When we were checking this out, the UHC store in Brownwood had a book with all of the 'passport' locations covered and the current providers, this is how we found out the entire state of Colorado was not included, note this was 3 years ago. As mentioned above, go to the store and ask them directly, get a copy of the page, then call the medical provider to make sure of coverage acceptance.
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Pennsylvania, for 60+ years, most recently, Allentown, now TV. 
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