Midsize Group Health Plans
Midsize businesses of 51-99 employees need competitive options. Medical Mutual has versatile funding choices so employers can fulfill their health plan goals, keeping employees healthy and satisfied.
Fully Insured
The Medical Mutual’s midsize fully insured plan is a cost-effective combination of PPO and HMO benefits with a built-in wellness program. The plan provides access to high-quality networks of doctors and hospitals, along with excellent customer service you and your employees deserve.
Level-funded
Meet Balanced Solutions, a level-funded plan that combines a predictable monthly cost with the possibility of a refund at the end of the plan year, after renewal. The monthly cost covers a claims fund, stop loss, and the cost of administering the plan. If there are claim funds left at year-end, you receive a refund.1
Reducing Deductible
Medical Mutual Reducing Deductible is a first of its kind health plan available only for midsize groups. Members decide if they want to complete three wellness activities each plan year to earn a lower deductible until reaching and maintaining the lowest possible deductible on year 3.
Group Plan Features
Smart Shopper
All fully-insured and level-funded group plans are equipped with SmartShopper, an online tool that guides members to health care savings and enables cash rewards. SmartShopper will be rolling out the plans in the coming months.
MedMutual Total HealthTM
Our new clinical standard, MedMutual Total Health, is available to make a difference in the health outcomes of employees. From the healthiest of employees, to those with more complex needs, our clinical team manages how our programs work together to maximize health and minimize costs.
Network Strength
We offer local and national network coverage with more than 12,000 primary care doctors, 46,000 specialists and 19,000 locations across Ohio, plus access to the Cigna Healthcare SM PPO network when travelling out-of-state.
Mutual Health Services
Our TPA, Mutual Health Services, unlocks flexibility, offering integration with 10 stop-loss carriers and 12 PBMs.
Advanced Pharmacy Benefit Management
More than 20 Medical Mutual pharmacists offer a layer of PBM oversight, working directly with patients' care teams to optimize clinical and cost effectiveness of prescriptions.