SummaCare is proud to offer health and wellness tools and programs to our members at no additional cost. Our health programs and services are focused on managing current health issues you may be facing, while our wellness programs and services are focused on keeping you well. Access personalized online tools to help you improve your health, learn about SummaCare’s programs.
Whether you are experiencing short or long-term stress, anxiety or depression, SummaCare offers several services to help support you on your behavioral health journey. Learn more about the Behavioral Health Support available to you.
SummaCare wants to make sure you have the best and latest information on how to manage your health if you have a chronic condition. SummaCare’s Condition Management programs provide valuable tools and resources to help you manage chronic conditions and live a healthier life. Learn more about SummaCare's Condition Management programs or find out more about the specific programs offered to SummaCare members.
SummaCare uses medical necessity criteria to help determine the appropriateness of the care and/or services our members receive. Learn more about SummaCare's Utilization Management program or find out more about the criteria used.
In the simplest of terms, BrainHQ is your online headquarters for working out your brain. Think of it as a personal gym, where you exercise your memory, attention, brain speed, people skills, intelligence and navigation. Just as our bodies require care and exercise over the course of life, so do our brains—especially as we age. BrainHQ provides the exercise your brain needs to be at its sharpest. Get started at summacare.brainhq.com
BrainHQ is not available on the Topaz (HMO), Quartz (HMO) or Garnet (HMO) plans.
Health coaching is a one-on-one, telephonic service offered to help you with lifestyle behavior modifications to manage and/or prevent future diagnosis of chronic conditions, such as high blood pressure, diabetes, high cholesterol and heart disease. Your health coach will help you identify at-risk behaviors and provide suggestions to improve your health and wellness. Learn more about Health Coaching.
One of the best ways to avoid the flu is to get an annual flu vaccine. SummaCare members can receive the flu vaccination at no cost (no co-pay) from any in-network pharmacy. Click here to begin entering your search criteria. Remember to call the pharmacy in advance to make sure they offer vaccinations, have the vaccine available, and the best time of day to get a vaccination. Simply present your SummaCare ID card and no co-pay will be required.
If you don’t want to go to an in-network pharmacy, check with your SummaCare provider to see if they have vaccines available. You may be asked for a co-pay if you receive additional services during your office visit. Please note: A visit to an urgent care center for your flu vaccine will result in an urgent care co-pay.
Do you sometimes forget to schedule regular check-ups? We’ll send you reminders for preventive services and other recommended care for common conditions and preventive screenings.
Preventive care is the most important step you can take to manage your health. Routine health exams and early detection can help prevent serious illness. The list of nationally recommended guidelines for you is below. Please talk with your healthcare provider to determine which of these are appropriate for you.
You are covered for a fitness benefit through SilverSneakers at participating locations1 , where you can take classes2 and use exercise equipment and other amenities, at no additional cost to you. Enroll in as many locations as you like, at any time. You also have access to instructors who lead specially designed group exercise online classes, seven days a week with SilverSneakers LIVE. Additionally, SilverSneakers Community gives you options to get active outside of traditional gyms at recreation centers, parks and other neighborhood locations. SilverSneakers also connects you to a support network and online resources through SilverSneakers On-Demand videos and the SilverSneakers GO mobile app. You also get access to Burnalong® with a supportive virtual community thousands of classes for all interests and abilities. Your SilverSneakers membership also gives you GetSetUp, with hundreds of interactive online classes on hour or less, ranging from nutrition to mindfulness and more. Activate your no cost online account at SilverSneakers.com to view your SilverSneakers Member ID number and explore everything SilverSneakers has to offer.
Always talk with your healthcare provider before starting an exercise program.
1. Participating locations (“PL”) are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities is limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL.
2. Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer members additional classes. Classes vary by location.
Burnalong is a registered trademark of Burnalong, Inc. SilverSneakers is a registered trademark of Tivity Health, Inc. © 2024 Tivity Health, Inc. All rights reserved.
SummaCare is committed to helping members stop smoking for good. Call 877.471.2101 (TTY 711) to speak to a tobacco treatment specialist and enroll in the no cost QuitCare telephonic counseling program and choose nicotine replacement therapy. Learn more about QuitCare.
Experienced registered nurses have accurate, up-to-date information about almost any health topic. A nurse can answer your questions, offer support and help you make decisions about any non-emergency health situation. All at no cost to you. Call 800.379.5001 (TTY 711) to speak to a registered nurse. Learn more about the 24-Hour Nurse Line.
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. Learn more about WebMD Health Manager.
If you are diagnosed with complex health issues, a SummaCare Care Manager monitors the clinical care you receive. Learn more about SummaCare's Care Management program or find out more about the different types of care management offered.
Care management services may be long-term for members with catastrophic or highly complex cases. For members with complex needs, SummaCare Care Managers will assist in understanding the condition and will coordinate arrangements for complicated plans of care. The SummaCare Care Manager stays in touch with providers and other caregivers and provides assistance with finding needed care within the plan network.
This program is available to high-risk expectant moms. Assistance is provided to support the health of the mother during pregnancy and right after the birth of the baby. Pregnancy and newborn care education is available as well as assistance with referrals to community resources. Enrollment is at no cost and confidential.
Care management services may be short-term for members who are transitioning home after a hospital stay or after a hospital stay or who are new to our plan and need help finding new providers within the network.
In the event that a SummaCare member reaches the plan limits on certain types of care, a SummaCare Care Manager is available to help the member find other resources.
To contact a Care Manager for help with a transition or for more information about SummaCare's Care Management program, call 330.996.8931 or 877.888.1164 (TTY 711) Monday-Friday between 8:30 a.m. and 5:00 p.m.
| Season | Days | Times |
|---|---|---|
| Oct 1 – Mar 31 | 7 days a week | 8:00 a.m. – 8:00 p.m. |
| Apr 1 – Sep 30 | Mon – Fri | 8:00 a.m. – 8:00 p.m. |
Outside these hours, you may leave us a message and a representative will return your call the next business day.