Medical Mutual Medicare Advantage PPO and HMO Plans Achieve CMS’ Highest Rating

CLEVELAND, Ohio — Medical Mutual’s Medicare Advantage preferred provider organization (PPO) and health maintenance organization (HMO) plans both achieved the Centers for Medicare and Medicaid Services’ (CMS) top rating, 5 out of 5 Stars, for 2023.

This is the second consecutive year in which the Company achieved 5 Stars for its PPO plans. In addition, Medical Mutual elevated the rating of its HMO plans from 4.5 Stars in 2022.

CMS rates plans from 1 to 5 Stars, with 5 representing excellent performance. Insurers are evaluated on what they do to keep members healthy, including preventive screenings and vaccines; how well they help members manage chronic conditions like heart disease and diabetes; how responsive the plan is to making sure members get the care they need; how they help resolve member complaints; and customer service.

The 5-Star rating allows individuals to switch to a Medical Mutual Medicare Advantage plan anytime throughout the year. Lower-rated plans can only accept enrollment during the Medicare Annual Enrollment Period, which runs Oct. 15 through Dec. 7.

In addition, because Medical Mutual’s Medicare Advantage plans come with a Medicare Part D Prescription Drug Plan, we also were evaluated on our members’ overall satisfaction with the drug plan, drug pricing and patient safety.

“Medical Mutual is committed to keeping our members healthy through preventive care and management of chronic conditions. These exceptional ratings reflect that commitment,” said Dr. Tere Koenig, Medical Mutual Executive Vice President and Chief Medical Officer. “We also make member experience a priority. We always strive to provide outstanding customer service.”

“In my short time here at Medical Mutual, I’ve seen how dedicated our team members are to providing the highest quality of care and services to our members,” said President and CEO Steve Glass. “That dedication and genuine consideration allow us to provide an exceptional member experience. We will continue to strive to maintain these high standards.”

Medical Mutual entered the Medicare Advantage market in 2016, earning the highest enrollment of any new plan that year.

About Medical Mutual of Ohio

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual’s status as a mutual company means we are owned by our members, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

MedMutual Advantage plans are HMO and PPO plans offered by Medical Mutual of Ohio with a Medicare contract. Enrollment in a MedMutual Advantage plan depends on contract renewal. Every year, Medicare evaluates plans based on a 5-Star rating system.