Provider Network, Medical Benefits & Summary Plan Description (SPD)
The Out-of-Area Employee Health Plan offers a comprensive provider network to choose from. Following is a description of the network and a link to the Summary Plan Description (SPD).
Provider Network
The Health Plan offers a comprehensive provider network through UMR. This network also includes the Cleveland Cleveland Clinic Quality Alliance network. To locate a provider, click here or on the "Find a Provider/Facility" button above. It is your responsibility to verify and obtain the most current Tier participation each time services are obtained.
TIER 1 | |
Network | UMR United Healthcare Choice Plus Network |
Deductible | 0 |
Coverage | 100% after applicable co-pay or co-insurance |
Emergency / Urgent Care | 100% coverage after applicable co-pay ($50 for Urgent Care / $250 for Emergency*) |
* If the emergency visit results in an admission, the emergency visit co-payment will be waived and the inpatient admission co-payment will be applied.
The Cleveland Clinic EHP Third Party Administrator (TPA) is UMR. UMR's customer service department can be reached at 800.826.9781. If your issue is not resolved to your satisfaction after calling the TPA directly, please call the Cleveland Clinic EHP Customer Service Unit at 216.448.2247 (Option 2).