Provider Network
For our ONA members, EHP offers a two-tier provider network. The tier you select determines the amount of coverage you will receive. To receive maximum coverage, you must use Tier 1 Providers. It is your responsibility to verify and obtain the most current Tier participation each time services are obtained. To locate a provider, click here. You must first register with Aetna to view your plan specific network.
| TIER 1 | TIER 2 | |
| Network | Cleveland Clinic Quality Alliance (QA) | Aetna® Select Open Access |
| Deductible | None | $500 Single / $1,500 Family |
| Coverage | 100% after applicable co-pay or co-insurance | 70% after deductible and applicable co-pay or co-insurance |
| Emergency/ Urgent Care | 100% coverage after applicable co-pay ($50 for Urgent Care / $250 for Emergency*) | 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.
Cleveland Clinic employees should go directly to the third-party administrator (TPA) to resolve any claims payment issues. The Cleveland Clinic EHP Third Party Administrator (TPA) is Aetna. The Aetna concierge customer service department can be reached by calling 1.833.414.2331. You can access your health benefit information by registering at Aetna.comor download the free Aetna mobile app for more convenient access to your benefits. Click here for detailed instructions. If your issue is not resolved to your satisfaction after calling the TPA directly, please call the Cleveland Clinic Customer Service Unit at 216.986.1050 (Option 1).
