Member Login

Insurance Plans

Individuals & Families Medical Dental Vision Short-Term Accident and Critical Illness Life

Medicare Medicare Advantage Plans with Prescription Drug Medicare Supplement Insurance Plans Find the Plan that Fits Your Needs

Employers Health Life and Disability Dental Vision Accident, Critical Illness and Hospital Indemnity Consumer-driven Health Products Federal Employees Health Benefits Program
Members

Members
Forms

FAQs

Mobile App
Providers

Providers
In the News

Policies and Standards Accessibility Standards Clinical Practice Guidelines Corporate Medical Policies Corporate Reimbursement Policies Medical Drug Management Medical Necessity Criteria and Clinical Review Guidelines Prescription Drug Resources Prior Approval and Investigational Services

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 Forms Healthcare Technology Assessment HEDIS Documentation Reference Guide Medical Mutual Service Accounts Outpatient Ambulatory Surgery Classification Groups
Brokers
About Us

About Medical Mutual
Corporate Profile Our Values Member Rights & Responsibilities Compliance Connection Accreditation & Awards Quality Improvement Program Your Community Is Our Community Diversity, Equity & Inclusion Leadership

Careers Culture Awards Our Subsidiaries Benefits Departments Students and Recent Grads Career FAQs Current Openings

News Newsroom Blog

Community Events for Seniors 2022 Outstanding Senior Volunteer Awards Senior Volunteer Award FAQs 2022 Senior Appreciation Week

1-844-583-3072 (TTY 711)

Individuals & Families Medical Dental Vision Short-Term Accident and Critical Illness Life

Medicare Medicare Advantage Plans with Prescription Drug Medicare Supplement Insurance Plans Find the Plan that Fits Your Needs

Employers Health Life and Disability Dental Vision Accident, Critical Illness and Hospital Indemnity Consumer-driven Health Products Federal Employees Health Benefits Program

Members

Forms

FAQs

Mobile App

Providers

In the News

Policies and Standards Accessibility Standards Clinical Practice Guidelines Corporate Medical Policies Corporate Reimbursement Policies Medical Drug Management Medical Necessity Criteria and Clinical Review Guidelines Prescription Drug Resources Prior Approval and Investigational Services

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 Forms Healthcare Technology Assessment HEDIS Documentation Reference Guide Medical Mutual Service Accounts Outpatient Ambulatory Surgery Classification Groups

About Medical Mutual

Policies and Standards

Skip Secondary Navigation Ribbons

Corporate Medical Policies

Medical Mutual's guidelines for determining coverage for specific procedures, therapies, devices and services.

Corporate Reimbursement Policies

Medical Mutual has certain policies that offer guidance for payment determinations for a service or guidance for the way a service should be billed to Medical Mutual.

Prescription Drug Resources

Learn more about our prescription drug programs, download our drug formulary lists and more.

Accessibility Standards

Accessibility standards help ensure our members receive timely and safe care.

Clinical Practice Guidelines

Evidence-based guidelines for treating patients with specific health issues.

Medical Drug Management

Learn more about our medical drug management program and how it's used to manage specialty drugs.

Medical Necessity Criteria and Clinical Review Guidelines

View our guidelines for evaluating whether a service is medically necessary.

Prior Approval and Investigational Services

Learn more about our prior approval and investigational service processes.