Summacare

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. 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.The following SummaCare Medicare Advantage Plans plans offer Medicare Advantage coverage. Medicare Advantage plans are an alternative way to get your Original Medicare coverage. AKRON, Ohio, October 1, 2023—Beginning October 15, Medicare-eligible individuals may select one of SummaCare’s updated Medicare Advantage plans for 2024. Medicare’s Annual Enrollment Period runs through December 7. Based in Akron, SummaCare’s Medicare Advantage plan service area includes 33 northern Ohio counties and gives Medicare ... agree 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.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 …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.”

We would like to show you a description here but the site won’t allow us.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.Call the SummaCare 24-Hour Nurse Line. If you are unsure if your symptoms are serious enough to wait until your next doctor's visit, call SummaCare's 24-Hour Nurse Line at 800.379.5001 (TTY 771). Registered nurses are available to assist you 24 hours a day, seven days a week. They can assist you with specific medical questions; provide …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 ...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 free QuitCare telephonic counseling program and nicotine replacement therapy. Learn more about QuitCare.

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. Published in SummaCare Medicare Insurance Plans. HealthPlanOne is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and ... 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 … 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 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. 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

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SummaCare, Akron, Ohio. 1,227 likes · 50 talking about this · 44 were here. Health insurance for you, your family and your business.Summa Health System, headquartered in Akron, Ohio, is one of Ohio's largest integrated healthcare delivery systems. Find a Summa location near you.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 ...Enter your NPN Number: Enter your password: LoginSummaCare 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 …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.

Oct 4, 2021 · 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 and ... SummaCare Medicare Advantage Network now includes Cuyahoga County’s three largest health systems. AKRON, Ohio, October 10, 2023 – SummaCare has announced that The MetroHealth System joined its extensive Medicare Advantage provider network effective August 1, 2023. Under terms of the agreement, SummaCare Medicare members now …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 … Inpatient hospital - psychiatric. $340 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $35 copay. Outpatient individual therapy ... 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, Akron, Ohio. 1,227 likes · 50 talking about this · 44 were here. Health insurance for you, your family and your business.SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066SBAOct 11, 2023 · 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 are enrolling in the 2024 Amber plan. 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.SBA

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 ...

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 Pricing Transparency. As part of the Transparency in Coverage Act, health plans are required to post Machine-Readable Files (MRFs) containing the following costs for items and services when accessing care: In-Network Rate File: Rates for all covered items and services between the plan or issuer and in-network providers. Allowed Amount ...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 & ScreeningsPublished in SummaCare Medicare Insurance Plans. HealthPlanOne is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans with a Medicare contract. Enrollment in any plan depends on contract ...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 ...Provider Engagement Specialists. If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the …Need Help? Call our MyChart ® experts. They are ready to assist you 24/7 every day of the year at: 234.475.6789Meet 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. …SM-22-61377/CS/T/1-22 Steps to become a SummaCare provider: Step 1 Complete and email this form, additional information pages and all required documentation (your file) to [email protected]. Step 2 SummaCare Contracting will review your completed file to determine network needs (incomplete files may be …

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Summa, which includes Akron City Hospital, the Barberton campus, SummaCare insurance company and outpatient locations and physician offices across the region, has more than 8,000 employees. If the sale goes through, Summa would become a for-profit hospital, shedding its nonprofit status.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, …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 …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.The following SummaCare Medicare Advantage Plans plans offer Medicare Advantage plus Prescription Drug plan coverage to Ohio residents. Medicare Advantage plus …The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. Enrollment in plans depends on contract renewal. Availability of benefits and …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 …2023 Summacare Comprehensive Formulary Small Group And Individual Prescription Drug Benefits The following is a listing by drug class of medications most commonly prescribed under the SummaCare Prescription Drug Benefit. Brand-name drugs are capitalized and generic drugs are listed in lowercase. Prescription drug benefits vary, but in mostProviders. 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 ...The following SummaCare Medicare Advantage Plans plans offer Medicare Advantage coverage. Medicare Advantage plans are an alternative way to get your Original …SummaCare 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 … ….

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 ... 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."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 …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 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 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. 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. 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, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]