Program for Advanced Medical Care Process

A supplemental carve-out benefit for your employees and beneficiaries, the Program for Advanced Medical Care (PAMC) is a turnkey program — from marketing and communications, to eligibility, concierge treatment and payment — that eliminates any operational challenges. Qualified patients have their co-pay and deductible waived, and all travel costs (including companion) are covered.

Benefit Design & Availability

In order to provide an appropriate incentive to access Cleveland Clinic for care, the benefit waives all applicable co-pays and deductibles the employee would have faced if they accessed care through their underlying benefit plan. This provides a $0 out-of-pocket coverage for qualifying services, whereas out-of-pocket expenses for normal coverage could reach thousands of dollars for most of the qualifying procedures. The benefit is typically available to all employees that participate in an employer-sponsored plan.

Patient Logistics

Patients travel to Cleveland Clinic from all 50 states and more than 125 countries, so we are uniquely equipped to cater to the employees and family members who travel to us as part of their PAMC benefit . We provide patient advocates with expertise in the complexities involved in coordinating travel and executing the logistics necessary for accessing care away from home. Through PAMC, the employer covers all travel coordination, travel-related expenses for the employee and companion; including airfare, ground transportation, hotel and a daily per diem for meals and incidentals. By providing this full benefit package, the employer removes any financial and logistical barrier an employee may face in accessing top quality care from Cleveland Clinic.

Care Management

While receiving care at Cleveland Clinic, a care management team—consisting of a patient advocate, nurse and transitional care specialist—is assigned to provide care management services across both the event and post-discharge. This team is responsible for communicating follow-up care plans and coordinating the patient’s return to their local market. Our goal is to provide a coordinated care experience that begins well before the patient touches down in Cleveland and follows their progress after they’ve settled in at home.