SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Oct 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. Melissa Rusk Vice President, Operations. Melissa Rusk CLSSBB, CPC is the Vice President of Operations at SummaCare in Akron Ohio. In this role, Melissa is responsible for directing and providing leadership to SummaCare’s operational departments including Claims Processing and Support, BPO Operations, …MedImpact is SummaCare’s Pharmacy Benefit Manager and is responsible for processing pharmacy claims for SummaCare members. MedImpact also handles pharmacy benefit customer service and utilization management requests on SummaCare’s behalf. To reach MedImpact, members should call the SummaCare customer service number on the back …SBAMost SummaCare health plans include a unique global emergency assistance program provided by Assist America®. This program immediately connects you to qualified healthcare providers, hospitals, pharmacies and other services if you experience an emergency while traveling more than 100 miles away from your …Request Benefit Materials. To ensure that you have the most recent plan materials you may Request Benefits Materials at any time. Allow 5-7 days for these materials to arrive. SummaCare offers many resources and updates for employers in Ohio to use such as medical claim forms, COBRA information, HIPAA information, and more.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 ...For security purposes, SummaCare requires that you provide specific information to confirm your identity in order to maintain confidentiality and protect the privacy of our members. Required fields must be provided in order to process your request. In the event you do not provide the required information, a SummaCare Representative will contact ...SummaCare offers affordable medical insurance for employers, individuals, families and Medicare eligibles in Ohio. Explore local health plans you can count on.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. SummaCare Medicare has been recognized with a 4.5-Star (out of 5) overall rating for 2022 from the Centers for Medicare and Medicaid Services (CMS).SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until …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. SummaCare Medicare has been recognized with a 4.5-Star (out of 5) overall rating for 2024 from the Centers for Medicare and Medicaid …Welcome Brokers. SummaCare provides a variety of plans to meet your customers' needs, from small and large employers to self-employed groups, Medicare eligibles and those looking for individual and family coverage. Attention Brokers who sell our Individual and Family Plans: We’re pleased to announce that we’ll be transitioning …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 …AKRON, Ohio--(BUSINESS WIRE)--Akron, Ohio-based Summa Health and General Catalyst’s Health Assurance Transformation Corporation (HATCo) announced today that the two organizations have signed a ... 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. 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 …O ur benefits consultants will work with you to determine the product that best suits your budget and employees’ needs. For more information, contact your broker or call a SummaCare Account Manager at 330.996.8955. SummaCare offers fully-insured plan options that include standard PPO plan designs, high deductible plans and …SummaCare, Akron, Ohio. 1,227 likes · 50 talking about this · 44 were here. Health insurance for you, your family and your business.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.SummaCare. Proudly serving our friends and neighbors since 1993, SummaCare is Summa Health’s community health insurance partner, with offerings to meet the needs of Medicare beneficiaries, individuals and families and employers of all sizes who are seeking affordable health insurance and benefit administration services.Most SummaCare health plans include a unique global emergency assistance program provided by Assist America®. This program immediately connects you to qualified healthcare providers, hospitals, pharmacies and other services if you experience an emergency while traveling more than 100 miles away from your …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.SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until …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 ...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.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 than16,000 providers and 64 hospitals. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on upon contract renewal.Aug 28, 2023 · Find Your Doctor. Find Your Drug. Find Your Pharmacy. Find a Document. If you are experiencing symptoms meeting the definition of an emergency, as defined in your plan documents, you should immediately call 911. If this is not an emergency, start with the selection tool below to choose your plan type and then a provider who can meet your needs. 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 ... SummaCare utilizes one prior authorization list for all fully-insured PPO health insurance plans and Medicare plans. Please use the forms below when requesting prior authorization for these services. These forms include the information which is necessary for a prior authorization determination Prior Authorization Request Form for Services- …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. SummaCare Medicare has been recognized with a 4.5-Star (out of 5) overall rating for 2022 from the …SummaCare utilizes one prior authorization list for all fully-insured PPO health insurance plans and Medicare plans. Please use the forms below when requesting prior authorization for these services. These forms include the information which is necessary for a prior authorization determination Prior Authorization Request Form for Services- …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. 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). Make check payable to SummaCare and mail to: SummaCare ATTN: Premium Billing PO BOX 3620 Akron, OH 44309-3620. Please include member's first and last name, address and phone number. Current SummaCare Members Online. Make an online payment here. OR. Log in to your SummaCare Plan Central member account to pay your ongoing monthly premium here by ... 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 ...SBASummaCare is consistently recognized for excellence in its industry. The Centers for Medicare and Medicaid Services (CMS) granted SummaCare Medicare Advantage plans a 4.5/5-star rating for 2022. U.S. News & World Report named SummaCare a “Best Insurance Company for 2022 Medicare Advantage Plans.”That’s why SummaCare offers BrainHQ as an added benefit to all 2022 SummaCare Medicare Advantage plan members at no extra cost. BrainHQ is a scientifically proven brain-training program that can help you think faster, focus better and remember more. Think of it as your personal gym, where you exercise your …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. The SummaCare Medicare Ruby (HMO) plan is available to residents of the following counties in Ohio: Ashland, Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Holmes, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne. SummaCare Medicare Topaz (HMO) (H3660_050) SummaCare Medicare Garnet (HMO) (H3660_053) 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. …SummaCare Offshore Subcontracting Attestation 1 SummaCare, referred to as “the Company” must ensure its vendors have read and understand all requirements pertaining to federal regulations for services that are performed by workers, regardless of whether the workers are employees of American or foreign …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 …SummaCare 24-Hour Nurse Line. Experienced registered nurses have accurate, up-to-date information about almost any health topic. A nurse can answer your questions, offer support and help you make decisions about any non-emergency health situation. All at no cost to you. Call 800.379.5001 (TTY 800.750.0750) to speak to a registered nurse.HATCo is a new company owned by General Catalyst, one of the largest venture capital firms in the U.S. In recent years, it’s raised hundreds of millions of dollars to focus on health care. Dr. Marc Harrison, a former Cleveland Clinic executive and pediatric emergency care physician, joined General Catalyst to launch and lead HATCo in October.At SummaCare, our goal is to provide members with the tools they need to become their healthiest — and happiest — self. That’s why we created Plan Central, so you can manage your health and wellness all from one convenient, online location. Through Plan Central, you will enjoy 24-hour, secure access to the following and more: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 is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. If you have questions about this form, please call Member Services at 330.996.8885 or (toll free) 800.996.6250 (TTY 711). From October 1 through March 31, a representative is available to takeagree to submit the corrections to SummaCare Inc in an updated EFT Authorization Agreement. NOTE: SummaCare Inc makes claim payments based on the National Provider Identifier assigned to the provider. When a provider is paid to a group or practice, all other providers under that same group or practice will also be paid by Electronic Fund Transfer.The following SummaCare Medicare Advantage Plans plans offer Medicare Advantage coverage. Medicare Advantage plans are an alternative way to get your Original …SummaCare offers Medicare Advantage plans, employer group insurance and individual and family plans. Additionally, SummaCare offers a full range of self-funded products …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.Summa Health's MyChart online portal gives you secure access to your personal health information 24/7. Sign up for MyChart and gain online access to your health records, physicians, appointments and more. Login. Add a Family Member. 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 ... 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 offers affordable medical insurance for employers, individuals, families and Medicare eligibles in Ohio. Explore local health plans you can count on.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. SummaCare Medicare has been recognized with a 4.5-Star (out of 5) overall rating for 2022 from the Centers for Medicare and Medicaid Services (CMS).Summa Health System is one of the largest integrated healthcare delivery systems in the state. Formed in 1989 with the merger of Akron City and St. Thomas Hospitals, this nonprofit system now encompasses a network of: Hospitals. Community-based health centers. A health plan (SummaCare) A multi-specialty group practice. An entrepreneurial entity.Oct 1, 2022 · Request Member Materials. To request a hard copy of an evidence of coverage document, provider directory or formulary be mailed to you, please call SummaCare Member Services at 330.996.8885 or 800.996.6250 (TTY 711) or complete the online request form. SummaCare Medicare Sapphire (HMO-POS) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $79.00. Enroll Now. This page …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 | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Sign in to access your OTC benefit account and order health and wellness products online. Create an account if you are a new user.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.SummaCare Medicare Emerald (HMO-POS) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $169.00. Enroll Now. This page features plan details for 2024 SummaCare Medicare Emerald (HMO-POS) H3660 – 028 – 0 available in Northeast Ohio. IMPORTANT: This page has been updated with plan and premium …SummaCare is consistently recognized for excellence in its industry. The Centers for Medicare and Medicaid Services (CMS) granted SummaCare Medicare …Company Summary: SummaCare is one of Ohio’s only provider-owned health insurance companies, and is based in Akron, Ohio. They were established in the early 1990’s as a product offering for well-built and self-funded employers. From that time on, they have expanded regionally to connect the needs of Medicare beneficiaries, individuals and ...At SummaCare, our goal is to provide members with the tools they need to become their healthiest — and happiest — self. That’s why we created Plan Central, so you can manage your health and wellness all from one convenient, online location. Through Plan Central, you will enjoy 24-hour, secure access to the following and more:Alan 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 … Summa Health System — Akron and Barberton Campuses are a recipient of the Healthgrades 2024 America’s 50 Best Hospitals Award™. This places Summa Health among the top one percent of all hospitals for clinical care and patient outcomes across treatment of the most common conditions and procedures. Read more. Of course, every study is conducted on a different group of people, and individual results vary. Click any benefit below to learn more about the studies behind the benefit. Call …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 ...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.Of course, every study is conducted on a different group of people, and individual results vary. Click any benefit below to learn more about the studies behind the benefit. Call …Login using your Sitecore credentials. Username. PasswordMar 12, 2024 · If you elect to enroll in our optional supplemental dental plan, you’ll pay an additional $35 per month in order to obtain the following additional benefits. You must keep paying your Medicare Part B premium and your SummaCare Medicare plan premium. The optional supplemental dental coverage has a calendar year maximum of $2,000 for Amber (HMO ... SummaCare, Akron, Ohio. 1,227 likes · 50 talking about this · 44 were here. Health insurance for you, your family and your business.SummaCare’s goal is to offer the highest quality healthcare to our members. This is accomplished, in part, by building a provider network of physician and practitioner professionals who meet our standards. Through the process of "credentialing," all new physicians and practitioners in the network are reviewed to assure their professional ...View the latest issue of The Source, SummaCare's Employer e-Newsletter, or view archives of The Source to find news and updates from SummaCare. Exciting News From SummaCare. SummaCare Adds Aultman to Networks. The Source, April 2017. The Source, March 2017. The Source, Dec 2016SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Summa Health offers a variety of healthcare plans, services and locations for patients in the Akron/Canton area. SummaCare is the health insurance arm of Summa Health, …Nov 7, 2023 · SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., seven days a week. EDI 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 …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. 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) Login using your Sitecore credentials. Username. PasswordOct 27, 2023 · Perennial Advantage. PrimeTime Health Plan. SummaCare Medicare Advantage Plans. The Health Plan. UnitedHealthcare. UPMC for Life. Wellcare. Wellcare by Allwell. Plan availability varies by ZIP ... SummaCare | 2,114 followers on LinkedIn. Personal attention you deserve | SummaCare is headquartered in Akron, Ohio and is one of the region's only provider-owned health …
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. …. Robert gilbert
SummaCare Medicare Emerald (HMO-POS) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $169.00. Enroll Now. This page features plan details for 2024 SummaCare Medicare Emerald (HMO-POS) H3660 – 028 – 0 available in Northeast Ohio. IMPORTANT: This page has been updated with plan and premium …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 ...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, 2024SummaCare offers Medicare, individual and employer health plans in Ohio. Learn about their 4.5-star rating, vision coverage, events and blog.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. SummaCare is consistently recognized for excellence in its industry. The Centers for Medicare and Medicaid Services (CMS) granted SummaCare Medicare Advantage plans a 4.5/5-star rating for 2022. U.S. News & World Report named SummaCare a “Best Insurance Company for 2022 Medicare Advantage Plans.” 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. We would like to show you a description here but the site won’t allow us.DiabetesCare. DepressionCare. HeartCare. KidneyCare. SummaCare’s Condition Management programs are available at no cost to you. Enrollment is optional and you may opt-out at any time. For more information about or to enroll in any of SummaCare’s Condition Management programs, call 877.888.1164 (TTY …Oct 1, 2022 · SummaCare offers BrainHQ, a proven brain training program that can help you think faster, focus better, and remember more. BrainHQ is your online headquarters for brain training. Each BrainHQ exercise is based on the science of brain plasticity—the ability of the brain to change itself. These exercises sharpen your brain’s memory, attention ... 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. Need Help? Call our MyChart ® experts. They are ready to assist you 24/7 every day of the year at: 234.475.6789.