If you would like us to mail you certain documents related to our Medicare Advantage plans, just fill out the information below. * Required Information Tell us a little about yourself:* I am interested in a Medical Mutual Medicare plan. I currently am enrolled in a Medical Mutual Medicare plan. First Name* Last Name* Address* Address Line 2 City* State* Ohio Zip Code* County* --Select-- Adams Allen Ashland Auglaize Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Mercer Miami Monroe Montgomery Morgan Morrow Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot If you don’t see your county listed, Medical Mutual does not currently offer plans in that area. Phone Number Email Please select a plan year:* 2019 Benefit Year Select Plan(s):* 1 {A8D5891D-88C4-41AF-B571-462BC7035BD6} HMO 1 {C673E38C-7899-415E-9458-7CE233EFF513} PPO {0DF256AD-E218-4336-A254-EE1AEDFEE2FB} MedMutual Advantage Choice {51F7C828-01CB-4278-82F8-49C7B68509ED} MedMutual Advantage Classic {E3C84DEB-CBEC-480C-BBC5-E436B0841AF7} MedMutual Advantage Plus {AD079F41-1285-449C-8082-9746714BC7E8} MedMutual Advantage Preferred {8085082A-FCA7-45CA-B3C7-627BE15C4613} MedMutual Advantage Premium {DB901C05-FC80-4474-8813-1FFF510B278A} MedMutual Advantage Select {C3CC2BD6-6246-4E52-82DA-C62EAF70F0D6} Drug Formulary Would you like to receive a paper copy of this document each year?* Yes No Provider Directory: County* --Select-- Adams Allen Ashland Auglaize Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Mercer Miami Monroe Montgomery Morgan Morrow Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot {C943D6B2-B4A2-43AC-BC78-71183C2DA2F2} Medical Would you like to receive a paper copy of this document each year?* Yes No 1 {D1A0BD3C-7A2B-483B-A536-9B2D01BFD988} Dental Would you like to receive a paper copy of this document each year?* Yes No {6E1E52D8-5313-4ABF-A9D9-8E04730122A1} Pharmacy Would you like to receive a paper copy of this document each year?* Yes No 1 {B01C240C-6EE7-43C8-8CEB-B3ACAB26EB6C} Vision Would you like to receive a paper copy of this document each year?* Yes No URL Please confirm below box* Materials Request Selected Material Total 0 Selected Item No Items Selected Request Now Page last updated on 3/26/2018 Y0121_W0210_2017_Sep16 CMS Approved