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Benefit Management

Medical Benefits

Log in to your Plan Central account to submit member/dependent enrollments, changes and terms and view health insurance eligibility information and benefit descriptions.

Prescription Drug Coverage

If you offer prescription drug coverage through SummaCare, your employees can use our drug search, find copay information or an in-network pharmacy and learn more about SummaCare’s mail order pharmacy service.

Dental Benefits

Guardian Dental

Employers with dental benefits through Guardian Dental should call Guardian’s Customer Service Team at 800-627-4200 with questions and comments.

The Dental Care Plus Group (DCPG)

Employers with an Ohio DentaTrust, DentaSpan or DentaSelect Plus plan through DCPG can find a dentist, login to the portal and learn more about DCPG plans and benefits here. Members with Ohio DentaTrust or DentaSpan can call 855-343-4263 and members with DentaSelect Plus can call 800-367-9466.

Self-Funded

Employers with self-funded dental benefits through SummaCare should call their Account Manager with questions and comments.

Vision Benefits

EyeMed

Visit EyeMed Vision Care to view benefit information, order ID cards and locate a provider.

VSP

SummaCare’s small group and individual health insurance plans include pediatric vision benefits for children up to age 19 through our partnership with VSP, a national leader in vision and eye care benefits. Find a VSP provider today or call VSP Customer Service at 855-868-4561.

Summary of Benefits (SBC)

SBCs are mandated under the Patient Protection and Affordable Care Act (PPACA) and the SBCs provided by SummaCare will reflect medical and pharmacy benefits only. They will not reflect or include details about Health Reimbursement Accounts (HRAs), Health Savings Accounts (HSAs) or other ancillary benefits. SBCs for tailored benefit plans are available upon request from your Account Manager. Search by plan for the document you need.

Employer Reporting

Log in to review, save and print your specific employee group reports.

Questions?  We are here to help.

Fully-Insured Products

By Phone:
330.996.8955 or 800.821.9322


By Email:
groupservice@summacare.com

 

Self-Funded Products

By Phone:
330.996.8955 or 800.375.6530


By Email:
quotes@summacare.com

 

Request Benefit Materials

View patient eligibility, benefits, claims status, and self-funded prior authorization lists, as well as review clinical edits and clarifications.

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