Health Insurance Plans Accepted by Cleveland Clinic

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Health Insurance Plans Accepted by Cleveland Clinic

Cleveland Clinic, a world-renowned medical institution founded in 1921, excels in patient care, research, and education. As a multi-specialty academic medical center, it leverages cutting-edge technology and diverse expertise to provide exceptional healthcare. With a strong focus on patient-centric care, collaboration among expert physicians and caregivers drives innovative solutions for complex medical challenges. Their commitment to research and education ensures patients receive advanced, evidence-based treatments. Combining medical innovation with compassionate care, Cleveland Clinic remains dedicated to shaping the future of medicine with a patient-first approach.

Exchange Health Plans 👆

Employer Health Plans👆

Medicare Health Plans 👆

Exchange Plans at Cleveland Clinic:

Marketplace health insurance plans are offered via the exchange on Healthcare.gov. These health plans are usually available for residents of the state. Cleveland Clinic accept some exchange health plans. Make sure to work with your agent to confirm coverage.

Marketplace Health Plans
Anthem Blue Cross Blue Shield Pathway HMO – Akron General and Wooster Ambulatory Surgery Associates 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 – includes OSCAR Columbus Choice

Employer Health Plans:

Health insurance plans sponsored by your employer or your small business. Employer health plans also known as group health plans have larger network of providers and hospitals that participate in network. Cleveland Clinic accepts group health plans nationally, which means you could have coverage from a different state and be able to see providers at Cleveland Clinic Ohio

Employer Health Plans
Aetna
Aetna Signature Administrators
American Health Holding (Strategic Health Development) – Cleveland Clinic main campus only
Anthem BCBS
Aultcare Health Plan
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
Community Health Alliance – Cleveland Clinic main campus only
First Health
Front Path Health Coalition – Cleveland Clinic main campus and Akron General only
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
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)
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

Are you a Small Business Owner?

If you are a small business owner or a single member LLC you can enroll in a small business health insurance in Ohio to offer health insurance plans accepted at Cleveland Clinic. Contact us to learn more about your options.

Government Health Plans:

Government plans are a wide range of plans that include a variety of Medicare and/or Medicaid plans. Cleveland Clinic participates with many government plans including Medicare, TriCare, and  others. See a comprehensive list below of accepted plans.

Medicare Advantage Plans
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).
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 – Mercy Hospital Only.
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

  • Buckeye AllWell Dual Special Needs Plan (DSNP) – Does not include Buckeye AllWell Medicare HMO.
  • Molina Healthcare MyCare – Union Hospital only.
  • CareSource MyCare.
  • CareSource DSNP.
  • Buckeye MyCare.
  • UnitedHealthcare Community Plan MyCare Ohio.

Frequently Asked Questions

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Does Cleveland Clinic accept Medicaid?

Yes. Cleveland Clinic accepts Medicaid plans in Ohio. see list below.

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Does Cleveland Clinic Accept out of network insurance?

If you have a health insurance plan with PPO network that allows you to see providers outside your PPO network, you can go to Cleveland Clinic and. be billed out of network fees.

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Does Cleveland Clinic accept International insurance?

Some International health insurance plans are in network with Cleveland Clinic if they participate in one of the networks plans mentioned above. Check your international policy for accepted network.

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Are pre-existing conditions accepted at Cleveland Clinic?

If you have already been diagnosed with a disease by a provider outside Cleveland Clinic and want to your follow ups. to be at Cleveland Clinic you need to make sure your health insurance plan is in network.

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Can you got Cleveland Clinic without a referral?

Yes. Cleveland Clinic doesn't require a referral. If you have an HMO health insurance plan you may nee a referral from your PCP to see a specialist.

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What services does Cleveland Clinic provide?

Cleveland Clinic offers a comprehensive range of medical services, including but not limited to cardiology, oncology, neurology, orthopedics, gastroenterology, pediatrics, urology, and many more. They also offer specialized care for complex and rare medical conditions.

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How can I schedule an appointment at Cleveland Clinic?

To schedule an appointment, you can call the Cleveland Clinic's main appointment line or visit their website. The contact information is typically available on their official website

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Can International patients receive treatments at Cleveland Clinic?

Yes, Cleveland Clinic welcomes international patients and offers specialized services to cater to their needs. They have resources to assist with travel arrangements, language interpretation, and other necessary support for international patients.

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