Provider Network
The EHP Plus network includes the Cleveland Clinic, Quality Alliance and certain Florida-aligned providers in addition to the Aetna Select Open Access network (a national network). It is your responsibility to verify your provider's participation each time services are obtained. To locate a provider, click here. Note: You must first register with Aetna to view your plan specific network.
EHP Plus | Out-of-Network | |
Network | Cleveland Clinic Quality Alliance (QA) Certain Florida-aligned providers Aetna Select Open Access (National Network) | No coverage |
Deductible | None | No coverage |
Coverage | 100% after applicable copay or coinsurance | No coverage |
Emergency/ Urgent Care | 100% coverage after applicable copay ($50 for Urgent Care / $250 for Emergency*) | 100% coverage after applicable copay ($50 for Urgent Care / $250 for Emergency*) |
*If the emergency visit results in an admission, the emergency copayment will be waived and the inpatient admission copayment will be applied.
Cleveland Clinic employees should go directly to the third-party administrator (TPA) to resolve any claims payment issues. The Cleveland Clinic EHP Third Party Administrator (TPA) is Aetna. The Aetna concierge customer service department can be reached by calling 1.833.414.2331. You can access your health benefit information by registering at Aetna.com or download the free Aetna mobile app for more convenient access to your benefits. Click here for detailed instructions. If your issue is not resolved to your satisfaction after calling the TPA directly, please call the Cleveland Clinic Customer Service Unit at 216.986.1050, option 1.