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.
Create an Aetna Health Account
Health Plan ID cards can be viewed and/or printed prior to their arrival in the mail after your health plan coverage selections have been processed. Once registered, you will have access to your ID card and claims information. In addition, you will have access to your plan-specific provider network.
Follow these instructions to register with Aetna Health.
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
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. 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.
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. To get started, view and complete the COB form.
Learn More About Health Insurance
How much do you know about health insurance? Did you know that nearly 80% of Cleveland Clinic caregivers are EHP members but many don't fully utilize their insurance? This course provides basic information on health insurance to help you make informed healthcare decisions.
To enroll, log in to MyLearning and search for "Employee Health Plan - Health Insurance 101" in the course catalog.
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 your health plan premium and support your overall well-being.
As a brand-new caregiver at Cleveland Clinic, hired between Jan. 1-Oct. 31 and have elected the health plan, you will be eligible to join the Healthy Choice for New Caregivers program. When you participate and complete the required tasks, you'll earn a 15% discount on your current year's health plan premium, which will be reflected in 1-2 pay cycles. Click here to get started.
