What Happens When A Humana Doctor Orders Non Covered Services

Where Do I Get Started?

Nosotros know that it tin be stressful to navigate the insurance coverage procedure, simply we strive to brand it as polish 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 beyond our health system, please review our list of accustomed insurance companies below.

If your insurance company is accepted by Cleveland Dispensary: Please contact your insurance company to confirm what care is covered by your plan as well equally information on copayments, deductibles and coinsurance amounts. Encounter what your out-of-pocket expenses will be using our toll figurer.

If your insurance company is not accepted past Cleveland Clinic: This means your insurance program is considered out-of-network which can lead to greater out-of-pocket expenses for your care. Please contact your insurance visitor for more than information nearly what your financial responsibility may be if you lot choose to receive care at Cleveland Dispensary. Detect more than information about Cleveland Clinic'due south out-of-network insurance procedure.

Where Can I Discover Insurance Plans Accepted at Cleveland Dispensary Locations Outside of the Greater Cleveland Surface area?

Which Insurance Plans Are Accepted at Cleveland Clinic?

Below is the list of plans that are accustomed at Cleveland Dispensary main campus, our family health centers and community hospitals in Northeast Ohio.

The list below is for reference purposes only and is bailiwick to modify. Not all plans within the companies listed are considered participating. Always cheque with your health plan to confirm that Cleveland Clinic is included.

Commercial Plans

Wellness insurance that is typically employer-sponsored or privately purchased.

Aetna
Aetna Signature Administrators
American Health Holding (Strategic Health Development) – Cleveland Clinic primary campus merely
Anthem BCBS
Aultcare Health Plan
Beacon Health Options – Akron General simply
Beech Street – Does not include Wedlock Hospital
CCHS Employee Health Programme
CIGNA
Cigna Healthcare of Ohio
Cigna Local Plus
Customs Wellness Alliance – Cleveland Clinic main campus merely
First Wellness
Front Path Health Coalition – Cleveland Clinic main campus and Akron Full general only
Grouping Direction Services (GMS)
HealthScope Benefits – Cleveland Clinic chief campus simply
HealthSmart (Emerald Health Network) – Does non include Union Infirmary
Humana National POS
Humana Choice Intendance Network
Humana Military (Tricare) Select – Does not include Marriage Hospital
Humana Military (Tricare) Prime – Does not include Union Hospital
Lutheran Preferred – Cleveland Clinic main campus only
Managed Care Services Signature Intendance PPO (Parkview Health Plan Systems) – Cleveland Clinic principal campus just
Medical Benefits Corporation (MedBen) – Cleveland Clinic chief campus only
Medical Benefits Administrators/Lauren International – Union Hospital but
Medical Common of Ohio
Multiplan
North American Health Program, Inc. – Cleveland Clinic chief campus only
Due north Shore-LIJ Wellness Plan – Cleveland Clinic primary campus just
Ohio Wellness Selection Plan (OHCP)
OhioHealthy
Ohio PPO Connect
Paramount Health Care – Cleveland Dispensary main campus only
Paramount Preferred Options – Cleveland Clinic main campus only
Parkview Wellness Plan Services Signature Care PPO – Managed Intendance Services
Individual HealthCare Systems (PHCS)
Protocol Tertiary Network – Cleveland Dispensary main campus only
Quality Care Partners – Does not include Mercy Hospital
Quality Wellness Direction – Cleveland Clinic chief campus simply
Sparrow Physicians Health Network – Cleveland Clinic main campus only
Strategic Health Evolution (American Health Holding) – Cleveland Clinic main campus only
SummaCare Commercial (Premier and Prime)
Tertiary Care Network – Cleveland Dispensary chief campus only
The Health Plan (of the Upper Ohio Valley)
Three Rivers Preferred – Cleveland Clinic main campus merely
Today'southward Options PFFS
United Healthcare
UPMC for Life Dual/Life Options
UPMC HealthyU
UPMC Advantage
UPMC Consumer Advantage
UPMC Private Reward
UPMC Within Reward
UPMC MyCare Advantage
UPMC Modest Business Reward
UPMC Business Advantage
USA Managed Care Arrangement – Cleveland Clinic principal campus and Akron General only
Vantage PPO – Does not include Mercy Hospital
SC Select – Union Hospital simply

Substitution Plans

Besides known as the Health Insurance Marketplace®, a service that helps individuals, families and small businesses with medical insurance.

Canticle Blue Cross Bluish 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 Dispensary + Oscar
UPMC Individual Advantage
UPMC MyCare Advantage
UPMC Modest Business Reward

Medicaid Plans

The land's public health insurance program for depression-income families and individuals, including children, meaning women, seniors and people with disabilities.

Buckeye Community Healthplan Medicaid
CareSource Medicaid
Molina Healthcare Medicaid
Paramount Reward Medicaid
United Healthcare Customs Plan of Ohio Medicaid

Medicare Advantage Plans

The federal government'due south health insurance plan for people ages 65 and older, and sure younger people with disabilities or kidney failure.

Aetna Medicare Plan (Golden Pick)
Aetna Medicare Plan (Golden Medicare Plan)
Anthem BCBS Medicare Preferred
Canticle BCBS Medicare Select
Canticle BCBS Senior Advantage
AARP Medicare Reward (Through UnitedHealthcare)
AARP Medicare Advantage Choice (Through UnitedHealthcare)
AARP Medicare Advantage Walgreens (Through UnitedHealthcare)
CareSource Medicare Advantage
Cigna Preferred Medicare (HMO)
Cigna Truthful Choice Medicare (PPO)
CommuniCare Advantage I-SNP/C-SNP
Devoted Health
Fida N Shore-LIJ Medicare – Cleveland Clinic main campus only
Humana Choice Medicare Advantage
Humana Cleveland Dispensary Preferred
Humana Gilt Choice
Humana Gilt Plus
Medical Common of Ohio Medicare Reward
Medicare A, B, C, and D
Medigold – Union Hospital Only
Molina Healthcare Medicare Reward – Mercy Hospital But
Paramount Elite
Perennial Advantage I-SNP/C-SNP
PrimeTime Wellness Plan
Provider Partners Health Program (PPHP) I-SNP
SummaCare Medicare
The Wellness 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 Consummate Choice
UPMC for Life
Valor Health Programme 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 Customs Program MyCare Ohio

Other Plans

Other plans accepted past 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 primary campus but
CIGNA Behavioral Health/Evernorth Behavioral Health – Cleveland Clinic primary campus only
CIGNA Dental
Global Medical Direction, Inc. (GMMI) – Does not include Mercy Hospital
Global Excel Management – Cleveland Dispensary main campus merely
Hospice of Western Reserve (HOWR)
Logistics Wellness Incorporated – Lorain Family unit Health Center only
National Healthcare Solutions, Inc. d/b/a National PPO – Cleveland Clinic chief campus only
Northcoast Health Management Services
Northcoast Healthcare Management Services
Olympus Managed Care, Inc. – Cleveland Dispensary chief campus only
Optum Health Care Services
Iii 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 Infirmary
Grupo Nacional Provincial – Cleveland Clinic master campus and Wooster Family Wellness Center but

Transplant Plans

Health insurance for those who have received a transplanted organ.

Aetna USHC Institutes of Excellence
Bluish Distinction Centers for Transplant (BDCT)
CIGNA LifeSource
Coventry Transplant Network, Inc.
Kaiser National Transplant Network
LifeTrac Network, Inc./Emerging Therapy Solutions
Optum Health Intendance Services
Tethys Health Ventures

Cost Estimator, Oscar and Virtual Vistis

Cleveland Clinic doctor on tablet during virtual visit

Is my virtual visit covered past insurance?

Cleveland Dispensary provides virtual visits for your convenience and wellness. Virtual visits are non covered past all insurance plans. In order to fully empathize your benefits and potential toll, contact your insurance company and ask if virtual visits are included in your plan and if not, what it may price you.

Learn More About Virtual Visits

Even so Need Help? Speak With a Patient Financial Advocate

Still Demand Help? Speak With a Patient Fiscal Advocate

Schedule a callback time with a Patient Financial Abet at Cleveland Clinic. Yous may also contact a Patient Fiscal Advocate (PFA) direct at 844.500.9451.

SCHEDULE A CALLBACK TIME