The Official Health Insurer of Everything You Love®

At Medical Mutual, the health and well-being of Ohioans is our top priority. That’s why we offer high-quality health plans with access to the doctors and hospitals you know and trust. Plus, prescription drugs, wellness perks and more. We give you peace of mind, so you can enjoy life's best moments.

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Find a Provider

With our broad network of providers, you have access to nearly every healthcare professional in Ohio and 99 percent of the hospitals. If you or one of your covered dependents travel or spend significant time outside the Medical Mutual service area, you can access the Aetna® Open Choice® PPO network, which makes it easy to find an in-network provider no matter where you are. It is a great solution if you have a college student on your plan, or if you frequently travel outside of Ohio. Use our Find a Provider page to search for covered providers.

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Find a Prescription Drug

Search our 2020 formulary and 2021 formulary to find covered prescription drugs or learn more about our preventive care benefits.

 

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Tools and Resources on My Health Plan

My Health Plan, our member website with corresponding mobile app, puts you in control of your health and your health plan. Easily manage your plan or use our tools and wellness resources, like:

  • WW® Program (formerly Weight Watchers) – receive a discounted rate of almost 50 percent off the standard cost of the Digital, Digital + Studio and WW for Diabetes programs.
  • Chronic Condition Management Program – our trained health coaches provide personalized support and help you manage your chronic condition, like asthma, diabetes and more.
  • Nurse Line – call our Nurse Line to speak with a registered nurse who can answer your health questions 24 hours a day, 7 days a week.
  • QuitLine – quit tobacco use for good with one-on-one coaching, a supply of nicotine replacement therapy at no charge, and more.
  • Fitness Discounts – enjoy reduced enrollment and/or monthly fees at participating local and national fitness clubs.
  • My Care Compare – our online tool lets you compare costs of medical services before your appointment, so you can make the best choice for your health and your wallet.

Learn more about how My Health Plan can help you manage your benefits, or get started with any of these wellness programs by logging in to My Health Plan after receiving your ID card.

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Transition of Care Information For Enrolled Members

Clinical Care

In the rare instance that your provider is not in our comprehensive network, you may qualify for transition of care if you are in the middle of receiving active care.

During and after enrollment, this transition waiver may provide a short grace period to continue services with an out-of-network provider until care is completed and/or transitioned to a network provider. Examples of transition of care situations include pregnancy in last trimesters, active cancer care, a recent surgery, etc. Each request will be individually evaluated.

If your provider is not part of our network and you think you qualify for transition of care, call our Customer Care department at 1 (800) 677-8028 or complete our transition of care form.

Please note: Be sure to complete the form in full. Completing the form does not guarantee transition of care will be granted.

Prescription Drug Coverage

Prior to your effective date of coverage, you will receive instructions to give to your physician that explain how to submit a new prescription to Medical Mutual and Express Scripts.

Aetna® is a trademark of Aetna Inc. and is protected throughout the world by trademark registrations and treaties.

WW® is a registered trademark of WW International, Inc.