Compare and easily enroll in a Medical Mutual individual or family health insurance plan. View customozed Marketplace policies that provide quality benefits at the lowest possible rates. Senior MM Medigap plans are offered. Supplements, Advantage, and Part D prescription coverage is available. "Off-Exchange" plans are also offered.
Medical Mutual of Ohio is one of the Buckeye State's oldest health insurance companies. Established in 1934, this non-profit carrier offers affordable medical coverage to single persons, students, families and small or large business owners. Their rates are the most competitive of all of the large insurers. Until the Affordable Care Act was passed, they also offered high-risk plans through the state risk pool.
We help you find the MedMutual policy that best covers your personal needs at the lowest available rate. We review and service MM policies, and provide carrier-direct prices. It is not possible to get a lower rate through the insurer, another broker, or the Marketplace Exchange. Additional coverage is available for large and small employers, and ancillary products, including dental and vision benefits.
Medical Mutual Of Ohio Provider Networks
OhioHealth HMO Network - Available in the following counties: Athens, Delaware, Fairfield, Franklin, Hardin, Licking, Marion, Morrow, Pickaway, Richland, and Union.
ProMedica HMO Network - Available in the following counties: Wood and Lucas.
Mercy HMO Network - Available in the following counties: Allen, Butler, Champaign, Clark, Clermont, Columbiana, Hamilton, Lucas, Mahoning, Putnam, Trumbull, and Wood.
SuperMed POS Network - Available in the following counties: Ashland, Ashtabula, Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, and Summit.
Regardless if you need benefits for a few months or 20 years, our expert, but unbiased advice will help you pick out the most appropriate policy and quickly obtain coverage. If it is during Open Enrollment or a "Special Enrollment Period," you will be eligible for large federal subsidies that could drastically reduce your premium.
We will also provide the free information that MM offers customers, such as fitness tips, preventive benefit information, nutrition and dieting advice, and wellness/lifestyle advice that may help you relax and reduce stress.
J.D. Power and Associates ranked MM the highest of all Ohio carriers in "customer satisfaction" for 2015. Claims, benefits and policy choices for customers were also considered in the extensive study. More than 100 plan designs in 18 states were considered in the research. Their Consumer Reports ranking was also very favorable.
Exchange plans (both on and off) are very popular with Buckeye residents. High-deductible and comprehensive options utilize one of the most extensive provider networks in the state, including accessibility to the Cleveland Clinic, one of the finest medical facilities in the world. Shown below are the Ohio Health Exchange Metal Options.
Catastrophic plans are available to persons under age 30 that want basic major medical coverage. A federal subsidy does not apply so household income is not a factor. Persons that don't meet the age requirement, can attempt to prove "financial hardship" to become eligible.
Market Young Adult Essentials - $40 copay for the first three primary-care physician (pcp) visits, although specialist visits must meet policy deductible. Deductible is $7,150, and maximum out-of-pocket expenses are also $7,150 with 0% coinsurance. Prescription drugs and other covered expenses are paid at 100% after deductible has been met.
These plans are the least expensive "Metal-Tier" contracts and are eligible for federal subsidies. Typically, premiums remain fairly low, since deductibles and out-of-pocket maximums are higher than other tiers.
Market 7150 - $50 copay for the first three primary-care physician (pcp) visits, although specialist visits must meet policy deductible. $7,150 deductible with maximum out-of-pocket expenses of $7,150 and 0% coinsurance. Similar to "catastrophic" plan option, but Bronze-tier plans are eligible for federal subsidies.
Market 6400 HSA - HSA-eligible plan with $6,400 deductible, $6,400 maximum out-of-pocket expenses, and 0% coinsurance. HDHP-approved, tax-deductible deposits can be used to pay for qualified medical, dental, and vision expenses.
Market 500 - $5,000 deductible with $7,150 maximum out-of-pocket expenses and 40% coinsurance. Tier 1 and Tier 2 drugs subject to $40 and $80 copay. Non-preferred brand and specialty drugs subject to 50% coinsurance.
The Silver tier is the only group of plans that offer "cost-sharing," which can potentially reduce your deductible and/or out-of-pocket expenses by thousands of dollars. Your Federal Poverty Level (FPL) household income ratio determines eligibility.
Market 2400 - $2,400 deductible with $7,150 maximum out-of-pocket expenses and 20% coinsurance. Non-preventative office visits and all prescription drugs must meet deductible and coinsurance.
"Health Savings Account (HSA) Compatible"
HSAs combine quality healthcare with favorable tax benefits and investment choices. An MM HSA works like an IRA, except money deposited in the savings portion can be used to pay for approved medical, dental and vision expenses. There is a wide range of deductibles with an HSA, and preventative coverage is not subject to a deductible.
Generally, MM HSAs will cost less than similar policies from all other carriers in most parts of the state. Anthem BC is usually more expensive, but UnitedHealthcare and HealthSpan often feature lower prices. $6,000 and $4,000 are the most common deductible options.
HSA plans provide 100% coverage for specified medical expenses after the deductible. However, prior to the deductible being met, "network repricing" reduces your out-of-pocket expenses. Also, adult and child preventive benefits, such as routine physicals, routine mammograms, routine pap tests, well child care exams and well child immunizations are covered at 100%.
Short-term insurance is very inexpensive. This type of coverage is nearly perfect when benefits are needed for less than one year. Office visits (illness or injury) are covered with a $25 copay. Medical Mutual's short-term plans tend to be more expensive than other carriers. However, their coverage is also more extensive than many other companies.
UnitedHealthcare and other smaller carriers (such as HCC) are usually less costly if you only need temporary benefits. However, we advise choosing a recognized and established carrier with the larger provider networks.
We are committed to finding our clients the highest-quality policy at the most affordable rate. We include Medical Mutual in our quote engine, but also consider many other companies. And that's what you want - a completely independent resource that tells you what's best for you.
June 2015 - VSP (Vision Savings Pass) will again be included on all individual and group plans for 2016. The plan offers discount on many common services such as glasses, sunglasses, contact lens exams, frames, and laser vision correction. Also, a wellvision exam will only cost $50 when accompanied with a purchase of prescription glasses.
There is no limit to the number of times the plan can be used, and rebates and unique offers will also be made available. VSP providers are located throughout the state and offer many different popular brands.
August 2015 - Many MM policyholders may be receiving letters from "My Money Monitor," a company that uses state public unclaimed funds information. Typically, they notify consumers and charge a fee to release the specific information. The company is located in Bakersfield, California.
However, Medical Mutual customers, if contacted, can call the Ohio Department of Commerce and receive the payment information free. Their number is (877) 644-6823.
October 2015 - The SiverSneakers fitness program will now be included on Medical Mutual's Medicare Supplement plans. There will be no extra premium increase for this benefit. Thousands of fitness centers are available that offer services including Yoga, walking groups, swimming, social events, and educational activities.
May 2017 - Both PPO and HMO Medicare Advantage contracts are available. The 2018 Senior Open Enrollment period will begin October 15th and end on December 7th.