24. Kawi No. Brigjen Katamso No. Kab. Surakarta Jl. Pramuka 249 (0281) 631 761 (0281) 635 424 P P P P P P P Rembang RSU Rembang Hospital & Clinic Jl. Jend. 44. 16 Rembang (0295) 691 444 P P P Salatiga RSU Ananda Salatiga RSU Puri Asih Salatiga Hospital & Clinic Hospital & Clinic Jl. Rajiman 349 Jl. 24 (0284) 321251 P P P P P Purwodadi RS Panti Rahayu Purwodadi RS Permata Bunda Purwodadi Hospital & Clinic Hospital & Clinic Jl. Ngaliyan Jl. Puri Anjasmoro H5/45A Jl.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Tengah Pemalang RSU Santa Maria Pemalang Hospital & Clinic Jl. KH. Km. Cipto No. Oen Surakarta RS Islam Surakarta (YARSIS) RS Kasih Ibu Surakarta Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Raya Kaligawe Km. Kab. Pemuda No. Wonodri No. 2. 55.

Jember No. 32 Jl. 6. Kebalen Wetan No. Lavalette Malang Clinic . Airlangga 137 Mojosari Jl. W. Mayjend Sungkono No. Kartini No. Mayjen Haryono 139 Jl.net .25. Jaya Negara No.R. 69 Jl. T. Genteng Jl. Raya Mondoroko Km. Raya Ijen No. Diah Pitaloka No. Kabat . 1 Mojosari (0321) 322 329 (0321) 592261 (0321) 322 170 (0321) 328 737 (0321) 596 900 P P P P P P P P P P P P P P P P P P P P P P P Pasuruan RSI Masyithoh Bangil Hospital & Clinic Jl. Sulawesi 16 Jl. Jendral Ahmad Yani No. 67 Jl. RA. Nusa Kambangan 56 Jl. Sosodoro Djatikoesoemo Bojonegoro Hospital & Clinic Jl.Service@Global-Assistance. Sultan Agung No. A.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Maternity & Children Hospital & Clinic Hospital & Clinic Jl. 149 (0334) 891325 P P P P P Madiun RS Santa Clara Madiun RSI Siti Aisyah Madiun Hospital & Clinic Hospital & Clinic Jl. Soekarno Hatta No.B. 38 (0351) 462 688 (0351) 464822 P P P P P P P P P P Madura RS Larasati Hospital & Clinic Jl. Jl Brigjen Pol IBH Pranoto (0354) 684 172 P P P P Lumajang RS Wijaya Kusuma Lumajang Hospital & Clinic Jl. Kepanjen Jl. Wijaya 56 Mojokerto Jl. 1 Junrejo. Mojopahit No. Raya Tlekung No. 7 Jl. Biliton No. Bedadung No 2 Jl. Wahidin No. 280 (031) 3978658 (031) 397 3477 P P P P P P P P P P Jember RS Bina Sehat RS Perkebunan / PTPN X Jember RSU Kaliwates Jember Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Bangil (0343) 741018 P P P P Probolinggo RS Dharma Husada Probolinggo Hospital & Clinic Jl. 74. Jakarta 12540. Yani No.9 Jl. Batu Jl. Dr. Pamekasan (0324) 328305 P P P P P Malang Apotik & Klinik Griya Bromo RS Baptis Batu RS Islam Aisyiyah Malang RS Islam Malang RS Manu Husada Malang RS Marsudi Waluyo Singosari RS Panti Nirmala RS Panti Waluya Sawahan Malang RS Wava Husada RSIA Hermina Tangkubanprahu-Malang RSIA Melati Husada RSU. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Letjend. Gajah Mada No. Mandilaras No.8 Jl. R. 1 (0331) 422701 (0331) 487 104 (0331) 483505 P P P P P P P P P P P P P P Kediri RS Baptis Kediri Hospital & Clinic Kotak Pos 1.Banyuwangi (0333) 8420333 (0333) 421 451 P P P P P P P P Bojonegoro RSUD Dr. Jl. Bromo No. Emma Mojokerto RSI Arofah Mojosari Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. R. 10 (0341) 341818 (0354) 594 161 (0341) 326 773 (0341) 551356 (0341) 320 376 (0341) 458 974 (0341) 362 459 (0341) 362 017 (0341) 393000 (0341) 325082 (0341) 325249 (0341) 470 805 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Mojokerto RS Gatoel Mojokerto RS Kartini Mojosari RS Reksa Waluya RS. 65.Indonesia Only All Services Page 15 of 21 Maximizing Service.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Timur Banyuwangi RS Al Huda Banyuwangi RS Islam Fatimah Banyuwangi Hospital & Clinic Hospital & Clinic Jl. Kawi No.442 Mojokerto Jl. 15 Jl. A. Supratman No. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 33 Jl. 40 (0353) 881193 P P P P P Gresik RS Petrokimia Gresik RS Semen Gresik Hospital & Clinic Hospital & Clinic Jl. Simatupang Kav 38. Panglima Sudirman 99 A. 1:53:56PM Network Listing . 12 Jl. 7 Jl. Tangkuban Perahu No. Diponegoro No. 10 (0335) 422176 P P P P P Released: 12 May 2010. Yani No.

40-44 Jl. Parman. 149 KM. A. 8 Waru Jl. Jl.net . A. Raya Darmo 90 Jl. Antasari No. No 34 Jl. Ipung Klinik Sentra Medika Surabaya Pramita Utama Diagnostic Centre Surabaya RS Adi Husada Undaan Wetan RS Darmo Surabaya RS Islam A. Letjend. 31-35 Jl. Banjarmasin Jl. Ngagel Jaya Tengah 115 Jl. Jakarta 12540.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Timur Sidoarjo Klinik Citra Gading Medika RS Anwar Medika RS Delta Surya RS Mitra Keluarga Waru RS Siti Khodijah Sepanjang RSI Siti Hajar Sidoarjo Clinic . Brigjen Katamso A408-409. Pontianak Mall Jl.Please Note: You must telephone Global Assistance before arrival at this Hospital so arrangements can be made Banjarmasin Klinik Spesialis Sari Mulia Banjarmasin RS Islam Banjarmasin RS Sari Mulia Banjarmasin RSK Bedah Banjarmasin Siaga Clinic .Indonesia Only All Services Page 16 of 21 Maximizing Service. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Jend S Parman No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Ciliwung 42 with cashless services available Monday to Saturday (8:00 AM . 2-4 Jl. Yani No. P. Wahid Hasyim No.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.Not 24 Hours Komp. Adi Sucipto (0561) 7390 82 (0561) 581818 (0561) 732 101 (0561) 737 701 P P P P P P P P P P P P P P P Singkawang RS Vincentius Singkawang RSU Harapan Bersama Hospital & Clinic Hospital & Clinic Jl. 70. P Belitung No. Simatupang Kav 38.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.9 Jl. Diponegoro. 3. Diponegoro 51 (031) 5024612 (031) 8438777 (031) 502 0552 (031)5321256-59 (031) 567 6253 (031) 8284505 (031) 8471877 (031) 567 7562 P P P P P P P P P P P P P P P P P P P P P P P P P P .5 (0511) 325 4341 (0511) 3354896 (0511) 325 2570 (0511) 325 3111 P P P P P P P P P P Released: 12 May 2010. 139 B. Pahlawan 260 Sepanjang Jl. 61 (0562) 631 008 (0562) 631791 P P P P P P P P P P State/Province: Kalimantan Selatan Balikpapan Baru Panacea Clinic Clinic . 51-57 Jl. Muji Rahayu RSAL Dr. Nginden Intan Brt Bl. Dr.68A Jl.B. Raya Gubeng No. 5 Jl.24 Hours Clinic . Rewwin Semawut Balongbendo. P. Raden Patah No. Jend. Manukan Wetan 68 .18-20 (0542) 877898 P P P P . 139. Prapat Kurung Selatan No. Pangeran Diponegoro No. Dharmawangsa 66 Jl. Gadung No. Tanjung Perak Jl. Pahlawan No. After hours outpatient services refered to ER RS Mitra Keluarga Surabaya RS Spesialis Husada Utama RS Surabaya Internasional RS William Booth Surabaya RS. Satelit Indah II. Ramelan RS PHC Surabaya Siloam Hospitals Surabaya Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic Jl. Undaan Wetan No. Gg.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. T. A. Purnama No.Not 24 Hours Clinic .11:00 AM) only. 91-93. Prof. 294 Jl. Yani No. Raya Tenggilis No.B Jl. Darmo Satelit Surabaya Jl. 1:53:56PM Network Listing . Yani I Jl. Moestopo No. Gusti S.Clinic located at Jl. 1. Banjarmasin Jl. Soedarso Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Surabaya Jl.1 Jl. 70 (031) 8679727 (031) 897 2052 (031) 896 2531 (031) 8542111 (031) 788 1130 (031) 8921 233 P P P P P P P P P P P P P P P P P P P P P P P Surabaya Klinik dr. Antasari No. Sidoarjo Jl.Yani Surabaya RS Islam Jemursari Surabaya RS Katolik Vincentius A Paulo/RKZ Surabaya Clinic . Lelanang Blok EA No.Service@Global-Assistance. Raya Jemur Sari No. Surabaya (031) 734 5333 (031) 5018335 (031) 599 3211 (031) 567 8917 (031) 740 4132 (031) 843 8153 (031) 329 4801 (031) 503 1333 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P State/Province: Kalimantan Barat Pontianak RS ProMedika Pontianak RSIA Anugerah Bunda Khatulistiwa RSU Santo Antonius Pontianak RSUD Dr. 2-5.Mal Fantasi Blok AB 2 No. Letjend S.1 Jl.

Yos Sudarso II No.8 Muka Kuning.9 Ring Road Balikpapan Jl.Not 24 Hours Clinic . Komp.T Haryono No. 26-30 Jl. 1 Jl. Imam Bonjol No. Hatta No.net .24 Hours Jl. Anggrek Blok II Jl.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Kalimantan Selatan Tanjung RS Pertamina Tanjung Hospital & Clinic Jl.Bumi Indah B/4.Pertokoan Cipta Puri CC/3 Tiban Selatan Komp. Blok A-3A No 7-9 Jl. Jend. Sei Panas Jl. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Balikpapan (0542) 426 461 (0542) 877 330 (0542) 720 6509 (0542) 441572 (0542) 734020 (0542) 422304 (0542) 413 932 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Bontang RSUD Taman Husada Bontang Hospital & Clinic Jl. Handil 3 (0541) 6918 91 P Samarinda RS Dirgahayu Samarinda RS Haji Darjad Samarinda RS Islam Samarinda RSUD A. A. 101 (0549) 24555 (0549) 23417 (0549) 2026258 P P P P P P P P P P P P Tarakan Pertamedika Hospital Tarakan Hospital & Clinic Jl. Mulawarman No. 1.Not 24 Hours Clinic . A. Moh. Palang Merah Indonesia (0541) 742116 (0541) 732 698 (0541) 7415 10 (0541)738118 P P P P P P P P P P P P P P P Sangatta RS Prima Sangatta RS Sangatta Occupational Health Centre RSU Meloy Sangatta Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. 1:53:56PM Network Listing .B. Batam (0778) 458 813 (0778) 702 0317 (0778) 702 0326 (0778) 371 002 (0778) 431 974 (0778) 427854 (0778) 431 777 (0778) 458 808 (0778) 457357 (0778) 371 002 P P P P P P P P P P P P P P P P P P P P P P P P P P P State/Province: Lampung Released: 12 May 2010. T. Gunung Merbabu No. Simatupang Kav 38.1 Jl. Balikpapan Baru.Service@Global-Assistance. Yos Sudarso I No. No. Dahlia No. 17. Gas Murung Pudak (0526) 2022 550 P P P P State/Province: Kalimantan Timur Balikpapan Balikpapan Dental Health Center RS Balikpapan Baru RS Balikpapan Husada RS Harapan Mulia Balikpapan RS Pertamina Balikpapan RS Restu Ibu Balikpapan RSIA Permata Hati Balikpapan Dental Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Jl. I JL. Gajah Mada Kav. Mahkota Simpang No. Jl. 14 (0551) 31403 P P P P P State/Province: Kepulauan Riau Batam Klinik Umum & Gigi Casa Medical utama Klinik Umum Casa Astek Sekupang Klinik Umum Casa Batu Aji Klinik Umum Casa Medical Bengkong Klinik Umum Casa Medical Jodoh RB&Klinik Budi Rosari RS Awal Bros Batam RS Harapan Bunda Batam RS Santa Elisabeth Batam RSU Casa Medical Centre Clinic . 85 Jl. Yani No.Not 24 Hours Clinic . Bengkong Mahkota Jl. Wiluyo Puspoyudo No. Pantai Mas Permai A/28 Jl. M.Not 24 Hours Maternity Only Hospital Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. 4 Jl. Haryono. Jend. Seraya 1 Jln. Gurame No. S Parman No.Batu Aji Centre B/ 3 Batu Aji Komp. 18 Jl. Sudirman Komp. 01. 1 Jl. Wahab Sjahranie Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic JL.40 Jl.Not 24 Hours Clinic . Batam Jl. Yos Sudarso IV. MT. Yani No. Duyung Batu Ampar (Rumah Susun Jamsostek). Jend Sudirman No. Letjend. Nagoya Komp. Jakarta 12540. 1 (0548) 3036990 P P P P P Kutai Kartanegara Klinik Maju Sejahtera Handil Clinic . Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Taman Indah Sentosa Blok F/19. Imam Bonjol Komp.Indonesia Only All Services Page 17 of 21 Maximizing Service.

net . Jend. Jl. Teuku Umar No.Service@Global-Assistance. 217 Jl. 8 Mataram (0370) 631 999 P P P Mataram Klinik Lawang Gali RS Biomedika RSB Exonero Clinic . 2 (0911) 343428 P P P P P P State/Province: Nanggroe Aceh Darussalam Banda Aceh RS Harapan Bunda Banda Aceh RS Permata Hati Banda Aceh RS Teungku Fakinah RSU Bulan Sabit Merah Indonesia Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Cendrawasih SP. 1:53:56PM Network Listing . Tromol Pos I. 48 Jl.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Lampung RS Advent Bandar Lampung RS Bumi Waras Hospital & Clinic Hospital & Clinic Jl. 17 Simpang Blang Jl. 24 (0951) 333666 P P Released: 12 May 2010. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Manggarai.07. Lamlagang (0651) 48114 (0651) 742 8872 (0651) 41454 (0651) 638701 P P P P P P P P P P P P Lhokseumawe RS TK IV IM.Sudirman 27-29 Jl.01 Lhokseumawe(RS TNI AD) RSU Bunda Lhokseumawe RSU Bunga Melati RSU Kasih Ibu Lhokseumawe RSU Sakinah Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Teuku Umar No. Bandar Lampung (0721) 703 459 (0721) 254499 P P P P P P P P P P P .II. Sumbawa Besar Jl. Pemuda No. T. TIMIKA Jl. Soekarno-Hatta. Ahmad Yani No. Jakarta 12540. Darussalam No.24 Hours Jl. 16 (0371) 2709693 (0370) 645137 (0370) 636454 P P P P P P P P P P State/Province: Nusa Tenggara Timur Ruteng RS St. Rafael Cancar Hospital & Clinic Jl. Letjend.Indonesia Only All Services Page 18 of 21 Maximizing Service. Bung Karno No 143 Jln. 54 Timika (0901) 322541 081354089988 P P P P P P State/Province: Papua Barat Sorong Prima Medical Centre Clinic . Yos Sudarso No.B.Ruteng (0385) 22944 P P P P State/Province: Papua (Irian Jaya) Timika Klinik & RB Hadeli Sari Timika Klinik Dian Timika Hospital & Clinic Clinic . Samudra Jl.Lhokseumawe Jl. Samudera Baru No.24 Hours Hospital & Clinic Maternity Only Hospital Jl. Antara No. 235. 3 Keude Aceh . Teluk Betung Jl. Sultan Malikul Saleh. 2.24 Hours Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 181-223 Jl. 16.44821 (0645) 48713 (0645) 45534 P P P P P P P P P P P P P State/Province: Nusa Tenggara Barat Lombok Permata Hati Maternity Clinic Maternity & Children Jl. Majapahit No. Wolter Mongonsidi No. Sudirman No. Simatupang Kav 38.Outpatient cashless services only available for GP and Emergency Room treatments RS Immanuel Way Halim Hospital & Clinic (0721) 704 900 State/Province: Maluku Ambon RSU Al Fatah Ambon Hospital & Clinic Jl. Aceh Utara Jln. 30 (0645) 40300 (0645) 46924 0645 . Sultan Iskandar Muda No. Santurafael Cancar. Merdeka No. Sultan Babullah No.

D. Sisingamangaraja No. Wahidin Sudirohusodo RS Islam Faisal RS Labuang Baji RS Stella Maris RS TK. letjen Pol.37 Duri Jl. 1 Teling Atas Jl. Ratulangi No. Imam Bonjol KM.5 Jl. II Pelamonia Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Somba Opu JL. Jend. 25 Jl.H. 60.6.Kandou Manado Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Makassar (0411) 872 514 (0411) 584675/7 (0411) 871 942 (0411) 872 120 (0411) 871 391 (0411) 324 710 P P P P P P P P P P P P P P P P Pare-pare RS Fatima Pare-pare Hospital & Clinic Jl. Andi Mappa Oudang No.dr. Manado Jl. 26. Jend. Tuminting Jl.Service@Global-Assistance. Pekanbaru Jl. Melati No.65. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 50 (0428) 21451 P P P P P State/Province: Sulawesi Selatan Makassar RS Bhayangkara Andi Mappa Oudang RS Dr. Bitung Jl. Tamalanrea JL.Not 24 Hours Clinic . Agung Klinik Permata Hati II RS Permata Hati Duri RS Thursina Duri Clinic . 273 Jl.55.11. Sudirman No. Raya Tanawangko (0431) 847950 (0431) 865 800 (0431) 851 577 (0431) 838203 P P P P P P P P P P P P P Released: 12 May 2010. Sudirman No. Ahmad Yani No. Jend. Sudirman No. Riau 08127574025 (0765) 91155 (0765) 598 101 (0765) 5977 73 P P P P P P P P P P P P Pekanbaru Eka Hospital Pekanbaru RS Awal Bros Pekanbaru RS Santa Maria Pekanbaru RS. RA Kartini No. 3 (0461) 21202 (0461) 21820 P P P P P P P P Palu RS "Woodward" Palu Hospital & Clinic Jl. Bitung (0438) 21264 (0438) 38066 P P P P Manado RS Advent Manado RS Pancaran Kasih RSI Sitti Maryam RSU Prof. Sam Ratulangi XIII. Sudirman No. Jend. Pekanbaru Jl. 63. Makassar Jl. Jakarta 12540. Ilham 3 (0421) 21847 P P P P P State/Province: Sulawesi Tengah Luwuk RSB Irene RSUD Luwuk Maternity Only Hospital Hospital & Clinic Jl. Pegiden Raya no. Soekarno Hatta Km. 53. Pangerang Pettarani Jl. 1:53:56PM Network Listing . Jend.R. Simatupang Kav 38. Jend. Ratulangi No. Jend. Sudirman No. 34. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Simp. Pekanbaru Medical Centre RSB Budhi Mulya RSI Ibnu Sina Pekanbaru Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Hospital & Clinic Jl.24 Hours Hospital & Clinic Hospital & Clinic Jl. Dr. 14 Februari No. 25 Jl. Lembaga Pemasyarakatan. Jl. Manembo-nembo. Woodward no.net .Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Riau Duri Klinik Dr. T. Somba Opu No. Padang Jl. Letjend. L. Pekanbaru (0761) 6989999 (0761) 47333 (0761) 222 13 (0761) 848 100 (0761) 22815 (0761) 24242 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P State/Province: Sulawesi Barat Polewali RSUD Polewali Hospital & Clinic Jl. Sudirman no. 27. Yos Sudarso No. 81.68.117 Jl. A. Mesjid Jamil Jl.1 (0451) 421 769 P P P State/Province: Sulawesi Utara Bitung RSAL BITUNG RSUD Bitung Hospital & Clinic Hospital & Clinic Jl.Indonesia Only All Services Page 19 of 21 Maximizing Service.B. Perintis Kemerdekaan Km.

Service@Global-Assistance. Veteran No. Misbah No. Padang 0751-31938 (0751) 33010 (0751) 33230 (0751) 444712 (0751) 463059 (0751) 23164 P P P P P P P P P P P P P P P P P P P P P P P P P State/Province: Sumatera Selatan Palembang RS Islam Siti Khadijah Palembang RS R. 8 Jl. Jend. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.100. Teuku Umar No.1054 (0711) 356 008 (0711) 350 426 P P P P P P P P Prabumulih RS AR Bunda Prabumulih RS Pertamina Prabumulih Hospital & Clinic Hospital & Clinic Jl.Not 24 Hours Clinic . Gunung Pangilun Jl. Kapten Muslim No. Sisingamangaraja No. Sudirman No. Medan . Letjend. Situjuh No. Karo (0628)20714 P P P P State/Province: Yogyakarta Released: 12 May 2010. Jend. Kab. Aur No. They tell us they cannot control this. Surakarta No. Proklamasi no. 10 (061) 732 1666 (061) 4535 522 (061) 452 4875 (061) 661 9520 (0622) 433 444 (061) 4518766 (061) 736 9000 (061) 736 2777 (061) 414 4737 (061) 845 1812 (061) 455 1333 (061) 451 4222 (061) 452 8744 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P Padang Sidempuan RSU Ester Kabanjahe Hospital & Clinic Jl.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Medan Km. Haji Agus Salim Jl. 7 Jl.79 Jl.K. Angkatan 45 Jl.We have received patient complaints re this hospital. Ahmad Yani No. Simatupang Kav 38.5. Gatot Subroto KM. RS Haji Medan Estate Jl. Jakarta 12540.17 Jln.1 Jl. MH. Demang Lebar Daun. Klinik Spesialis Bunda Medan Medan Medical Center RS Advent Medan RS Haji Medan RS Horas Insani RS Islam Malahayati RS Methodist Medan RS Permata Bunda Medan RS Santa Elisabeth Medan RS Sari Mutiara RSU Dewi Maya RSU Materna Medan RSU Sarah Medan Clinic . Batang Agam (0752) 21208 P P P P P Padang RS Khusus Bedah Ropanasuri Padang RS Selaguri Padang RS Yos Sudarso RSI Ibnu Sina Padang RSI Siti Rahmah Padang RSU C-BMC Padang Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. 6 (061) 456 6368 P P P P P P P P P P P P P P P P P P P P . 37. 2 Jl. Pematang Siantar Jl.Sisingamangaraja No 7 Jl. Samanhudi No. Thamrin Medan 105 Jl.B. Pakjo Jl. Gajah Mada. H. 4. 26. If you want to avoid possible problems consider using another facility. 21. Padang Jl. Jl. 1:53:56PM Network Listing . 22 (061) 8827277 P P P P P Medan Gleni International Hospital Hospital & Clinic Jl. The hospital tells us it occurs because some of their doctors demand cash payment.Binjai Jl.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Sumatera Barat Bukit Tinggi RSI Ibnu Sina Bukit Tinggi Hospital & Clinic Jl.Indonesia Only All Services Page 20 of 21 Maximizing Service. T. Kesehatan No. 2 Jl.net . Listrik No. Diponegoro No. 9 . 2.11 Jl. Komperta (0713) 322 954 (0713) 382 742 P P P P P P P P State/Province: Sumatera Utara Binjai RSU Artha Medika Binjai Hospital & Clinic Jl. Baja Raya No. Charitas Palembang Hospital & Clinic Hospital & Clinic Jl. Raya By Pass KM 15 Jl. Kabanjahe.

Kaliurang Km. No. 20 Jl.net and we will investigate any concern you might have with one of our Network Providers. Wiratama No. is to have as many details as we can from you about any problem you have in accessing service from our Network Providers.Services@Global-Assistance. 1 No.net.Kulonprogo Jl. please check our website www. Remember.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Yogyakarta BP&RB PKU Muhammadiyah Wates Jogja International Hospital Klinik Diagnostik " CITO " Bantul RS Bethesda RS Happy Land Medical Centre RS Ludira Husada Tama RS Panti Nugroho RS Panti Rini RS PKU Muhammadiyah Yogyakarta RS. we need to know the date.net or check with your HR Department. Perhaps it is a new Receptionist at the Providers Admissions Desk that needs training ' the only way we can work together with our contracted Providers to ensure you are provided the best service.5. Kalasan Jl. 1:53:56PM Network Listing . 160 Jl. Letjend. Wates.Service@Global-Assistance. 70 Jl. please fax us at (021) 782 9332 or email our team at We are always happy to add quality healthcare providers to our Network. 5. Tentara Pelajar KM. 12. added to our Network. Ipda Tut Harsono No.net .Not 24 Hours Jl. to help us in our discussions with the Healthcare Provider. location and name of the Provider Staff who created the problem. especially where we do not have alternate providers available. time. Kulon Progo Jl. Solo Km. Dahlan No. For udpates to our Provider List or for information on our other services. You can also email us at Provider.Indonesia Only All Services Page 21 of 21 Maximizing Service. Timoho Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 17. The number is on the back of your Membership Card. 11. Pakem Jl. Jakarta 12540. Jl. Simatupang Kav 38. Experiencing a Problem? If you or your employees experience any problems in accessing services at any one of the Healthcare Providers included in our List.Global-Assistance. Ring Road Utara No. KHA. 53. Tegalrejo Jl. call your Customer Service Hotline immediately. Elizabeth Bantul RSUD Wates Klinik Diagnostik "CITO" Yogyakarta Hospital & Clinic Hospital & Clinic Clinic . If you call us while you are still at the hospital or clinic .B.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Clinic . Wates . Don't forget to let us know about any concerns you might have with medical practices or treatments also. Melikan Lor Bantul Jl. Sumber Mulya. Atmosukarto 4 (0274) 773430 (0274) 4463535 (0274) 7101015 (0274) 586 688 (0274) 550060 (0274) 620 333 (0274) 895 186 (0274) 496 022 (0274) 512 653 (0274) 367 502 (0274) 773169 (0274) 563 656 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P v If you would like a Healthcare Provider Provider. Jendral Sudirman. Raya Bantul km.we most likely can help you immediately. Released: 12 May 2010. Bantul Jl. T. KH Ahmad Dahlan No.4. Ganjuran. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Services@Global-Assistance.10. St.

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