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.We accept a variety of plans from insurance companies at all of our locations. To verify if your insurance plan is accepted for services across our health system, please review our list of accepted insurance companies below.
If your insurance company is accepted by Cleveland Clinic: Please contact your insurance company to confirm what care is covered by your plan as well as information on copayments, deductibles and coinsurance amounts. See what your out-of-pocket expenses will be using our cost estimator.
If your insurance company is not accepted by Cleveland Clinic: This means your insurance plan is considered out-of-network which can lead to greater out-of-pocket expenses for your care. Please contact your insurance company for more information about what your financial responsibility may be if you choose to receive care at Cleveland Clinic. Find more information about Cleveland Clinic’s out-of-network insurance process.
Where Can I Find Insurance Plans Accepted at Cleveland Clinic Locations Outside of the Greater Cleveland Area?
Which Insurance Plans Are Accepted at Cleveland Clinic?
Below is the list of plans that are accepted at Cleveland Clinic main campus, our family health centers and community hospitals in Northeast Ohio.
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.
Exchange plans
Also known as the Health Insurance Marketplace®, a service that helps individuals, families and small businesses with medical insurance.
- Anthem Blue Cross Blue Shield Pathway HMO – Akron General, Wooster Ambulatory Surgery Associates, and Mercy Hospital only.
- Ambetter from Buckeye Health Plan - Mercy Hospital only.
- CareSource Marketplace – Akron General, Union Hospital and Mercy Hospital only.
- Molina Healthcare Marketplace – Mercy Hospital only.
- Cleveland Clinic + Oscar.
Commercial plans
Health insurance that is typically employer-sponsored or privately purchased.
- Aetna.
- Aetna Signature Administrators.
- American Health Holding (Strategic Health Development) – Cleveland Clinic main campus only.
- Anthem BCBS.
- Aultcare Health Plan – Does not include Aultman Employee Network (AEN) at Mercy Hospital.
- Beacon Health Options – Akron General only.
- Beech Street – Does not include Union Hospital.
- CCHS Employee Health Plan.
- CIGNA.
- Cigna Healthcare of Ohio.
- Cigna Local Plus.
- Clarity Health – Cleveland Clinic Branded.
- Community Health Alliance – Cleveland Clinic main campus only.
- First Health – Does not include Limited Benefit and Practitioner/Ancillary only plans.
- Front Path Health Coalition – Does not include Mercy Hospital or Union Hospital.
- Group Management Services (GMS).
- HealthScope Benefits – Cleveland Clinic main campus only.
- HealthSmart (Emerald Health Network) – Does not include Union Hospital.
- Humana National POS.
- Humana Choice Care Network.
- Humana Military (Tricare) Select – Does not include Union Hospital.
- Humana Military (Tricare) Prime – Does not include Union Hospital.
- Lutheran Preferred – Cleveland Clinic main campus only.
- Managed Care Services Signature Care PPO (Parkview Health Plan Systems) – Cleveland Clinic main campus only.
- Medical Benefits Corporation (MedBen) – Cleveland Clinic main campus only.
- Medical Benefits Administrators/Lauren International – Union Hospital only.
- Medical Mutual of Ohio.
- Multiplan Does not include Practitioner/Ancillary Only plans. Exclusions may apply for Limited Benefit plans. (through 12/31/2024)
- North American Health Plan, Inc. – Cleveland Clinic main campus only.
- North Shore-LIJ Health Plan – Cleveland Clinic main campus only.
- Ohio Health Choice Plan (OHCP).
- OhioHealthy.
- Ohio PPO Connect.
- Paramount Health Care – Cleveland Clinic main campus only.
- Paramount Preferred Options – Cleveland Clinic main campus only.
- Parkview Health Plan Services Signature Care PPO – Managed Care Services.
- Private HealthCare Systems (PHCS) (through 12/31/2024).
- Protocol Tertiary Network – Cleveland Clinic main campus only.
- Quality Care Partners – Does not include Mercy Hospital.
- Quality Health Management – Cleveland Clinic main campus only.
- Sparrow Physicians Health Network – Cleveland Clinic main campus only.
- Strategic Health Development (American Health Holding) – Cleveland Clinic main campus only.
- SummaCare Commercial (Premier and Prime).
- Tertiary Care Network – Cleveland Clinic main campus only.
- The Health Plan (of the Upper Ohio Valley).
- Three Rivers Preferred – Cleveland Clinic main campus only.
- Today's Options PFFS.
- United Healthcare.
- UPMC for Life Dual/Life Options.
- UPMC HealthyU.
- UPMC Advantage.
- UPMC Consumer Advantage.
- UPMC Individual Advantage.
- UPMC Inside Advantage.
- UPMC MyCare Advantage.
- UPMC Small Business Advantage.
- UPMC Business Advantage.
- USA Managed Care Organization – Cleveland Clinic main campus and Akron General only.
- SC Select – Union Hospital only.
International plans
Health insurance plans for individuals and families living outside of their home country.
- Aetna International.
- Aetna Passport to Healthcare.
- Anthem (Bupa).
- Best Doctors.
- Best Meridian Insurance (BMI).
- Cigna Global.
- Coralisle Group (CG).
- EBIX.
- Europ Assistance.
- First Health International.
- Global Excel Management.
- Global Health Claims Services.
- Global Medical Management Inc. (GMMI).
- 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.
Medicaid plans
The country’s public health insurance program for low-income families and individuals, including children, pregnant women, seniors and people with disabilities.
- AmeriHealth Caritas of Ohio (Effective 2/1/2023).
- Anthem Medicaid (Effective 2/1/2023).
- Buckeye Community Healthplan Medicaid.
- CareSource Medicaid.
- Humana Medicaid (Effective 2/1/2023).
- Molina Healthcare Medicaid.
- United Healthcare Community Plan of Ohio Medicaid.
Medicare Advantage Plans
The federal government’s health insurance program for people ages 65 and older, and certain younger people with disabilities or kidney failure.
- Aetna Medicare Plan (Golden Choice).
- Aetna Medicare Plan (Golden Medicare Plan).
- Anthem BCBS Medicare Preferred.
- Anthem BCBS Medicare Select.
- Anthem BCBS Senior Advantage.
- AARP Medicare Advantage (Through UnitedHealthcare).
- AARP Medicare Advantage Choice (Through UnitedHealthcare).
- AARP Medicare Advantage Flex (Through UnitedHealthcare).
- AARP Medicare Advantage Patriot (Through UnitedHealthcare).
- AARP Medicare Advantage Optum Care (Through UnitedHealthcare).
- AvMed Health Plans (Choice | Circle) Medicare (through 12/31/2024).
- Buckeye Wellcare by Allwell Medicare Advantage HMO – Mercy Hospital only.
- CareSource Medicare Advantage.
- Cigna Preferred Medicare (HMO).
- Cigna True Choice Medicare (PPO).
- CommuniCare Advantage I-SNP/C-SNP.
- Devoted Health.
- Fida North Shore-LIJ Medicare – Cleveland Clinic Main Campus only.
- Humana Choice Medicare Advantage.
- Humana Cleveland Clinic Preferred.
- Humana Gold Choice.
- Humana Gold Plus.
- Medical Mutual of Ohio Medicare Advantage.
- Medicare A, B, C, and D.
- Medigold – Union Hospital Only.
- Molina Healthcare Medicare Advantage HMO.
- Paramount Elite.
- Perennial Advantage I-SNP/C-SNP.
- PrimeTime Health Plan.
- Provider Partners Health Plan (PPHP) I-SNP.
- SummaCare Medicare.
- The Health Plan SecureCare MDCR HMO.
- The Health Plan Secure Choice.
- 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.
- Valor Health Plan I-SNP.
Medicare + Medicaid dual plans
Plans offering both Medicare and Medicaid coverage.
- Buckeye Wellcare by Allwell Dual Access (HMO D-SNP) – Does not include Buckeye AllWell Medicare HMO.
- Molina Healthcare MyCare – Union Hospital only.
- Molina Healthcare Medicare Advantage HMO D-SNP.
- CareSource MyCare.
- CareSource DSNP.
- Buckeye MyCare.
- UnitedHealthcare Community Plan MyCare Ohio.
Other plans
Other plans accepted by Cleveland Clinic, including coverage for dental, behavioral health and more.
- Aetna OhioRISE BH.
- Carecentrix, Inc.
- CIGNA Behavioral Health/Evernorth Behavioral Health – Cleveland Clinic main campus only.
- CIGNA Dental.
- Hospice of Western Reserve (HOWR).
- Logistics Health Incorporated – Lorain Family Health Center only.
- National Healthcare Solutions, Inc. d/b/a National PPO – Cleveland Clinic Main Campus only.
- Northcoast Health Management Services.
- Northcoast Healthcare Management Services.
- Optum Health Care Services.
- Three Rivers Provider Network (TRPN) – Cleveland Clinic Main Campus only.
- United Behavioral Health.
- UPMC Pitt Panther Gold.
- VA Community Care Network Optum.
Transplant plans
Health insurance for those who have received a transplanted organ.
- Aetna USHC Institutes of Excellence.
- Blue Distinction Centers for Transplant (BDCT).
- CIGNA LifeSource.
- Coventry Transplant Network, Inc.
- Kaiser National Transplant Network.
- LifeTrac Network, Inc./Emerging Therapy Solutions.
- Optum Health Care Services.
- Tethys Health Ventures.
