Modern Healthcare

Cleveland Clinic, Humana launch co-branded Medicare Advantage plans

- — Lydia Coutré, Crain’s Cleveland Business

Cleveland Clinic and Humana are creating two Medicare Advantage health plans with no monthly premiums for seniors in the Cleveland area.

The Humana Cleveland Clinic Preferred Medicare Plans will be offered during this year’s Medicare Advantage and prescripti­on drug plan enrollment period, which runs from Oct. 15 to Dec. 7, with plan coverage beginning Jan. 1. The new plans build upon an existing value-based care agreement between the two organizati­ons.

Both Medicare Advantage plans—an HMO and a special needs plan for those covered by both Medicare and Medicaid—have no monthly premium and no copayments for primary-care physi- cian office visits and 30-day supplies of tier-1 prescripti­on drugs. They also require no referrals to see in-network specialist­s. The plans give members access to the clinic’s physicians, specialist­s and facilities, as well as independen­t physicians who are part of the Cleveland Clinic Quality Alliance.

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