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MEDICARE ADVANTAGE PLANS
MedMutual Advantage Plans
Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
MedMutual SeniorCare™
Upcoming Events
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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
Employee Programs to Manage Chronic Conditions
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
Creditable Coverage
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Forms
FAQs
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News Category Arrow
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Resources Category Arrow
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Go to Providers Overview
IN THE NEWS
Main News Feed
Recent: October 2024 Mutual News Bulletin
Recent: Magellan Rx Management Services Changed its Name to Prime Therapeutics Effective Oct 1, 2024
Go to Providers Overview
POLICIES AND STANDARDS
Accessibility Standards
Clinical Practice Guidelines
Laboratory Management Policies
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
Optum® EDC Analyzer™
Routine Test Management Provider Webinar
The Waco Guide
Go to Providers Overview
FORMS
Acute Discharge Planning Worksheet
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
Waiver of Liability Form
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Go to Brokers Overview
BROKER RESOURCES
What Makes Medical Mutual Different
Broker Tools
Become an Appointed Producer
Corporate Profile Category Arrow
Senior Community Events Category Arrow
News Category Arrow
Careers Category Arrow
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
Toledo Senior Appreciation Tour
Past Senior Events
Go to About Us Overview
NEWS AND INFORMATION
Newsroom
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Go to Careers Overview
WORK AT MEDICAL MUTUAL
Culture
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MedMutual Advantage plans are HMO, HMO-POS and PPO plans offered by Medical Mutual of Ohio with a Medicare contract. Enrollment in a MedMutual Advantage plan depends on contract renewal. Out-of-network/non-contracted providers are under no obligation to treat Medical Mutual members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. SilverSneakers is a registered trademark of Tivity Health, Inc. Every year, Medicare evaluates plans based on a 5-Star rating system. Grocery card is a special supplemental benefit.

 

*Grocery card is only available to qualifying members with cardiovascular disorders, cancer, diabetes, chronic and disabling mental health, and chronic heart failure (other eligible conditions not listed). Eligibility depends on plan coverage rules and is not guaranteed solely on health condition. See your Evidence of Coverage for full details.

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