SummaCare Medicare Advantage Prescription Drug plans cover all that Original Medicare covers and so much more! We are excited to share what's included with your 2021 SummaCare Medicare Advantage plan, including new benefits and services.
NEW! Family On-Demand with Papa
Papa is a company that pairs Medicare beneficiaries with college students, called Papa Pals, for companionship, technology education and support, assistance with everyday tasks like grocery shopping and delivery, picking up prescription refills and more. This exclusive new benefit is only available to SummaCare Medicare Advantage plan members! Learn more today.
NEW! Travel Coverage
The visitor/travel benefit is included with all SummaCare Medicare Advantage plans. If you travel to the state of Florida, you’ll receive in-network coverage for medical benefits received by any Medicare-approved provider. If you’re a snowbird or go to Florida regularly, go with confidence knowing you’re covered! For Part D prescription drugs and other supplemental benefits you must use network providers.
Our plans have up to $25,000 per year in built-in worldwide emergency, urgent care coverage and ambulance services too, so you can travel close to home, or around the world, worry free.
All Medicare Advantage plans also include Assist America® for global emergency travel assistance when you’re more than 100 miles from home or in a foreign country. Assist America gives you peace of mind while traveling, knowing that a single phone call will give you access to a vast network of resources to help coordinate care on your behalf during any medical travel emergency.
NEW! Meal Delivery
You are covered for meals that fuel healthy living! Following a hospital stay or if you have diabetes with a high A1C level, you can receive home-delivered, nutritious meals to help you focus on rest and recovery.
Through our partnership with Delta Dental of Ohio, you’re covered for two cleanings and exams, an X-ray plus visits for dental pain through the Delta Dental Medicare Advantage PPO network. Comprehensive dental coverage is included with the Garnet plan. Supplemental dental coverage can be purchased for an additional monthly premium.
You’ll receive an annual reimbursement amount to use toward the purchase of frames/lenses or contact lenses with the freedom to purchase anywhere you choose. Coverage also includes diagnostic and routine vision exams for a $0 copay.
You’re covered for one hearing aid per ear every year from our formulary, after paying a $795 copay per hearing aid. And, new for 2021, all routine hearing exams are covered for a $0 copay.
Over-the-Counter (OTC) Items
Most plans offer a quarterly amount to spend on non-prescription OTC health-related items like vitamins, pain relievers, cough and cold medicines and first aid supplies, shipped right to your home. Learn more.
Part D Prescription Drug Coverage
(not included with the Amber plan)
Most plans conveniently include Part D Prescription Drug Coverage, including $0 copays for Tier 1 preferred generic drugs, Tier 6 vaccines and common over-the-counter (OTC) drugs – even through the coverage gap!
The SilverSneakers fitness program is the nation’s leading wellness program for Medicare beneficiaries. You’ll receive a fitness membership at no cost to you with access to basic amenities, group exercise classes and online resources at over 17,000 participating fitness locations.
You’re covered for telehealth visits with primary care physicians, specialists and/or behavioral health and substance abuse providers. Visits can be scheduled through in-network providers or through Teladoc®. Teladoc visits can be scheduled 24 hours a day, 365 days a year.
Most plans include coverage for general acupuncture services. If you have chronic low back pain, you’re covered on all plans.
Receive supplies to monitor your blood glucose including test strips, lancet devices and lancets and glucose-control solutions at no cost when using Abbott and/or Lifescan products.
Home Safety Devices
You may qualify for coverage for home safety devices, such as grab bars, shower stools and more. Call to learn more.
Therapeutic Massage Services
Most plans include coverage for therapeutic massage services by in-network providers.
You’re covered for a defined number of trips to medical appointments. Most trips can be scheduled in as little as 15 minutes and you can see providers throughout SummaCare’s 31-county service area.
Health & Wellness Programs & Services
24-Hour Nurse Line
You’ll have access to a registered nurse 24 hours a day, seven days a week who can answer your medical questions.
Health Coaching and Condition Management
Health Coaching is a one-on-one telephonic service to help you identify at-risk behaviors and provide suggestions to improve your wellness.
Condition Management includes a registered nurse helping you learn how to better manage your chronic condition and how to maintain and improve your quality of life.
Health Manager powered by WebMD®
Once you are a member, you’ll get exclusive access to WebMD’s Health Manager online tool. Set personal goals, monitor your health progress, track results, set personal health and wellness reminders. It’s like having a personal health coach working with you 24/7.
Preventive Health Reminders
Do you sometimes forget to schedule regular check-ups? Once you are a member, we’ll send you reminders for preventive services and other recommended care for common conditions.
SummaCare can offer support to smokers who are ready to kick the habit. Quitting specialists will enroll members in the FREE QuitCare counseling program. Members may also choose to receive FREE nicotine replacement patches.
Plus, Many Enhanced Care Management Programs!
If you are living with a serious or chronic health condition, SummaCare offers members additional programs and services designed to help you stay independent and feel your best. If you qualify, our Care Management team will reach out to you once you are a member.