Medical Mutual Medicare Advantage PPO and HMO Plans Receive Highest Rating from CMS

CLEVELAND–(BUSINESS WIRE)–Medical Mutual’s Medicare Advantage Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) plans both received the highest rating from the Centers for Medicare and Medicaid Services (CMS), 5 stars out of 5, for 2023.

This is the second year in a row that the company has been awarded 5 stars for its PPO plans. Additionally, Medical Mutual raised the rating of its HMO plans to 4.5 stars in 2022.

CMS rates plans from 1 to 5 stars, with 5 representing excellent performance. Insurers are rated on what they do to keep members healthy, including preventative screenings and vaccinations; how well they help members manage chronic conditions like heart disease and diabetes; how well does the plan ensure that members receive the care they need; how they help resolve member complaints; and customer service.

The 5-star rating allows individuals to switch to a Medical Mutual Medicare Advantage plan at any time of the year. Lower-rated plans can only accept enrollment during Medicare’s annual enrollment period, which runs from Oct. 15 to Dec. 7.

Additionally, since Medical Mutual’s Medicare Advantage plans come with a Medicare Part D prescription drug plan, we were also rated on our members’ overall satisfaction with the drug plan. , drug pricing and patient safety.

“Medical Mutual is committed to keeping its members healthy through preventative care and chronic disease management. These outstanding ratings reflect that commitment,” said Dr. Tere Koenig, Executive Vice President and Chief Medical Officer of Medical Mutual. “We also make member experience a priority. We always strive to provide exceptional customer service.

“During my short time at Medical Mutual, I have seen how dedicated our team members are to providing the highest quality care and service to our members,” said President and CEO. management, Steve Glass. “This dedication and sincere consideration allows us to provide an exceptional member experience. We will continue to strive to maintain these high standards.

Medical Mutual entered the Medicare Advantage market in 2016, achieving the highest number of enrollments of any new plan that year.

About Ohio Medical Mutual

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million Ohioans through our high-quality health, life, disability, dental, vision, and indemnity insurance plans. We offer fully insured, self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual’s status as a mutual company means we are owned by our members, not shareholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life. For more information, visit the company’s website at