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Healthcare Providers Outside of the SummaCare Service Area

SummaCare Medicare Plans

If you are enrolled in a SummaCare Medicare Advantage plan, and your plan covers out-of-network services, you may see any Medicare-approved provider.

Individual and Family Plans

If you are enrolled in a SummaCare Individual or Family plan, please note that you are only covered for emergency or urgent care services outside of the SummaCare four-county service area of Summit, Stark, Portage and Medina counties. To minimize your costs for emergency or urgent care services outside of this service area, please use the networks listed below.

Inside of Ohio:

Ohio health choice search for physician

 

Outside of Ohio:



All Other SummaCare Plans

To minimize your out-of-pocket costs when outside of the SummaCare 20-county service area, please refer to the back of your SummaCare Member ID card to determine the networks available to you.

Inside of Ohio:

Ohio health choice search for physician

 

Ohio PPO Connect

 

Outside of Ohio:



If you’re not currently a SummaCare member and are unsure which network to search, please check with your Benefits Administrator or call our Sales Department for more information.

SummaCare's 20-County Service Area

The name of the network you are enrolled in can be found in the upper right corner of your SummaCare ID card.

If you are enrolled in a SummaCare health insurance plan featuring the SCSelect, SCPremier, SCPrime, The Preferred Choice Network or MercyChoice provider networks, the SummaCare Service Area includes the following counties in Ohio:

  • Ashland
  • Ashtabula
  • Carroll
  • Cuyahoga
  • Erie
  • Geauga
  • Holmes
  • Huron
  • Lake
  • Lorain
  • Mahoning
  • Medina
  • Ottawa
  • Portage
  • Sandusky
  • Summit
  • Stark
  • Trumbull
  • Tuscarawas
  • Wayne

If you are enrolled in a SummaCare health insurance plan featuring the SCConnect network, the SummaCare Service Area includes the following counties in Ohio:

  • Medina
  • Portage
  • Stark
  • Summit
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