SummaCare follows all Centers for Medicare and Medicaid Services (CMS) and applicable state rules and regulations pertaining to all Medicare Advantage plans. Unless otherwise stated, all SummaCare policies are appropriate to Medicare Advantage members. SummaCare reserves the right to modify its policies as necessary. Policies found on this website are provided for informational purposes. It does not constitute medical advice or guarantee of payment.
2026 Prior authorization Policy
| 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.