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Medical Plan Additional Resources

Medical Plan Additional Resources

Symptom Reference Chart

ER/911Urgent CareConvenience ClinicPrimary Care PhysicianTeleHealth
Allergic reactions*XXX
AllergiesXXXX
Annual preventative care visitX
AsthmaXX
Back pain (minor)XXX
Bleeding (heavy)X
Broken bone (major)X
Broken bone (minor)XX
BronchitisXXXX
Change in vision (sudden)X
Chest painX
Cold and flu symptomsXXXX
Cut/burn (major)X
Cut/burn (minor)XXX
Ear infectionXXXX
Head injury (severe)X
InfectionXX
Insect biteXXX
Pink eyeXXXX
RashXXX
Respiratory infectionXXXX
Shortness of breathX
Sinus problemsXXXX
Spinal injuryX
Sprain or strainXXX
Trouble speaking (sudden)X
Urinary tract infectionXXXX
Vaccinations (also flu shots)XX
WheezingXX
X-rayXX
*Severe allergic reactions, such as tongue/throat swelling, difficulty speaking, swallowing, or breathing should be seen in an ER.

Please note: This is a sample list of services and may not be all-inclusive. This does not take the place of professional medical advice, diagnosis, or treatment. Although this information is intended to help make the best decision for care, if you feel that your situation is life-threatening, go to the nearest emergency room.

Accessing On-Demand Telehealth Services

In-network providers are available 24/7 to assist you

If you need to speak to a healthcare provider right away, you can set up an on-demand telehealth visit. You can register now to access these services when you need them.

What is an on-demand telehealth visit?

Unlike a scheduled appointment with your healthcare provider, you can access on-demand telehealth providers anytime, 24 hours a day, 7 days a week. You do not need to schedule an appointment. You can log in for a telehealth visit at your convenience and select the first available provider.

What types of services are available through on-demand telehealth visits?

On-demand telehealth visits can be used to seek medical advice and treatment for common medical conditions, such as cold or flu, allergies, infections, minor injuries, skin conditions, and other issues. Once you are connected for your virtual visit, the on-demand provider will review your health history, answer your questions and at their discretion diagnose, treat and even prescribe medication.

Which providers are in-network for on-demand telehealth visits?

Medical Mutual is contracted with three on-demand telehealth providers, Cleveland Clinic Express Care Online,
Firelands Virtual Care and Premier Health Virtual Care. You can access these services by visiting the provider’s
website and following the instructions to create an account. Please note that you may need to download an app in
order to access on-demand telehealth services.

Do I need to set up an account in advance for on-demand telehealth visits?

It can be beneficial to set up an account before you are in a situation where you require services. That way, if you are in need of immediate medical advice, you have fewer steps to take before you can speak with a provider.

What information do I need to set up an account?

Requirements to set up an account may vary by provider, so please follow the instructions on the provider’s website or app. You may need to provide some basic information such as your name, email address, and date of birth. You will also need to provide your ID number, so you should have your ID card handy when you set up your account. Please note that you will need to provide your Medical Mutual ID number, which may be located on the back of your ID card if you live outside the state of Ohio. You should also plan to have some form of payment available to cover applicable out-of-pocket costs (deductible, coinsurance, or co-pays).

How will the on-demand visit be covered?

The contracted provider (Cleveland Clinic Express Care Online, Firelands Virtual Care, or Premier Health Virtual Care) will submit a claim to Medical Mutual for processing through your plan’s medical benefits.

If you have questions or need assistance, call Customer Care at the number on your ID card.

Medical Mutual My Health Plan Step-by-Step Registration Process

My Health Plan makes it easy and convenient to manage your plan and your health online. Please keep in mind that My Health Plan features and functionality are subject to change. If you have questions, please call Customer Care at the number on your ID card.

1. In your internet browser, visit MedMutual.com/Member.

Click on Register for an Account to get started.

2. Enter your ID number, first and last name, and date of birth.

If you do not have your ID number, you can select the “Don’t know your ID Number?” question for additional information about the other accepted forms of identification.

Once you have entered all fields, click continue.

3. Follow the prompts to create an account. Select the Terms and Conditions checkbox, then click Submit.

4. You should receive an email from Medical Mutual asking to confirm your email address. In the email, click Confirm Email.

5. Once your email has been confirmed, go back to your browser and click I have confirmed my email.

6. Enter the password you just created for your account. Your username will pre-populate.

7. Enter your date of birth, then select the type of computer you are using. Click Continue to log in to the portal.

8. Next, explore some of the key features of My Health Plan.

View a snapshot of your claims and cost-sharing balances on the Dashboard. Use the Quick Links at the bottom of the Dashboard to access our most popular features.

Where to Find Care

When it comes to taking care of yourself or your loved ones, you want to get the best care as quickly and affordably as possible. When you are ill, injured, or feeling like you need immediate care, always call your primary care physician (PCP) first. If you can’t reach your PCP or you don’t have time for an office visit, you have options.

Nurse Line
A free call-in service offered by Medical Mutual, providing 24/7 access to registered nurses for answers to health-related questions. Call 1-888-912-0636

Telehealth (Telemedicine)
A service that allows you to connect with your provider virtually using a smartphone, tablet, or computer. Many providers offer scheduled telehealth appointments. You may also have access to an on-demand telehealth service that is available 24/7.

Convenience Clinic
A walk-in clinic located in some drug and grocery stores, staffed by a physician’s assistant or nurse practitioner. Convenience clinics don’t require an appointment and have shorter than average wait times.

Urgent Care
A walk-in clinic that saves time and money compared to an emergency room. Many are open evenings and weekends. Urgent care facilities don’t require an appointment and have average wait times.

Emergency Room (ER)
A facility located in a hospital, providing 24.7 care in case of emergencies and acute care without an appointment. ER visits for non-emergency symptoms may result in extremely long wait times and significantly higher costs compared to visiting a non-emergency location.

Save on Lab Costs with My Care Compare

Did you know you might be paying almost 10 times more than you need to for your cholesterol test and other blood work?

Getting your blood tests done at an independent lab, such as LabCorp or Quest Diagnostics, may save you significantly more money than going to your doctor’s office or a hospital lab.

It’s easy to save money. When you need to have lab tests, talk to your provider and tell them you want to have tests done at an independent lab. You can quickly and easily search for the nearest independent labs in your network and get a cost estimate by using Medical Mutual’s My Care Compare tool.

Go to medmutual.com or use the MedMutual mobile app to start your search today.

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