1. MedMutual Advantage PPO Plan Overview

2. Medical Mutual Overview
One of the largest health insurance companies in Ohio
85+ years of Ohio healthcare innovation and expertise
Mutual company
Owned by more than 1.5 million members
Focus on member health and wellness
Commitment to Ohio communities and local businesses

3. MedMutual Advantage Plan Overview

4. General Medicare Structure
Nation’s largest health insurance program
Covers approximately 60+ million people
Four primary parts
Part A
Original Medicare
Part B
Original Medicare
Part C
Medicare Advantage
Part D
Prescription Drug
Hospital Insurance
Medical Insurance
Combines Parts A and B

5. Plan Highlights
For a complete list of benefits, refer to your Evidence of Coverage
Member Cost
Notes
Deductible
$500 per year
Certain services are subject to the deductible.
Max. Out-of-Pocket
$3,000 per year
Includes copayments & other costs for medical services paid throughout the year.
Inpatient Hospital Care
15% coinsurance
Outpatient Hospital Surgery
Doctor’s Office Visits
Preventive Care $0
Review the Summary of Benefits for preventive care services.
Emergency Care
$120 copay
If admitted to the hospital, the fee is waived.
Urgent Care Visit
$30 copay
Applied to each covered visit.
Diagnostic Services, Labs, Imaging
Durable Medical Devices, Prosthetic Devices
All diabetic supplies have $0 cost share.

6. Wellness Programs Diverse wellness program options
SilverSneakers®: Access more than 16,000 fitness centers nationwide
WW® (formerly Weight Watchers): Programs for health and meal management
Home meals program: After an inpatient hospital stay, members are eligible to receive a one-week course of meals. 2 meals a day for 7 days delivered to their home
24-hour Nurse Line: Clinical experts to answer health questions
QuitLine: Cessation program and support to eliminate tobacco use

7. Network Overview

8. PPO Network Service Area
Group Medicare Advantage PPO Plan
In-network, full-benefit coverage for services incurred anywhere in the US or US territories
Must use providers that accept Medicare
No travel restrictions
Providers that accept Medicare or MedMutual Advantage plans can be found using search tools

9. In-Network Provider Examples
More than 34,000 quality healthcare provider options, including:
Akron General
Cleveland Clinic
Mercy Health
MetroHealth
OhioHealth
Ohio State University Wexner Medical Center
Premier Health
TriHealth
University Hospitals

10. Actively Manage Your Health

11. Medical Mutual Plan Benefit Summary
Comprehensive plan with rich benefits
More than 34,000 providers in Ohio
Extensive wellness program options
Experienced Medicare Customer Care team
Smooth retiree transition from current plan to new MedMutual Advantage plan

12. Thank You!