What happens if Cleveland Clinic and Anthem do not reach a deal?
Both sides say the current contract stays in effect through December 31, 2026 and that they are working toward a new agreement. Cleveland Clinic says that without one, all of its facilities and providers in Ohio will be out of network for certain Anthem plans starting January 1, 2027.
| Plan or service | What the two sides say |
|---|---|
| Anthem employer sponsored plans | Cleveland Clinic: out of network on January 1, 2027 if there is no agreement |
| Anthem Medicare Advantage plans | Cleveland Clinic: out of network on January 1, 2027 if there is no agreement |
| Anthem Medicaid, MyCare and Medicare supplement plans | Anthem: not impacted |
| Emergency care | Cleveland Clinic: not affected by the negotiations |
| Care before January 1, 2027 | Both: no change. Keep your appointments. |
Cleveland Clinic says one issue in the talks is denied insurance claims, which it says create delays in care. Anthem says its goals include limiting healthcare price increases for northeast Ohio families, employers and communities, and that it wants to keep Cleveland Clinic in its network. Cleveland Clinic says it is working with Anthem to seek continuity of care coverage for eligible patients, which could keep certain services in network for a limited time. Anthem decides who is eligible, and says members receiving care for a serious or complex condition may request it.
Which marketplace plans does Cleveland Clinic list?
| Marketplace plan | What Cleveland Clinic says |
|---|---|
| Cleveland Clinic + Oscar | Listed, with no end date |
| Anthem Blue Cross and Blue Shield Pathway HMO | Akron Surgical Associates, Wooster Clinic and Mercy Hospital only, through December 31, 2026 |
| Ambetter of Buckeye Health Plan | Mercy Hospital only, through December 31, 2026 |
| CareSource Marketplace | Akron General, Union Hospital and Mercy Hospital only, through December 31, 2026 |
| Molina Healthcare Marketplace | Mercy Hospital only, through December 31, 2026 |
| SummaCare SC Connect | Mercy Hospital only, through December 31, 2026 |
Only Cleveland Clinic + Oscar is listed without an end date. The other plans are listed for a few locations and only through 2026, so for 2027 treat them as not listed and ask the Clinic before you enroll. Healthinsurance.org reports that CareSource leaves Ohio's individual market after 2026 and that Molina will offer no on exchange plans for 2027, so those members need a new plan whichever hospital they use.
Open enrollment for marketplace plans runs from November 1, 2026 to January 15, 2027. Pick a plan by December 15, 2026 for coverage that starts January 1.
Which Medicare Advantage plans does Cleveland Clinic list?
| Medicare Advantage plan | What Cleveland Clinic says |
|---|---|
| Anthem Blue Cross and Blue Shield Medicare Preferred, Select and Senior Advantage | Listed through December 31, 2026 only |
| HealthSpring HMO and PPO | Listed through December 31, 2026 only |
| Buckeye Wellcare Medicare Advantage HMO | Mercy Hospital only, through December 31, 2026 |
| Aetna Medicare and AARP Medicare Advantage through UnitedHealthcare | Listed, with no end date |
| Humana, including Humana Cleveland Clinic Preferred | Listed, with no end date |
| Devoted Health, Medical Mutual of Ohio, SummaCare, UPMC for Life and Zing Health | Listed, with no end date |
The list is not a promise about 2027 for every plan a company sells. Look up the Cleveland Clinic doctors and locations you use in the 2027 directory of the exact plan you are considering.
What can I do now if I have Anthem?
Nothing has to change yet, but Medicare's annual enrollment period ends December 7, which is before the contract ends. If you have Anthem Medicare Advantage and want certainty about Cleveland Clinic, compare plans during October 15 to December 7, 2026.
- Anthem Medicare Advantage: look at plans that Cleveland Clinic lists with no end date, then confirm your doctors in each plan's 2027 directory.
- If you are in a Medicare Advantage plan on January 1, you can make one change from January 1 to March 31, 2027.
- Anthem Medicare supplement members: Anthem says you are not impacted.
- Employer plan members: ask your employer's benefits office whether other plan choices are offered during its open enrollment.
If you are thinking of leaving Medicare Advantage for Original Medicare, check the Medigap rules first. After your first six months on Medicare Part B, an insurer can usually ask health questions and may charge more or turn you down, unless you have a guaranteed right to buy.
How many people in Cuyahoga County use the marketplace?
| Measure | Cuyahoga County | Ohio |
|---|---|---|
| People who picked a plan | 53,885 | 469,616 |
| Received a premium tax credit | 83.2% | 82.6% |
| Average monthly premium before credits | $653 | $665 |
| Average monthly premium after credits | $230 | $233 |
| Paid $10 a month or less after credits | 11.7% | 16.9% |
| Picked a silver plan | 43.3% | 35.6% |
Cuyahoga County picked silver plans more often than Ohio as a whole, and fewer of its enrollees paid $10 a month or less after credits. These are 2026 numbers. Your 2027 price depends on your income, your household and the plans sold where you live.
Census estimates put Cleveland at 363,608 residents, with 15.2% age 65 or older and 14.6% speaking a language other than English at home. Among people under 65, 9.3% in Cleveland and 7.9% in Cuyahoga County have no health insurance.
How can a Cleveland agent help with the Anthem question?
An agent can check Cleveland Clinic and your other doctors in each Medicare or marketplace plan you are considering, explain the dates and tell you which plans stay the same whichever way the negotiation ends. Have your insurance card, your doctors' names and your prescriptions ready.
Health Insurance Solutions agents are licensed in 22 states and help by phone and online. Marketplace plans cost the same with or without an agent, so the comparison does not add to your premium.
Insurers and hospitals mentioned
Explore the organizations or brands discussed in this article. A mention does not mean every plan or location is covered.
- Hospital · OhioCleveland Clinic
- Hospital · OhioUnion Hospital
- Insurer · OhioAmbetter from Buckeye Health Plan
- Insurer · OhioAnthem Blue Cross and Blue Shield
- Insurer · OhioSummaCare
- Insurer · OhioUnitedHealthcare
- Medicare Advantage · OhioAetna Medicare
- Medicare Advantage · OhioAnthem Blue Cross and Blue Shield
- Medicare Advantage · OhioDevoted Health
- Medicare Advantage · OhioHealthSpring
- Medicare Advantage · OhioHumana
- Medicare Advantage · OhioMedical Mutual of Ohio
- Medicare Advantage · OhioUnitedHealthcare
- Medicare Advantage · OhioUPMC for Life
- Medicare Advantage · OhioWellcare
- Medicare Advantage · OhioZing Health
- Small-group insurer · OhioMedical Mutual of Ohio
- Small-group insurer · OhioUnitedHealthcare Ins Co of River Valley
- Small-group insurer · OhioUnitedHealthcare Insurance Company
- Small-group insurer · OhioUnitedHealthcare of Ohio, Inc.
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