Accepted Insurance

Overview

Cleveland Clinic accepts a wide variety of insurance and contracted managed care plans at our 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:

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 Patient Financial Advocates for further information.

Insurance Plans Accepted at our Regional Hospitals Outside of Northeast Ohio

Cleveland Clinic Akron General and Lodi Hospital

• View Cleveland Clinic Akron General Insurance Plans
• View Lodi Hospital Insurance Plans

Cleveland Clinic Florida

• View Cleveland Clinic Florida Insurance Plans
• View Cleveland Clinic Indian River Hospital Insurance Plans
• View Cleveland Clinic Martin Health Insurance Plans

Cleveland Clinic Nevada

• View Cleveland Clinic Nevada Insurance Plans

Cleveland Clinic Union Hospital

• View Union Hospital Insurance Plans

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.

Plans A-N

Please Note: 

• The list below is for reference purposes only and is subject to change.
• Always check with your health plan to confirm that Cleveland Clinic is included.

A

• Aetna
• Aetna Signature Administrators
• Akron City Health System (through Summa)
• American Health Holding (aka Strategic Health Development)
• Anthem BCBS
• Aultcare Health Plan

B

• Beacon Health Options
• Beech Street
• Blue Distinction Centers for Transplant (BDCT)

C

• Carecentrix, Inc.
• Coventry Carelink
• CCHS Employee Health Plan
• CIGNA Behavioral Health
• CIGNA Healthcare of Ohio
• CIGNA LifeSource
• Cigna Local Plus
• Cofinity
• Community Health Alliance
• Coventry Health Care, Inc.
• Coventry Transplant Network, Inc.

F

• First Health
• Front Path Health Coalition

G

• Global Excel Management
• Group Management Services (GMS)

H

• HealthLink, Inc.
• HealthScope Benefits
• HealthSmart (fka Emerald Health Network)
• Hospice of Western Reserve (HOWR)
• Humana
• Humana Choice Care Network
• Humana Military (Tricare)

I

• Interplan Health Group

K

• Kaiser National Transplant Network

L

• LifeTrac Network, Inc.
• Logistics Health Incorporated
• Lutheran Preferred

M

• Magellan Behavioral Health
• Managed Care Services Signature Care PPO (aka Parkview Health Plan Systems)
• Medical Benefits Corporation (MedBen)
• Medical Mutual of Ohio
• Medicare A, B, C, and D
• Mental Health Associates Inc.
• Mercer First Choice
• Multiplan

N

• National Healthcare Solutions, Inc. d/b/a National PPO
• North American Health Plan, Inc.
• Northcoast Health Management Services
• North Shore-LIJ Health Plan
• Northcoast Healthcare Management Services

Plans O-Z

Please Note: 

• The list below is for reference purposes only and is subject to change.
• Always check with your health plan to confirm that Cleveland Clinic is included.

O

• Ohio Health Choice Plan (OHCP)
• Ohio Health Group
• Ohio Healthy Preferred
• Ohio PPO Connect
• Ohio Preferred Network (OPN)
• Olympus Managed Care, Inc.
• Optum Health

P

• Paramount Advantage
• Paramount Elite
• Paramount Health Care
• Paramount Preferred Options
• Parkview Health Plan Services Signature Care PPO (aka Managed Care Services)
• Private HealthCare Systems (PHCS)
• Protocol Tertiary Network

Q

• Quality Care Partners
• Quality Health Management

S

• Sparrow Physicians Health Network
• Strategic Health Development (aka American Health Holding)
• SummaCare

T

• Tertiary Care Network
• Tethys Health Ventures
• The Health Plan (of the Upper Ohio Valley)
• Three Rivers Provider Network (TRPN)

U

• United Behavioral Health
• United Healthcare
• United Resource Networks
• UPMC HealthyU
• USA Managed Care Organization

V

• Vantage PPO

Cleveland Clinic + Oscar

Oscar is partnering with the world-renowned Cleveland Clinic to put your health insurance on the same team as you and your doctor. The result: easy, affordable, and guided care.

• Learn more

MyCare Ohio

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.

Frequently Asked Questions About MyCare Ohio

Continuing reading below for more answers to frequently asked questions regarding MyCare Ohio.

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.

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.

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.

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.

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.

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)

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.

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.

How will I know that I am enrolled in MyCare Ohio?

You will receive an insurance card from your assigned health plan with the MyCare Ohio logo. For confirmation, you can also the Medicaid Consumer Hotline at 1.800.324.8680.

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.

Medicare Advantage

Please Note:
The following are Medicare Advantage plans in which Cleveland Clinic participates.

• AARP MedicareComplete
• AARP Medicare Complete Choice (through United Healthcare)
• AARP Medicare Complete Essential (through UnitedHealthcare)
• AARP Medicare Complete Plan (through UnitedHealthcare)
• AARP Medicare Complete Plus (through United Healthcare)
• Aetna Medicare Plan (fka: Golden Choice)
• Aetna Medicare Plan (fka: Golden Medicare Plan)
• ALLWELL BUCKEYE HMO SNP
• Anthem BCBS Medicare Preferred
• Anthem BCBS Medicare Select
• Anthem BCBS Senior Advantage
• Buckeye Allwell HMO SNP
• FIDA NORTH SHORE LIJ MEDICARE
• Gateway Health Plan Medicare Assured Choice or Prime Plans
• Gateway Health Plan Medicare Assured Select or Select Plus Gold & Platinum
• Gateway Health Plan Medicare Assured Diamond & Ruby
• Gateway Health Plan of Ohio
• HealthAmerica
• Humana Choice Medicare Advantage
• Humana Cleveland Clinic Preferred
• Humana Gold Plus
• Humana Gold Choice
• Medical Mutual of Ohio Medicare Advantage
• Medigold
• Paramount Elite Standard Medical and Drug
• Paramount Elite Enhanced Medical Only
• Paramount Elite Enhanced Medical and Drug
• PRIMETIME HMO POS
• Provider Partners Health Plan (PPHP) I-SNP
• THP SECURECARE MDCR HMO
• TODAYS OPTIONS PFFS
• United Healthcare Dual Complete SNP
• United Healthcare Medicare Advantage
• United Healthcare Medicare Complete
• United Healthcare Medicare Complete Essential
• United Healthcare Medicare Complete Choice
• UPMC for Life
• UPMC for Life Dual/Life Options
• Valor Health Plan I-SNP

Medicaid Options

Cleveland Clinic is deeply committed to caring for Medicaid patients. We currently work with the majority of Medicaid insurance companies in the state of Ohio to ensure our community has options to access Cleveland Clinic for care, including:

• Buckeye Community Healthplan
• Molina Healthcare
• Paramount Advantage
• UnitedHealthcare Community Plan
• CareSource

If you want to have access to Cleveland Clinic for your care, you can select a Medicaid plan which includes Cleveland Clinic through the Ohio Medicaid Consumer Hotline at 800.324.8680. You can also visit https://www.ohiomh.com.

If you have questions, you may reach out to us at any time in one of the ways listed below:

• Call a Cleveland Clinic patient financial advocate at 855.831.1284
• Email a Cleveland Clinic patient financial advocate at InsuranceHelp@ccf.org
• Stop by a Cleveland Clinic patient financial advocate office where you receive your care.