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MEDICARE ADVANTAGE PLANS
MedMutual Advantage Plans
Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
MedMutual SeniorCare™
Upcoming Events
MEDICARE SUPPLEMENT INSURANCE PLANS
Our Medicare Supplement Insurance Plans
MedMutual Supplement Plus
Extra Benefits and Opportunities
ENROLLMENT INFORMATION
Medicare Eligibility Rules
When to Enroll
How to Enroll
MedMutual Advantage Member Resources
ABOUT MEDICARE
Understanding Medicare
The Parts of Medicare
Find the Plan that Fits Your Needs
Go to Individuals and Families Overview
PLANS AND PRODUCTS
Medical
Dental
Vision
Short-term
Accident and Critical Illness
Life
HEALTH AND WELLNESS PROGRAMS
Wellness Programs
Chronic Condition Management, Case Management and Maternity Programs
HEALTH INSURANCE EDUCATION
How to Get Health Insurance
What is Individual Health Insurance
Employer vs. Individual Insurance
How a Deductible Can Lower Your Premium
How to Select a Doctor
Types of Health Insurance Plans
Understanding an HSA
Understanding Health Insurance Costs
FAQs
Glossary
Go to Employers Overview
PLANS AND PRODUCTS
Small Group Health Plans
Midsize Group Health Plans
Large Group Health Plans
Dental
Vision
Life and Disability
Accident, Critical Illness and Hospital Indemnity
Health Savings Accounts (HSAs)
Flexible Spending Accounts (FSAs)
Health Reimbursement Arrangements (HRAs)
Prescription Drug
Federal Employees Health Benefit Program
HEALTH AND WELLNESS PROGRAMS
Workplace Wellness Programs
Add-On Programs
Employee Programs to Manage Chronic Conditions
Maternity Program
Case Management Program
Utilization Management and Medical Policy and Review
EMPLOYER RESOURCES
Tools and Resources
Prescription Drug Information
Mutual Appreciation Program
Value-Based Contracting
Transparency in Coverage Compliance
Creditable Coverage
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Go to Members Overview
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Forms
FAQs
Mobile App
News Category Arrow
Policies and Standards Category Arrow
Resources Category Arrow
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Go to Providers Overview
NEWS AND INFORMATION
Main News Feed
Recent: February 2025 Mutual News Bulletin
Recent: December 2024 Mutual News Provider Newsletter
Go to Providers Overview
POLICIES AND STANDARDS
Accessibility Standards
Clinical Practice Guidelines
Laboratory Management Policies
Medical Drug Management
Medical Necessity Criteria and Clinical Review Guidelines
Medical Policies
Prescription Drug Information
Prior Approval and Investigational Services
Reimbursement Policies
Go to Providers Overview
MEDICAL MUTUAL RESOURCES
Chronic Condition Management Program
Claims Edit System
Clinical Supply Materials
Continuity and Coordination of Care
Credentialing
Cultural Competency Resources
EFT and ERA
First tier, Downstream or Related Entities
Health Outcomes Survey Tip Sheet
Healthcare Technology Assessment
HEDIS Documentation Reference Guide
MedCommunity Resources
Medical Mutual Service Accounts
Outpatient Ambulatory Surgery Classification Groups
Risk Adjustment Information
EXTERNAL RESOURCES
Behavioral Health Shared Decision-Making Tools
Optum® EDC Analyzer™
Routine Test Management Provider Webinar
The Waco Guide
Go to Providers Overview
FORMS
Acute Discharge Planning Worksheet
Electronic Claims Waiver Request
Inpatient Behavioral Health Fax Form
Inpatient Medical Fax Form
Medical Record Attestation Form
Medicare Advantage Provider FDR Attestation Form
Member Forms
Network Provider Enrollment Form
Prior Approval Form
Provider Action Request Form
Provider Information Form
Request for Medicare Prescription Drug Coverage Determination Form
Request for Redetermination of Medicare Prescription Drug Denial Form
Waiver of Liability Form
Broker Resources Category Arrow
Go to Brokers Overview
BROKER RESOURCES
What Makes Medical Mutual Different
Broker Tools
Become an Appointed Producer
Corporate Profile Category Arrow
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News Category Arrow
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Go to About Us Overview
CORPORATE PROFILE
Mission and Vision
Subsidiaries
Accreditation and Awards
Community Outreach
Compliance Information
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Member Rights and Responsibilities
Quality Improvement Program
Go to Community Outreach Overview
SENIOR EVENTS
Past Senior Events
Go to About Us Overview
NEWS AND INFORMATION
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Go to Careers Overview
WORK AT MEDICAL MUTUAL
Culture
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Department Overviews
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Frequently Asked Questions
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This Medical Mutual of Ohio and its Family of Companies (collectively, “Medical Mutual”) website may contain links to other Internet sites (“Third Party Sites”) that are not maintained by or under the control of Medical Mutual. These links are provided solely for your convenience, and you access them at your own risk. Medical Mutual makes no warranties or representations about the contents of products, services or information offered in such Third Party Sites. Consequently, Medical Mutual is not and cannot be held responsible for the accuracy, copyright compliance, legality or decency of material contained in Third Party Sites linked to this Medical Mutual website. MedMutual Advantage are HMO, HMO-POS 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.

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