For security purposes, SummaCare requires that you provide specific information to confirm your identity in order to maintain confidentiality and protect your privacy. 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 you by e-mail or phone requesting the missing information. To avoid delays, please provide all required information.

Member Number
(on ID Card)
Group Number
(on ID Card)
*Date of Birth  
*First Name  
*Last Name  
Middle Initial
*Phone Number  
*Email Address