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Cleveland Clinic to Enforce Upfront Copay Collection for Nonemergency Visits Starting June 1

Patients unable to pay copays at check-in will face appointment cancellations, raising concerns about access to care for vulnerable populations.

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Overview

  • Cleveland Clinic will require patients to pay copays before or at check-in for nonemergency outpatient services starting June 1, 2025.
  • Appointments will be canceled or rescheduled if copays are not paid, a policy unique among major local hospitals.
  • Exceptions include emergency care, surgeries, inpatient stays, cancer treatments, urgent or express care visits, and Medicaid patients.
  • Critics, including health policy experts, warn the policy could delay critical care for low-income and chronically ill patients, exacerbating health disparities.
  • The Clinic defends the change as essential for operational sustainability and seamless care delivery, while offering multiple payment methods, including cash, cards, and digital options like Apple Pay and MyChart.