Provider Network | Prescriptions | Online Tools | Health and Wellness | ID Cards

We understand making decisions about your health and healthcare is important to you. That is why we are excited to be Hyland's U.S. Medical Insurance provider. We offer a variety of tools and resources to help you best utilize your Medical Mutual healthcare plan.

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Search for In-network Providers

Medical Mutual’s SuperMed® PPO network is one of the largest provider networks in Ohio. Plus, you have access to the Aetna® Open Choice® PPO national network if you live, travel or spend significant time outside the SuperMed service area in the United States.

Find an in-network provider

When utilizing the provider search tool, be sure to select the correct network:

  • SuperMed PPO: Select this network if you live in the state of Ohio, or in Boone, Campbell or Kenton counties in Kentucky.
  • Aetna Open Choice PPO: Select this network if you live outside of the areas listed above or if you are traveling outside the areas listed above. Please review this flyer to learn more about your ID card and how to access your national network.

If you are unable to locate your current provider on the Aetna provider search page, please call Medical Mutual Customer Care at 1-888-404-0335 to verify whether the provider is in network for your plan.

For more information on how to get started using our provider search tool, please review these helpful tips.

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Prescription Drug Information

Price a Medication

You can find out if a specific medication is covered under your plan and obtain pricing information by using our prescription drug pricing tool. You can also review our prescription drug formulary, which is a list of drugs covered by your Medical Mutual plan. 

Mail-Order Prescriptions

To receive your prescription drugs using mail-order home delivery, fill out this form after you have received your Medical Mutual ID card.

Have Questions?

If you have a question about your medication coverage, visit the FAQs for additional resources.

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Manage Your Plan Online

After receiving your ID Card, you will have access to online tools to help you manage your plan:

  • My Health Plan – our secure member website helps you keep track of your plan. You can check your deductible, review your claims and Explanation of Benefits (EOB) statements, or find a provider in your network. Please review this flyer to get started.
  • MedMutual App – manage your plan when you’re on the go with our mobile app. To download the app, visit the App Store® or Google Play™ and search for MedMutual.
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Health and Wellness

Get the most out of your health plan with our wellness programs, online tools and more. A few of our resources include:

  • WW® Program – receive a discounted rate of nearly 50 percent when you participate in a Digital or Digital + Studio program.
  • Chronic Condition Management Program – our trained Health Coaches provide personalized support and help you manage your chronic condition, like asthma, diabetes and more. To learn more about these programs please contact us at 1-888-404-0335.
  • Nurse Line – a registered nurse is available to answer your health questions 24/7 by calling 1-888-912-0636.
  • Quit Line® – if you need help giving up your tobacco habit, our program can help. One-on-one coaching, a personalized plan and educational materials are available with no out-of-pocket costs. Learn more by calling 1-866-845-7702.

To get started with any of these programs, log in to My Health Plan after receiving your ID card.

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ID Cards

There are several ways you can access your ID card digitally:

  • My Health Plan – You can access a temporary ID card on My Health Plan. Once you log in to your account, the cards are found under Benefits & Coverage and Account Details. New members and those not yet registered for My Health Plan can use their Social Security numbers to register for an account.
  • Mobile App – You can also access your ID card by using the MedMutual mobile app. The app can be downloaded from the App Store® or Google Play™. Members can also text APP to 74028 for a link. Message and data rates may apply.
  • “In Lieu of ID Card” Letter –  If you have not yet received your ID card, you may also use this letter as proof of coverage until your ID card arrives.

While your name is printed on your Medical Mutual ID cards, any dependents covered by your health plan can use them. Additional cards are provided for covered dependents age 18 or older. After you receive your ID cards, you can view a list of covered dependents under your plan or order additional ID cards by logging in to My Health Plan and clicking “Who is Covered” under Benefits & Coverage.

Understanding Your Healthcare Coverage

Learn more about your coverage and how to get the most out of your health plan. You may also want to review Medical Mutual’s glossary of health insurance terms for more information.

Summary of Benefits and Coverage (SBC)

This document will help you better understand your healthcare coverage. It explains how services are covered by your plan, including out-of-pocket costs such as deductibles, coinsurance and copays.

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Coordination of Benefits

When you or a family member has coverage under more than one healthcare plan, research is needed to determine what each healthcare plan will cover. This is called coordination of benefits. You may receive a letter from Medical Mutual asking for information about other healthcare coverage you may have for yourself or your dependents. If you receive this type of letter, it is important that you respond with accurate and complete information.

Prior Authorizations

Some medical services, such as MRIs or outpatient surgeries, require prior authorization from Medical Mutual. Prior authorization requires that your physician obtain approval before you can receive the medical service. Prior authorizations can also be required for prescription drugs. Prior authorization helps keep healthcare costs under control and ensures that the services you receive are medically necessary and appropriate for your health condition. If your physician does not obtain prior authorization, you may have to pay more out of pocket. If you have questions or concerns about prior authorizations, please contact Medical Mutual’s Advocacy team at 1-888-404-0335.

Where to Find Care

When it comes to taking care of yourself or your loved ones, you want to get the best care as quickly and affordably as possible. Review our guide on where to find care for information about where to go when you feel like you need immediate care and cannot reach your primary care provider (PCP).

Telehealth services are gaining popularity with patients and providers. You can virtually connect with your provider by computer, tablet or smartphone. Learn more in our telehealth flier.

Taking care of your mental health is just as important as taking care of your physical health. You can find more information in our mental health appointment guide.

Care Transitions

If you are new to Medical Mutual, you may have questions about things like prior authorizations, step therapy for prescription drugs and continuity of care with your providers. Please review our frequently asked questions document to learn more.

Helpful Resources

 

SuperMed® is a registered trademark of Medical Mutual of Ohio. 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. The App Store is a registered trademark of Apple Inc. Google Play is a trademark of Google Inc.