Can I Get Fl Blue Marketplace Coverage in Person

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.

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
• 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
• Vantage PPO – Does not include Mercy Hospital
• SC Select – Union Hospital only

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 and Wooster Ambulatory Surgery Center only
• CareSource Marketplace – Akron General, Union Hospital and Mercy Hospital only
• Molina Healthcare Marketplace – Mercy Hospital only
• Cleveland Clinic + Oscar
• UPMC Individual Advantage
• UPMC MyCare Advantage
• UPMC Small Business Advantage

Medicaid Plans

The country's public health insurance program for low-income families and individuals, including children, pregnant women, seniors and people with disabilities.

• Buckeye Community Healthplan Medicaid
• CareSource Medicaid
• Molina Healthcare Medicaid
• Paramount Advantage 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 Walgreens (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

Plans offering both Medicare and Medicaid coverage.

• 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

Other Plans

Other plans accepted by Cleveland Clinic, including coverage for dental, behavioral health and more.

• BMI Services, Inc. – Does not include Mercy Hospital
• Carecentrix, Inc.
• Cayman Islands National Insurance Co. – Cleveland Clinic main campus only
• CIGNA Behavioral Health/Evernorth Behavioral Health – Cleveland Clinic main campus only
• CIGNA Dental
• Global Medical Management, Inc. (GMMI) – Does not include Mercy Hospital
• Global Excel Management – Cleveland Clinic main campus only
• 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
• Olympus Managed Care, Inc. – Cleveland Clinic main campus only
• 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
• Worldwide Concierge Healthcare Services – Does not include Mercy Hospital
• Grupo Nacional Provincial – Cleveland Clinic main campus and Wooster Family Health Center only

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

Cost Estimator, Oscar and Virtual Vistis

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.

Learn More About Virtual Visits

Still Need Help? Speak With a Patient Financial Advocate

Still Need Help? Speak With a Patient Financial Advocate

Schedule a callback time with a Patient Financial Advocate at Cleveland Clinic. You may also contact a Patient Financial Advocate (PFA) directly at 844.500.9451.

SCHEDULE A CALLBACK TIME

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Source: https://my.clevelandclinic.org/patients/accepted-insurance

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