SkyCare Direct offers members full access to the MetroHealth System network of close to 1,000 top-quality providers. Designed to give members and their families access to primary care services in a fixed, predictable, cost-effective manner, it is an innovative alternative payment model for preventive and screening services. Most of all, members have no out-of-pocket costs for copays, coinsurance or deductibles associated with the covered primary care services. Additionally, members receive transparent and highly discounted pricing for all non-covered services.
Register now for your SkyCare Direct Plan. Download plan details.
To register, please click on one of the 3 plan buttons below to enroll.
Please have your demographic, insurance, and payment information ready. Membership fee varies depending on each individual’s age and payment frequency. After registration, a member of the Skyway team will contact you to confirm your information and activate your membership. Your membership card and other materials will then be mailed to you.
How do I know which plan will work for me?
Platinum -Consider this option if you are middle age or older or have chronic disease issues (diabetes, asthma, high blood pressure, etc.)
Premium -Consider this option if you are a middle age, active individual with intermittent medical needs
Preferred -Consider this option if you are young and healthy
For other frequently asked questions click here.
|Primary Care Visits*||Up to 3 ^||Up to 3 ^||Up to 4 ^|
|Routine age-appropriate immunizations and vaccines ^||Covered||Covered||Covered|
|Screening Mammogram including Tomosynthesis#||Covered||Covered||Covered|
|Cervical Cancer Screen**#||Covered||Covered||Covered|
|Complete Blood Count||Annually||Annually||Annually|
|Basic Metabolic Panel||Annually||Annually||Annually|
|Hepatic Function Panel||Annually||Annually||Annually|
|Hemoglobin A1c||Up to 2||Up to 2||Up to 2|
|Prostate specific antigen (PSA)#||Annually||Annually||Annually|
|Vitamin D level||Annually||Annually||Annually|
|Hepatitis C Screening#||Covered||Covered||Covered|
|Sexually-transmitted disease screening||Covered||Covered||Covered|
|Lead Screening (in children)#||Covered||Covered||Covered|
|Venipuncture (required for screening services)||Included||Included||Included|
|Bone Density Scan#||Not Covered||Included||Included|
|Screening Colonoscopy#||Not Covered||Covered||Covered|
|Basic X-Ray||Not Covered||1||3|
|Choose Plan: (Employers, click here to request a quote)||Join|
* Primary care visits include Family Medicine, Internal Medicine, Internal Medicine-Pediatrics, Pediatrics, Express Care, Retail (Discount Drug Mart Clinics)
^ For members under 2 years old, well-child visits will be covered according to the American Academy of Pediatrics guidelines. Therefore, these member may have up to 6 visits covered in the Preferred and Premium tiers, and up to 8 visits in the Platinum tier.
** Cervical cancer screens done by a gynecologist will be covered as long as performed during a coded preventive visit.
# Indicated by age appropriate guidelines and testing frequencies. For more information, visit www.cdc.gov/vaccines/index/html
Other diagnostic services, not listed above, including imaging and pathology, will not be covered under this plan but will be provided at preferred discount pricing.
Pending other insurance coverage, additional services needed will be provided and preferred discount pricing. Some notable excluded services: emergency medicine, maternity care, specialty providers, surgical services, physical/occupational therapy, speech therapy, dental care and inpatient services.
Payment is due on/before the 7th of the month, or $10 late fee will be assessed. Requires 12-month coverage commitment with one-time registration fee.