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

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P P P

P P

P P

P P

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

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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

5.Indonesia Only All Services Page 3 of 21 Maximizing Service. Simatupang Kav 38. Blok DII/2 Pamulang Jl. Pamulang . 125. KH. Raya Jombang No. 1:53:56PM Network Listing . Karawaci Jl. 114. 3. Letjend.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.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. Kota Modern Jl. 1 . Jatake Jl. MH Thamrin No.Larangan Jl.24 Hours Clinic . BSD . 3 Jl. KH. Hasyim Ashari 001/004 NO. 19-20. Bintaro Utama IIIA Pondok Aren Jl. 18. 3. Siloam No. 1 Blok D3.Ir. 11.5 Jl. KH. Ciledug Pamulang Permai Blok D3 No. Jl. Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Sektor 7. Serpong Jl. 5 Jl. Ir. 2. KH.24 Hours Clinic . Juanda No. Pondok Jagung Jl. Moh. MH Thamrin Blok B3 No.24 Hours Clinic . Industri Raya I Blok A No. Raya Pasar Baru No. Ciputat Jl.9. Ciputat Jl. HOS Cokroaminoto (Ciledug Raya) No. Pinang Jl. Bintaro Sektor IX Jl. Cibodas Jl. 10 Sudimara Pinang. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Melati Raya C II/No. 37.24 Hours Clinic . 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. Letjen Sutopo BSD City JL.90. Bintaro Jaya Jl.95. Raya Serpong KM.net .24 Hours Clinic . Toha (Jl. HOS. 56. Cibodasari . Balaraja Komp. FL -8.18. 11 Jatiuwung Jl. Jl.24 Hours Clinic . 10.Not 24 Hours Clinic . Jl Pondok Cabe Raya. Gatot Subroto No. Jl. 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 . Rd. 3 Cikokol Jl. Pinang Villa Melati Mas. Cipondoh Jl. KH. Ciputat Jl.Not 24 Hours Clinic . Ciputat Jl.Pamulang Raya. Sudimara. Pandaan Raya No. Imam Bonjol no 38.cibodas Jl. Aria Putra No.28. 4A.Not 24 Hours Clinic .Tangerang Jl.45 BSD Sektor IV Jl.5 Desa Bojong Cikupa Jl. Raya Mauk) KM. 96 KM. 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. 10. Merdeka No. Jakarta 12540. 25.Tangerang Jl.10.24 Hours Clinic . Ciputat Baru Raya No. Karang Tengah Raya Jl.1.H Juanda No. Raya Serang Km. Hasyim Ashari 24. Cipondoh Jl. Desa Kelapa Dua PO Box 492 Jl. Pamulang Jl. 38.Honoris Raya Kav 6. Hasyim Ashari No. 21 Perumnas I. Raya Serang KM.24 Hours Clinic . 43 . cokroaminoto No. KH. Jl. Cipondoh Ruko Golden Madrid 2 Blok I . Kedaung Pamulang Jl. Hasyim Ashari no. Mas Mansyur no. Alam Sutera Boulevard Kav. 28. Raya Serpong RE No. Imam Bonjol Kav. Prabu Siliwangi No.24 Hours Clinic . Cirendeu Indah III No. Ciputat Jl.6. Kavling Pemda Karawaci Ruko Pondok Cabe Mutiara Blok C II 12A.Service@Global-Assistance.24 Hours Clinic . T. Islamic Village. Siliwangi D2/ 11. H.Rawabuntu Utara Sektor 1-2 Blk UA26-27.8. Tangerang Jl. 92 Kawasan Industri CCM Kav. Hasyim Ashari No. Saleh No. Kreo Selatan .24 Hours Clinic .B.

2 Kawasan Daan Mogot JL. Slipi Jl. Letjend. Puri Indah Raya Blok S-2. 21. Ground Blok C No. 1:53:56PM Network Listing . S Parman Kav. 50 Jl. 34. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Panjang No.B. Daan Mogot No. 1 Mall Ciputra LT Upper Ground No. Jl. 7 Kembangan Selatan Gedung Graha Multi. Cengkareng JL AIP II KS Tubun 92-94 Jl. 55 Kebon Jeruk Jl. 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.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. Tegal Alur Jl. Simatupang Kav 38. Bumi Cengkareng Indah. 64 Jl.87. Kembangan Selatan Jl. Jakarta 12540. Grogol Jl. Jl. Kamal Raya A7 No. 7-11. Mahoni No. 2&3 Pasar Puri Indah.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Bengkulu RS Rafflesia Bengkulu Hospital & Clinic Jl. Cengkareng Timur Jl Raya Pejuangan. Letjen S Parman Kav.net .Tenis Raya No. Daan Mogot Km. T. 8 C Jl.Not 24 Hours Clinic . No. Dasar No.Indonesia Only All Services Page 4 of 21 Maximizing Service. Slipi Jl. 17. Letjen.Not 24 Hours Clinic .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. Jl. Peta Selatan No. 87 Slipi Jl. 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 . Kintamani Raya No.Raya Kebayoran Lama. S. Parman Kav 84-86. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Lt. 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 . Grogol Daan Mogot Mall Lt. 95 A.Service@Global-Assistance. Kamal Raya. Puri Indah Raya 1 No.

Sawo No.1 Jl. Cikini Jl. Istana Sahid Apartment. HOS.Abang Jl.net . A. 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 . Tengah I/1 Jl. Menteng Jl. 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. Rachman Saleh No.764 Jl. Dr.24 Hours Clinic .Not 24 Hours Clinic . Jakarta 12540. 98 Jl. Proklamasi 43 Jl. HOS Cokroaminoto No. Cokrominoto 33.24 Jl. Rawasari Barat No. Manggarai Jl. Rawasari Jl. Abd. 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. Kali Pasir No.45-47 Jl. Abd. Mas Mansyur No. Tambak No.2. Cik Ditiro NO. T.Not 24 Hours Clinic . 16 Jl.B. 21. Thamrin Internasional Salemba RS Pertamina Jaya RS PGI Cikini RS St.24 Hours Clinic . 58 .24 Hours Clinic . By Pass Jl.24 Ground Fl.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 . Simatupang Kav 38.Menteng Klinik Al . H. Menteng Jl. 1 Jl.24 Hours Clinic .Service@Global-Assistance. No. 74 C.24 Hours Clinic . Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Raden Saleh Raya No. K. Taman Kimia No. Abd. Letjend. Mangga Besar. 40 Jl Salemba Raya 41 Jl.137-139 Jl Cempaka Putih. 39 Jl. Rawamangun No.60 JL. 18.24 Hours Clinic . Dr.60 Jl. Gedung Dinar Lt. Jend. 46.9. Jl. Dharmawan" RSPAD Gatot Soebroto "Pav. 24 Jl. Kebon Kacang I No. E281. Gereja Theresia 22 Jl. Rachman Saleh No. Menteng Jl. D . Jl. Kramat Raya No.Yani No. Pegangsaan Timur No. Raden Saleh No. Tanah . Rachman Saleh No. AIP II KS Tubun No.Sudirman 86 Jl. Cikini Raya No.24 Hours Clinic . 4. Dr.Not 24 Hours Clinic . Percetakan Negara no.Salemba Tengah 26-28 Jl.Indonesia Only All Services Page 5 of 21 Maximizing Service.128 Jl.Afiat Klinik Baruna Klinik Citra Petamburan Klinik Drg.24 Jl. Teuku Cik Ditiro No. Kebon Sirih No.24 Hours Jl. Carolus RSIA Evasari RSIA Tambak RSPAD Gatot Soebroto "Pav.28. Dr.Jend. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 44 Jl.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jakarta Jakarta Pusat Jakarta Eye Centre . 1:53:56PM Network Listing . Abdul Rahman Saleh No.

Not 24 Hours Clinic . Sudirman Kav. T. 38 Jl. Pondok Labu Jl.27th Fl.Not 24 Hours Dental Clinic Clinic . Kebayoran Baru Jl.28-30 Bellezza Shopping Arcade Unit 230-231. Buncit Raya No. Jagakarsa Jl. Jl. Granadi 3rd Fl. Tebet Raya No. Rasuna said.net .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 . 24 Wisma Mulia Lt. Pondok Indah Jl.34. Ampera Raya No. Simatupang Kav 38.5 Kebayoran Lama Jl. 8 Jl Raya Pasar Minggu No. Jl. Minggu Jl. Letjend Supeno No.Jend Gatot Subroto Kav. Raya Kebayoran Lama No.2-3 Graha Irama 2nd floor. 23.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. 1 Unit 1. Ciranjang No.49 Jl. 8-9 Kuningan Jl. Kebayoran Baru Jl. Sirsak No. Metro Duta Kav. Pejaten Barat Ps. Jatipadang Raya No. Kav.Not 24 Hours Clinic . 34 Jl. Sultan Agung No. Kebayoran Baru Jl. Pancoran Jl.24 Hours Clinic .Not 24 Hours Clinic . Buncit Raya No. Kebayoran Baru Jl.3A. Setiabudi Jl. Pasar Minggu Plaza 5 Blok B/15 Jl.HR Rasuna Said X/5.Not 24 Hours Clinic . Manggarai Jl. 1:53:56PM Network Listing . Damai Raya No. 52-53 Sahid Sudirman Residence FI. Senayan No. Pondok Indah Jl.178 Bintaro Jl. 59 Jl. 45 Jl. 5. Ciputat Raya No.Not 24 Hours Clinic .Indonesia Only All Services Pharmacy Clinic . Gandaria Tengah II/6.Not 24 Hours Clinic .UE. Jend. Letjend. Ragunan Jl. Adityawarman I/14. Petukangan Jl.43. 8A. Cilandak KKO Raya No. Kav.67. Jend. Siaga Raya Kav. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.24 Hours Clinic . 33 Jl. Taman Brawijaya No. Karet Pedurenan 240. 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. Letjen MT. RT 005/06 Kec. Taman Margasatwa No.24 Hours Clinic . 1. Kebayoran Baru Jaksel Jl.1 Petukangan Selatan Menara Kadin Ind. RS Fatmawati No. Duren Tiga Raya N0. 34 Gedung BEJ . RS Fatmawati. HR Rasuna said blok x-1 Gd.20&22. 86 Jln. 8 Jl. Senopati No. Jagakarsa Jl. Jln. 62.24 Hours Clinic . Veteran No. Gatot Subroto Kav. Bangka Raya No.Not 24 Hours Hospital & Clinic Ruko Plaza Pondok Indah I Blok UA No.Not 24 Hours Clinic .Sudirman 86 Jl.24 Hours Clinic . 15 Jl.24 Hours Clinic .80-82 Jl. Sudirman No. J.24 Hours Clinic . 42 Jl. 31 Jl.Service@Global-Assistance. Ciledug Raya No. Jend Sudirman Kav. 21. Gandaria I/20.24 Hours Clinic . Jl. DR Saharjo No 120 Jl.Tower 1 LL Floor. Pancoran Jl. Jl. Radio Dalam Raya No. Haryono No. Kyai Maja No. 4-8. 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. Duren Tiga Raya No.B.26. Jakarta 12540. Jeruk Raya No.84 Jl. 74.24 Hours Dental Clinic Clinic . 20 Jl. Margaguna Raya. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Jl. 15 Jl. Buncit Raya No.15. No.Not 24 Hours Clinic . RC. Kebayoran Baru Jl.

Cakung No.Amin No. Raya Jatinegara Timur. 21 Susukan. 1:53:56PM Network Listing . Suci No. Simatupang Kav 38. Rawamangun Jl. Balai Rakyat No. Kav. Kramat Jati Jl. 28-30 Jl. 71 Jl. 149 Jl.29-31.19 (0741) 573333 (0741) 23119 P P P P P P P P P Released: 12 May 2010. Perintis Kemerdekaan.Tipar. Dewi Sartika No. Raya Jatinegara 57 A. 22 Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Not 24 Hours Clinic . Thamrin Pondok Gede RS Mitra Internasional RS Omni Medical Center RS Rawamangun RS Yadika Pondok Bambu RS. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Danau Agung II.01/07 Jl. Penggilingan Raya No.Tarum Barat. Jatinegara Jl. Enggano No.47. Dr.Indonesia Only All Services Page 7 of 21 Maximizing Service. 2 Jl.Not 24 Hours Clinic .Raya Pondok Gede Jl. 10. Kali Malang JL. Otista Raya No. Pahlawan Revolusi No. Sukapura Jl. Kramat Jati Jl. Komarudin Raya No. T. Batu Ampar III No. Tanjung Priok Jl. 5. 2E. Jl. Sungai Bambu Raya 5. Masyid Al . No. 2 Kelapa Gading Jl. 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. TB. 12 A. Kav. 292c. Cawang Jl. No. Blok A No.24 Hours Clinic . 5. Soekarno Hatta Pal Merah Jl. Raya Pondok Kopi Jl.Not 24 Hours Clinic . No. 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 . 5. Kepolisian Pusat Raden Said Sukanto RSIA Bunda Aliyah RSIA Hermina Jatinegara RSIA Resti Mulya Clinic . Ten No.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.10 Jl. Letjend. Kramat Jati Jl. Ciracas Jl. Pondok Bambu Jl. Pulomas Barat VI. Pondok Kelapa Raya Ruko Blok C4 No. Swasembada Barat 12/2E Jl.Not 24 Hours Dental Clinic Clinic . 100.24 Hours Clinic .24 Hours Clinic . Pahlawan Revolusi No. Tanjung Priok Jl. Cijantung Jl. Sutoyo . 5. Theresia Hospital & Clinic Hospital & Clinic Jl.41 Jl. Raya Bogor. Kemayoran Jl. Sutomo No. 22 Jl.Service@Global-Assistance. (Klinik Devita) Jl. No.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. Raya Bogor Km. Balai Pustaka Baru. Jakarta 12540. Deli No. Pondok Bambu Jl. Bukit Gading Raya.24 Hours Clinic . Cakung Timur Jl.85-87 Jl.17. 4 Tanjung Priok Jl. Agung Utara Raya. Batu Ampar III No. 19. 82 Jl. Blok E3 No. 5.Cawang Jl. Duren Sawit Jl. Rawamangun Jl.Jatinegara Timur No. Landasan Pacu Timur. Balai Pustaka Raya No. Raya Pondok Gede. Raya Jatinegara Barat. 126 Jl. H. Pluit Raya No.1 Jl.net . Simatupang No. Jl.Not 24 Hours Clinic .Not 24 Hours Clinic . 1 RT.24 Hours Clinic . 23-25 Jl. Raya Bogor KM.B.24 Hours Clinic . 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. 24 No.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. Dewi Sartika No.

63 Jl. Jl. Kopo No 161 Jln. 152 Jl. 107 JL.B. Kes Klinik An-Nur Bandung Melinda Hospital Bandung RS Advent Bandung RS Al Islam Bandung RS Immanuel Bandung RS Kebon Jati. 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 2010.39 Jl. Pajajaran 46 Bandung Jl. Kebonjati No. Setiabudi No. No. LL. Letjend. Bandung RS Muhammadiyah Bandung RSB Limijati RSIA Hermina Pasteur-Bandung RSU Bungsu RSU Pindad Bandung Santosa Bandung Internasional Hospital Practitioner Clinic . 1:53:56PM Network Listing . Veteran No. KH. Djundjunan No.Jend. Merdeka No 44 Jl. T. Simatupang Kav 38. Gatot Subroto.Service@Global-Assistance.33 . Sukarno Hatta No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. 6 Jl. Jakarta 12540.Indonesia Only All Services Page 8 of 21 Maximizing Service. 517 Jl. Kebonjati No. RE Martadinata No.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.161 Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. M. Cihampelas No.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Barat Bandung Dr. Soeseno Hadi.644 Jl.53 Jl.net . Ahmad Dahlan No. dr.

Pondok Gede Jl. Cikarang Baru Jl.net .Not 24 Hours Clinic . Cikarang Barat Ruko Mega Mall Blok C2. Ruko Sentra Cikarang Perumahan Villa Mutiara Jaya. 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 . Kasuari Raya. 39A Sukaresmi.24 Hours Clinic . Cibitung Ruko Perum Telaga Harapan Blok F No.Not 24 Hours Clinic . Perum Harapan Baru.24 Hours Clinic . Bekasi Timur Jl. Cikarang Baru Jl.Not 24 Hours Clinic .24 Hours Hospital & Clinic Clinic . Cibitung Perumahan Telaga Murni Blok C9/19.Ruko Elite Blok 3B No. 16.8.24 Hours Clinic . 1 Kp.M.74-77. T. Komp. Raya Jati Mulya. Perumnas III Bekasi Perum Gramapuri Blok D1 No.24 Hours Clinic . Bekasi Barat Perumahan Taman Narogong Indah.Cikarang Baru Raya.Tabrani Blok IA-IB. Ruko Union-Lippo Cikarang Jl. 33.24 Hours Clinic . Raya Nusantara No. Tambun Selatan.239.24 Hours Clinic . Jl.24 Hours Clinic . Regency Jl. Kota Legenda Ruko Plaza Roxy B-11. Juanda No.12 Cibitung Jl. Cibitung Jl.24 Hours Clinic . 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.24 Hours Clinic .Not 24 Hours Clinic . Lippo Cikarang Jl. 02/II. Kawasan Industri MM-2100 Cibitung Perum Permata Harapan Baru Ruko Blok H-46. Sultan Hasanudin No. Noer Ali Kav. Saparua Raya No. Cikarang Barat Perum Villa Mutiara Jaya Blok MB 16 No. 58 C-D. 1A Blok NN 3A.19.24 Hours Jl. Cibitung Jl. KH. Cibitung Perumahan Villa Mutiara Jaya Blok M-85/9. Gardena Raya B6-32. Cibitung Teuku Umar No.24 Hours Hospital & Clinic Clinic . MH Thamrin Blok D15. Perumnas III Jl. Setiadarma II No.24 Hours Clinic . 7 Perumahan Citra Villa Blok A-1/26. Kalimalang Jl.24 Hours Clinic .24 Hours Clinic . 6. Margamulya Jl. Medan Satria Jln. Raya Cibarusah No.B. 07. 31 R.24 Hours Clinic .Service@Global-Assistance.24 Hours Clinic . Tambun Ruko MM2100.24 Hours Clinic . 2.24 Hours Clinic . Tambun Jl.Raya Cibarusah Blok A-5.24 Hours Clinic .24.24 Hours Clinic . Tambun Kws Industri Jababeka B8. 1:53:56PM Network Listing . 17-18. Zamrut Utara Blok U16 No. Jl.Not 24 Hours Clinic .24 Hours Clinic . Jl. Pekayon Raya No. 175.Not 24 Hours Clinic . Industri Selatan No. Tambun Selatan Jl. H. Depan Makro. KH. Cikarang Selatan Jl.Not 24 Hours (021) 890 0050 (021) 880 1293 Released: 12 May 2010. Teuku Umar No. Blok N 78 No. Kongsi Rt. Cibitung Perumahan Telaga Harapan Blok E1/1. Ruko No.24 Hours Clinic .24 Hours Clinic .24 Hours Clinic .24 Hours Clinic . Simatupang Kav 38. Kawasan Industri Jababeka II Jl.24 Hours Clinic . Cikarang Jl. 5.Not 24 Hours Clinic . Cibitung Jl. 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 . Indo Farma I.Not 24 Hours Clinic . Jakarta 12540. Letjend. Cikarang Jl. Cikarang Jl.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. 6 Jl. Nangka Raya B II No. Ruko Point. Narogong Saksi Raya A Blok A-20 No.Raya Cikarang Cibarusah. Raya Cikarang-Cibarusah.24 Hours Clinic . Raya Taman Aster. Mangun Jaya I Blok A No.100. Raya Hankam No. Taman Narogong Raya No. Sukaresmi.Not 24 Hours Clinic . Ir.Indonesia Only All Services Maximizing Service.24 Hours Clinic .

24 Hours Clinic . Industri Tegal Gede. Medan Satria Jl. Pengasinan Margahayu Jl.20. Pramuka No. Imam Bonjol No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. 005/09 Jati Kramat Jl. 75 RT. Teluk Buyung Jl. Bantar Gebang Ruko Harko Jababeka. Kp.Indonesia Only All Services Maximizing Service. Harapan Indah. 79. 1:53:56PM Network Listing . Cikarang Jl. Perumahan Gramapuri. Cikarang Baru No.12 Narogong Jl. Juanda No. Harapan Keluarga RS.24 Hours Clinic . 33 Pilar. Lippo Cikarang Jl.Raya Imam Bonjol No. 9 Mustika Jaya J. 63. Kec Serang Baru Jl.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 . Pejuang. Pramuka no. T.B.41 Jl. KH. Pengasinan . 36. Jababeka-Cikarang Jl. Raya Industri No. Blok ESA 2.5 Jalan Utama B II Cibarusah Cikarang Jl. Cikarang Utara Jl. Gardu Sawah. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.11 Jl.Not 24 Hours Clinic . Cikarang Baru Jl.Rawa Lumbu Jl.net . Cikarang Jl. KH Agus Salim No. Raya Serang Cibarusah No. Taman sari. Pramuka No. 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 . Pahlawan No. Desa Sukaragam. Raya Serang Cibarusah Kp. Sergangbaru Jl. Pekayon Raya No. Narogong Km 11.24 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.Cibitung Pasar Sentral Lippo Cikarang. Medan Satria Jl. Pondok Tanah Mas . 1A&B. Gramapuri I Blok CI No. Cikarang Jl. 83.30. Simatupang Kav 38. Raya Cibarusah Raya No. Kartini No. Rawa Lumbu Jl. 8-10. 3-5.24 Hours Hospital & Clinic Clinic . Jend Ahmad Yani Jl. Bumi Sari RT. 78 Jln. Kel Sepanjang Jaya. Rawa lumbu Jl.2. Lemah Abang Jl. Ratna No. Kec Rawa Lumbu Ruko Thamrin Blok C No. Raya Harapan Indah Kaw. Letjend. Dewantara No. 20-23. Sultan Agung No. 60. Wanasari Cibitung Jl. RE. Taman Harapan Baru Raya R-1 No.Not 24 Hours Jl. Bojong Rawalumbu Jl. 7.100 B 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. 326 Jl.1 Jl. Pasir Randu RT.3. Legenda Raya No. Mekar Sari No. Martadinata. 12 RT 004/002. 07/04.24 Hours Clinic . Raya Pondok Timur Ruko gading Mas 8F-G. Kemang Pratama. M. Cikarang Selatan Jl.Not 24 Hours Clinic . Cikarang Barat Jl. 12-13.31. Jakarta 12540. Ry Ind Pasirgombong. Jl. 011/006. Beruang Raya HI/185-187.173 Jl. Depan Perumnas II Jl. Sentra Niaga No. Kota Jababeka. H. Duren Jaya Jl. 9B. KH Noer Ali No. Hasibuan No. Kel.Not 24 Hours Clinic .Service@Global-Assistance. Perjuangan No. Dasa Darma No. Kec. St. Desa Sukasari. Kasuari Raya Kav. Cikarang Selatan Jl. Cikarang Barat Jl.3. Kp. Bossih Raya Blok E5 No. Serang No. 202. Cikarang Utara Jl. Raya Narogong No. Ir.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 .

Cibubur Jl. May. Cigombong Jl. Rumah Sakit No.24 Hours Clinic . Raya Cibanteng Babengket.24 Hours Clinic . HE Sukma no. Alternatif No. 105. 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 .24 Hours Clinic . Putri Jl. 21. Alternatif Cibubur.16 Limus Nunggal. Studio ANTV.MKGR Klinik Medika III Klinik Medissa Klinik Medista Bogor Klinik Nurdin Medika Klinik Prima Klinik Siba Klinik Sudirman RS Azra Bogor RS Bina Husada. 25.24 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.M.I Kav. Raya Mangun jaya. Box 59 Jl.24 Hours Clinic .Oking Jajaatmaja. Ring Road .24 Hours Clinic . Hasanuddin No. 12.Not 24 Hours Clinic . 41 Cibubur Jl. Cibinong Jl.24 Hours Clinic . 120 Jl. MayJend.25. Raya Wangun No.24 Hours Hospital & Clinic Hospital & Clinic Little China Blok JB 06. 22 Jl.242 Lebakwangi.24 Hours Clinic . Pahlawan 73 B Citeureup Ruko Villa Mutiara Lido No. Simatupang Kav 38.net . Tambun Jl. Raya Parung No. Raya Jend. Bogor Jl. Sumeru No. Sutadi II Klinik Insani Bogor Klinik Lido & Apotik Klinik Medika I . Perum.22 Cibinong Jl.6A (021) 8230991 (021) 8459 1048 (021) 871 1515 021.63. 1 (0263) 261 026 P P Cibinong RSIA Trimitra Maternity & Children Jl.21. Imam Bonjol No. Jatimulya Raya No. Bondongan Jl. Alternatif Cibubur-Cileungsi No. Sindang Barang No.Indonesia Only All Services Page 11 of 21 Maximizing Service.24 Hours Clinic . Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Bogor Jl. Ashari No. 40. PO. Pemagarsari Jl.38 D. Sutadi Klinik Dr. Cikarang Barat Jl. 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 . 10. Ir H Juanda No 141 Jl Raya Teuku Umar No.H.24 Hours Clinic . Ciampea Jl.24 Hours Clinic . Kemakmuran No 39.2. Taman Yasmin Bogor Jl.9 Pekayon. 81. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. 1:53:56PM Network Listing .Sudirman No. T. Raya Pajajaran 219 Jl. Lapangan No. Raya Leuwiliang No.B. 79. 48C. 159 A Jl. Raya Narogong KM. Bogor Jl.G. Jati sampurna Jl. Veteran No. Jakarta 12540. Cikarang Barat Jl. Letjend. Rukem Tambun Jl. Raya Jakarta-Bogor KM. Ry Narogong Km. 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. 80. 97 Jl.Service@Global-Assistance. Bantarjati Ruko Warung Jambu Blok A . Margajaya Jl. Cileungsi Jl.24 Hours Clinic . Cileungsi Km. 363. Jl. Ciawi Jl.Not 24 Hours Clinic . Thamrin Kav. Raya Pajajaran.24 Hours Clinic . 1 Jl.14 Jl. Pahlawan No.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity & Children Maternity & Children Hospital & Clinic Jl. Perdana Raya No. Bantarjati Jl. Raya Pancasan Tonggoh No. MH.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.Bojong Kolor. Kp. Pajajaran Indah V No. 23. Legenda Wisata Cibubur Jl. Nasir No. Dr.27. Bogor 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.

Raya Tamelang No.B.Cimanggis Jl. 168. Sisingamangaraja No. 42 Jl. Km.Not 24 Hours Clinic . 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. No. Letjend. Raya Bogor Km. 33. Surotokunto No. Raya Rengasdengklok. 31. Raya Plumbon KM. 63. Juanda No. Raya Bogor KM. Telaga Sari KM. Arief Rahman Hakim. Telagasari KM. 37. Klari Jl. Patra Raya Klayan Jl. Perumnas Jl. 31 No. H. 3.23. Raya Cibabat No.Indonesia Only All Services Page 12 of 21 Maximizing Service. 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. 19. Yani No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. 98. Mekarjaya Jl.Service@Global-Assistance.17. 51. Yani No. Klari Jl. Pondok Cina Jl. Pemuda No. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Raya Bogor Km 29.29 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. Usman No.10 Jl. Raya Siliwangi No. Cimanggis Jl. Sukasari Jl. Raya Kosambi Curug. 93 Cikampek Jl. A.24 Hours Clinic . Raya Kosambi. Sawangan Jln. Pancoranmas Jl.24 Hours Clinic .Not 24 Hours Clinic . No. 1A Jl. Jakarta 12540. Maribaya Blok F2. 32 . KHM.34.24 Hours Clinic . T. 28.Not 24 Hours Clinic . Margonda Raya No. Cisalak Jl.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. Ds. Kemakmuran Raya No. 53. Raya Ciselang. Sukmajaya Jl Raya Bogor Km. 2 (By-Pass) Jln.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Raya Kosambi. Jend. 50.net .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 . 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 . Raden Saleh No.24 Hours Clinic . Blendung Jl. Margonda Raya. Ir. 11 Jl. Raya Sawangan Depok Jl. Depok II Tengah Jl. Raya Buahaseum No. 36 Sukamaju. Cikampek Utara Jl. Kertabumi No 44 Jl. Telaga Sari.24 Hours Clinic . Klari Jl. 3. Muhtar No. Pangkal Perjuangan KM. Lemahabang-Wadas Ruko Resinda F3/10 Jl. Cinere-Sawangan Jl. Simatupang Kav 38. Ciremei Raya No. 45 Jl. Pal Sigunung . 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 . A. Kertabumi No. Cikampek Jl. 1:53:56PM Network Listing . Raya Kosambi. Johar Karawang Jl.24 Hours Hospital & Clinic Jl. Kukusan Jl. 114. Jl. Stasiun no.

Otto Iskandardinata No. 3 Jl.Service@Global-Assistance. 1 (0260) 552 195 (0260 ) 411 632 P P P P Sukabumi Klinik Al . 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. Mas Mansyur No. 110 (0291) 434 707 P P P P P Magelang RS Harapan Magelang RSIA Gladiool Hospital & Clinic Maternity & Children Jl. 17 Jl.24 Hours Clinic . Jakarta 12540. Tegal kamulyan Jl.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 . 41 (0261) 2108 34 (0261) 201021 P P P P P P P P P P Tasikmalaya RS Jasa Kartini Hospital & Clinic Jln. Setiabudi. 12.47 Pekalongan Jl. Martadinata No. Bandung 39 . 1:53:56PM Network Listing . P Senopati No. Sudirman No. Letjend. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Compreng No. 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 . KH. Agil Kusumadiya. Raya Siliwangi No. Raden Dewi Sartika No. Sudirman No. Ir. Raya Sukaraja Jl. Jend.Not 24 Hours Jl. Pusaka Jaya Jl.24 Hours Hospital & Clinic Jl. Raya Siliwangi No. 11 Jl. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. P. Surya Kencana Pamuyuran no. Betha Medika Clinic . 186B. Bungur Sari No.Indonesia Only All Services Page 13 of 21 Maximizing Service. Otto Iskandardinata No. Purwakarta Jl. Geusan Ulun No. Cibadak Jl. 4-6 (0293) 364 033 (0293) 362702 P P P P P P P P P P Pati Keluarga Sehat Hospital Hospital & Clinic Jl. 25. Kartini no 37 (0287) 471 290 P P P P P Klaten RS Islam Klaten Hospital & Clinic Jl. Cicurug Jl. Simatupang Kav 38. Jl. R.B. T. Plered Jl. Margorejo (0295) 386111 P P P P P Pekalongan RS Siti Khodijah Pekalongan Klinik Diagnostik "CITO" Pekalongan Hospital & Clinic Clinic . Jendral ahmad Yani No. Juanda 20 (0282) 531 633 (0282) 545 213 P P P P P Gombong RS Palang Biru Gombong Hospital & Clinic Jl. Ibrahim Singadilaga No. 15 (0265) 331 641 P P State/Province: Jawa Tengah Cepu RS PKU Muhammadiyah Cepu Hospital & Clinic Jl.net . No. 39 Jl. Kenanga No.Ikhlas Klinik Citra II RS Bhakti Medicare RS Hermina Sukabumi RS Islam Assyifa Sukabumi RS Kartika Medical Center RS. Anjun No.Not 24 Hours Hospital & Clinic Jl.33 (0285) 422 845 (0285) 422 458 P P P P Released: 12 May 2010. Cicurug Jl. 96. Ronggolawe No. RE. 14.24 Hours Clinic . 18 A Jl.24 Hours Clinic . Raya Cisaat No. Raya Yogya Solo Km 2 (0272) 322 252 P P P P P Kudus RS Mardi Rahayu Kudus Hospital & Clinic Jl. 137 (0296) 421 727 P P P P P Cilacap RS Pertamina Cilacap RSI Fatimah Cilacap Hospital & Clinic Hospital & Clinic Jl. 9. 407.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.

Indonesia Only All Services Page 14 of 21 Maximizing Service. Cipto Klinik Diagnostik "CITO" Indraprasta Clinic . Pemuda No. 1 Jl. Brigjen Katamso No. Elisabeth Purwokerto RSU Bunda Purwokerto Hospital & Clinic Hospital & Clinic Jl. Moch Ichsan 93 -97. A.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Jawa Tengah Pemalang RSU Santa Maria Pemalang Hospital & Clinic Jl. Gatot Subroto No. Jendral Sudirman No. 2. Ki Penjawi 7 Jl. Yani Pabelan. 22 Jl.Not 24 Hours Jl. 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. T. Kalimas Raya No. Kab. 44. Grobogan (0292) 421087 (0292) 422839 P P P P P P P P P P Purwokerto RS St. Kab. Kawi No. Dr. 55.Not 24 Hours Clinic . 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. 98 Jl. 16 Rembang (0295) 691 444 P P P Salatiga RSU Ananda Salatiga RSU Puri Asih Salatiga Hospital & Clinic Hospital & Clinic Jl. Cipto No. 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.24 Jl. Km.B. Yani No. Purwokerto Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Pandanaran No.Not 24 Hours Clinic . Cipto" RS Panti Wilasa Citarum RS Permata Medika Semarang RS Roemani Muhammadiyah Semarang RS St.24 Hours Clinic .4. Slamet Riyadi 404. Temanggung Jl. Raya Kedu KM.Jend. Hayam Wuruk No. Sipelem No.Grogol. 24.42. Letjend. R Suprapto 06 Jl. Gajahmada No. Mr. Jend.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.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Clinic . Ahmad Dahlan Jl. 9 (0271) 593 814 P P P Surakarta RS Dr.net . Dr. Surakarta Jl. Wonodri No. Citarum No.Not 24 Hours Clinic . Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Raya Solo Sukoharjo. Simatupang Kav 38. 4 Jl. 50 Jl. Kemandungan Tegal Jl. Ababil No. A. Elisabeth Semarang RS Telogorejo Klinik Diagnostik "CITO" Dr. Taman Bahagia No. Kalisat (0293) 596 008 (0293) 596704 P P P P P Released: 12 May 2010. 24 (0284) 321251 P P P P P Purwodadi RS Panti Rahayu Purwodadi RS Permata Bunda Purwodadi Hospital & Clinic Hospital & Clinic Jl. Oen Surakarta RS Islam Surakarta (YARSIS) RS Kasih Ibu Surakarta Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Dr. Kec.Not 24 Hours Hospital & Clinic Hospital & Clinic Jl. 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 .Service@Global-Assistance. Pramuka 249 (0281) 631 761 (0281) 635 424 P P P P P P P Rembang RSU Rembang Hospital & Clinic Jl. 1:53:56PM Network Listing . Ngaliyan Jl. Jend. Puri Anjasmoro H5/45A Jl. Perumahan Solo Baru. Jakarta 12540. Rajiman 349 Jl. KH. Bina Remaja 61 Jl. Setiabudi G 62 K-L Jl. Jl. Parakan. 79 Jl. Raya Kaligawe Km. Sukoharjo JL. Cipto 14A JL. Oen Solo Baru RS Panti Waluyo Hospital & Clinic Hospital & Clinic Komp. Surakarta Jl.29 Jl.

Diah Pitaloka No. Batu Jl. Jl. 6. Genteng Jl. Lavalette Malang Clinic . Jendral Ahmad Yani No.Banyuwangi (0333) 8420333 (0333) 421 451 P P P P P P P P Bojonegoro RSUD Dr. Biliton No. Tangkuban Perahu No. 149 (0334) 891325 P P P P P Madiun RS Santa Clara Madiun RSI Siti Aisyah Madiun Hospital & Clinic Hospital & Clinic Jl. T. 32 Jl. 74. Sulawesi 16 Jl.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. Letjend. 7 Jl. Mandilaras No. 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. 12 Jl. Mayjend Sungkono No.9 Jl. Raya Mondoroko Km.25. Mayjen Haryono 139 Jl. Diponegoro No. 67 Jl.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. Bangil (0343) 741018 P P P P Probolinggo RS Dharma Husada Probolinggo Hospital & Clinic Jl. Mojopahit No. Raya Ijen No. A. Gajah Mada No. 65. RA. Sosodoro Djatikoesoemo Bojonegoro Hospital & Clinic Jl. 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. 10 (0335) 422176 P P P P P Released: 12 May 2010. 1 Junrejo. Simatupang Kav 38. Bedadung No 2 Jl. Jakarta 12540. Yani No.Service@Global-Assistance. Soekarno Hatta No. Wijaya 56 Mojokerto Jl. R. Jember No. Emma Mojokerto RSI Arofah Mojosari Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Bromo No. 33 Jl. Jl Brigjen Pol IBH Pranoto (0354) 684 172 P P P P Lumajang RS Wijaya Kusuma Lumajang Hospital & Clinic Jl. Dr. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Raya Tlekung No. Wahidin No. Supratman No. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Sultan Agung No.Indonesia Only All Services Page 15 of 21 Maximizing Service. Jaya Negara No. 15 Jl. Kepanjen Jl.8 Jl. Airlangga 137 Mojosari Jl. Kawi No. Panglima Sudirman 99 A. Kebalen Wetan No.net . 69 Jl. Kartini No.442 Mojokerto Jl. 7 Jl. 40 (0353) 881193 P P P P P Gresik RS Petrokimia Gresik RS Semen Gresik Hospital & Clinic Hospital & Clinic Jl. W. Nusa Kambangan 56 Jl. 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. 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.B. A. 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. 38 (0351) 462 688 (0351) 464822 P P P P P P P P P P Madura RS Larasati Hospital & Clinic Jl. Kabat . Yani No. 1:53:56PM Network Listing .R. R.

Jl. Letjend S. Nginden Intan Brt Bl. Dr. 149 KM. Yani No.Clinic located at Jl. 40-44 Jl.Not 24 Hours Komp. A.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 . Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.Indonesia Only All Services Page 16 of 21 Maximizing Service. 8 Waru Jl. Satelit Indah II.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. Raya Jemur Sari No. Banjarmasin Jl.11:00 AM) only. Yani No. Letjend.9 Jl. 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.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 . Surabaya 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 . Brigjen Katamso A408-409. Rewwin Semawut Balongbendo. T. P. Prapat Kurung Selatan No.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.68A Jl. Raya Darmo 90 Jl. Muji Rahayu RSAL Dr. 5 Jl. Antasari No. Undaan Wetan No. 31-35 Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. Gg. Manukan Wetan 68 . Purnama No.Yani Surabaya RS Islam Jemursari Surabaya RS Katolik Vincentius A Paulo/RKZ Surabaya Clinic . 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. Banjarmasin Jl. Sidoarjo Jl.1 Jl.24 Hours Clinic . Gusti S.Mal Fantasi Blok AB 2 No. Ngagel Jaya Tengah 115 Jl.1 Jl. 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 . Lelanang Blok EA No. Soedarso Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.Not 24 Hours Clinic .Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Moestopo No. Diponegoro. Ciliwung 42 with cashless services available Monday to Saturday (8:00 AM .B.24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. P. Simatupang Kav 38. Jend S Parman No. Pontianak Mall Jl. 3. 1:53:56PM Network Listing . 91-93. Gadung No. Raya Tenggilis No. P Belitung No. Darmo Satelit Surabaya Jl. A. 2-4 Jl.18-20 (0542) 877898 P P P P . Jend. Raya Gubeng No. Antasari No. 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. Parman. Yani I Jl. 70. No 34 Jl. Ipung Klinik Sentra Medika Surabaya Pramita Utama Diagnostic Centre Surabaya RS Adi Husada Undaan Wetan RS Darmo Surabaya RS Islam A. 51-57 Jl. Pahlawan 260 Sepanjang Jl. After hours outpatient services refered to ER RS Mitra Keluarga Surabaya RS Spesialis Husada Utama RS Surabaya Internasional RS William Booth Surabaya RS. A.net . 294 Jl. Prof. 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. 139 B. Pangeran Diponegoro No. Wahid Hasyim No. Pahlawan No.Service@Global-Assistance. Jakarta 12540. 139. Raden Patah No. 2-5. 1.B Jl. Dharmawangsa 66 Jl. Tanjung Perak Jl.

net .B. Taman Indah Sentosa Blok F/19. Wahab Sjahranie Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic JL. 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.Not 24 Hours Maternity Only Hospital Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. M. Sei Panas Jl. Anggrek Blok II Jl. S Parman No.Not 24 Hours Clinic .Service@Global-Assistance. Batam Jl. Yos Sudarso IV.Not 24 Hours Clinic . Gurame No. Yos Sudarso I No.8 Muka Kuning. 4 Jl. MT. Seraya 1 Jln. T.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Kalimantan Selatan Tanjung RS Pertamina Tanjung Hospital & Clinic Jl. No. Dahlia No.Not 24 Hours Clinic . Jend Sudirman No. 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 . 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.Pertokoan Cipta Puri CC/3 Tiban Selatan Komp. Mulawarman No. Jend. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Handil 3 (0541) 6918 91 P Samarinda RS Dirgahayu Samarinda RS Haji Darjad Samarinda RS Islam Samarinda RSUD A.24 Hours Jl. Gajah Mada Kav. Bengkong Mahkota Jl. Imam Bonjol No. Nagoya Komp. Jakarta 12540. 1:53:56PM Network Listing . Moh.1 Jl. 1. Yos Sudarso II No. 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. 1 Jl. 85 Jl. Letjend. 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. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer. 1 Jl. 18 Jl. Pantai Mas Permai A/28 Jl. A.9 Ring Road Balikpapan Jl.T Haryono No. I JL. Gunung Merbabu No.Not 24 Hours Clinic . Hatta No. 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.Bumi Indah B/4. Jl. 01. 17.Batu Aji Centre B/ 3 Batu Aji Komp. Mahkota Simpang No. Duyung Batu Ampar (Rumah Susun Jamsostek). Sudirman Komp. Wiluyo Puspoyudo No. 26-30 Jl. A.Indonesia Only All Services Page 17 of 21 Maximizing Service. Balikpapan Baru. Imam Bonjol Komp.40 Jl. Blok A-3A No 7-9 Jl. Haryono. Komp. Yani No. Jend. 1 (0548) 3036990 P P P P P Kutai Kartanegara Klinik Maju Sejahtera Handil Clinic . Simatupang Kav 38. Yani No.

Sumbawa Besar Jl. Teuku Umar No. 181-223 Jl. Simatupang Kav 38. 1:53:56PM Network Listing .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. 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.07. Bandar Lampung (0721) 703 459 (0721) 254499 P P P P P P P P P P P .Lhokseumawe Jl. Jakarta 12540. Wolter Mongonsidi No. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Service@Global-Assistance. Tromol Pos I. Sudirman No.24 Hours Hospital & Clinic Maternity Only Hospital Jl. 8 Mataram (0370) 631 999 P P P Mataram Klinik Lawang Gali RS Biomedika RSB Exonero Clinic . 217 Jl.Indonesia Only All Services Page 18 of 21 Maximizing Service. Ahmad Yani No. TIMIKA Jl. Manggarai. Rafael Cancar Hospital & Clinic Jl. Cendrawasih SP. Merdeka No. 3 Keude Aceh . Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Aceh Utara Jln. 235. 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. 54 Timika (0901) 322541 081354089988 P P P P P P State/Province: Papua Barat Sorong Prima Medical Centre Clinic . Yos Sudarso No. 16. Pemuda No.Ruteng (0385) 22944 P P P P State/Province: Papua (Irian Jaya) Timika Klinik & RB Hadeli Sari Timika Klinik Dian Timika Hospital & Clinic Clinic . Soekarno-Hatta. Santurafael Cancar. 24 (0951) 333666 P P Released: 12 May 2010. Letjend. 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.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. Sultan Iskandar Muda No. Sultan Malikul Saleh.B. Antara No.24 Hours Jl. Darussalam No. 30 (0645) 40300 (0645) 46924 0645 . Sultan Babullah No.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.Sudirman 27-29 Jl. Teluk Betung Jl. Majapahit No. Samudra Jl. Jend. Bung Karno No 143 Jln. 17 Simpang Blang Jl. 48 Jl.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. Teuku Umar No. Samudera Baru No. Jl. T.net .24 Hours Jl.II. 2.

H. 3 (0461) 21202 (0461) 21820 P P P P P P P P Palu RS "Woodward" Palu Hospital & Clinic Jl. letjen Pol.1 (0451) 421 769 P P P State/Province: Sulawesi Utara Bitung RSAL BITUNG RSUD Bitung Hospital & Clinic Hospital & Clinic Jl. Jl. Somba Opu JL. Jend.Facility Name Type Address Telephone IP M O DB DC Opt M State/Province: Riau Duri Klinik Dr. 26. 34. A. 53. Simatupang Kav 38. Bitung Jl. 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. Dr. Jend. Yos Sudarso No. Jend.dr.55. Ahmad Yani No. Ilham 3 (0421) 21847 P P P P P State/Province: Sulawesi Tengah Luwuk RSB Irene RSUD Luwuk Maternity Only Hospital Hospital & Clinic Jl. Sudirman no. T. Sam Ratulangi XIII.68.11. L. Sudirman No. Soekarno Hatta Km.Service@Global-Assistance. Manembo-nembo. Pekanbaru Medical Centre RSB Budhi Mulya RSI Ibnu Sina Pekanbaru Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Maternity Only Hospital Hospital & Clinic Jl. Pekanbaru Jl. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.net . Jend. Jend. 273 Jl. 50 (0428) 21451 P P P P P State/Province: Sulawesi Selatan Makassar RS Bhayangkara Andi Mappa Oudang RS Dr.37 Duri Jl. Jend. 27. 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.5 Jl. Sudirman No. Andi Mappa Oudang No.D. 1:53:56PM Network Listing .117 Jl.Not 24 Hours Clinic . 25 Jl. II Pelamonia Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Perintis Kemerdekaan Km. Ratulangi No. Tuminting Jl. Pegiden Raya no. Melati No. Sisingamangaraja No.24 Hours Hospital & Clinic Hospital & Clinic Jl. 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. Jend. 81. 25 Jl. Letjend. Sudirman No. Woodward no. 1 Teling Atas Jl.R.Indonesia Only All Services Page 19 of 21 Maximizing Service. 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. Pangerang Pettarani Jl. Pekanbaru Jl. Simp. 63. Wahidin Sudirohusodo RS Islam Faisal RS Labuang Baji RS Stella Maris RS TK. Agung Klinik Permata Hati II RS Permata Hati Duri RS Thursina Duri Clinic .65. Sudirman No. Ratulangi No. 60. Lembaga Pemasyarakatan. Sudirman No.B. RA Kartini No. Jakarta 12540. 14 Februari No. Tamalanrea JL. Imam Bonjol KM. Makassar Jl. Bitung (0438) 21264 (0438) 38066 P P P P Manado RS Advent Manado RS Pancaran Kasih RSI Sitti Maryam RSU Prof. Padang Jl. Manado Jl.6.Kandou Manado Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Mesjid Jamil Jl. Somba Opu No. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor.

Letjend. Jl. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. 1:53:56PM Network Listing . RS Haji Medan Estate Jl. Sisingamangaraja No.1 Jl. Situjuh No. Angkatan 45 Jl. Kabanjahe.79 Jl. Proklamasi no. MH. Thamrin Medan 105 Jl. 2 Jl.K.Service@Global-Assistance. Baja Raya No. H. 9 .5. Pematang Siantar Jl. T. 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.100. 22 (061) 8827277 P P P P P Medan Gleni International Hospital 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. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.Not 24 Hours Clinic .Indonesia Only All Services Page 20 of 21 Maximizing Service.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. Samanhudi No. Haji Agus Salim Jl. They tell us they cannot control this.Sisingamangaraja No 7 Jl. Sudirman No. Simatupang Kav 38. The hospital tells us it occurs because some of their doctors demand cash payment.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. Raya By Pass KM 15 Jl. Padang Jl. Demang Lebar Daun.net . Gunung Pangilun Jl. Jend. 4. 26.B. Jakarta 12540. 2 Jl. Karo (0628)20714 P P P P State/Province: Yogyakarta Released: 12 May 2010. 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.We have received patient complaints re this hospital. Gajah Mada.11 Jl. Pakjo Jl. Medan . Gatot Subroto KM. Surakarta No. If you want to avoid possible problems consider using another facility.17 Jln. Veteran No. Misbah No. 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 . 7 Jl. Kapten Muslim No. 6 (061) 456 6368 P P P P P P P P P P P P P P P P P P P P . 2. Listrik No. 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.Binjai Jl. Teuku Umar No. Kab. Medan Km. 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. Aur No. 21. Ahmad Yani No. 37. Diponegoro No. Jend. Charitas Palembang Hospital & Clinic Hospital & Clinic Jl. 8 Jl. Kesehatan No.

Dahlan No. Bantul Jl. Jendral Sudirman. please check our website www. 12.net or check with your HR Department.Services@Global-Assistance. Ring Road Utara No. T. to help us in our discussions with the Healthcare Provider. KHA. Ipda Tut Harsono No. 17.10. 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. Elizabeth Bantul RSUD Wates Klinik Diagnostik "CITO" Yogyakarta Hospital & Clinic Hospital & Clinic Clinic . Jl. Kaliurang Km. Sumber Mulya. 160 Jl. 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. Timoho Jl. Solo Km. The number is on the back of your Membership Card. If you call us while you are still at the hospital or clinic . 20 Jl.Global-Assistance. KH Ahmad Dahlan No.Kulonprogo Jl.net.Not 24 Hours Jl. added to our Network. Wates . 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. Letjend. Kulon Progo Jl. Don't forget to let us know about any concerns you might have with medical practices or treatments also. 1 No. especially where we do not have alternate providers available. time. Tegalrejo Jl.net . Raya Bantul km. St. 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.B.we most likely can help you immediately.5. Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor. Simatupang Kav 38.net and we will investigate any concern you might have with one of our Network Providers. Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email Customer.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.Not 24 Hours Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Clinic . call your Customer Service Hotline immediately. Tentara Pelajar KM. You can also email us at Provider. Wates. Released: 12 May 2010. Pakem Jl. 5. Melikan Lor Bantul Jl. 1:53:56PM Network Listing . Kalasan Jl. For udpates to our Provider List or for information on our other services. Remember. No. we need to know the date. Wiratama No. location and name of the Provider Staff who created the problem.Services@Global-Assistance. 11. Ganjuran.4.Service@Global-Assistance.Indonesia Only All Services Page 21 of 21 Maximizing Service. is to have as many details as we can from you about any problem you have in accessing service from our Network Providers. Jakarta 12540. 53.