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Turn to SummaCare for your individual or family health insurance needs

Posted November 01, 2021 by Charles A. Zonfa, MD, FACOG | Chief Medical Office

Shopping for health insurance? If you don’t have health insurance through your employer, don’t yet qualify for Medicare or make too much money for Medicaid, SummaCare is here to help.

We offer insurance options for individuals and families who do not have access to group coverage. For more than 25 years, we’re proud to have provided our neighbors and friends with the personal attention and coordinated care they need to live healthy, happy lives.

Our health plans offer access to quality providers and top hospitals, comprehensive pharmacy benefits, certain preventative services for free, value-added health and wellness programs, and more. Plus, new this year we’re offering much lower monthly premiums for our 2022 health plans.

Explore the many benefits of SummaCare’s Individual and Family Plans and find out why so many neighbors are turning to SummaCare for their health insurance needs.

Individual and Family Plan Benefits

Our 2022 individual and family health insurance plans are designed to meet your needs and include:

  • Comprehensive medical and pharmacy benefits
  • 3 FREE office visits on most plans to your SummaCare Primary Care Physician and outpatient mental health services for each person on your policy
  • Access to telehealth visits through Teladoc® for general medical, dermatology and behavioral health visits
  • Low copays on specialist office visits and generic prescriptions
  • Assist America global emergency services when traveling away from home, available on most plans
  • Adult vision exam, available on most plans, including vision discounts from EyeMed Vision Care

Our plans also offer health and wellness services designed to help you feel your best, including:

  • Certain preventative health screenings for free, such as mammograms
  • A free yearly flu vaccine
  • Disease management programs for members who are living with chronic or serious health conditions
  • Health Coaching to encourage you to make lifestyle changes that can help prevent high blood pressure, diabetes, high cholesterol and heart disease
  • Automatic preventive health reminders so you don’t forget your regular checkups.
  • Access to WebMD’s Health Manager online tool, where you can set personal goals, monitor your health progress and track results
  • QuitCare to help members who smoke put an end to the habit
  • Discounts on gym memberships through GlobalFit

Choosing the plan that’s right for you and your family

SummaCare understands healthcare needs vary from person to person. That’s why we offer a range of plan options designed to meet the needs of individuals and families looking for health insurance.

Plan categories are based on how you and the plan share your healthcare costs. Generally, plans in categories with lower premiums pay less of your total costs. Categories with higher premiums usually pay more. All plans cover at least the same set of essential health benefits. Categories have nothing to do with care quality.

  • Bronze Plans

    You want a low-cost way to protect yourself from worst-case medical scenarios, like serious sickness or injury. Your monthly premium will be low,    but you’ll have to pay for most routine care yourself.

  • Silver Plans

    You’re willing to pay a slightly higher monthly premium than Bronze to have more of your routine care covered.

  • Gold Plans

    You’re willing to pay more each month to have more costs covered when you get medical treatment. If you access care frequently, a Gold plan could be a good value.

  • Catastrophic
  • Catastrophic health insurance plans have low monthly premiums and very high deductibles. They may be an affordable way to protect yourself from worst-case scenarios, like a serious illness or injury, but you pay most routine medical expenses yourself.

Our plans are available to individuals and families living in Summit, Stark, Portage and Medina counties and feature the SCConnect network. This network provides access to many of the area’s finest physicians, facilities and hospitals including Summa Health, Cleveland Clinic Mercy Hospital and Akron Children’s Hospital. By providing access to this exclusive network of providers, we are able to offer efficient care at lower costs.

To choose a plan that’s best for you and your family, call 888.539.5508 to speak with a licensed enrollment advisor or visit for a full summary of benefits for each plan.

Open enrollment for 2022 coverage begins Nov. 1 and runs through Jan. 15, 2022. If you enroll from Nov. 1 – December 15 your coverage will begin on January 1, 2022.  If you enroll between December 16 and January 15, 2022 your coverage will begin on February 1, 2022. Most plans can be purchased using financial assistance in the form of an advanced premium tax credit and/or cost-sharing subsidy, if applicable.