SummaCare Medicare has been in Northeast Ohio since 1996 and has more than 22,000 members in northern Ohio. SummaCare’s Medicare Advantage plans have an extensive network of more than 22,000 providers and 75 hospitals. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends upon contract renewal. Nov 2, 2023 · More than 1 in 5 people in Ohio are 65 and older, and there are a variety of Medicare and Medicare Advantage plans in the state. The average monthly premium in 2024 for a Medicare Advantage plan ... Over-the-Counter (OTC) Benefit Catalog. As a SummaCare Medicare Advantage plan member, you have a quarterly allowance to purchase Over-the-Counter (OTC) items included in this catalog. To order, simply go to www.SummaCareOTC.com or call (855) 435-5111 (TTY: 711), or mail your completed order form. Your order will be shipped directly to …website at www.summacare.com for the latest versions of SummaCare’s Drug Formulary and Medicare Part D Formulary. Phone: 888-783-1780 To obtain prior authorization for prescription drugs, please contact our Pharmacy Benefit Manager (PBM), MedImpact, at the number listed below. Please also visit our website at …All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. If you are not sure which prescription drug coverage applies to you, please contact SummaCare Customer Service at 800-996-8701.Find out how to contact SummaCare Member Services by phone or online form. You need to provide your Member ID number, group number, date of birth, name, address, phone …Providers. SummaCare is focused on keeping your patients healthy using all Health Services programs available to them. To refer members for Health Services programs, please call SummaCare’s Health Services Management at 330.996.8931 or toll free at 877.888.1164 or email [email protected]. You may also send referrals through ...PRIOR AUTHORIZATION REQUEST Please Fax To Inpatient 234-542-0811. Radiology, Radiation Oncology, Medication Oncology, Lab And Genomic Testing 800-540-2406.As a SummaCare member with a Preferred Provider Organization (PPO) plan, you’ll have access to thousands of providers who are part of your SummaCare network. Find your doctor today by using our online provider search. Your Member Account. Your member account is the online source for benefits information.SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066EDI saves time, reduces cost and improves accuracy. SummaCare is pleased to provide EDI document processing for providers and employers. If you plan to submit HIPAA transactions to SummaCare, please complete the appropriate form below and return to: SummaCare Attn: EDI Support PO Box 3620 Akron, Ohio 44309-3620 …Step Therapy is the practice of beginning drug therapy for a medical condition with the most cost-effective and safest drug and progressing to other more costly or risky therapy, only if necessary (i.e., you must try drug "A" before you can get drug "B"). The goal is to control costs and minimize risks. Step therapy is an automated …Zippia gives an in-depth look into the details of SummaCare, including salaries, political affiliations, employee data, and more, in order to inform job seekers about SummaCare. The employee data is based on information from people who have self-reported their past or current employments at SummaCare.SummaCare provides a high-quality, low-cost comprehensive, community-focused health plan that maximizes service with our integrated health system and choice to our providers, members and employers. We are committed to a thorough and effective Quality Management Program that follows the principles of Continuous Quality Improvement to … SummaCare Medicare Ruby (HMO) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $50.00. Enroll Now. This page features plan details for 2024 SummaCare Medicare Ruby (HMO) H3660 – 044 – 0 available in Northeast & Northwest Ohio. IMPORTANT: This page has been updated with plan and premium data for 2024. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Exercise Your Brain. BrainHQ is your online headquarters for working out your brain. Think of it as a personal gym, where you exercise your memory, attention, brain speed, people skills, intelligence and navigation instead of your abs, delts, and quads. Just as our bodies require care and exercise over the course of life, so do our brains.Michelle is Vice President of Marketing and Communications for Summa Health System and is responsible for brand and digital strategies related to key clinical services, health plan and regional areas of focus. She is a member of the Summa Health System executive leadership team and senior management team for …SummaCare provides a high-quality, low-cost comprehensive, community-focused health plan that maximizes service with our integrated health system and choice to our providers, members and employers. We are committed to a thorough and effective Quality Management Program that follows the principles of Continuous Quality Improvement to …As a SummaCare Medicare Advantage plan member, you have a quarterly allowance to purchase Over-the-Counter (OTC) items included in this catalog. To order, simply go to summacareotc.com or call 855.435.5111 (TTY 711) or mail your completed order form. Your order will be shipped directly to your door. …Near City or ZIP Code. Note: This is not an all-inclusive list of health plans. Additional health plans may be accepted. Please contact your insurance provider for confirmation. Here you can search for a Summa physician by name, hospital specialty, or location. Take the first step towards better health at Summa Health Systems.Most Recent Provider/Pharmacy Directory (Northwest Region) Need other materials? Please describe what you need below and we will contact you. You should receive your items within five business days. Questions? Email Broker Services at [email protected] or call 330.996.5673. Request SummaCare Medicare Advantage plan materials from ...SummaCare QuitCare . SummaCare is committed to helping members stop smoking for good. Call 877.471.2101 (TTY 888.229.2182) to speak to a tobacco treatment specialist and enroll in the no cost QuitCare telephonic counseling program and limited nicotine replacement therapy. Learn more about QuitCare. Preventive Health Reminders & ScreeningsSummaCare plans offer access to healthcare providers through both the SummaCare contracted network and affiliate networks - minimizing employee out-of-pocket costs when participating providers are used.. The Preferred Choice Network T he Preferred Choice Network is an exclusive network offering preferred access to three of the area’s premier …Find Your Drug. SummaCare’s partnership with our pharmacy benefit manager provides quality pharmacy benefits to our members. Search for a drug using our Find Your Drug tool or view a formulary below. 2024 SummaCare Marketplace (Small Group and Individual) Standard Prescription Drug Formulary (effective January 1 through December 31, 2024 ...Tuscarawas. Wayne. If you are enrolled in a SummaCare health insurance plan featuring the SC Connect network, the SummaCare Service Area includes the following counties in Ohio: Medina. Portage. Stark. Summit. Find a Document. Learn more about your service area with SummaCare, and find out if out-of-network services and providers may be covered ...The SummaCare Medicare Emerald HMO POS plan is available to residents of the following counties in Ohio: Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne . SummaCare is an HMO and HMO POS plan with a Medicare contract.Tier 3 - Pick 1. Up to $550 Benefit Bucks on your SummaCare Visa card to be used to pay dental, hearing or vision providers directly for any out-of-pocket expenses you may incur. The card is not a credit card. The debit card may not be redeemed for cash or used to pay for another individual’s expenses.As a SummaCare member, your OTC benefit allows you to choose from hundreds of useful, everyday items. In addition to ordering items online via summacareotc.com, by phone or by mail, your quarterly benefit is now also loaded directly to a SummaCare Over-the-Counter (OTC) card that may be used at over 62,000 participating national retailers.SummaCare Medicare Advantage plan members enjoy $0 copay for diabetic supplies and services. To order a select brand list of diabetes testing supplies sent to your home, call HOMELINK at 844.358.2549 (TTY 800.750.0750). OR. Visit a retail pharmacy to get any brand of diabetes testing supplies.Dr. Shauna Guthrie, MD. 23 mi from Boydton, VA. Family Physician. 123 Horner St, Henderson, NC 27536. I’m a Family Medicine and Preventive Medicine Physician. More importantly, I grew up in rural areas of KS and MO and know first-hand what it’s like to avoid going to the doctor because of lack of …SummaCare is proud of the quality network providers we offer to our membership and we invest a considerable amount of time to credential and maintain the data that goes into our printed and online directories. We appreciate your responses to our quarterly outreach to double check your directory listing. SummaCare providers may confidentially report a potential violation of our compliance policies or any applicable regulation by utilizing any of the methods indicated below. As a SummaCare Network Provider, your organization/office must adopt and enforce a zero-tolerance policy for retaliation or retribution against anyone who reports suspected ... Behavioral Health, Coordination of Care Form. Annually, SummaCare participates in behavioral healthcare clinical studies as part of NCQA requirements. The requirements' intent is to look at the coordination of care between medical and behavioral healthcare practitioners in order to improve health outcomes. Coordination of Care Form.Oct 2, 2023 · SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodation of persons with special needs at sales meetings call 888.464.8440 (TTY 800.750.0750). Near City or ZIP Code. Note: This is not an all-inclusive list of health plans. Additional health plans may be accepted. Please contact your insurance provider for confirmation. Here you can search for a Summa physician by name, hospital specialty, or location. Take the first step towards better health at Summa Health Systems.If you’re not currently a SummaCare member and are unsure which network to search, please call SummaCare Member Services at 330.252.5922 or 844.751.0436.SummaCare Medicare Sapphire (HMO-POS) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $79.00. Enroll Now. This page …If you experience any issues logging in, please use the Forgot Username or Forgot Password workflows or you can call the helpdesk at 234-475-6789. Communicate with your doctor. Get answers to your medical questions from the comfort of your own home. Access your test results. No more waiting for a phone call or letter – view your results and ...Aug 2, 2021 · SummaCare offers health insurance plans for employer groups and individuals. This year marks the 25th anniversary SummaCare offering Medicare Advantage products. First offered in 1996, they include medical and prescription drug (Part D) coverage and have an extensive network of more than 22,000 providers and 75 hospitals, including Summa Health. SummaCare is a provider-owned, regional health insurance company headquartered in Akron, Ohio. It offers Medicare Advantage plans, individual and family plans, employer group plans and health management services in 33 Ohio counties. SummaCare is consistently recognized for excellence in its industry.SummaCare contact info: Phone number: (855) 416-6441 Website: www.summacare.com What does SummaCare do? Founded in 1992 and headquartered in Akron, Ohio, SummaCare offers a full line of health plans such …2024 Plan Premium Summary Sheet for Low Income Subsidy - MAPD. You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call: 1.800.MEDICARE (800.6334227). TTY/TDD users should call 877.486.2048, 24 hours a day/7 days …All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. If you are not sure which prescription drug coverage applies to you, please contact SummaCare Customer Service at 800-996-8701.Meet your members where they are with flexible support to assist older adults and families in overcoming social barriers to health and well-being. Nearly 100 health plans and employers work with Papa in a shared mission to help Medicare Advantage, Medicaid, and Special Needs Plan members live and feel better. …Oct 1, 2023 · SC Select is a specialized PPO network that includes access to more than 16,000 providers and some of the area's finest hospitals, including Summa Health System and University Hospitals. SC Select also features access to statewide providers and emergency and urgent care services nationwide through our affiliation with First Health Network. SummaCare and the Greater Akron Chamber have partnered to offer Northeast Ohio small businesses a multiple employer welfare arrangement (MEWA). The Chamber Health Benefits Plan is a self-funded health benefits option that allows employers with 50 employees or fewer to join together to share in the healthcare costs of their employees.Mar 15, 2024 · Although Medicare Advantage plans are often advertised as having a zero-dollar premium, you still need to pay your Medicare Part B premium. The Part B premium in 2024 is $174.70, which is $9.80 ... SummaCare provides a high-quality, low-cost comprehensive, community-focused health plan that maximizes service with our integrated health system and choice to our providers, members and employers. We are committed to a thorough and effective Quality Management Program that follows the principles of Continuous Quality Improvement to …Most SummaCare members have access to Teladoc™ Health as part of your coverage. You’re covered to speak with a licensed physician by web, phone or mobile app through Teladoc Health for primary care provider, dermatology and/or behavioral health visits that can be scheduled 24 hours a day, 365 days a year. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. About SummaCare. SummaCare is a provider-owned, regional health insurance company headquartered in Akron, Ohio. Need Help? Call our MyChart ® experts. They are ready to assist you 24/7 every day of the year at: 234.475.6789 All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. Search for a drug using our Find Your Drug tool or view a formulary below. Commercial. 2024 SummaCare Commercial Drug Formulary (SUM01, SUM02, SUM11, SUM14, SUM15, SUM16)- Updated March 1, 2024 Sign in to WebEx. Email Address: Password. Plan Types. SummaCare offers a range of plan options designed to meet the needs of individuals and families looking for health insurance. Plan categories are based on how you and the plan share your health care costs. Generally, plans in categories with lower premiums pay less of your total costs. Categories with higher premiums usually pay more. All SummaCare Medicare Advantage Prescription Drug plans offer extra benefits not covered by Original Medicare. These include Part D prescription drug coverage, as well as dental, vision, hearing aid coverage, a quarterly allowance for non-prescription over-the-counter health related items and acupuncture services. SummaCare's 2022 Medicare Advantage Plans Now Available. Date: 10/04/2021. AKRON, Ohio, October 4, 2021– Beginning October 15, Medicare-eligible …SummaCare plans offer access to healthcare providers through both the SummaCare contracted network and affiliate networks - minimizing employee out-of-pocket costs when participating providers are used.. The Preferred Choice Network T he Preferred Choice Network is an exclusive network offering preferred access to three of the area’s premier …SummaCare offers affordable medical insurance for employers, individuals, families and Medicare eligibles in Ohio. Explore local health plans you can count on. SummaCare’s small group and individual health insurance plans include pediatric vision benefits for children up to age 19 through our partnership with VSP, a national leader in vision and eye care benefits. To find a provider, search here or call VSP Customer Service at 855-868-4561. My Dental Benefits Guardian Dental Enter your NPN Number: Enter your password: LoginSummaCare Medicare Sapphire (HMO-POS) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $79.00. Enroll Now. This page features plan details for 2024 SummaCare Medicare Sapphire (HMO-POS) H3660 – 029 – 0 available in Northeast & Northwest Ohio. IMPORTANT: This page has been updated with plan and …For more information on SummaCare Medicare Advantage plans for 2023, please call 888.464.8440 (TTY 800.750.0750). You may also visit SummaCare’s website for more information, summacare.com. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal.SummaCare will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy (except in non-routine circumstances) and other plan rules are followed. SummaCare covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as ...As of your effective date, SummaCare in-network healthcare services will be provided by the SCConnect network of doctors and hospitals. SCConnect is an exclusive network of providers and is available to residents and businesses located in Medina, Stark, Summit and Portage counties.We are able to offer efficient care at …If you’re not currently a SummaCare member and are unsure which network to search, please call SummaCare Member Services at 330.252.5922 or 844.751.0436.Jan 23, 2024 · SummaCare Medicare Advantage plan members enjoy $0 copay for diabetic supplies and services. To order a select brand list of diabetes testing supplies sent to your home, call HOMELINK at 844.358.2549 (TTY 800.750.0750). OR. Visit a retail pharmacy to get any brand of diabetes testing supplies. Report all possible cases of fraud, waste and abuse. Call or write us to report fraud, waste or abuse. Call the SummaCare Compliance Hotline at 800-361-3908 or 330-996-8821 and leave a message that includes: Write to us at: SummaCare Compliance Department F&A, P.O. Box 3620, Akron, Ohio 44309-3620. …Find out how to contact SummaCare Member Services by phone or online form. You need to provide your Member ID number, group number, date of birth, name, address, phone …We would like to show you a description here but the site won’t allow us.Browse a directory of organizations that use MyChart. Sign up or login.SummaCare's Condition Management programs provide specialized services to members who have been diagnosed with conditions such as asthma, depression, diabetes, heart failure and high-risk pregnancy. Our wellness services help identify at-risk members and possible interventions, encouraging lifestyle changes aimed at reducing risk. 10 Medicare Advantage Plans from SummaCare. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H3660:028-0 SummaCare Medicare Emerald (HMO-POS) H3660:029-0 SummaCare Medicare Sapphire (HMO-POS) H3660:044-0 SummaCare Medicare Ruby (HMO) Bill Epling joined SummaCare as President in August 2020, bringing more than 30 years of experience in the healthcare delivery and managed care industry. Prior to joining SummaCare, he most recently served as the president of EnvisionRx Options in Twinsburg. While at Envision, he was responsible for leading the overall operations and strategy ...If you think SummaCare or its providers, contractors, vendors or business associates are not following the rules for your advance directives, you may file a grievance with SummaCare or you may file a complaint with the state survey and certification agency (Ohio’s is the Department of Health) by calling 800.669.3534 or call the SummaCare ...SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends upon contract renewal. Other providers are available in our network. Media Contact: Shannon Kew. Phone: 234.312.5432. Beginning October 15, Medicare-eligible individuals may select comprehensive and affordable medical and pharmacy benefits with new …SummaCare Medicare Advantage plan members enjoy $0 copay for diabetic supplies and services. To order a select brand list of diabetes testing supplies sent to your home, call HOMELINK at 844.358.2549 (TTY 800.750.0750). OR. Visit a retail pharmacy to get any brand of diabetes testing supplies.SummaCare will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy (except in non-routine circumstances) and other plan rules are followed. SummaCare covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as ...On average, practices spend nearly 50% less time submitting and tracking prior authorizations vs. before SamaCare. Schedule a Demo. "It’s amazing to track everything on one site... Once the information is captured in the system, it lives there and is easy to locate. We now spend less time on the phone and more time with patients." Plan Types. SummaCare offers a range of plan options designed to meet the needs of individuals and families looking for health insurance. Plan categories are based on how you and the plan share your health care costs. Generally, plans in categories with lower premiums pay less of your total costs. Categories with higher premiums usually pay more. SummaCare’s plans are Health Maintenance Organization (HMO) plans available to individuals and families living in Summit, Stark, Portage and Medina counties and feature the SC Connect network. This means that all care except for emergency or urgent care situations must be through this network of providers. SummaCare’s plans do not require ...Oct 6, 2022 · SummaCare is a provider-owned, regional health insurance company headquartered in Akron, Ohio. It offers Medicare Advantage plans, individual and family plans, employer group plans and health management services throughout Northern Ohio. The Annual Enrollment Period for Medicare Advantage plans runs from October 15th to December 7th. If you have questions about Medicare, call a SummaCare Medicare Advisor at 330-996-8440 or (toll-free) 888-464-8440 (TTY 800-750-0750). They’re available to take your call from 8 a.m. to 8 p.m., seven …SummaCare is a provider-owned, regional health insurance company headquartered in Akron, Ohio. It offers Medicare Advantage plans, individual and family plans, employer group plans and health management services in 33 Ohio counties. SummaCare is consistently recognized for excellence in its industry.Browse a directory of organizations that use MyChart. Sign up or login.
The following SummaCare Medicare Advantage Plans plans offer Medicare Advantage coverage. Medicare Advantage plans are an alternative way to get your Original …. Beyonce tour
All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. Search for a drug using our Find Your Drug tool or view a formulary below. Commercial. 2024 SummaCare Commercial Drug Formulary (SUM01, SUM02, SUM11, SUM14, SUM15, SUM16)- Updated March 1, 2024 SummaCare P.O. Box 3620 Akron, OH 44309-3620. Medicare Claim Form. If you paid out-of-pocket for a service or supply and would like to request reimbursement, please complete the Medicare Claim Form and send it, along with an itemized bill from your doctor or supplier to: SummaCare 1200 E. Market Street, Suite 400 Akron, OH 44305 10 Medicare Advantage Plans from SummaCare. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H3660:028-0 SummaCare Medicare Emerald (HMO-POS) H3660:029-0 SummaCare Medicare Sapphire (HMO-POS) H3660:044-0 SummaCare Medicare Ruby (HMO) Nov 10, 2022 · SummaCare is proud to share our 2023 Medicare Advantage Plan recently earned a 5-Star Rating (out of five stars) from the Centers for Medicare and Medicaid Services (CMS). This is an increase from our 4.5-Star Rating in 2022, which underscores our hard work, dedication and commitment to providing high-quality products and services to our ... Oct 1, 2018 · The event will also feature several health and wellness activities, a live WAKR radio broadcast and a variety of refreshments and entertainment throughout the day. For more information on the SummaCare Medicare Advantage plans for 2020, please call 888-956-5716 (TTY 800-750-0750). You may also visit SummaCare’s website for more information ... SummaCare Medicare P.O. Box 3620 Akron, OH 44309-3620. 2024 Medicare Advantage Plans. 2024 MAPD Plan Enrollment Application Select this application if you are enrolling in a 2024 Garnet, Topaz, Jade, Ruby, Sapphire or Emerald plan. 2024 MA Plan Enrollment Application Select this application if you … SummaCare Medicare Garnet H3660-053 (HMO) Ohio. Medicare. Health. SummaCare Medicare Garnet (HMO) H3660-053. SummaCare Medicare Advantage Plans | Local HMO. Why Trust U.S. News. 344. Insurance ... Login using your Sitecore credentials. Username. PasswordAlan Fehlner joined SummaCare in March 2020 as Chief Financial Officer. Prior to joining SummaCare, Alan served as CFO for Health First Health Plans in Florida where he lead financial planning and analysis, Medicare Advantage and ACA bids and helped deliver record earnings four years in a row. Prior to his work at Health …SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066.