For Providers
Cleveland Clinic's Employee Health Plan currently offers three benefit programs for our members—the EHP plan, EHP Plus plan, and the Martin Hospital Under 65 retirement plan.
The EHP plan is a narrow network of providers, facilities and services that include Cleveland Clinic employed physicians, Quality Alliance independent physicians in Ohio and Florida clinically integrated networks. These networks consist of additional local contracted providers to offer a comprehensive benefits program with a wide range of resources to support the health and well-being of our members. The EHP plan also includes skilled nursing facilities, rehabilitation services, long-term acute care and residential facilities.
The EHP plan is supplemented with Aetna providers in the following specialties from the seven counties surrounding our Florida hospitals: Allergy, Behavioral Health, Chiropractic, Dermatology, Endocrinology, Nutritionist, OB-GYN/ Obstetrics, Ophthalmology, Otolaryngology (ENT), Oral Surgery, Pain Management, Pediatrics and Podiatry. The seven counties include Brevard, Indian River, St. Lucie, Martin, Palm Beach, Broward and Miami-Dade.
The EHP Plus plan is a national network plan that includes providers in the Cleveland Clinic Quality Alliance and Florida clinically integrated networks, in addition to providers in the Aetna Select Open Access network – a national network. If the EHP narrow network does not offer a service, we will use Aetna Select Open Access network providers and pay the maximum benefit based on their Aetna contracted rates.
For Behavioral Health, the EHP and EHP Plus networks include all Aetna contracted providers in the state of Ohio and Florida.
The Martin Health Retiree Under 65 plan has a two-tier network. The Tier 1 network consists of the EHP provider network described above. The Tier 2 network consists of providers in the Aetna Select Open Access network. The member’s EHP Identification (ID) card reflects these relationships on the back of the card.
Cleveland Clinic Employee Health Plan Provider Guidelines
Access additional provider information for the Cleveland Clinic Employee Health Plan HERE.
Additional Provider Resources
View the forms page for Cleveland Clinic Employee Health Plan forms.
Questions? Contact the Employee Health Plan for assistance at 216.986.1050 or 888.246.6648, option 1.
