Company Logo
  • Find a Provider
  • Search
  • Contact Us
  • Login ⯆ ⯅
    Log in as a...
    Member
    Provider
    Broker
    Employer
Company Logo
  • Member Login
    Search
Insurance Plans Menu Arrow
Medicare Menu Arrow
Menu Arrow Medicare
Go to Medicare Overview
MEDICARE ADVANTAGE PLANS
MedMutual Advantage Plans
Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
MedMutual SeniorCare™
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
Individuals and Families Menu Arrow
Menu Arrow Individuals and Families
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
Employers Menu Arrow
Menu Arrow Employers
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
Members Menu Arrow
Member Resources Menu Arrow
Menu Arrow Member Resources
Go to Members Overview
MEMBER RESOURCES
Forms
FAQs
Mobile App
Providers Menu Arrow
News Menu Arrow
Menu Arrow News
Go to Providers Overview
IN THE NEWS
Main News Feed
Recent: October 2024 Mutual News Bulletin
Recent: December 2024 Mutual News Provider Newsletter
Policies and Standards Menu Arrow
Menu Arrow Policies and Standards
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
Resources Menu Arrow
Menu Arrow Resources
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
Forms Menu Arrow
Menu Arrow Forms
Go to Providers Overview
FORMS
Acute Discharge Planning Worksheet
Inpatient Behavioral Health Fax Form
Inpatient Medical Fax Form
Medical Record Attestation Form
Medicare Advantage Provider FDR 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
Brokers Menu Arrow
Broker Resources Menu Arrow
Menu Arrow Broker Resources
Go to Brokers Overview
BROKER RESOURCES
What Makes Medical Mutual Different
Broker Tools
Become an Appointed Producer
About Us Menu Arrow
Corporate Profile Menu Arrow
Menu Arrow Corporate Profile
Go to About Us Overview
CORPORATE PROFILE
Mission and Vision
Subsidiaries
Accreditation and Awards
Community Outreach
Compliance Information
Diversity, Equity & Inclusion
Member Rights and Responsibilities
Quality Improvement Program
Senior Community Events Menu Arrow
Menu Arrow Senior Community Events
Go to Community Outreach Overview
SENIOR COMMUNITY EVENTS
Outstanding Senior Volunteer Awards
Toledo Senior Appreciation Tour
Past Senior Events
News Menu Arrow
Menu Arrow News
Go to About Us Overview
NEWS AND INFORMATION
Newsroom
Medical Mutual Blog
Careers Menu Arrow
Menu Arrow Careers
Go to Careers Overview
WORK AT MEDICAL MUTUAL
Culture
Benefits
Awards
Department Overviews
Students and Recent Grads
Frequently Asked Questions
Current Openings
Find A Provider
Contact Us
  • Insurance Plans Menu Arrow
  • Members Menu Arrow
  • Providers Menu Arrow
  • Brokers Menu Arrow
  • About Us Menu Arrow
1-800-543-3241 (TTY 711)
Medicare Category Arrow
Individuals and Families Category Arrow
Employers Category Arrow
Go to Medicare Overview
MEDICARE ADVANTAGE PLANS
MedMutual Advantage Plans
Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
MedMutual SeniorCare™
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
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
Member Resources Category Arrow
Go to Members Overview
MEMBER RESOURCES
Forms
FAQs
Mobile App
News Category Arrow
Policies and Standards Category Arrow
Resources Category Arrow
Forms Category Arrow
Go to Providers Overview
IN THE NEWS
Main News Feed
Recent: October 2024 Mutual News Bulletin
Recent: December 2024 Mutual News Provider Newsletter
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
Medicare Advantage Provider FDR 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
Broker Resources Category Arrow
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
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
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

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.

© 2024 Medical Mutual of Ohio®
  • 中文
  • Deutsch
  • Français
  • Pennsylvania Dutch
  • Warra Kush - Oromoo
  • العربية
  • Italiano
  • 日本語
  • 한국어
  • Diné Bizaad
  • Nederlands
  • Limba română
  • Русский
  • Español
  • Tagalog
  • Українською мовою
  • Tiếng Việt
Twitter Facebook Linkedin Youtube Instagram

For a licensed sales agent

1-800-543-3241
(TTY 711)

For a Customer Care specialist

1-800-982-3117
(TTY 711)

Monday - Friday 8 a.m. - 8 p.m.
 
All times are Eastern Standard Time. All hours listed exclude major holidays. Our automated telephone system is also available 24 hours a day, seven days a week for self-service options.

Location

100 American Road, Brooklyn OH 44144

  • Home
  • Accessibility
  • Compliance and Fraud Reporting
  • HIPAA Privacy
  • Nondiscrimination Notice
  • Legal
  • Website Privacy
  • Star Ratings
  • Rights & Protections Against Surprise Medical Bills

Title

Content

Medical Mutual Medicare

You are leaving Medical Mutual’s Medicare section. You will be viewing content from one of our non-Medicare sections or from a third-party.