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Summary of Benefits - Medical Mutual of Ohio

    https://www.medmutual.com/-/media/MedMutual/Files/Employers/SUMMARY-OF-BENEFITS--COVERAGE-SBC-9-18-2020-FINAL-2021-STANDARD-OPTION-NE--NW-Ohio-CS-1182-RI-73017.pdf
    $25 copay/visit (PCP); $45 copay/visit (Specialist) Not covered None If you need immediate medical attention Emergency room care $250 copay $250 copay None Emergency medical transportation $350 copay $350 copay None Urgent care $35 copay …

    https://member.medmutual.com/benefits-coverage/-/media/A6A9C35409364025BB1AE447856946C0.ashx
    $15 copay/visit (Medical Home), $25 copay/visit (PCP) 40% coinsurance None Specialist visit $50 copay/visit 40% coinsurance None Preventive care/ screening/ immunization No …

2021 Summary of Benefits - Medical Mutual of Ohio

    https://www.medmutual.com/-/media/MedMutual/Files/For-Medicare/2021/Summary-of-Benefits/Summary-of-Benefits_R2_PremiumPPO.pdf
    Emergency Care $120 copay for each covered emergency room visit If you are admitted to the hospital within 24 hours, you do not have to pay the $120 copay. You may …

PCP Checklist - Medical Mutual of Ohio

    https://member.medmutual.com/-/media/Files/My-Health-Plan-PDFs/X10609CMTR321PCPChecklistFlierFINAL.ashx
    If you need help finding a PCP or are having trouble getting an appointment, Medical Mutual can help. Please call Customer Care toll free at the number on your ID card (TTY: …



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