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Online Forms - Member

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.

Claim Forms

  • 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.

Miscellaneous Forms

acrobat To view the Portable Document Format files (PDFs) on this site, download a free Acrobat Reader.

My Health Plan

Additional Online Forms

All member forms are available on My Health Plan.

All Member Forms

Find a Doctor

With Medical Mutual’s extensive network of doctors, hospitals and pharmacists, you’re sure to search and find a provider that’s right for you.

Search Now

Medical Mutual -
A Diverse Employer

Medical Mutual is committed to creating a diverse workforce.  We define diversity as all the factors that make a person unique, shape how they see the world and how they relate to others. 

Learn More

This Medical Mutual of Ohio Web site contains links to Web sites operated by third parties who are not under the control of Medical Mutual of Ohio or its affiliates and subsidiaries. Medical Mutual of Ohio disclaims all liability with regard to the information presented on these Web sites as well as your access to such linked Web sites. Medical Mutual of Ohio provides links to other sites as a service to users, and access to any other sites linked to Medical Mutual of Ohio is at your own risk.

© 2011 Medical Mutual of Ohio®