SummaCare Prides Itself on Delivering Superior Member Experiences

Posted June 12, 2023 by Christine Elerick, Director, Member Experience

SummaCare’s focus is always on you, your family and business. We are known for superior customer service, but we are proud to distinguish ourselves by also providing an outstanding member experience. We put members first because our mission is to truly help members become their happiest and healthiest versions of themselves.

Our goal is to consistently exceed members’ expectations so they can expect a great member experience with every interaction they have with us.

It’s one thing to say we’re exceeding expectations, but quite another to work tirelessly to put it into practice—and we’re proud of the results:

• SummaCare’s Medicare Retention Rate last year was 97 percent, compared to the national average of 88 percent.
• 60 percent of members contacted Member Services in the past year and rated the experience overwhelmingly positive. In fact, 99 percent said the representative was “courteous and friendly” and 97 percent said the representative was “knowledgeable and helpful.”

For 30 years, we’ve provided our neighbors and friends with the personal attention and coordinated care they need. We get to know our members and their lifestyle so we can fit our plans to their needs and budgets.

When you choose SummaCare, here’s what you can expect:

• We are caring. We give you the personal attention you deserve because you are our family, friends and neighbors.
• We are authentic. We develop genuine, trustworthy relationships to ensure you have the best experience with us. We personalize your experience. We strive to be empathetic, empowering, educational, hassle-free, accurate, consistent and timely.
• We are dedicated. We have 30 years invested in the community. We were originally created as a product offering for The Goodyear Tire & Rubber Company and have continued offering health insurance products to meet the needs of area residents and businesses. We are a trusted resource in the community to provide insight, guidance and leadership.
• We are collaborative. We partner with your doctors and other healthcare professionals to coordinate your care and manage your health. We realize there are multiple factors that add up to good health, and all of them must fit together. We work with others to achieve a common goal.

When you enroll, our promise is to personalize your SummaCare experience, develop a genuine trustworthy relationship and give you the personal attention you deserve.

Learn more about SummaCare’s health insurance plans. Then, give us a call. We want to make it easy for you to get the care and services you need to lead a healthy, happy life.

Medicare Advantage plans

SummaCare’s has a variety of Medicare Advantage plans* offering medical, prescription drugs, dental and other coverage designed to meet a variety of health and budget needs. We go beyond basic Medicare, adding to that coverage money-saving extras such as coverage for prescription drugs, dental, vision, hearing aids, over-the-counter medications, gym memberships, rides to your doctor and more. Some plans cost as little as $0 a month.

Learn more about our 5-Star MA plans and this year’s new Jade (HMO) plan with Bene-Flex™, our first customizable Medicare Advantage plan option, where you select the benefits to add to already built-in comprehensive medical and prescription drug (Part D) coverage, starting at $19/month.

* Benefits may vary based on plan selected.

Speak with a Licensed Representative about our Medicare Advantage plans by calling 888.464.8440 (TTY 711) or start your search by visiting this link.

Individual and Family plans

SummaCare offers 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 to qualify for Medicaid.

Our Individual and Family health plans offer access to quality providers and top hospitals, comprehensive medical and pharmacy benefits, certain free preventative services, access to telehealth visits, value-added health and wellness programs, including Assist America global emergency services, health coaching, gym memberships and more.

Speak with a Licensed Insurance Representative about our Individual and Family plans by calling 888.251.7953 (TTY 711) or start your search by visiting this link.

Employer plans

To attract and retain the talent necessary to keep a competitive advantage, employers need to offer more benefits relevant to today’s workforce.

That’s why SummaCare offers a wide variety of both fully insured and self-funded commercial plans to meet the needs of businesses—large and small. Our health plans include comprehensive medical and prescription drug benefits, value-added services, programs and discounts at no additional cost to employers or employees.

In addition, our health plans offer condition management programs for members with chronic conditions, wellness services, from 24-hour nurse lines to health coaching to preventative screenings. Employers also can add ancillary services, such as Life and Accidental Death insurance and Health Spending Accounts.

What’s more, SummaCare offers a variety of provider networks to choose from, such as our SCPremier Network and The Preferred Choice Network, which include Cleveland Clinic Akron General, to help minimize employee out-of-pocket costs.

Learn more about our Employer plans.

To choose a plan that’s best for you, your family or your business, call 888.251.7957 to speak with a licensed enrollment advisor or visit summacare.com to learn more about how we can help you.

SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year Medicare evaluates plans based on a 5-star rating system. SummaCare’s Medicare Advantage Plans have been recognized with 5-Star (out of 5) rating for 2023 by the Centers for Medicare and Medicaid (CMS). From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., seven days a week. From April 1 through September 30, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., Monday through Friday. Outside these hours, you may leave us a message and a representative will return your call the next business day. 97% retention rate based on 2023 AEP voluntary disenrollment study completed by SummaCare.  H3660_SC277_M Accepted 06122023