SummaCare Makes it Easy to be Proactive About Your Health with Free Health and Wellness Benefits

Posted September 13, 2024 by H. Kelley Riley M.D., MBA, Chief Medical Officer

Did you know being proactive about your health can help you live longer, improve your quality of life and reduce your risk for chronic disease?

That’s reason enough to take action now when it comes to your health!

SummaCare is here to help. We understand how taking steps to be healthy are key to living a longer, healthier and happier life. That’s why we offer health and wellness tools and programs to members at no additional cost across all of our plans. 

Our health programs are focused on managing current health issues you may be facing, while our wellness programs are focused on keeping you well. 

Learn more about how you can get the most out of our health and wellness benefits, so you can be proactive about your health and well-being. After all, your health is one of the most important aspects in your life!

Behavioral health support

Whether you’re experiencing short- or long-term stress, anxiety or depression, we offer several behavioral health services to help support you on your journey. Depending on your needs, a registered nurse will help you navigate your health care and provide needed support. 

Care management

We understand a fragmented approach to health care can make it difficult for you to achieve an optimal level of wellness and function. That’s why we offer Care Management programs to assist members diagnosed with complex health conditions. 

Services may be short-term for members who are transitioning home after a hospitalization or long-term for members with catastrophic or highly complex health needs.

Care Managers are registered nurses who will: 

• Monitor clinical care
• Assist with transitions between hospital and home or other care settings
• Provide support to members’ providers by remaining in contact with them about their patients’ progress

Condition management

Living a proactive, healthy lifestyle can make a difference if you are living with a chronic illness. Our Condition Management programs provide specialized services, tools and resources to members with chronic conditions, such as asthma, depression, diabetes, heart failure, kidney disease or high-risk pregnancy. 

We’re here to help you manage your condition, so you can live a healthier life. Participants receive:

• Condition-specific preventive and self-care education
• Phone access to a SummaCare nurse for health questions
• Reminders to seek recommended care
• Health coaching related to self-management tools

Utilization management

We know the risks of under-utilization of care. That’s why we offer a Utilization Management program to ensure members are receiving the most appropriate, highest-quality, evidence-based care. 

Our program works by reviewing and assessing the status of your care while in facilities like hospitals, rehabilitation or skilled nursing centers to make sure your benefits are maximized to the fullest. For example, members may receive prior authorization of procedures or get supplemental home medical equipment.

Wellness Services

Our wellness programs and services are focused on keeping you well, so you can live a healthier, happier life and include: 

• Health Manager powered by WebMD®. Get exclusive access to WebMD’s Health Manager online tool. Set personal goals, monitor your health progress, track results, and set personal health and wellness reminders. It’s like having a personal health coach working with you 24/7. 
• 24-Hour Nurse Line. Experienced registered nurses have accurate, up-to-date information about almost any health topic. A nurse can answer your questions, offer support and help you make decisions about non-emergency health situations.
• QuitCare. SummaCare is committed to helping you stop smoking for good. To get started, speak to a tobacco treatment specialist and enroll in our free QuitCare telephonic counseling program and nicotine replacement therapy.
• Preventive Health Reminders. Do you sometimes forget to schedule regular check-ups? We will send you reminders for preventive services and other recommended care for common conditions and preventive screenings.
• Health and Wellness Discounts. We have partnered with HUSK (formerly GlobalFit®) to provide you access to services and products at an exclusive discounted price, such as discounted gym memberships, vitamins/supplements, weight loss programs, Fitness On Demand and more.
• Vision Discounts. Through EyeMed Vision Care, you can receive substantial discounts on comprehensive eye exams, frames and lenses at participating locations.
• Health Coaching. Health coaching is a one-on-one telephonic service used to help you with lifestyle modifications to prevent a future diagnosis of chronic diseases, such as high blood pressure, diabetes, high cholesterol and heart disease. Your health coach will help you identify at-risk behaviors and provide suggestions to improve your wellness.
• Free Flu Shots. One of the best ways to avoid the flu is to get an annual flu shot. You can receive a free flu shot from any SummaCare provider by simply presenting your SummaCare member ID card.

For questions on how to get the most out of your health and wellness benefits at SummaCare, contact us at 800.996.6250. We’re here from 8 a.m. until 8 p.m. seven days a week.