MMC Benefits Handbook
Cleveland Clinic Cardiac Concierge
The program provides access to world-class care at Cleveland Clinic, in Cleveland, Ohio, for non-urgent, complex heart surgical procedures, including Coronary Artery Bypass Grafting (CABG), Pulmonary Valve Procedures, Congenital Heart Defects, Aortic Valve, Mitral Valve Repair/Replacement, Cardiothoracic Procedures and Aortic Aneurysm (ascending thoracic only). Note that some of these procedures may require a second opinion from the Cleveland Clinic.
For members that choose to have their inpatient surgery at Cleveland Clinic, the plan pays 100% of the costs after deductible.
 
$400 Deductible Plan
$900 Deductible Plan
$1,500 Deductible Plan
$2,850 Deductible Plan
Tier 1: Cleveland Clinic
Covered at 100% after deductible
Covered at 100% after deductible
Covered at 100% after deductible
Covered at 100% after deductible
Tier 2: In-Network
You pay 20% after deductible
You pay 20% after deductible
You pay 20% after deductible
You pay 30% after deductible
Tier 3:
Out-of-Network
You pay 40% after deductible
You pay 40% after deductible
You pay 40% after deductible
You pay 50% after deductible
Travel and lodging expenses to and from your home will be reimbursed as defined below.
  • The patient is eligible for reimbursement if the facility is 100 miles or more from the patient's home.
  • The reimbursement for lodging expenses is limited to $50 per night.
The maximum reimbursement for all travel and lodging expenses is $10,000 per episode of care.