MMC Benefits Handbook
Cardiac Care
The program provides access to world-class care at Cleveland Clinic, in Cleveland, Ohio, and Anthem's Blue Distinction Provider 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).
For members that choose to have their inpatient surgery at Cleveland Clinic or an Anthem COE, the plan pays 100% of the costs after deductible.
$1,600 Deductible Plan
$3,200 Deductible Plan
Tier 1: Cleveland Clinic or Blue Distinction Provider
Covered at 100% after deductible
Covered at 100% after deductible
Tier 2: In-Network
You pay 20% after deductible
You pay 30% after deductible
Tier 3: Out-of-Network
You pay 40% after deductible
You pay 50% after deductible
See "Travel and Lodging" for information about reimbursement for travel and lodging expenses related to cardiac care.