Important Information for Medical Mutual Members

Medical Mutual is notifying its members that OrthoUnited’s current network participation is scheduled to end effective October 15, 2026.

OrthoUnited and Medical Mutual have been engaged in contract negotiations but have not yet been able to reach mutually acceptable terms. We remain willing to continue discussions with Medical Mutual in hopes of reaching an agreement before October 15.

Yes. OrthoUnited remains in-network with Medical Mutual through October 14, 2026.

The notice you received relates to a potential change beginning October 15, 2026. It does not mean that OrthoUnited is currently out-of-network.

Your individual benefits and coverage are determined by your specific Medical Mutual health plan.

No. Please do not cancel an appointment simply because you received this notice.

OrthoUnited remains in-network with Medical Mutual through October 14, 2026, and negotiations are continuing.

If you have an appointment or procedure scheduled on or after October 15, please contact us so we can help you understand the situation and discuss your options. You should also contact Medical Mutual using the member services number on your insurance card to confirm how your specific health plan would cover your care.

If an agreement is reached, we will notify our patients as quickly as possible and update this page.

Our goal is to reach an agreement that allows Medical Mutual members to continue receiving in-network care from OrthoUnited without interruption.

Unless an agreement is reached, OrthoUnited is scheduled to become out-of-network with Medical Mutual effective October 15, 2026.

What that means financially will depend upon your specific health plan. Some plans include out-of-network benefits, while others may provide limited or no coverage for non-emergency out-of-network services.

We encourage patients to contact Medical Mutual directly to understand their individual benefits before making decisions about their care.

Yes, you may still choose to receive care from your OrthoUnited physician. However, if OrthoUnited becomes out-of-network, the amount covered by Medical Mutual and your personal financial responsibility may change depending upon your specific health plan.

Before receiving services after October 15, we recommend contacting Medical Mutual to determine your out-of-network benefits and financial responsibility.

Please do not discontinue or delay medically necessary follow-up care without speaking with your physician.

Certain patients who are undergoing an active course of treatment may have rights or benefits that allow them to temporarily continue receiving care under certain circumstances. These provisions vary based on the patient’s health plan and individual situation.

Please contact Medical Mutual to ask whether you qualify for any continuity-of-care or transitional-care benefits. Our team will also assist with information that may be needed regarding your treatment.

Please contact our office before making any changes to your scheduled surgery.

Our team can review your scheduled services with you and help identify the appropriate next steps. You should also contact Medical Mutual to determine how your specific health plan would cover your physician, facility and related services if the network status changes.

Because surgery can involve several different providers and services, coverage questions should be addressed before your procedure.

The potential network change does not affect OrthoUnited’s two surgery centers. OASIS Surgery Center and Ohio Specialty Surgical Suites (OS3) have separate contracts with Medical Mutual and will remain in-network.

However, for surgeries occurring on or after October 15, the network status of the OrthoUnited surgeon’s professional services may differ from the network status of the surgery center facility. Coverage can also vary by health plan and by the specific service being provided.

If you have an upcoming surgery, procedure, therapy appointment, imaging study or other service scheduled on or after October 15, please contact us for additional information and contact Medical Mutual to verify your benefits.

OrthoUnited has been negotiating with Medical Mutual in an effort to reach an agreement that supports continued patient access to high-quality, independent orthopaedic care in our community.

As a physician-owned orthopaedic practice, we believe it is important to maintain a sustainable model that allows our physicians and employees to continue providing comprehensive orthopaedic care locally.

Although we have not yet reached an agreement, OrthoUnited remains willing to work with Medical Mutual toward a mutually acceptable resolution.

No.

Health insurance decisions are personal and are often determined by an employer. Our goal is to make sure patients understand the potential network change and have accurate information to make decisions regarding their care.

If you receive your Medical Mutual coverage through your employer, you may also want to discuss the situation with your employer’s Human Resources or benefits department.

Yes.

Medical Mutual members may contact Medical Mutual Member Services using the telephone number on their insurance card to ask questions about their coverage or express their concerns regarding continued in-network access to OrthoUnited.

Patients who receive Medical Mutual coverage through their employer may also choose to contact their employer’s Human Resources or benefits department.

Yes.

Employers that sponsor Medical Mutual health plans may contact their Medical Mutual representative, insurance broker or benefits consultant regarding the potential network change and its impact on their employees.

Not necessarily.

OrthoUnited remains in-network through October 14, and negotiations may continue before the October 15 effective date.

If you are currently receiving treatment from an OrthoUnited physician, have an upcoming appointment or procedure, or are concerned about continuity of care, please contact our office before making changes to your care.

Yes.

We understand how important this issue is to our patients. We will update this page as significant developments occur.

If OrthoUnited and Medical Mutual reach an agreement, we will communicate that information as quickly as possible.

Questions about your Medical Mutual insurance benefits or network coverage:
Please contact Medical Mutual Member Services using the telephone number on the back of your insurance card.

Questions about an upcoming OrthoUnited appointment, surgery or treatment:
Please contact your OrthoUnited office at the campus you receive care at.

For the latest information regarding OrthoUnited’s Medical Mutual network status:
Please continue to visit this page.