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Contracted Managed Care Plans

 
 
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Cleveland Clinic participates with the health insurance programs listed below. The list also details the type of plan it is and what services the plan covers. If you’re a healthcare consumer, you can review the list to see if you are covered for services at Cleveland Clinic.

To learn the specifics of your coverage, contact your insurance provider directly. Your insurance representative is the best person to inform you of the level of coverage you will have as a patient at Cleveland Clinic.

If a particular hospital isn’t on your health plan, but you feel strongly about accessing care there, you have several options. You can appeal to your insurance review board; you can look for organizations that will offer financial assistance; or you can negotiate a payment plan with the hospital. Ask your insurance company representative or the hospital’s financial counselors for further information.

If you have questions about the plans listed here, contact the Division of Managed Care at 216.986.1200. If you are a health plan provider and want information about enrolling your plans with Cleveland Clinic, call 216.986.1200.

HEALTH PLAN PLAN TYPE SERVICE TYPE
Aetna USHC Select Choice HMO/HIC Full Service
Aetna USHC Elect Choice EPO Full Service
Aetna USHC Managed Choice POS Full Service
Aetna USHC Quality Point of Service POS Full Service
Aetna USHC Open Choice PPO Full Service
American Health Group (aka: Dana Corporation) Direct Employer Full Service
Anthem BCBS Preferred Medical Plan (PMP) PPO Full Service
Anthem BCBS Blue Preferred Primary Comm'l HMO Full Service
Anthem BCBS Blue Preferred Primary Plus POS Full Service
Anthem BCBS Blue Access PPO Full Service
Anthem BCBS Blue Traditional Traditional Full Service
Anthem BCBS Coronary Services Network Insurance Cardiac Services
Anthem BCBS Senior Advantage Mcare HMO Full Service
Anthem BCBS Medicare Select Medicare Select Facility Only
Beech Street PPO Full Service
CareSource (aka: Dayton Area Health Plan) Mcaid HMO Specialty Services - Excluding Obstetrics and Primary Care
Cayman Islands National Insurance Co. PPO International Center
CCHS Employee Health Plan Direct Employer Full Service
CCN (aka: Coventry Health Care, Inc.) PPO Full Service
ChoiceCare Network (aka: Humana) PPO Full Service
ChoiceCare Network (aka: Humana) Medicare Advantage Medicare PPO Full Service
ChoiceCare Network (aka: Humana) Humana Gold Choice Medicare PPO Full Service
CIGNA Behavioral Health HMO/HIC Behv Hlth Fac & Phys'cn
CIGNA Behavioral Health PPO Behv Hlth Fac & Phys'cn
CIGNA Healthcare of Ohio HMO/HIC Full Service
CIGNA Healthcare of Ohio EPO Full Service
CIGNA Healthcare of Ohio POS Full Service
CIGNA Healthcare of Ohio PPO Full Service
CIGNA LifeSource COE Transplant
Creative Health Plans PPO Full Service
Dana Corporation (aka: American Health Group) Direct Employer Full Service
Direct Care America PPO Full Service
Emerald Health Network PPO Full Service
First Health (aka: Coventry Health Care, Inc.) (fka: Affordable, Healthcare Compare) PPO Full Service
Flora Health Network EPO Full Service
Flora Health Network PPO Full Service
GEHA Direct Employer Full Service
Great-West Healthcare (fka: ONE Health Plan) POS Full Service
Great-West Healthcare (fka: ONE Health Plan) PPO Full Service
HealthNet Federal Services Tricare Prime HMO/HIC Full Service
HealthNet Federal Services Tricare Extra PPO Full Service
HealthNet Federal Services Tricare Standard Indemnity Full Service
Humana (nka: ChoiceCare Network) PPO Full Service
Humana (nka: ChoiceCare Network) Medicare Advantage Medicare PPO Full Service
Humana (nka: ChoiceCare Network) Humana Gold Choice Medicare PPO Full Service
Kaiser Permanente Medicare Plus Medicare Select Specialty Services
Kaiser Permanente Added Choice POS Specialty Services
Kaiser Permanente Comm'l HMO Specialty Services
Klais Health Network Wkrs. Comp. Full Service
Klais Health Network PPO Full Service
Lubrizol Corporation Direct Employer Full Service
Lumenos, Inc. Direct Employer Full Service
Marymount Behavioral Health Services(MBHS) PPO Behv Hlth Fac & Phys'cn
Medco Behavioral Care Services (fka: Ohio Biodyne) PPO Behv Hlth Fac & Phys'cn
Medical Mutual of Ohio SuperMed HMO HMO/HIC Full Service
Medical Mutual of Ohio SuperMed Select POS Full Service
Medical Mutual of Ohio SuperMed Plus PPO Full Service
Medical Mutual of Ohio SuperMed Preferred PPO Full Service
Medical Mutual of Ohio SuperMed Professional PPO Full Service
Medical Mutual of Ohio SuperMed Classic Traditional Full Service
Multiplan PPO Full Service
National Provider Network PPO Full Service
Nationwide Health Plans PPO Full Service
Nationwide Health Plans HMO/HIC Full Service
Nationwide Health Plans Wkrs. Comp. Facility Only
Northcoast Healthcare Management Services HMO/HIC Home Care Services
Northcoast Healthcare Management Services POS Home Care Services
Northcoast Healthcare Management Services PPO Home Care Services
Ohio Health Choice Plan (OHCP) Preferred Health Choice PPO Full Service
Ohio Health Choice Plan (OHCP) Wkrs. Comp. Full Service
Ohio Preferred Network (OPN) PPO Full Service
Olympus Managed Care, Inc. PPO International Center
ONE Health Plan (nka: Great-West Healthcare) POS Full Service
ONE Health Plan (nka: Great-West Healthcare) PPO Full Service
PPOM (thru Flora Midwest LLC) PPO Full Service
PPOM (thru Flora Midwest LLC) EPO Full Service
ppoNEXT (fka: HealthStar) PPO Full Service
Primary Health Services PPO Full Service
Primary Health Services Wkrs. Comp. Full Service
PrimeNet Select (fka Professional Risk Management (PRM) PPO Full Service
Salvation Army Direct Employer Full Service
SummaCare FEHBP HMO/HIC Full Service
SummaCare Health Plan HMO HMO/HIC Full Service
SummaCare Health Plan Plus POS POS Full Service
SummaCare Health Plan Preferred PPO Full Service
SummaCare Secure Silver Medicare HMO Full Service
Summa Health Network Medicare Advantage Medicare PPO Full Service
Three Rivers Provider Network (TRPN) PPO Full Service
Turks & Caicos PPO International Center