AcariaHealth
Specialty Pharmacy provider for most commercial and all marketplace members. Members or providers may call AcariaHealth.
Phone:
855.422.2742 or
833.626.8417
Birdi
SummaCare’s mail-order pharmacy partner. 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:
855.873.8739 (TTY
711)
Donald Martens & Sons
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
EMMI
Provides reminders to schedule preventive screenings, including phone calls.
eviCore
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
Homelink
Offers members durable medical equipment (DME) supplies and equipment, including preferred diabetes testing supplies, for all SummaCare members per benefit.
Phone:
844.358.2549 (TTY
711)
Husk (formerly GlobalFit)
Discounted gym memberships, nutrition programs, fitness equipment, etc.
Matrix
The health of SummaCare members is our number one concern—that is why we offer in-home health assessments to our members. Not every member is able to get to a primary care provider’s office for an annual wellness visit. Through our partner, Matrix, members can be seen by qualified healthcare professionals in the comfort of their home (with expenses covered by SummaCare).
Phone:
1.855.403.0967
MedImpact
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.
Phone:
877.391.1109
Fax: 858.709.7100
National Jewish Health
Offers telephonic smoking cessation counseling and nicotine replacement therapy to members, referred to as SummaCare’s QuitCare program.
Press Ganey (formerly SPH Analytics)
Administers surveys to our members, including those required by CMS. These surveys help SummaCare evaluate and improve services and programs.
Summa Health System Clinical Access Center
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.
Teladoc™ Health
Telehealth visits with primary care providers, specialists and/or behavioral health providers.
Website:
teladoc.com
Phone:
800.835.2362 (TTY
855.636.1578)
Turn-Key/CareCentrix
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
VSP
Provides a pediatric vision benefit on all plans and, for some plans, a vision hardware allowance. Check plan documents for more information.
VSP can be reached online at VSP.com.
WebMD
Provides members a personalized health and wellness portal to help track healthy lifestyle habits.
