In response to public concern, the Cleveland Clinic has adjusted its forthcoming copay collection policy, set to begin June 1, to offer more flexibility for insured patients facing financial hardship.
Originally, the policy required patients to pay their insurance copays prior to receiving nonemergency outpatient care or risk having their appointments rescheduled. Under the revised guidelines, patients with commercial insurance or Medicare Advantage who are unable to pay upfront can now enroll in a 0% interest payment plan, allowing them to keep their appointments without interruption.
The health system emphasized that the changes are intended to ensure continuity of care, not to deny access. In a message to patients, the Clinic reaffirmed its commitment to both its mission of care and its operational sustainability.
“Copays are determined by insurers and are expected at the time of service,” the statement said. “Collecting these helps us continue providing high-quality care while investing in the communities we serve.”
The policy applies to nonemergency outpatient services, including scheduled office visits, therapy sessions, imaging, lab work, and outpatient procedures. Patients covered by traditional Medicare or Medicaid, as well as those receiving emergency care, cancer treatment, or inpatient services, will not be required to pay copays upfront—though they may still be billed later.
Cleveland Clinic noted that more than half of copays were left unpaid at the time of service in 2024, prompting the need for a more structured payment process. The organization stressed that financial assistance remains available for patients unable to cover the cost of care.
In 2023 alone, the Clinic provided over $260 million in financial aid to more than 100,000 patients and continues to invest in broader community health initiatives. Recent contributions include millions directed toward eliminating lead exposure, combating food insecurity, and expanding access to affordable housing and addiction recovery services.
The updated policy aims to balance financial responsibility with compassionate care, ensuring that patients continue to receive necessary services without compromising the Clinic’s long-term mission.