Accepted Insurance

Toll-Free: 866.320.4573

Call Us Toll Free:

866.223.2273 x1234

Cleveland Clinic main campus and the Family Health Centers accept the following insurance and contracted managed care plans.

If a particular hospital isn’t on your health plan, but you feel strongly about accessing care there, you can:

  1. Appeal to your insurance review board
  2. Look for organizations that will offer financial assistance
  3. Negotiate a payment plan with the hospital. Ask your insurance company representative or the hospital’s financial counselors for further information.

Insurance & Contracted Managed Care Plans

This list is subject to change. Coverage limitations are dependent on individual group contracts. For questions about insurance coverage and specific plan products including Medicare and our Las Vegas location, please contact your insurance carrier directly.


Aetna
Alliance Coal, LLC Group Health Plan
American Health Holding (aka Strategic Health Development)
American Psych Systems, Inc.
Anthem BCBS
Aultcare Health Plan
BCE Emergis, Inc.
Beech Street
Blue Distinction Centers for Transplant (BDCT)
Boeing Company, The
Buckeye Community Healthplan
Care Management Network
Carelink
CareSource
Cayman Islands National Insurance Co.
CCHS Employee Health Plan
ChoiceCare Network
CIGNA Behavioral Health
CIGNA Healthcare of Ohio
CIGNA LifeSource
Cofinity (aka PPOM and Flora Health Network)
Community Health Alliance
Coventry Transplant Network, Inc. (aka Coventry Health Care, Inc.)

Elkhart Medical Organization
Emerald Health Network
First Health (aka Coventry Health Care, Inc.) (fka Affordable, Healthcare Compare)
Flora Health Network (aka Cofinity)
Florida Health Administrators (fka Beacon EPN) (fka Florida Health Choice EPN)
Front Path Health Coalition (fka Western Lake Erie Employers Coalition)
Global Excel Management
Great-West Healthcare/CIGNA HealthCare (fka One Health Plan)
HCR ManorCare
Health Plan of the Upper Ohio Valley (aka The Health Plan)
Health Plan of the Upper Ohio Valley SecureChoice (aka The Health Plan)
HealthAmerica
HealthLink, Inc.
HealthNet Federal Services Tricare
HealthScope Benefits (fka CNA Health Partners)
Healthspan
Home Town Health Network (nka The Health Plan)
Humana (Medicare only)
Interplan Health Group

Kaiser National Transplant Network
Kaiser Permanente
Kohl’s Department Store
LCA-Vision, Inc. (Cole Managed Vision)
LifeTrac Network, Inc. (fka RW Morey, Inc.)
Lord Corporation
Lowe's Companies, Inc.
Lutheran/TRMA, LLC
Managed Care Services Signature Care PPO (aka Parkview Health Plan Systems)
Marymount Behavioral Health Services( MBHS)
Medical Benefits Corporation
Medical Mutual of Ohio
Mercer First Choice
Multiplan
National Healthcare Solutions, Inc. d/b/a National PPO
North American Health Plan, Inc.
Northcoast Healthcare Management Services

Ohio Health Choice Plan (OHCP)
Ohio Health Group HealthReach PPO
Ohio Preferred Network (OPN)
Olympus Managed Care, Inc.
One Health Plan (nka Great-West Healthcare/CIGNA HealthCare)
Optum Health (fka United Resource Networks)
Paramount Health Care
Parkview Health Plan Services Signature Care PPO (aka Managed Care Services)
PPO Midwest (PPOM, aka Cofinity)
Primary Health Services (aka The Chandler Integrity Grp)
PrimeNet Select (fka Professional Risk Management (PRM))
Private HealthCare Systems (PHCS)
Protocol Tertiary Network
Quality Health Management
Rich Products Corporation
Sparrow Physicians Health Network
Strategic Health Development (aka American Health Holding)
SummaCare

Tertiary Care Network
Tethys Health Ventures
The Boeing Company
The Health Plan (of the Upper Ohio Valley)
Three Rivers Provider Network (TRPN)
United Behavioral Health
United Healthcare of Ohio
USA Managed Care Organization
Vantage PPO
Watchtower Health Care Support Services
WellCare of Ohio, Inc.

Frequently Asked Questions About MyCare Ohio:

»1. What is MyCare Ohio?

MyCare Ohio is the state’s first integrated care delivery system that coordinates the physical, behavioral and long-term care services for individuals enrolled in both Medicare and Medicaid. By helping these patients better coordinate their benefits in both programs, MyCare Ohio hopes to improve the quality of their healthcare and outcomes, as well as contain costs.

»2. Which MyCare Ohio plans do you (Cleveland Clinic) accept?

At this time, Cleveland Clinic is participating with United Healthcare’s, Caresource’s and Buckeye’s MyCare Ohio health plans. In addition, we are exploring participating in the Aetna and Molina health plans.

»3. Since Cleveland Clinic is a participating provider, does that mean my physician is participating?

All physicians directly employed by Cleveland Clinic are participating. The MyCare Ohio insurance plan you joined will be able to tell you which other physicians in your area are participating, including those who are affiliated with Cleveland Clinic, but not employed by us. Your plan’s phone number should be on the back of your ID card.

»4. I signed up for Molina or Aetna as part of MyCare Ohio. Can I come to the Cleveland Clinic for care?

At this time, Cleveland Clinic is not a participating provider with these health plans, although we are exploring contracting with them. Until that takes place, care received at Cleveland Clinic will not be covered by Molina or Aetna.

»5. If I have already chosen my MyCare Ohio plan, can I change it?

 

  • If you are covered by both Medicare and Medicaid and choose to receive Medicare services through MyCare Ohio, you may change your health plan every month.
  • If you are covered only by Medicaid, you may change your MyCare Ohio plan only within the first 90 days after first enrolling into MyCare—and then again during the annual open enrollment period.

 

»6. When does my MyCare Ohio plan take effect?

MyCare Ohio plans become effective on the following dates:

  • May 1, 2014: Northeast region (counties of Cuyahoga, Geauga, Lake, Lorain, Medina)
  • June 1, 2014: Northwest region (counties of Fulton, Lucas, Ottawa, Wood)
    Southwest region (counties of Butler, Clermont, Clinton, Hamilton, Warren)
    Northeast central region (counties of Columbiana, Mahoning, Trumbull)
  • July 1, 2014: West central region (counties of Clark, Greene, Montgomery)
    Central region (counties of Delaware, Franklin, Madison, Pickaway, Union)
    East central region (counties of Portage, Stark, Summit, Wayne)

 

»7. How can I find out about my benefits, obtain claims processing information or find out about authorization requirements under MyCare Ohio?

The MyCare Ohio insurance plan you chose will be able to answer those questions. Your plan’s phone number should be on the back of your ID card.

»8. For services prior to May 1, 2014, whom should I contact?

You would contact the insurance with whom you were covered prior to May 1, 2014.

»9. How will I know that I am enrolled in MyCare Ohio?

You will receive an insurance card from your assigned health plan with the following logo:

For confirmation, you can also the Medicaid Consumer Hotline at 1.800.324.8680.

 

»10. Who can I contact for more information?

You can call the Ohio Medicaid Consumer Hotline at 1.800.324.8680, or visit their website at www.ohiomh.com. You can also contact a Cleveland Clinic financial counselor or our Customer Service team at 216.445.6249.

Are you a health plan provider and want information about enrolling your plans with Cleveland Clinic? Contact Market and Network Services at 216.986.1248

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