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Need Individual or Family Health Insurance? SummaCare Is Proud To Be Your Community Provider

Posted November 23, 2022 by Sue Crawford

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Did you recently lose your health insurance? Does your employer not offer health insurance, or are you just looking to switch? Do you need to bridge the gap before qualifying for Medicare?

If you answered yes to any of the above questions, SummaCare is here to help.

We offer insurance options for individuals and families who do not have access to group coverage, don’t yet qualify for Medicare or make too much money for Medicaid. For nearly 30 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, we offer low monthly premiums for our 2023 health plans.

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

Individual and Family Plan Benefits

Our 2023 individual and family health insurance plans are designed to meet your needs and include:

  • Comprehensive medical and pharmacy benefits
  • 3 FREE combined 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® or in-network providers
  • 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

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 the same set of essential health benefits. Categories have nothing to do with care quality.

Gold Plans
Highest premiums, lowest costs when you need care.

Good choice if: 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.

Silver Plans
Moderate premiums, moderate costs when you need care.

Good choice if: You want more of your routine care covered and you’re willing to pay a slightly higher monthly premium than Bronze. Also, a good choice if you qualify for “extra savings,” or cost-sharing reductions.

Bronze Plans
Low premiums, higher costs when you need care.

Good choice if: 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.

Lowest premiums, highest costs when you need care.

Good choice if: You need an affordable way to protect yourself from worst-case scenarios, like a serious illness or injury. However, you will 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.

Why SummaCare?

Our focus is always on you, your family and/or your business. It is our goal to consistently exceed our members’ expectations. That’s why you can expect the same great customer service with every interaction you have with SummaCare. When you enroll, we will personalize your experience with us, develop a genuine trustworthy relationship, and give you the personal attention you deserve because you are our family, friends and neighbors.

To choose a plan that’s best for you and your family, call 888.251.7957 to speak with a licensed enrollment advisor or visit for a full summary of benefits for each plan.

Open enrollment for 2023 coverage runs through Jan. 15, 2023. If you enroll from Nov. 1 – Dec. 15, 2022, your coverage will begin on Jan. 1, 2023. If you enroll between Dec. 16 and Jan. 15, 2023, your coverage will begin on Feb. 1, 2023. Most plans can be purchased using financial assistance in the form of an advanced premium tax credit and/or cost-sharing subsidy, if applicable.