Out of Network Insurance Plans

Important: Thank you for choosing The MetroHealth System for your healthcare needs. Although we welcome most insurances, there are some specific payer benefit plans that may consider certain hospitals and providers to be out of network. 

Please understand that the below insurance products are currently considered Out-of-Network for MetroHealth and its Providers. If you are covered under the below benefit plans, you may have no coverage or a higher out of pocket expense if you do not receive services within your designated network.

Be sure to contact your insurance company to verify your benefits coverage and network access, because those are specific to you.

Please be aware, change sometimes occurs over time, so even if you have the same payer, you should always confirm your benefit coverage and network requirements for desired healthcare services.

We appreciate you wanting to come to MetoHealth for your care.  For non-emergent services, it is important for us to make you aware of how your Out of Network plan provides coverage and what your out of pocket expenses will be.

Appointments may not be scheduled until you contact Pre-Service Department at 216-957-2325 Option #3.

Out of Network 

• Anthem-HPN Blue Connection 
• Anthem-University Hospital Employee Plan
• Humana-Cleveland Clinic Foundation Only
• MedFlex-University Hospital Only
• MediBlue Prime Select HMO-Cleveland Clinic Foundation Only
• Medical Mutual-Mercy Plus Plan
• Oscar-Cleveland Clinic Foundation Only
• SCConnect (Summa Health ACO)
• SummaCare Preferred Choice Network
• SummaCare Medicare Amber HMO
• SummaCare Medicare Topaz HMO
• SummaCare Medicare Garnet HMO
• SummaCare Medicare Ruby HMO
• SummaCare Medicare Sapphire HMO/POS
• SummaCare Medicare Emerald HMO/POS
• Tri-Care (Tier Level Out-of-Network)