Federal Employees Health Benefits Program
Medical Mutual offers federal employees great healthcare coverage with our Standard and Basic and WellFlex plans.
COVID-19 Updates
Stay updated on the coronavirus (COVID-19). Learn more.
Plan Highlights for 2023
Our 2023 plans offer:
- MedFlex Medical Network: If you are enrolled on the Basic Option or Standard Option you will continue to have access to the MedFlex Network in 2023. Please be sure to determine if your existing providers are in the MedFlex network.
- New WellFlex Plan Option in the Southern Ohio: Members in the greater Cincinnati area have the option to choose the TriHealth WellFlex™ option network, which includes providers and facilities that are part of the TriHealth and St. Elizabeth Healthcare systems. You must live or work in Brown, Butler, Clermont, Green, Hamilton, Montgomery or Warren county to enroll in this plan.
- Walgreens Advantage Pharmacy Network: You will continue to have access to the Walgreens Advantage Network for retail prescriptions in 2023. The Walgreens Advantage Pharmacy Network provides access to most chain and independent pharmacies in Ohio.
- Preventive Medications at no cost: In addition to medications covered on the formulary when you fill a prescription for a medicine on the Standard Preventive Medications list at a network pharmacy, you will pay $0 out of pocket. The medicines on this list are typically taken to maintain good health and prevent illness.
- Drug Formulary: Please take time to review the 2023 National Preferred Formulary.
How to Enroll
To enroll in Federal Employee Health Benefits Plan, visit BENEFEDS.com or call 1-877-888-3337 (TTY 877-889-5680).
FEHB Enrollment Codes for the Medical Mutual Standard, Basic and WellFlex Plans
| Northern Ohio Standard & Basic Option If you live or work in Allen, Auglaize, Ashland, Ashtabula, Columbiana, Cuyahoga, Defiance, Erie, Fulton, Geauga, Henry, Huron, Lake, Lorain, Lucas, Mahoning, Medina, Mercer, Ottawa, Portage, Putnam, Richland, Sandusky, Seneca, Stark, Summit, Trumbull, Wayne, Williams, or Wood county |
Southern Ohio Standard & Basic Option If you live or work in Adams, Brown, Butler, Champaign, Clark, Clermont, Greene, Hamilton, Miami, Montgomery or Warren county |
Southern Ohio WellFlex Option If you live or work in Brown, Butler, Clermont, Greene, Hamilton, Montgomery or Warren county |
|---|---|---|
| 644 Standard Option – Self Only | YF4 Standard Option – Self Only |
F11 WellFlex Option – Self Only |
| 646 Standard Option – Self Plus One |
YF6 Standard Option – Self Plus One |
F13 WellFlex Option – Self Plus One |
| 645 Standard Option – Self and Family |
YF5 Standard Option – Self and Family |
F12 WellFlex Option – Self and Family |
| UX1 Basic Option – Self Only |
YF61 Basic Option – Self Only |
|
| UX3 Basic Option – Self Plus One |
YF63 Basic Option – Self Plus One |
|
| UX2 Basic Option – Self Plus Family |
YF62 Basic Option – Self Plus Family |
2023 Plan Documents
- 2023 Plan Brochure (Northern Ohio) — our plan brochure gives you an in-depth description of what is covered by our plans and also provides instructions for enrolling
- 2023 Plan Brochure (Southern Ohio) — our plan brochure gives you an in-depth description of what is covered by our plans and also provides instructions for enrolling
- 2023 Coverage Guide — review this reference guide to help you get the most out of your 2023 benefits
- 2023 Standard Plus Preventive Medication List (Genetics Only )
- Select Home Delivery Active Choice Program
- Over-the-Counter (OTC) COVID-19 Test Reimbursement Claim Form
- Over-the-Counter (OTC) COVID-19 Tests Reimbursement Process Flyer
Summary of Benefits and Coverage (SBC) and Uniform Glossary
- 2023 Summary of Benefits and Coverage (SBC) for Basic Option Plan (73-017 Northern Ohio & 73-899 Southern Ohio)
- 2023 Summary of Benefits and Coverage (SBC) for Standard Option Plan (73-017 Northern Ohio and 73-899 Southern Ohio)
- 2023 WellFlex Summary of Benefits and Coverage (SBC) for WellFlex Option plan. (73-899 Southern Ohio)
- Uniform Glossary — the Uniform Glossary is a list of commonly used healthcare terms and definitions designed to be used with an SBC
Dental and Vision Coverage
Although our plan doesn’t include dental and vision plans for federal employees, you can get coverage through the Federal Employees Dental/Vision Insurance Program (FEDVIP). You can obtain information regarding FEHB Dental/Vision benefits on BENEFEDS.com or by phone at 877-888-3337 (TTY 877-889-5680).
Need Help?
If you have questions or need help, please call FEHBP Employees/Annuitants Customer Care:
Call 1-800-315-3144 (TTY 711 for hearing impaired)
Monday – Thursday: 7:30 a.m. to 7:30 p.m.
Friday: 7:30 a.m. to 6 p.m.
Saturday: 9 a.m. to 1 p.m.
All times are Eastern Standard Time
Additional Information
Find a Provider
See what providers are in your plan's network:
Wellness Programs
We offer a variety of programs and tools that promote a healthy lifestyle. Learn more about our resources and how they can help you reach your wellness goals.
Prescription Drug Information
Review our prescription drug benefits and view a list of covered medications.
MedMutual Part B Reimbursement Account
Find out if you're eligible for Medicare Part B premium reimbursement.
Policies and Procedures
Learn more about important policies and procedures that impact your health plan.
Telehealth (Telemedicine)
Connect with your provider via computer, tablet or smart phone from the comfort of home.
Primary Care Provider (PCP) Visit Checklist
It is important to visit your primary care provider at least once a year. To help you make the most of your visit, we created a checklist with important tips and helpful reminders of what you should discuss with your provider.