Care Excellence Program
A new solution for managing serious health conditions so you can get back to living life to the fullest.
Do you or a dependent have a complex, rare or undiagnosed condition that significantly impacts your daily life? Have you been unable to get answers from medical providers?
If so, you may be eligible for evaluation and treatment at Mayo Clinic—the world’s #1 rated hospital1—through the Care Excellence Program. This innovative collaboration between Premise Health, Mayo Clinic, and your wellness center is designed to help you and your dependents take charge of serious health issues. Participants will gain direct access to a world-class team of Mayo Clinic experts with experience in virtually every specialty and subspecialty.
The Mayo Clinic Complex Care Program makes it easier to get the care you need.
For eligible members, your Wellness Center will coordinate with Mayo Clinic to provide continuous care from start to finish. Services that you receive at Mayo Clinic through this program, including travel and lodging expenses, are covered by your health plan, with the exception of high deductible health plans.2
Outstanding benefits for eligible members:
- Program costs covered by your health plan (with the exception of high deductible health plans)3
- Rapid evaluation and accurate diagnosis of complex health conditions
- Highest quality care by a multidisciplinary team of Mayo Clinic experts
- Seamless coordination between your wellness center and Mayo Clinic specialists
- Travel, lodging and logistics conveniently arranged for you
- Shorter hospital stays and quicker return to everyday life and work
Here’s how to get started.
To see if you qualify, make an appointment with your Premise Health provider. If a complex, rare or undiagnosed health condition is identified during your visit, your provider may be able to request a referral to Mayo Clinic.
Here’s how to get started.
To see if you qualify, make an appointment with your Premise Health provider. If a complex, rare or undiagnosed health condition is identified during your visit, your provider may be able to request a referral to Mayo Clinic.
FAQ
Want to learn more about the program? Click on the questions below for answers to frequently asked questions.
What is Premise Health’s Care Excellence Program?
Premise Health’s Care Excellence program provides members access to the Mayo Clinic Complex Care Program, which offers enhanced benefits to eligible members facing complex, rare or undiagnosed health conditions. These individuals may be eligible to be referred to Mayo Clinic for evaluation and/or treatment. If you have a complex or rare condition, or you have been unable to find answers from other medical providers, the Mayo Clinic Complex Care Program may be able to help you get the care you need. Speak to your Premise Health provider to learn more about the program and eligibility.
Who should use the Care Excellence Program?
Mayo Clinic experts are trained in virtually every medical specialty and subspecialty. If you have a complex or rare condition that significantly impacts your day-to-day life, or you have been unable to get answers from other medical providers, you may be a candidate for evaluation and treatment at Mayo Clinic.
How does the program work?
If a complex, rare or undiagnosed health condition is identified during your visit with a Premise Health provider, you may qualify for evaluation or treatment at Mayo Clinic. If medically appropriate, your provider will then request a referral to Mayo Clinic on your behalf.
Your Premise Health team will work with Mayo Clinic to ensure your medical records and any other documents related to your health conditions are shared with the Mayo Clinic specialist reviewing your medical records. The Mayo Clinic specialist will determine if you need to travel to Mayo Clinic for further evaluation or treatment. If you decide to go to Mayo Clinic, travel and lodging for you and a caregiver will be arranged for you. After you return home, Premise Health and Mayo Clinic will work closely to coordinate your ongoing care.
Why is Premise Health collaborating with Mayo Clinic?
Delivering the best healthcare means pioneering innovative solutions that help Premise Health members live and work at their very best. To get there, we embrace collaborations with like-minded healthcare organizations to reimagine healthcare. Mayo Clinic offers Premise Health members access to experts who have world-class experience in complex, rare and undiagnosed conditions. As a result of the Premise Health and Mayo Clinic collaboration, you will experience seamless, integrated care from start to finish. Every aspect of care is coordinated to provide you with the right diagnosis and an individualized treatment plan. A process that at most places may take months, takes only days thanks to this Premise Health collaboration with Mayo Clinic.
What is Mayo Clinic, and where is it located?
Mayo Clinic is a nonprofit organization committed to clinical practice, education and research, providing expert, whole-person care to everyone who needs healing. With a focus on caring for patients with serious, complex illnesses, Mayo Clinic cares for more than one million people a year, from all 50 states and nearly 140 countries. Mayo Clinic is ranked as the #1 hospital in the nation by U.S. News and World Report and was ranked as the #1 hospital in the world by Newsweek. Mayo Clinic has major campuses in Rochester, Minnesota; Scottsdale and Phoenix, Arizona; and Jacksonville, Florida. Learn more about Mayo Clinic at mayoclinic.org.
If I receive care at Mayo Clinic, will it be covered by my health plan? Are there any costs I should be aware of?
Services that you or your covered family member receive at Mayo Clinic through this program are fully covered by your health plan after you’ve met your annual deductible. Covered services include travel and/or lodging expenses for you and one caregiver.
What about dependents covered by my health plan?
If your dependents have access to the wellness center, they are also eligible for the Mayo Clinic Complex Care Program. Contact your employer for more details.
How long will it take to hear back from Mayo Clinic?
If your Premise Health provider submits a referral request to Mayo Clinic, you can expect a phone call within two business days. Once Mayo Clinic has all your medical records, a specialist will confirm that you qualify for the program, and Mayo Clinic will begin to coordinate your individualized appointment itinerary.
1 Mayo is ranked #1 in the world by Newsweek.
2,3 If you are enrolled in a high deductible health plan, contact your employer for more details. Services not related to complex care evaluation or treatment are subject to plan deductibles, copays and out-of-pocket maximums for which you would ordinarily be responsible as outlined in your health plan.
