Medical Mutual Pharmacy Benefit Changes Effective Jan. 1, 2026; Member Notifications Planned

Several changes to Medical Mutual members’ pharmacy benefits will be effective January 1, 2026. These changes are listed below. 2026 Formularies with Express Scripts (ESI) Updated formularies reflecting changes that (more…)

Medical Mutual Small Group, Life and Disability, and MLR Updates

Updates to the Small Group Product Portfolio for January 1, 2026, Renewals Medical Mutual has updated the small group product portfolio to incorporate changes effective for renewals beginning January 1, (more…)

Update From Medical Mutual: DispatchHealth Closed Ohio Operations August 1

Medical Mutual has just been notified that DispatchHealth, a mobile urgent care provider, closed Ohio operations on August 1, 2025, impacting all Ohio health plans. This change is a result (more…)

The MedMutual Employer Dashboard, a New Employer Platform, Set For Release

Medical Mutual recently announced the release of the MedMutual Employer Dashboard, their new primary platform for employer group administration, and will soon reach out to small group (1 to 50), (more…)

Medical Mutual’s Negotiations Ongoing with Licking Memorial Health System

Medical Mutual is currently in active contract discussions with Licking Memorial Health System, working diligently to negotiate in good faith to keep providing their members and employer groups with affordable (more…)

Medical Mutual Updates Regarding Modified Amendments Approved for ORC 3902.63 (Ohio HB 315) Cost-Sharing

Updated Certificate amendments were approved by the Ohio Department of Insurance in regards to the Ohio Revised Code section 3902.63 portion of Ohio House Bill 315 stating any cost-sharing, including (more…)

MedMutual WELL Officially Launching for Group Business

Effective immediately, MedMutual WELL is available to include in sales quotes for new groups and to upsell to existing groups. All Medical Mutual groups will automatically receive the base MedMutual (more…)

MedMutual WELL Launching for Groups on July 22

The MedMutual WELL program, provided to all Medical Mutual members at no additional cost, is designed to empower both employees and groups through a tailored wellness strategy that: Increases employee (more…)

Medical Mutual Premium Split Reporting Survey

Medical Mutual collects the needed employer information for the RxDC data due in June each year through use of a QR code on the group’s renewal. In the event that (more…)

Medical Mutual Update: Express Scripts Home Delivery to Transfer Members Filling GLP-1 Medications to New Pharmacy

Beginning June 15, 2025, all Medical Mutual members currently utilizing Express Scripts Home Delivery Pharmacy to fill their GLP-1 medications will be automatically transitioned to the new Evernorth EnGuide Pharmacy. (more…)

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