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ABOUT MEDICARE
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Medicare
Individuals and Families
Employers
Go to Medicare Overview
MEDICARE ADVANTAGE PLANS
MedMutual Advantage Plans
Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
Upcoming Events
MEDICARE SUPPLEMENT INSURANCE PLANS
Our Medicare Supplement Insurance Plans
MedMutual Supplement Plus
Extra Benefits and Opportunities
ENROLLMENT INFORMATION
Medicare Eligibility Rules
When to Enroll
How to Enroll
MedMutual Advantage Member Resources
ABOUT MEDICARE
Understanding Medicare
The Parts of Medicare
Find the Plan that Fits Your Needs
Go to Individuals and Families Overview
PLANS AND PRODUCTS
Medical
Dental
Vision
Short-term
Accident and Critical Illness
Life
HEALTH AND WELLNESS PROGRAMS
Wellness Programs
Chronic Condition Management, Case Management and Maternity Programs
HEALTH INSURANCE EDUCATION
How to Get Health Insurance
What is Individual Health Insurance
Employer vs. Individual Insurance
How a Deductible Can Lower Your Premium
How to Select a Doctor
Types of Health Insurance Plans
Understanding an HSA
Understanding Health Insurance Costs
FAQs
Glossary
Go to Employers Overview
PLANS AND PRODUCTS
Small Group Health Plans
Midsize Group Health Plans
Large Group Health Plans
Dental
Vision
Life and Disability
Accident, Critical Illness and Hospital Indemnity
Health Savings Accounts (HSAs)
Flexible Spending Accounts (FSAs)
Health Reimbursement Arrangements (HRAs)
Prescription Drug
Federal Employees Health Benefit Program
HEALTH AND WELLNESS PROGRAMS
Workplace Wellness Programs
Add-On Programs
Chronic Condition Management Program
Maternity Program
Case Management Program
Utilization Management and Medical Policy and Review
EMPLOYER RESOURCES
Tools and Resources
Prescription Drug Information
Mutual Appreciation Program
Value-Based Contracting
Transparency in Coverage Compliance

Member Resources
Go to Members Overview
MEMBER RESOURCES
Forms
FAQs
Mobile App

News
Policies and Standards
Resources
Forms
Go to Providers Overview
IN THE NEWS
Main News Feed
Recent: Healthcare Effectiveness Data and Information Set (HEDIS) General
Announcement
Recent: Q4 Mutual News Provider Newsletter
Go to Providers Overview
POLICIES AND STANDARDS
Accessibility Standards
Clinical Practice Guidelines
Medical Drug Management
Medical Necessity Criteria and Clinical Review Guidelines
Medical Policies
Prescription Drug Information
Prior Approval and Investigational Services
Reimbursement Policies
Go to Providers Overview
MEDICAL MUTUAL RESOURCES
Chronic Condition Management Program
Claims Edit System
Clinical Supply Materials
Continuity and Coordination of Care
Credentialing
Cultural Competency Resources
EFT and ERA
First tier, Downstream or Related Entities
Health Outcomes Survey Tip Sheet
Healthcare Technology Assessment
HEDIS Documentation Reference Guide
MedCommunity Resources
Medical Mutual Service Accounts
Outpatient Ambulatory Surgery Classification Groups
Risk Adjustment Information
EXTERNAL RESOURCES
Behavioral Health Shared Decision-Making Tools
The Waco Guide
Go to Providers Overview
FORMS
Acute Discharge Planning Worksheet
Home Healthcare Forms
Inpatient Behavioral Health Fax Form
Inpatient Medical Fax Form
Medical Record Attestation Form
Member Forms
Network Provider Enrollment Form
Prior Approval Form
Provider Action Request Form
Provider Information Form
Request for Medicare Prescription Drug Coverage Determination Form
Request for Redetermination of Medicare Prescription Drug Denial Form
Therapy Authorization Forms
Waiver of Liability Form

Broker Resources
Go to Brokers Overview
BROKER RESOURCES
What Makes Medical Mutual Different
Broker Tools
Become an Appointed Producer

Corporate Profile
Senior Community Events
News
Careers
Go to About Us Overview
CORPORATE PROFILE
Mission and Vision
Leadership
Subsidiaries
Accreditation and Awards
Community Outreach
Compliance Information
Diversity, Equity & Inclusion
Member Rights and Responsibilities
Quality Improvement Program
Go to Community Outreach Overview
SENIOR COMMUNITY EVENTS
Outstanding Senior Volunteer Awards
Senior Appreciation Week
Upcoming Senior Events and Sweepstakes
Past Senior Events
Go to About Us Overview
NEWS AND INFORMATION
Newsroom
Medical Mutual Blog
Go to Careers Overview
WORK AT MEDICAL MUTUAL
Culture
Benefits
Awards
Department Overviews
Students and Recent Grads
Frequently Asked Questions
Current Openings



HEALTH PLANS WITH HEART.
IN THE HEART OF IT ALL.


OHIO'S HEALTH INSURER

We are dedicated to the health and well-being of Ohioans in the communities
where we live and work. We offer plans that focus on total health, customized to
individuals and families, seniors and employees. Our plans include access to the
doctors and hospitals you know and trust, plus wellness and mental health
resources you need to feel your best.





INDIVIDUALS & FAMILIES

We offer a variety of individual health insurance plans to meet the needs of you
and your family, including medical, short-term, dental, vision and more.

Learn More


MEDICARE

Whether you are new to Medicare or just looking to get more our of your Medicare
coverage, we offer Medicare Advantage and Medicare Supplement Insurance plans to
meet your needs.

Learn More


EMPLOYERS

Building a competitive benefits package can help you stand out in the market.
Offer the total coverage that employees are seeking, like high-quality health,
dental, vision, life plans and much more.

Learn More


YOUR COMMUNITY IS OUR COMMUNITY

Our industry has evolved over the years, but one constant has remained, our
commitment to addressing the needs of our neighbors across Ohio.

Learn more


CHECK IN ON YOUR MENTAL HEALTH

The first step toward improving mental health is recognizing when you or your
loved ones are struggling. As a Medical Mutual member, you have access to a
variety of programs and resources that provide you the support you need and are
covered by your health plan.

Learn More


YOUR MEDICARE GUIDE IS HERE

As you get ready to retire, our Understanding Medicare Guide helps you navigate
Medicare insurance and figure out the right coverage for you health needs.

Download Now


COVID-19 RESOURCES

Stay up-to-date on the latest information about your benefits.




UNDERSTANDING MEDICARE ADVANTAGE

Medicare can be complicated; we want to help make it simple. Learn the ins and
outs from Veronica Hawkins, Vice President of Individual and Retiree Health
Solutions at Medical Mutual.

Get Started
Page last updated on 1/10/2024
Y0121_W0386_2023_M
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This Medical Mutual of Ohio and its Family of Companies (collectively, “Medical
Mutual”) website may contain links to other Internet sites (“Third Party Sites”)
that are not maintained by or under the control of Medical Mutual. These links
are provided solely for your convenience, and you access them at your own risk.
Medical Mutual makes no warranties or representations about the contents of
products, services or information offered in such Third Party Sites.
Consequently, Medical Mutual is not and cannot be held responsible for the
accuracy, copyright compliance, legality or decency of material contained in
Third Party Sites linked to this Medical Mutual website. MedMutual Advantage are
HMO and PPO plans offered by Medical Mutual of Ohio with a Medicare contract.
Enrollment in a MedMutual Advantage plan depends on contract renewal. Every
year, Medicare evaluates plans based on a 5-Star rating system.

© 2024 Medical Mutual of Ohio®
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FOR A LICENSED SALES AGENT

Call 1-844-583-3072
(TTY 711 for hearing impaired)


FOR A CUSTOMER CARE SPECIALIST

All times are Eastern Standard Time and exclude major holidays. Our automated
telephone system is available 24 hours a day, seven days a week for self-service
options. Call TTY 711 for hearing impaired.

Individual and Medicare Supplement Insurance Plans: 1-877-279-3216
Medicare Advantage Plans: 1-800-982-3117
Employer Group Plans: 1-800-382-5729

Monday-Thursday- 7:30 a.m. to 7:30 p.m.
Friday - 7:30 a.m. to 6 p.m
Saturday - 9 a.m. to 1 p.m

Medicare Advantage:

Monday- Friday 8 a.m. to 8 p.m. from April 1st through September 30th

Seven days a week 8 a.m. to 8 p.m. from October 1st through March 31st


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