Resources & Self Service

Resources

• Advance Directives – Learn the importance of executing an advance directive. 
• Clinical Practice Guidelines – See clinical recommendations for specific medical conditions and appropriate preventive care.
• FAQ – Get the answers to our most frequently asked questions.
• Health & Wellness Tools – Access the tools and services available to you
• How to Find the Right Primary Physician
• My Benefits/Plan Central - Access your personal benefit information
• Pharmacy Benefits Guide – Find out which prescription drugs have limitations (prior authorization, step therapy and quantity limits).
• Prior Authorization List –  Find out which services and provider-administered medications require prior authorization 

• Change your address
• Change your PCP
• Download the Coordination of Benefits Form to update SummaCare about your other insurance coverage
• Deductible Credit Transfer Form for applying expenses from your previous plan's deductible
• Download an Information Release Form to allow SummaCare to discuss your insurance plan or care coordination needs with an outside person or organization
• Medical Claim Form for out-of-network services received
• MedImpact Pharmacy Claim Form for reimbursements when prescriptions are paid for out-of-pocket
• Member Change Form
• Pharmacy MedVantx Mail Order Form 
• Prior Authorization Fax Form 
• Request a new ID card
• Request a copy of your benefit information

• Fraud and Abuse Policy
• Member Rights and Responsibilities
• Notice of Privacy Practices 
• Terms of Use/Privacy Policy for web site
• Women's Health and Cancer Rights Act of 1998

Member Newsletters

SummaCare sends biannual newsletters to keep you informed about important benefit information and the latest health & wellness news to help you live a happier, healthier life.

Quality Management

SummaCare is committed to providing a level of quality in care and services which is unparelleled in the industry. SummaCare's Quality Management initiatives have resulted in steady improvements in outcomes.

Contact Us

We know benefit details and health decisions aren't always easy. We're here to help.