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 …Many thanks to our SummaCare Member Services team. They’re always ready to answer any questions, help you select a Primary Care provider, help you… Liked by Bill Epling When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests. 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's 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.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 ...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 ...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 ...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. Published in SummaCare Medicare Insurance Plans. HealthPlanOne is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations 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 ... 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 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 offers seven Medicare Advantage plans for eligible individuals in northern Ohio, including a new Jade plan with Bene-Flex™. Bene-Flex lets members …SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Request 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.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 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 has contracted with thousands of providers and many of the area’s hospitals and facilities to provide services to our members. SummaCare Medicare Advantage Plans. Find Your Doctor or Hospital using our online search. View and/or print from the options below: Northeast Region SCMedicare Provider Directory 1 - Updated March 29, 2024For 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 ...PRIOR AUTHORIZATION REQUEST Please Fax To Inpatient 234-542-0811. Radiology, Radiation Oncology, Medication Oncology, Lab And Genomic Testing 800-540-2406.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.”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 …2024 Health plan information for SummaCare Standard Bronze by SummaCare. Skip to content. Facts on Health Insurance. Find Health Plans. Get Help from a licensed agent. 1-877-668-0904 ; M-F 9am-10pm, Sat 12pm-8pm EST; Get Help. 1-877-668-0904 ; Enroll Now. Home > Health Plans > SummaCare Standard Bronze.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). 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 Looking for Individual or Family Insurance? Talk to a Licensed Insurance Representative by calling 888.291.3790 (TTY 711) or start your search below. When do you need coverage? 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 44305SummaCare 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 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.Coinsurance: Your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. Copayment: A fixed amount (for example, $15) you pay to the healthcare provider for a covered health care service, usually paid at the time of ...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 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 44305Published 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 ...Your SummaCare Individual & Family plan includes: Comprehensive medical and pharmacy benefits. 3 FREE office visits on most plans to your SummaCare Primary Care Provider (PCP)* and outpatient mental health services for each person on your policy. Telehealth visits (through Teladoc® Health and …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. 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.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 …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 …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 …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. …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’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.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 ...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 … From April 1 through September 30, a representative will be available to take your call from 8:00 a.m. to 8:00 p.m. Monday through Friday. Outside these hours, you may leave us a message and a representative will return your call the next business day. Material ID: H3660_20_962NS_C 05052023. SummaCare is actively monitoring the COVID-19 ... 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 …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 …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.Our Individual & Family plans, which feature the SC Connect network, are available to individuals and families living in Summit, Portage, Stark and Medina counties. The SC Connect network provides access to many of the finest physicians, facilities and hospitals, including Summa Health, Akron Children’s Hospital and Mercy …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).Dec 26, 2023 · The SummaCare Medicare Formulary is a list of covered drugs under SummaCare Medicare Advantage plans. 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. When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests.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.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 …Oct 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. 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.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 …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, 2024AKRON, 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 ...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. …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 …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 …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).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.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 ...Sign in to access your OTC benefit account and order health and wellness products online. Create an account if you are a new user.World Health Organization. What if I have more questions about SummaCare’s coverage of COVID-19? If you are a provider and have additional questions, please call SummaCare Provider Support Services at 330.996.8400 or 800.996.8401. SummaCare created an online resource to help providers answer commonly asked …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 …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 ...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 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 ...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. 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 ... 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 ...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 …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).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 …Summa Health is a nonprofit integrated healthcare delivery system in Northeast Ohio, United States. The Greater Akron Chamber (Ohio) documents Summa Health as the largest employer in Summit County with more than 7,000 employees. Summa provides comprehensive emergency, acute, critical, outpatient and long-term/home care.. Summa Health's integrated healthcare …COVID 19 Response: SummaCare Hospital Floor to SNF Program. Program ends 4/30/2022 The SummaCare Hospital Floor to SNF Program is ending 4/30/2022. All SNF’s and Hospitals should return to following SummaCare Prior Authorization processes for SNF Admission beginning 5/1/2022. For questions, please call 330.996.8625. After-Hours Authorizations
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. …. Henry mayo
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 …www.summacareotc.com | SummaCare Medicare. To place an OTC order over the phone call: 1-855-435-5111 (TTY: 711) MEMBER SERVICES Contact Line: Please first call the number found on the back of your member ID card for accurate and faster service. SummaCare is an HMO and HMO-POS plan with a Medicare contract.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).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 ... SummaCare’s 24-Hour Nurse Line: 800.379.5001 (TTY 800.750.0750) National Domestic Violence Hotline: 800.799.7233 (TTY 800.787.3224) or text “LOVEIS” to 866.331.9474. 988 Suicide & Crisis Lifeline: Call or text 988 for assistance with any mental-health related distress—whether thoughts of suicide, mental health, …When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests.SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Over-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 …SummaCare Enhanced Support Program. As of January 24, 2022, SummaCare is offering a new home supportive care program to our members which is offered in collaboration with Carecentrix. It is a community-based palliative program provided by specially trained nurses and social workers from the palliative team at Summa Health.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 takeAKRON, 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 ...Check out SummaCare’s Individual & Family plans for 2023! You can get health insurance for yourself and your family, which includes: Comprehensive medical and pharmacy benefits. 3 FREE office visits on many plans to your SummaCare Primary Care Physician (PCP)* and outpatient mental health services for each person 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 …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.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."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).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 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 ...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 ... .