Cleve­land Clinic, Hu­mana launch co-branded Medi­care Ad­van­tage plans

Modern Healthcare - - REGIONAL NEWS - — 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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