MedMutual Advantage Signature (HMO-POS) Medicare Advantage Plan H6723-006-7 • 2026 • Lucas County, OH
CMS Plan ID H6723-006-7 identifies the Medicare Advantage plan MedMutual Advantage Signature, a HMO-POS Part C plan offered by Medical Mutual of Ohio for the 2026 plan year. This plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes with Part D prescription drug coverage.
MedMutual Advantage Signature Overview
Plan Overview for
H6723-006-7
|
|
|---|---|
| CMS Plan ID: |
H6723-006-7
|
| Plan Type: | HMO-POS |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $4200.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Enhanced, $300.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Lucas County, OH |
| Enrollment (Nationwide): | 41,697 beneficiaries |
| Enrollment (CMS – Local) | 1,844 beneficiaries in Lucas County |
| Provided By: | Medical Mutual of Ohio |
Plan Details for MedMutual Advantage Signature
This Medicare Advantage Prescription Drug (MAPD) HMO-POS plan includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and the plan provides coverage through a network of participating providers, with limited access to out-of-network services in certain situations. The annual Part D deductible is $300.00.
Primary care visits have a $0 copay, specialist visits come with a $25 copay, urgent care services carry a $25 copay, and ambulance transportation is $245 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $4200.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.
This plan is listed by CMS under Plan ID H6723-006-7. Cost-sharing details are provided below.
Cost Sharing Expenses
Cost-sharing for MedMutual Advantage Signature includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H6723-006-7.
Certain preventive services are covered 100% by MedMutual Advantage Signature as a Part B benefit.
Prescription Drug Coverage
MedMutual Advantage Signature includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Special Needs Plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Basic Part D Premium: | $0.00 |
|---|---|
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $31.38 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $300.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Medical Mutual of Ohio starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, MedMutual Advantage Signature may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $0.00 copay | Coming soon |
| Preferred Brand | 23% coinsurance | Coming soon |
| Non-Preferred Drug | 40% coinsurance | Coming soon |
| Specialty Tier | 29% coinsurance | Coming soon |
| Select Care Drugs | $0.00 copay | Coming soon |
| *Deductible does not apply. | ||
CMS Star Ratings
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Is there a monthly premium for this plan in 2026?
The 2026 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the MOOP for MedMutual Advantage Signature in 2026?
The annual in-network MOOP is $4200.00 for 2026. After this limit is reached, covered in-network services are fully paid.
What is the CMS star rating for this plan?
CMS rates this plan at ★4.0 out of 5 stars for 2026.
What is the total enrollment for plan H6723-006-7?
Total enrollment is 41,697 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
For 2026, the prescription drug deductible is $300.00.
Contact Information for Medical Mutual of Ohio
| Contact Type | Details |
|---|---|
| Website: | Medical Mutual of Ohio Plan Page |
| New Members: | 1-877-306-6156 |
| Existing Members: | 1-800-982-3117 |
| Plan Address: | PO BOX 94563 | Cleveland, OH 44101 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medical Mutual of Ohio (official source) | http://medmutual.com/planfinder | October 13, 2025 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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