My Health Plan

  • Home
  • Provider Search
  • Network Status

You are Leaving Medical Mutual Web Site

This Medical Mutual of Ohio and its Family of Companies (collectively, “Medical Mutual”) website links to other Internet sites (“Third Party Sites”) that are not maintained by or under the control of Medical Mutual. These links are provided solely for your convenience, and you access them at your own risk. Medical Mutual makes no warranties or representations about the contents of products, services or information offered in such Third Party Sites. Consequently, Medical Mutual is not and cannot be held responsible for the accuracy, copyright compliance, legality or decency of material contained in Third Party Sites linked to this Medical Mutual website.

Main Content

Network Status

Our provider network changes periodically. We strive to ensure these changes are reflected in the directory in a timely manner. Members who receive services from providers outside the network are subject to significantly higher out-of-pocket costs, which go into effect on the date the provider goes out of network. You are encouraged to verify with your provider that he or she participates in our network before receiving care.

Additionally, some in-network facilities may have providers who perform healthcare services, such as anesthesiologists, radiologists and laboratories, that are not in-network. Please contact 866.488.3266 for more detailed information 

Provider data last updated on: 1/28/2021
Page last updated on: 12/22/2015

The information on this Web site and any links are for your information only and does not take the place of, or is intended to be a substitute for professional medical advice, diagnosis or treatment from your doctor. Any services recommended or provided by your doctor may not be covered under the terms of your benefit plan. Eligibility and coverage are subject to the specific terms of your benefit plan.

Please note: Some in-network hospitals may employ hospital-based providers, such as laboratories, anesthesiologists, radiologists and emergency room physicians, who are not in your plan’s network. Hospital-based providers are on-site providers who perform medical services within a hospital or health center setting.

A hospital-based provider who is not in network can charge you more than what we pay and you could be billed for the difference (up to the entire cost of the service). This is called balance billing.

Whenever possible, please contact your provider(s) before making an appointment. Verify the provider participates in your plan’s network, and, if applicable, is accepting new patients. Also, prior to services, discuss any applicable facility fees that you will be charged, and responsible for with your provider.

Always seek care for a life-threatening emergency at the hospital nearest to you, regardless of the network status of the hospital or its hospital-based providers. In emergency situations, we will pay your plan's highest level of benefits on the allowed-amount for services provided. This may still result in balance billing.