Learn about our 2023 Medicare Advantage plans in Select Ohio counties.

2023 Highlights 

  • $0 monthly premium available on Classic HMO plan.
  • $0 mail-order copay for preferred Tier 1 and Tier 2 drugs on Classic HMO plan.
  • SilverSneakers® fitness membership included at no additional cost.
  • New lower inpatient and outpatient surgical copays on Classic HMO plan.

Plan Overview

  MedMutual Advantage® Classic HMO  MedMutual Advantage® Select PPO 
Premium  $0 $100
MOOP $5,850 $6,900 IN
$11,300 OON
 PCP $5 $10 IN
30% OON
Specialist $45 $45 IN
30% OON
Inpatient $325 (Day 1-6)
 $420 (Day 1-5) IN
30% OON
Outpatient
(Surgical)		 $435
 $450 IN
30% OON
Diagnostic CT: $150
MRI: $225
PET: $225
 CT: $150 IN
CT: 30% OON
MRI: $225 IN
MRI: 30% OON
PET: $225 IN
PET: 30% OON
ER $90 $90
Urgent $45 $45
Rx Deductible
(excl. T1 & T2)
 $95 $95
Preferred Rx Copays – 30 Day Retail
 Tier 1: $0
Tier 2: $5
Tier 3: $42
Tier 4: 50%
Tier 5: 31%
Tier 6: N/A
 Tier 1: $0
Tier 2: $5
Tier 3: $42
Tier 4: 50%
Tier 5: 31%
Tier 6: N/A
Preferred Rx Copays – 90 Day Mail Order
 Tier 1: $0
Tier 2: $0
Tier 3: $110
Tier 4: 50%
Tier 5: N/A
Tier 6: 0%
 Tier 1: $0
Tier 2: $10
Tier 3: $110
Tier 4: 50%
Tier 5: N/A
Tier 6: N/A
MedMutual Advantage Travel Plus™
 $2,500 coverage for care received outside of Ohio $2,500 coverage for care received outside of Ohio
Dental Preventive Preventive
OTC Not included $15 quarterly
 Extra Benefits These programs and services are included with all MedMutual Advantage plans and are designed to help members stay healthy, get better and recover comfortably.

• SilverSneakers® fitness membership – Access to 17,000+ facilities and numerous fitness classes
• WW® (Weight Watchers Reimagined) – Discounted membership rates for enrolling in a Digital, Digital + Studio and WW for Diabetes programs.
• Chronic Condition Management Program - Helps members manage chronic conditions and maintain their independence by providing a trained health coach to develop a personalized plan supplementing the care you get from your doctor.
• Member Assistance Program – High-risk members are paired with a personal advocate who can help coordinate in-network care and connect them with resources to help them better manage their health and remove barriers to care.
• Tobacco Cessation Program – One-on-one sessions with a trained coach who works with members on a quit plan and provides support.
• 24-Hour Nurse Line – A clinical expert provides answers to health questions 24 hours a day, seven days a week.
• Telemedicine – Members can connect with a health provider electronically to ask a medical question, get help with diagnosing common illnesses and get prescriptions.
• Palliative Care – Care coordination and home-based support services to help improve quality of life for members with serious illnesses.