MedMutual Advantage Elite Standard (HMO-POS)

MEDICAL MUTUAL OF OHIO · 2027 plan year

Plan ID H6723-008-000

HMOPOS★ 3.5 CMS Stars
MOOP (in-network)
$5,200
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H6723-008-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$380/yr
Also owed
Your Medicare Part B premium, paid separately

More MEDICAL MUTUAL OF OHIO plans in OH

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Psychiatric$325/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$130
Inpatient Hospital — Acute$380/day for days 1–6, $0 after
Inpatient Hospital — Additional Days (Acute)No charge

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance after $100 deductible
Other Part B Drugs0%-20% coinsurance after $100 deductible

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$35
Mental Health — Group Sessions$35
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$25
Intensive Cardiac Rehabilitation — Additional Sessions$25
Pulmonary Rehabilitation — Additional Sessions$35
Supervised Exercise Therapy (SET)$25
Emergency Services$130
Urgently Needed Services$35
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$130
Partial Hospitalization Program$35
Intensive Outpatient Program (IOP)$35
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$35
Physician Specialist Services$35
Podiatry Services$35
Podiatry Services$10
Other Health Care Professional Services$0-$35
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$35
Psychiatric Services — Group Sessions$35
Physical Therapy & Speech-Language Pathology$35
Additional Telehealth Services (Part B)$0-$35
Opioid Treatment Program Services$20
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$20
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$200
Therapeutic Radiology20% coinsurance
X-Ray Services$20
Outpatient Hospital Services$0-$350
Hospital Observation Services$275 per stay
Ambulatory Surgical Center (ASC)$0-$350
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$35
Substance Abuse — Group Sessions$35
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$300
Air Ambulance$300
Welcome to Medicare EKGNo charge
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)0%-25% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Supplies0%-20% coinsurance
Diabetic Therapeutic Shoes & InsertsNo charge
Diabetic Monitors25% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Other Supplemental Benefit$0-$380 copay + 0%-25% coinsurance
Other Supplemental BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Smoking & Tobacco Cessation CounselingNo charge
Fitness BenefitNo charge
Remote Access TechnologiesNo charge
Personal Emergency Response System (PERS)No charge
Weight Management Program70% coinsurance
Home-Based Palliative CareNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Insulin (Part B)0%-20% coinsurance (max $35) after $100 deductible
Dental — Medicare-Covered ServicesNo charge
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$20
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Hearing — Exams$20
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$499-$999
Home Health ServicesNo charge

Service area

  • OH: 5 counties

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