Important Updates That May Affect Your Coverage
Important update for AvMed Medicare Advantage Members
Starting January 1, 2025, Cleveland Clinic facilities and providers in Florida will no longer be in-network for AvMed Medicare Advantage members. You may consider your options during the Medicare Advantage Open Enrollment Period, which runs through December 7 and again from January 1 to March 31. See below for a list of in-network insurance companies accepted at Cleveland Clinic.
Do you have Medicaid or CHIP?
You may need to update some of your information to renew your coverage.
Here are a few steps you might need to take to make sure there aren’t any gaps in your coverage:
- Look through your contact information and make sure it’s accurate.
- Watch your mail for a letter.
- Fill out a renewal form (if you get one).
If you have questions, you can reach out to your state Medicaid office or visit Medicaid.gov/renewals.
Need help preparing for open enrollment?
To help you prepare for open enrollment, from Nov. 1 - Dec. 15, and to find a plan that matches you and your budget, we’ve engaged licensed independent insurance advisors to help you.
For Ohio residents seeking more information, visit LIG Solutions or call 888.233.7132.
For Florida residents seeking more information, visit eHealth or call 877.350.1064.
Where Do I Get Started?
We know that it can be stressful to navigate the insurance coverage process, but we strive to make it as smooth as possible.Cleveland Clinic Florida accepts a wide variety of insurance and contracted managed care plans at our main campus in Weston, as well as our community hospitals and family health centers throughout the Florida region.
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 Patient Financial Advocates for further information.
Is my virtual visit covered by insurance?
Cleveland Clinic provides virtual visits for your convenience and health. Virtual visits are not covered by all insurance plans. In order to fully understand your benefits and potential cost, contact your insurance company and ask if virtual visits are included in your plan and if not, what it may cost you.
Insurance & contracted managed care plans
The list of insurance & contracted managed care plans provided on this page is for reference purposes only and is subject to change. Check with your health plan to confirm that Cleveland Clinic is included.
Cleveland Clinic may participate in some, but not all, products offered by a health plan. 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.
Understanding out-of-network insurance
If your health insurance provider does not have a contract with Cleveland Clinic, this means that you have an out-of-network, or non-contracted, insurance plan and you will be billed for all services.
At Cleveland Clinic, we want to be completely transparent with you about the cost of your care.
- View frequently asked questions about determining whether your insurance coverage is out-of-network.
Questions regarding your insurance?
If you have any questions regarding your insurance, please call toll-free 844.500.9451 to speak with a Patient Financial Advocate (PFA).
Insurance Plans We Accept
The list below is for reference purposes only and is subject to change. Not all plans within the companies listed are considered participating. Always check with your health plan to confirm that Cleveland Clinic is included.
If you do not see your plan listed here, you can also call 844.500.9451 for information.
Commercial plans
Health insurance that is typically employer-sponsored or privately purchased.
- Accountable Health Plans of America, Inc. – Indian River only.
- Aetna Health Inc.
- AvMed Health Plans.
- BCBS Truli for Health.
- Beacon Health – Indian River only.
- Cigna Healthcare of Florida Inc.
- Community Care Plans – Regional.
- Dimension Health – Weston only.
- Direct Care America – Weston only.
- Evolution Healthcare Network – Weston and Martin only.
- First Health Network.
- Florida Blue (Blue Select | Health Options | Network Blue | PPC | Traditional).
- Florida Health Administrators – Weston.
- Health First Health Plans – Indian River only.
- Health Payor Organization – Indian River only.
- Humana.
- MAGELLAN PINNACLE BH – Indian River
- MAGELLAN SUMMIT PPO BH – Indian River
- MultiPlan (12/31/2024) – Does not include Practitioner/Ancillary Only plans. Exclusions may apply for Limited Benefit plans.
- Neighborhood Health Partnership – Regional, Part of UHC.
- Private HealthCare Systems (PHCS) (12/31/2024).
- POMCO Group – Indian River only.
- Prime Time Health Plan (Aultcare) – Weston.
- Religious Order of Jehova's Witness – Weston.
- United Healthcare.
- USA Managed Care Organization Inc. (USA Health & Wellness Network) – Weston.
- Zenith Insurance Company – Weston.
Direct-to-employer plans
Health insurance that is contracted directly with Cleveland Clinic by your employer.
- Holland American Cruise Lines – Weston.
- Memorial Health System (South Broward Hospital District) – Weston.
- The Legacy Companies – Weston.
- U.S. Maritime Consultants – Weston.
Exchange plans
Also known as the Health Insurance Marketplace®, a service that helps individuals, families and small businesses with medical insurance.
- Aetna CVS Health.
- Ambetter
- AvMed Health Plans (Entrust).
- Cigna Healthcare of Florida Inc. (Connect Network).
- Florida Blue (Blue Select | Blue Care | Blue Option | MyBlue).
To help you prepare for open enrollment and find a plan that matches you and your budget, we’ve engaged licensed independent insurance advisors to help you.
For Ohio residents seeking more information, visit LIG Solutions or call 888.233.7132.
For Florida residents seeking more information, visit eHealth or call 866.629.0964.
International plans
Health insurance plans for individuals and families living outside of their home country.
- Aetna International.
- Aetna Passport to Healthcare.
- Bank of the Bahamas.
- Best Doctors.
- Best Meridian Insurance (BMI).
- BlueCross BlueShield (Bupa and GeoBlue).
- Cigna Global.
- Coralisle Group (CG).
- EBIX.
- Europ Assistance.
- First Health International.
- Global Excel Management.
- Global Health Claims Services.
- Global Medical Management Inc. (GMMI).
- Guardian Life of the Caribbean.
- HAA Preferred Partners.
- Humana (International).
- MAPFRE.
- Morgan White.
- Private Healthcare Systems (PHCS).
- PKUCare (formerly PingAn Medical Technology).
- Quality Health Management (QHM).
- Sanus Health.
- Seguros Reservas.
- Southern Health Network.
- Star Healthcare Network.
- UnitedHealthcare Global.
- WorldWide Medical Assurance.
If you do not see your insurance company or Third Party Administrator listed, please contact our Global Patient Services department for assistance.
Managed Medicaid plans
The country’s public health insurance program for low-income families and individuals, including children, pregnant women, seniors and people with disabilities. Managed care is the most common way that states provide benefits and services to Medicaid enrollees while meeting federal guidelines.
- AmeriHealth Caritas Florida (formerly, Prestige Health Choice) – excluding Weston.
- BCBS - True Blue Medicaid – Martin Health.
- Carelon Behavioral Health Formally knows as Beacon Health Strategies, Inc. – Indian River
- Community Care Plans (Childrens Medical Services) – excluding Weston.
- Florida Community Care – Martin Health.
- Florida Blue (True Blue) – Indian River.
- Freedom Health – excluding Weston.
- Humana – excluding Weston.
- Magellan (Behavior Health only) – excluding Weston.
- Miami Children's Health Plan – Martin Health.
- Independent Living Systems, LLC. (Florida Community Care)
- Molina Healthcare – Indian River.
- Simply Healthcare – excluding Weston.
- Sunshine Health Plan.
- United Healthcare – excluding Weston.
- Value Options – Indian River
- Wellcare (Hospital only) – Martin Health.
Medicare plans
The federal government’s health insurance program for people ages 65 and older, and certain younger people with disabilities or kidney failure.
Medicare Advantage plans
Medicare Advantage plans often provide more benefits than you would receive under Traditional Medicare, such as dental, prescription and vision coverage.
- Aetna Health Inc. (Medicare).
- Align Senior Care
- AvMed Health Plans (Choice | Circle) Medicare (12/31/2024).
- Bright Health Management Inc. Medicare – Weston.
- Carelon Behavioral Health Formally knows as Beacon Health Strategies, Inc. – Indian River
- CarePlus – Indian River
- Cigna Healthcare of Florida Inc. (Health Spring) Medicare.
- Cigna Medicare HMO.
- Clarion Health.
- Devoted Health Inc.– Weston.
- Doctors Healthcare Plan – Weston
- Florida Blue (BlueMedicare | BlueMedicare Choice).
- Freedom Health.
- Gold Kidney Health Plan
- Health First Health Plans.
- Humana Medicare.
- Independent Living Systems, LLC.
- Longevity Health Plan
- Magellan Navigator Behavioral Health-Indian River
- Metcare Health Plans – Weston.
- Prime Time Health Plan (AultCare) – Weston.
- Ultimate Health Plan (Advantage Care: H2962-033 & H2962-034 | Premier: H2962-031 | Premier Plus: H2962-032) – excluding Weston.
- United Healthcare - Medicare Solutions.
- United Healthcare - Sync.
- United Healthcare - AARP® MedicareComplete Choice Essential – excluding Weston.
- United Healthcare - AARP® MedicareComplete Choice Plan 2 – excluding Weston.
- United Healthcare - AARP® MedicareComplete.
- United Healthcare - AARP® MedicareComplete Choice.
- United Healthcare - AARP® MedicareComplete® Focus.
- United Healthcare - AARP® MedicareComplete® Plus.
- Positive Healthcare Partners
- United Healthcare - Evercare.
- United Healthcare - Medica Healthcare MedicareMax.
- United Healthcare - Preferred Choice Broward – excluding Martin Health.
- United Healthcare - Preferred Choice Palm Beach – Weston.
- United Healthcare - Preferred Completed Care (HMO) WellMed.
- United Healthcare - Preferred Medicare Assist – excluding Weston.
- United Healthcare - Preferred Special Care Miami-Dade Thru – Weston.
- Value Options – Indian River
- Wellcare – Martin Health.
- WellMed – Martin Health.
Military plans
Health insurance plans for veterans, active duty service members and their families.
- Community Care Partners - Veterans Affair – excluding Martin Health.
- TRICARE (formerly known as CHAMPUS) – excluding Martin Health.
Workers' comp plans
Health insurance plans that specifically cover workplace injuries or illnesses, often regulated by the state.
- Best Meidein – Martin Health.
- Choice Managed Network – Martin Health.
- Employer Health Network – Martin Health.
- Evolution Healthcare Network – Indian River.
- Marriot Casualty – Weston.
- Marriot International – Martin Health.
- MetraComp – Martin Health.
- Protegrity Services – Martin Health.
- Provider Management Group Network (PMG) – Martin Health.
- Qrs Managed Care Services – Martin Health.