We accept the following insurance and contracted managed care plans at Cleveland Clinic’s main campus, community hospitals and family health centers.
If a particular hospital isn’t on your health plan, but you feel strongly about accessing care there, you can:
- Appeal to your insurance review board
- Look for organizations that will offer financial assistance
- 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.
- Alliance Coal, LLC Group Health Plan
- American Health Holding (aka Strategic Health Development)
- Anthem BCBS
- Aultcare Health Plan
- BCE Emergis, Inc.
- Beech Street
- Blue Distinction Centers for Transplant (BDCT)
- Buckeye Community Healthplan
- Care Management Network
- Cayman Islands National Insurance Co.
- CCHS Employee Health Plan
- ChoiceCare Network (aka Humana)
- CIGNA Behavioral Health
- CIGNA Healthcare of Ohio
- CIGNA LifeSource
- Cofinity (aka PPOM and Flora Health Network)
- Community Health Alliance
- Coventry Health Care, Inc.
- Coventry Transplant Network, Inc.
Insurance & Contracted Managed Care Plans list updated: 07/30/14
- First Health
- Flora Health Network (aka Cofinity)
- Front Path Health Coalition
- Gateway Health Plan of Ohio
- Global Excel Management
- Health Plan of the Upper Ohio Valley (aka The Health Plan)
- HealthLink, Inc.
- HealthNet Federal Services Tricare
- HealthScope Benefits
- HealthSmart (fka Emerald Health Network)
- Home Town Health Network
- Kaiser National Transplant Network
- LifeTrac Network, Inc.
- Lord Corporation
- Lutheran/TRMA, LLC
- Managed Care Services Signature Care PPO (aka Parkview Health Plan Systems)
- Medical Benefits Corporation
- Medical Mutual of Ohio
- Mercer First Choice
- National Healthcare Solutions, Inc. d/b/a National PPO
- North American Health Plan, Inc.
- Ohio Health Choice Plan (OHCP)
- Ohio Health Group
- Ohio PPO Connect
- Ohio Preferred Network (OPN)
- Olympus Managed Care, Inc.
- Optum Health
- Paramount Health Care
- Parkview Health Plan Services Signature Care PPO (aka Managed Care Services)
- PPO Midwest (PPOM, aka Cofinity)
- Primary Health Services
- Private HealthCare Systems (PHCS)
- Protocol Tertiary Network
- Quality Care Partners
- Quality Health Management
- Rich Products Corporation
- Sparrow Physicians Health Network
- Strategic Health Development (aka American Health Holding)
- Tertiary Care Network
- Tethys Health Ventures
- The Health Plan (of the Upper Ohio Valley)
- Three Rivers Provider Network (TRPN)
- United Behavioral Health
- United Healthcare
- USA Managed Care Organization
- Watchtower Health Care Support Services
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