Ohio's Get-Well Card ®
Sign In to My Health Plan
The following forms are provided for your convenience. If you have any questions please call the number on the back of your Medical Mutual ID card.
Medical Mail this form to: Medical Mutual, PO Box 6018, Cleveland, OH 44101-1018
Dental
Hearing
Vision
Major Medical Prescription Drug Please Note: Use this form only if you forget your card at time of purchase. You will maximize your benefits and be guaranteed the lowest price when you use your ID card at time of purchase.
Medco® Prescription Drug Please Note: You will maximize your benefits and be guaranteed the lowest price when you use your ID card
FlexSave Health Care and Dependent Care Please Note: Your plan needs to be administered by Medical Mutual Services to use this form. Contact customer service at 800/525-9252 with questions.
FlexSave Parking and Transportation Please Note: Your plan needs to be administered by Medical Mutual Services to use this form. Contact customer service at 800/525-9252 with questions.
Student Verification
Disability Verification
FlexSave Direct Deposit Form Please Note: Your plan needs to be administered by Medical Mutual Services to use this form. Contact customer service at 800/525-9252 with questions.
All member forms are available on My Health Plan.
All Member Forms
