Affordable Routine Care

  • $0 copay for primary care and specialist visits on Signature HMO-POS

  • $0 copay for primary care visits on Secure HMO-POS

  • $0 copays for Tier 1 and Tier 2 prescription drugs through mail-order and retail on Signature and Secure HMO-POS
     

Extra Coverage That Matters

  • Enhanced dental coverage up to $3,000 on Signature HMO-POS – including dentures and implants
  • Increased over-the-counter allowance up to $400 on Signature HMO-POS and $460 on Secure HMO-POS
  • Increased $300 eyewear allowance on Signature HMO-POS
  • $50 monthly grocery benefit on our Secure HMO-POS plan1
  • Transportation benefit now available without inpatient requirement
     

Peace of Mind with Out-of-Pocket Protection 

  • Reduced out-of-pocket maximum on our Access PPO and Secure HMO-POS plans

 

1Members must qualify for Special Supplemental Benefit for the Chronically Ill (SSBCI). No rollover. Restrictions apply

 

  MedMutual Advantage Signature HMO-POS MedMutual Advantage Classic HMO   MedMutual Advantage Secure HMO-POS MedMutual Advantage Access PPO 
Plan Number  H6723-006-006 H6723-001-002  H6723-005-001 H4497-005-003
 Good Fit For:

Learn more about our customer personas		 Value Seeker
Experience Seeker		  Managing Care Needs  Receiving Extra Help Value Seeker
Experience Seeker
 Premium $0 $0  $39 $0
 MOOP $3,300 $4,800  $3,350 IN: $4,300
OON: $7,990
 PCP $0 $0  $0 IN: $0
OON: $10
Specialist $0 $25  $20 IN: $30
OON: $55
Podiatry $0 $35  $20 IN: $30
OON: $55
Inpatient  $325 (Day 1-6) $285 (Day1-6)  $350 (Day 1-6) IN: $330 (Day 1-5)
OON: 40%
 Outpatient (Surgical) $340 $360  $310 IN: $340
OON: $400
 Diagnostic CT: $100
MRI: $125
PET: $125		 CT: $150
MRI: $225
PET: $225		 CT: $100
MRI: $125
PET: $125		 CT: $100
MRI: $175
PET: $175
OON: 40% for all
 ER (waived if admitted within 24 hours) $110 $110  $110 $110
Urgent Care  $25 $45  $20 $40
Rx Deductible $0
 $95 (Excludes Tier 1 and 2)
  $0 $0
 Preferred Rx Copays – 30 Day Retail Tier 1: $0
Tier 2: $0
Tier 3: $42
Tier 4: 50%
Tier 5: 31%
Tier 6: $0		 Tier 1: $0
Tier 2: $5
Tier 3: $42
Tier 4: 50%
Tier 5: 31%
 Tier 1: $0
Tier 2: $5
Tier 3: $42
Tier 4: 50%
Tier 5: 31%
 Tier 1: $4
Tier 2: $8
Tier 3: $42
Tier 4: 50%
Tier 5: 33%
Tier 6: $0
 Preferred Rx Copays – 90 Day Mail Order Tier 1: $0
Tier 2: $0
Tier 3: $110
Tier 4: 50%
Tier 5: NC
Tier 6: $0
 Tier 1: $0
Tier 2: $0
Tier 3: $110
Tier 4: 50%
Tier 5: NC
 Tier 1: $0
Tier 2: $10
Tier 3: $110
Tier 4: 50%
Tier 5: NC
 Tier 1: $0
Tier 2: $0
Tier 3: $110
Tier 4: 50%
Tier 5: NC
Tier 6: $0
Visitor/Travel Benefit  $7,500 $7,500  $7,500 $7,500
Dental  - $3,200 (preventive & comprehensive)
- 0% coinsurance up to benefit maximum (50% OON)
- Dentures and implants included (50% IN/OON)
 Preventive  - $2,500 (preventive & comprehensive)
- 30-50% coinsurance up to benefit maximum (50% OON)		 - $3,200 (preventive & comprehensive)
- 0% coinsurance up to benefit maximum (50-70% OON)
- Dentures and implants included (50% IN/ 70% OON)
 OTC Annually: $400
Quarterly: $100 (no rollover)		 Not Included Annually: $460
Quarterly: $115 (no rollover)		 Annually: $320
Quarterly: $80 (no rollover)
 Grocery Allowance  Not included  Not included  $50/monthly (no rollover)*  Not included
 Vision Exam: $0
Allowance: $300		 Exam: $0
Allowance: $200		 Exam: $0
Allowance: $200		 Exam: IN: $0 OON: $50
Allowance: $250
Hearing  Exam: $0
Hearing Aid Copay: As low as $499		 Exam: $0
Hearing Aid Copay: As low as $499		 Exam: $0
Hearing Aid Copay: As low as $499		 Exam: $0 (40% OON)
Hearing Aid Copay: As low as $499