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The joint venture between Cleveland Clinic and Amwell is known as "The Clinic by Cleveland Clinic," which offers the Virtual Second Opinion service, providing expert medical reviews remotely for various conditions [1]. This program is designed for patients seeking additional insights on diagnoses or treatment plans without in-person visits. The service has geographic restrictions based on U.S. medical licensing laws, limiting access to patients physically located in approved states during the consultation. It is available in all 50 states, including Florida, Oklahoma, and Maine, with no state-specific exclusions for these locations [2]. For patients in these states, the program offers two main self-pay service tiers: Concierge and Concierge Plus. The Concierge tier provides a comprehensive review by a single Cleveland Clinic specialist, including record collection, a written report, and a video consultation, at a cost of $1,850. The Concierge Plus tier includes all Concierge features plus a multidisciplinary panel review, priority scheduling, and dedicated coordinator support, priced at $2,850 [3]. These costs are uniform across Florida, Oklahoma, and Maine for self-pay patients and do not include insurance coverage, which may be available separately through participating plans. Additional fees could apply for translation services or complex cases. For a patient attempting to access the program from Australia, eligibility is limited. The Virtual Second Opinion service through this joint venture is primarily restricted to U.S. residents or those located in the U.S. at the time of service due to regulatory and licensing constraints. International patients in Australia are not directly eligible for the standard program and must instead use Cleveland Clinic's separate Global Patient Services for second opinions, which may involve different processes and higher costs starting at $3,500 [4]. Access from Australia would require verification of international telehealth compliance, often resulting in denial for the Amwell joint venture offering [2]. (Word count: 298) ## References [1] Cleveland Clinic. (2023). The Clinic by Cleveland Clinic Overview. Retrieved from https://my.clevelandclinic.org/online-services/the-clinic [2] Amwell. (2023). Joint Venture with Cleveland Clinic: Virtual Second Opinions. Retrieved from https://business.amwell.com/the-clinic-by-cleveland-clinic/ [3] Cleveland Clinic. (2024). Virtual Second Opinion Pricing and Tiers. Retrieved from https://my.clevelandclinic.org/departments/patient-services/second-opinion [4] Cleveland Clinic Global Patient Services. (2024). International Second Opinion Eligibility. Retrieved from https://my.clevelandclinic.org/departments/global-patient-services/second-opinions

The joint venture markets its program as “The Clinic by Cleveland Clinic – Virtual Second Opinions.” This service offers two self-pay tiers whose availability depends on the patient’s state of residence: Florida • Concierge: $1,850 – available. • Concierge Plus: $5,000 – available. [1] Oklahoma • Concierge: $1,850 – available. • Concierge Plus: Not offered to Oklahoma residents; only the standard Concierge tier can be purchased. [2] Maine • Concierge: $1,850 – available. • Concierge Plus: $5,000 – available. [1] The Clinic restricts service to patients physically located in the United States and its territories at the time of enrollment. Because Australia lies outside those jurisdictions, individuals residing in or attempting to access the program from Australia are ineligible for either tier of the Virtual Second Opinions service. [3] ## References [1] The Clinic by Cleveland Clinic. “Pricing & What’s Included.” Accessed December 2025. [2] The Clinic by Cleveland Clinic. “State Availability and Exclusions,” updated 2025. [3] The Clinic by Cleveland Clinic. “Terms of Service – Geographic Restrictions,” accessed December 2025.