Enrollment
As a Cleveland Clinic caregiver, you are eligible to participate in the health plan starting on your first day of work. You have 31 days from your date of hire to enroll in these benefit programs in Workday . If you are a newly hired caregiver, you will have a new hire benefit task in your Workday inbox to make your elections. You can also enroll in coverage or make changes to your current election during the year within 31 days of experiencing a qualified life event such as marriage, birth of a child, or loss of coverage under another health plan.
Your coverage effective date will be retroactive to your date of hire, or the date of a qualified life event - however it takes about 4 weeks for your health plan ID cards to arrive in the mail after you have elected coverage in Workday. This means the sooner you elect coverage, the sooner your health plan ID cards will arrive.
View Your Plan Specific Providers
As you evaluate the plan offerings, you can access these provider search tools designed specifically for each plan offering. You'll want to confirm your medical providers are participating in the specific plan offering you choose. For assistance in navigating the provider search tool, take a look at the Aetna job aid prior to starting your search for answers to many common questions. Then, access the links below and continue as a guest once you arrive at the search site.
Having trouble finding your provider? Contact the Employee Health Plan for assistance at 216.986.1050 or 888.246.6648, option 1.
Having trouble accessing the Aetna provider lookup site? Contact the Aetna Concierge for assistance at 833-414-2331.
- EHP provider search
- EHP Plus provider search
- 2024 Main Campus Residents & Fellows and Weston Residents & Fellowsprovider search
- Martin Hospital Under 65 Retirees provider search
Welcome Packet
You will receive a Welcome Packet in the mail, which includes the following information:
- Summary Plan Description and Prescription Drug Benefit (SPD)with full coverage details
- Healthy Choice Program information
- Notice of Privacy Practices
Prescription Drug Coverage
Your prescription drug benefit is effective your first day of employment. However, you must first elect the coverage in Workday. Processing of ID cards usually takes about four weeks after you elect your benefits in Workday. If you need a prescription filled prior to receiving your ID card, you may need to pay up front and request reimbursement using our pharmacy reimbursement form. You can utilize any of our Cleveland Clinic Pharmacies or CVS. Refer to our pharmacy FAQs or contact EHP Pharmacy Management at 216.986.1050, option 4.
Dependent Verification – Willis Towers Watson
If you are enrolling dependents onto your plan, you will need to provide dependent verification after you have elected coverage to ensure that the dependents you are adding are eligible for coverage. Eligible dependents include your lawfully married spouse and dependent children under the age of 26. After you have elected coverage in Workday, a mailing or email from Willis Towers Watson, our Third Party Administrator (TPA) for dependent verification, will be sent to your home address or inbox asking you to provide dependent verification documentation.
Acceptable forms of dependent verification documentation include a prior year’s tax return with your dependents’ information on it, a copy of your marriage certificate if you have a spouse dependent, or birth certificates for children. You will need to respond to Willis Towers Watson and provide the requested documentation in order for your dependents to be covered under the health plan. If you do not respond to their request by the deadline provided to you, the dependents you had added to your plan will be removed from your plan and their claims will be denied. Dependent coverage will be terminated dating back to the effective date of enrollment.
You may refer to the EHP Summary Plan Description (SPD) “Dependents Eligible” for Coverage
Coordination of Benefits (COB)
All members must complete the COB process each January, when you enroll and when you experience a life event change. The COB form can be found on the Forms page.
Healthy Choice Program
The Healthy Choice Program is a voluntary discount program from the Employee Health Plan (EHP) that rewards you for taking action to manage your health. The program provides resources to help you save on healthcare costs for the following calendar year.
*You must be enrolled in the Employee Health Plan to participate in the Healthy Choice program.
Please wait to join Healthy Choice or any other wellness programs until you receive your health plan ID number. This information is needed to sign up for these programs.
Read more about the Healthy Choice New Caregivers Program including program requirements and FAQs.
