Member Guide
Remember these tips to understand your care options, maximize your benefits and save money:
- Manage Your Plan 24/7
- Stay in Network
- Know What's Covered
- Avoid Unnecessary Trips to the ER
- Make Health & Wellness a Priority
- Use Your Preventive Care Benefits
Where to Find Care
If you can’t reach your PCP or you don’t have time for an office visit, you have options.
- Nurse Line
- Telehealth (Telemedicine)
- Convenience Clinic
- Urgent Care
- Emergency Room (ER)
Member Guide
Remember these tips to understand your care options, maximize your benefits and save money:
- Manage Your Plan 24/7
- Stay in Network
- Know What's Covered
- Avoid Unnecessary Trips to the ER
- Make Health & Wellness a Priority
- Use Your Preventive Care Benefits
Summary of Benefits
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately.
Make the Most of Your Membership
At Medical Mutual, our goal is to help our members make the best health choices possible while minimizing healthcare costs. We offer a variety of programs, discounts, tools and resources designed to do exactly that.Take a closer look at what’s available beyond your medical benefits.
Chronic Condition Management
Medical Mutual wants to partner with you to help you achieve your personal health goals and make sure you receive the care you need. Our Chronic Condition Management program is provided at no additional cost to you. This program supports the care you receive from your healthcare providers.
Explanation of Benefits
Medical Mutual is dedicated to providing comprehensive healthcare coverage.To help you get the most from your benefit coverage while keeping costs affordable, it is important that you understand your coverage and use your benefits according to your benefit plan or certificate of coverage. Reviewing your Explanation of Benefits (EOB) will help you better understand your benefits.
Online Tools
Here are three ways online tools from Medical Mutual make your health insurance information accessible 24 hours a day, no matter where you are. Visit MedMutual.com/Member to register.
