Plan Benefits

SummaCare offers coverage options for individuals and families who do not have access to group coverage. Our Individual & Family health insurance plans are designed to meet your needs and most plans can be purchased using financial assistance in the form of a government advanced premium tax credit and/or cost-sharing subsidy if applicable to your household.

Check out SummaCare’s Individual & Family plans for 2023! You can get health insurance for yourself and your family, which includes:

• Comprehensive medical and pharmacy benefits
• 3 FREE office visits on many plans to your SummaCare Primary Care Physician (PCP)* and outpatient mental health services for each person on your policy
• Access to telehealth visits through Teladoc™ Health or any in-network provider who offers telehealth, for general medical, dermatology and behavioral health visits
• Low copays on specialist office visits and generic prescriptions 
• Assist America global emergency services when traveling away from home available on many plans
• Adult vision exam available on many plans
• Health and wellness programs and services

*SummaCare Primary Care Physicians are physicians with specialties in: Family Medicine, General Practice, Internal Medicine, Pediatrics and Obstetrics/Gynecology.

Health & Wellness Programs & Services

SummaCare's plans have health and wellness programs and services designed to help you feel your best. Learn more.

Individual & Family Plan Documents

View, download and print SummaCare Individual & Family plan schedules of benefits (SOBs).