Specialty Pharmacy provider for most commercial and all marketplace members. Members or providers may call AcariaHealth.
Phone: 855.422.2742 or 833.626.8417
Mail order pharmacy. Birdi provides an online portal to manage and order prescription medications. Birdi can be reached by phone or members can register online.
Website: medimpact.com
Phone: 1.855.873.8739 (TTY 771)
Cigna Healthcare PPO network* for coverage outside of Ohio for out of state members or urgent/emergent out of network all others.
Website: www.cigna.com
Medical Transportation for entire SummaCare membership. Non-911 Medical Transportation includes ground ambulance, helicopter ambulance and fixed-wing/regular aircraft ambulance.
Phone: 866.996.8791
Provides reminders to schedule preventive screenings, including phone calls.
Reviews and determines medical necessity on requests submitted by providers for High-Tech radiology, Medical Oncology, Radiation Therapy and Genetic Lab tests. eviCore may reach out telephonically, or more likely by fax or letter.
Phone: 855.774.1315
Fax: 800.542.2406
Group ancillary product offerings including dental, vision, life and disability.
Discounted gym memberships, nutrition programs, fitness equipment, etc.
Pharmacy Benefit Manager for Commercial and Marketplace plans. MedImpact processes all pharmacy claims and manages the pharmacy network. MedImpact also reviews all coverage determinations under the pharmacy benefit including prior authorizations and formulary exceptions. Please call the number on your member ID card and select the option for questions regarding pharmacy.
Offers telephonic smoking cessation counseling and nicotine replacement therapy to members, referred to as SummaCare’s QuitCare program.
Urgent/emergent care in Ohio outside of network.
Website: ohiohealthchoice.com
Phone: 800.554.0027
Administers surveys to our members, including those required by CMS. These surveys help SummaCare evaluate and improve services and programs.
Provides the SummaCare 24-Hour Nurse Line service and also assists SummaCare's Quality Management team to schedule mammograms, prescription refill reminders or to promote SummaCare's programs.
Telehealth visits with primary care providers, specialists and/or behavioral health providers.
Website: teladoc.com
Phone: 800.835.2362 (TTY 855.636.1578)
Community-based palliative care program which provides specialized palliative-prepared, team-based care focused on relieving the symptoms and stress of a serious illness.
Phone: 234.867.7015
Provides members a personalized health and wellness portal to help track healthy lifestyle habits.