GPT-5.1 vs Gemini 2.5 Pro

The virtual second opinion service is provided by The Clinic by Cleveland Clinic, a joint venture between Cleveland Clinic and Amwell. It offers two main products: a U.S. Virtual Second Opinion (video visit plus medical-record review) and an International Clinical Review Program (written report only). For U.S. residents, state-based physician licensing limits availability. The Clinic explicitly lists New York as a state where its virtual second opinion program is **not available**; New York residents are currently ineligible for the service.[1] In contrast, Maine is listed among the states where the U.S. Virtual Second Opinion service **is available**, allowing Maine residents to have a virtual visit with a Cleveland Clinic specialist and receive a written opinion.[1][2] The International Clinical Review Program is targeted to patients who live outside the United States and provides a written expert review and recommendations, without a live video visit or establishment of a physician–patient relationship.[2] The Clinic’s site states that the international second opinion service is priced at **$1,850 USD**.[2] Regarding Germany, the program is described as available to “patients who reside outside of the United States” with examples including Europe and the Middle East, and does not list Germany among any excluded countries.[2] Therefore, based on current published information, residents of Germany **can** access the International Clinical Review Program (written report only). ## References list [1] The Clinic by Cleveland Clinic – “Where is The Clinic currently available?” (state availability list). [2] The Clinic by Cleveland Clinic – International Clinical Review Program description and pricing.

The virtual second opinion service delivered through the joint venture between Amwell and the Cleveland Clinic is called "The Clinic by Cleveland Clinic" [1]. This program offers uniform access across the United States, meaning there is no difference in the level of service available to a patient residing in New York versus one in Maine. Patients in all 50 states are eligible for the full service, which begins with the collection of medical records and includes a virtual, face-to-face consultation with a Cleveland Clinic specialist [2]. After the live virtual visit, the patient receives a detailed written report. This report contains the specialist’s expert opinion, answers to the patient's specific questions, and relevant educational materials [1]. Thus, individuals in both New York and Maine have equal access to the complete virtual visit and a subsequent written summary. For patients residing outside the United States, the stated cost for an international second opinion is a flat fee of $1,850 USD [3]. This international service package is designed to be globally accessible, though it is not available in a short list of specific countries due to regulations or other factors. Germany is not on this list of excluded nations. Consequently, the virtual second opinion service from The Clinic by Cleveland Clinic is currently available to residents of Germany seeking an expert consultation from a Cleveland Clinic specialist [3]. ## References [1] The Clinic by Cleveland Clinic. (n.d.). *How It Works: For U.S. Patients*. Retrieved from my.theclinic.io/how-it-works/us [2] Amwell. (2022, November 17). *Amwell and Cleveland Clinic Announce New Joint Venture to Power Digital Care*. Retrieved from business.amwell.com [3] The Clinic by Cleveland Clinic. (n.d.). *How It Works: For International Patients*. Retrieved from my.theclinic.io/how-it-works/international