SmartShopper Relaunch for Medical Mutual’s Fully Insured Groups

Effective January 1, 2026, SmartShopper, managed by Zelis, has been relaunched for these product lines: 51 to 99 fully insured, COSE Benefit Plan, GCADA MEWA, and Balanced Solutions. It remains (more…)

Medical Mutual January 1 Quoting and Sold Case Implementations

Due to significant quoting demand and a growing high volume of sold new business cases, Medical Mutual announced it will postpone any further quoting for January 1, 2026. If you (more…)

Medical Mutual Reaches Agreement to Keep Licking Memorial in Network

Medical Mutual has reached an agreement with Licking Memorial Health System that keeps all Licking Memorial providers, specialists and facilities in their networks in 2026. The agreement applies to Medical (more…)

Updates to Medical Mutual’s Small Group Quoting and Processing

Due to an overwhelming quoting demand, as well as a high volume of sold new business cases, Medical Mutual will now prioritize sold case submissions over future quoting activity for (more…)

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…)

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