Connecting You to World-Class Care: Complimentary Second Opinion Program

This document outlines the details of a program offering Anthem members a complimentary virtual second opinion from Cleveland Clinic specialists for complex medical conditions.

Connecting you to world-class care Receive a complimentary second opinion from Cleveland Clinic specialists If you are someone with a complex medical condition, you may want to learn as much as possible about your diagnosis and treatment options. Through an exclusive offering for Anthem members, you can now receive a virtual Complimentary Clinical Review from top-ranked specialists at Cleveland Clinic. This second opinion is available to you at no extra cost. Frequently asked questions Why is this program available? For members to have access to leading experts in specialties such as heart, cancer, gynecology, and urology.1 That’s why Anthem partnered with Cleveland Clinic to provide this Complimentary Clinical Review. Why Cleveland Clinic? Cleveland Clinic ranks No. 1 in the nation in cardiology and heart surgery for the 29th year in a row, according to the U.S. News & World Report’s 2023–2024 review.2 Cleveland Clinic also ranks No. 2 among U.S. hospitals overall, with more than 3,900 employed doctors to diagnose and treat your condition. The staff is committed to providing the best care for serious and complex medical conditions. Who is the ideal candidate for a Complimentary Clinical Review? You are an ideal candidate if you have been diagnosed with a complex condition and would like a second opinion. You will learn about typical treatment plans that may be right for you and find out if Cleveland Clinic can assist with your care. What happens when I schedule a review? A specialty referral team will answer questions you may have and ask for basic information about your condition. Next, Cleveland Clinic will ensure that the right doctor will review your information and share a typical treatment plan based on your medical condition. The doctor may also talk to you about more-advanced treatment options at Cleveland Clinic. 1034723INMENABS Rev. 06/24

How long is the wait for a clinical review after I request one? Cleveland Clinic will work with you to obtain the appropriate information and medical records. You will receive feedback within five business days, by phone or email. How much does it cost? The review through Cleveland Clinic is currently offered at no cost to Anthem members. Charges will apply if you choose to schedule follow-up visits. How do I know if my benefits cover follow-up care? After your Complimentary Clinical Review, you can choose to schedule an appointment with a Cleveland Clinic specialist. Your Anthem benefits will apply for both virtual and in-person visits. For more information on what services are covered, please contact the Anthem Member Services team at the number provided on your health plan ID card. What is the difference between a clinical review and a scheduled visit? Complimentary Clinical Review Scheduled visit Available at no extra cost. Billable visit. Copay will apply. Receive education about typical treatment options based on your medical information. Receive a diagnosis for your condition and a treatment plan. Receive advice and information about alternate or advanced treatment options available at Cleveland Clinic. Schedule follow-up visits or tests. Feedback from Cleveland Clinic specialty referral team is provided by phone or email. Feedback is provided in person or virtually. Request your virtual clinical review at no extra cost Call 833-355-0454 or email [email protected]. 1 Complimentary Clinical Review is available for all healthcare services except primary care, obstetrics, laboratory medicine, radiology, and emergency services. 2 U.S. News and World Report: U.S. News Best Hospitals (2023–2024): health.usnews.com. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.