Welcome, Hylanders!
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.
Contact Your Advocacy Team
As a Hylander and Medical Mutual member, you have access to a dedicated advocacy team to help you better understand your healthcare plan. Our advocates can help resolve any concerns you have with your healthcare coverage, such as benefits, out-of-pocket expenses, prior authorizations and claims denials. We can also connect you with a nurse case manager, pharmacist or social worker to address your healthcare needs. When you have questions, Medical Mutual can help you find answers.
1-888-404-0335
Mon. - Thurs. - 7:30 a.m. - 7:30 p.m. (ET)
Fri. - 7:30 a.m. - 6:00 p.m. (ET)
Sat. - 9:00 a.m. - 1:00 p.m. (ET)
How to Find In-network Providers
Using in-network providers can help you save money. MedMutual Find a Provider makes it easy to find in-network doctors, hospitals, specialists and pharmacies. Search for providers by specialty, location, condition, quality ratings, reviews and more. You can even filter results by gender, language spoken, hospital affiliation or specific practice.
Existing members can access Find a Provider on My Health Plan or in the MedMutual mobile app. If you’re not already a member, you can access Find a Provider by visiting MedMutual.com and clicking on Find a Provider in the upper right corner of the page.
For more information, read the following:
Be sure to select the correct network when searching:
- SuperMed® PPO network – Medical Mutual's SuperMed® PPO network offers coverage in all 88 Ohio counties and Boone, Campbell and Kenton counties in Kentucky. It includes almost every Ohio hospital and more than 70,000 providers.
- Cigna PPO® network – If you or one of your covered dependents live or spend significant time outside the Medical Mutual service area, you can rest easy knowing you’ll also have access to the Cigna PPO network. This makes it easy to get in-network care no matter where you are. It’s a great solution if you have a college student on your plan or you frequently travel outside Ohio.
- During Open Enrollment, you may view Cigna PPO network providers by choosing the 2024 plan year option. Next choose “SuperMed PPO and Cigna PPO network” to search.
For additional help finding a provider, call the Medical Mutual Advocacy Team at 1-888-404-0335. If you’re already a Medical Mutual member, call the Advocacy Team number on your member ID card.
Prescription Drug Information
Price a Medication
Current members should log in to My Health Plan at MedMutual.com/Rx and follow the directions to single sign-on to the Express Scripts website. On the Express Scripts website, select “Price a Medication” under the Prescriptions drop-down and enter your medication name then follow the instructions. This will provide real-time coverage and pricing information, including any amounts you may have paid toward your deductible and/or out-of-pocket.
Prospective members may use our prescription drug pricing tool to find out if a specific medication is covered under the Medical Mutual plan and get estimated pricing information. Review our 2024 prescription drug formulary for a list of drugs covered by your Medical Mutual plan.
Mail-Order Prescriptions
Use mail-order home delivery to have your prescription drugs delivered right to your door. It’s easy, convenient and can save you money. To get started, fill out this Home Delivery Order Form after you have received your Medical Mutual ID card in the mail.
Manage Your Plan Online
Managing your plan and health is easy with our online resources:
- My Health Plan – My Health Plan, our members-only website, puts you in control of your health and health plan. It’s personal, secure and convenient. Find providers, compare costs, view Explanation of Benefit (EOB) statements, and access valuable tools and resources to help you be your healthiest self. Review this My Health Plan flyer for help.New members who haven’t received their ID card yet may use their Social Security number to register and get started.
- MedMutual Mobile App – Use the MedMutual mobile app to manage your health plan wherever you are – at home, in your doctor’s office or on the go. You can even email or fax a copy of your member ID card to your provider – right from your smartphone. Search “MedMutual” in the App Store® or Google Play.™
Health & Wellness Programs
Whether you want to eat better, lose a few pounds, or stop smoking, let us help you take that important step to becoming a healthier you. To get started with any of these programs, log in to My Health Plan after receiving your member ID card
- WW® (formerly Weight Watchers) – Living a healthier lifestyle can reduce your risk of chronic disease, help you gain energy, and improve your quality of life. We’ve teamed up with WW® to help you get on the path to better health. Medical Mutual members save almost 50% when they start or renew their WW membership.
- Chronic Condition Management Program – Having a coach to guide you is empowering and helpful if you live with a chronic condition like diabetes, asthma, COPD, heart disease or hypertension. Medical Mutual's Chronic Condition Management program provides valuable information and coaching based on your specific needs.
- 24/7 Nurse Line – A registered nurse is available 24/7 to answer health questions. They can even help you choose the best place to receive care.
- Quit Line® – Kick the habit with Medical Mutual’s QuitLine, a free tobacco cessation program that’s designed to help you quit all forms of tobacco. You’ll receive one-on-one coaching, a personalized plan and a supply of nicotine replacement therapy.
- Fitness/Wellness Discounts – Save money on fitness club memberships, hearing aids, exercise equipment, and other products and services to help you live a healthier lifestyle. Log in to My Health Plan and choose Discounts from the Healthy Living tab at the top of the page.
Member ID Cards
Share your member ID card with your provider anytime you receive care. If you forget your ID card at home or haven’t received your ID card in the mail yet, don’t worry. Here’s how you can access a digital copy:
- My Health Plan – Log in to My Health Plan, our secure member website, to download and print a temporary copy of your member ID card. Choose ID Cards under the Benefits & Coverage tab.
- MedMutual Mobile App – You may also access your member ID card by using the MedMutual mobile app, available in the App Store® or Google Play™. You can even email or fax a copy to your provider.
While your name is printed on your Medical Mutual member ID cards, any dependents covered by your health plan can use them. Covered dependents age 18 or older receive their own card. Once you’ve received your ID cards in the mail, log in to My Health Plan and select the Benefits & Coverage tab. Choose “Who is Covered” to view a list of covered dependents on your plan. You may choose “ID Cards” to request additional cards.
Understanding Your Healthcare Coverage
Use these resources to compare plans and choose the one that’s right for you:
- Medical Mutual’s Glossary of Health Insurance Terms includes definitions for many common health insurance terms.
Your plan’s Summary of Benefits and Coverage (SBC) explains how services are covered by your plan including what out-of-pocket costs (e.g., deductible, coinsurance, copays) you’ll be responsible for paying.
Additional Information
Stay up to date with new information about your health plan.
Already a Member?
My Health Plan, our personalized member portal, puts you in control by helping you get the most out of your health and health plan. Log in to manage your plan, search for providers, price a medication and more.
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.
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.
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. For help deciding the best place to receive care when your primary care provider (PCP) isn’t available, check out our Where to Find Care flyer.
Virtually connect with your provider by computer, tablet or smartphone. It’s convenient, easy and covered by your plan just like a standard office visit. View our Telehealth Services flyer to learn more.
Taking care of your mental health is just as important as taking care of your physical health. Use our Mental Health Appointment Guide for suggestions on how to choose a mental health provider and how to prepare for an appointment with them.
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.
SuperMed,® and My Health Plan® are registered trademarks of Medical Mutual of Ohio. Cigna PPO® is a trademark of Cigna.
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WW® is a trademark of WW International, Inc.