This SummaCare FAQ section provides detailed answers to common questions employers may have about health insurance plans for their workforce. It covers key topics such as enrollment periods, plan options, network providers and cost structures for various services. The FAQs also explain the benefits of Health Savings Accounts (HSAs), the process for prior authorizations and how specialist visits work without referrals. This section is designed to help employers make informed decisions when selecting and managing healthcare coverage for their employees.
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Employers FAQ Category
Are there different network options?
Yes, SummaCare offers a variety of provider network options designed to help businesses and their employees save money while still having access to top-tier healthcare. These networks includes Summa Health, Cleveland Clinic, University Hospital, MetroHealth, and many more.
Does SummaCare include pharmacy coverage?
Yes, all SummaCare plans include comprehensive prescription drug benefits, with coverage details varying by the specific plan.
Does SummaCare offer plans for large groups?
Yes, SummaCare provides plans for businesses with 50 or more employees.
How do I get a quote?
You can obtain a quote by:
Contacting your insurance agent or broker.
Calling SummaCare Sales department at 330.996.8955 or 800.375.6530.
Emailing SummaCare directly at quotes@summacare.com.
How many different employer plans does SummaCare offer?
SummaCare provides a comprehensive portfolio of fully-insured plan options, including standard PPO plans, high deductible plans, and tailored plans built to employer specifications. SummaCare offers a variety of plan options to accommodate different coverage needs and budgets, including standard PPO plans, high deductible plans, and tailored benefit plans.
What additional benefits does SummaCare offer beyond insurance?
SummaCare provides a range of value-added benefits at no additional cost, including:
Health & Wellness Programs: Condition management programs for conditions such as asthma, depression, diabetes, heart failure, and high-risk pregnancy.
24-Hour Nurse Line: Access to experienced registered nurses for non-emergency health situations.
Gym Membership Discounts: Discounts on gym memberships, vitamins/supplements, weight loss programs, and more through GlobalFit.
Vision Discounts: Substantial discounts on comprehensive eye exams, frames, and lenses through EyeMed Vision Care's discount program.
Health Coaching: One-on-one telephonic service to help with lifestyle modifications aimed at preventing chronic diseases.
Free Flu Shots: Annual flu vaccinations at no additional cost.
What size of company are SummaCare Group Plans for?
SummaCare offers group plans for businesses with as few as two employees.
Which counties are SummaCare plans available in?
SummaCare plans are available in the following Ohio counties:
Ottawa
Sandusky
Erie
Huron
Lorain
Ashland
Holmes
Wayne
Medina
Cuyahoga
Summit
Stark
Tuscarawas
Carroll
Portage
Geauga
Lake
Ashtabula
Trumbull
Mahoning
*Columbiana - Chamber Health Benefits Plan (MEWA) Only
