We want to make it easy for you to get the care and services you need as a member. In this section, you’ll find information you can use to help you make the most of your SummaCare plan.
Change your address by completing the online form.
Are you moving? To ensure you receive important plan information, please complete and submit a Change of Address Form within 30 days of moving.
Change your Primary Care Physician by completing the online form.
Your relationship with your Primary Care Physician (PCP) is very important. SummaCare members may change their PCP at any time by either completing the online form or by calling Member Services at 800.996.6250 (TTY 800.750.0750).
Change your plan online beginning October 15 by comparing your options here.
If we make a Part C (medical) or Part D (prescription drug) coverage decision that you are not satisfied with, you can appeal this decision. An appeal is a formal way of asking us to review and change a coverage decision we have made. As a SummaCare Medicare member, you may also request a drug be covered under your SummaCare Medicare plan.
As part of your SummaCare Medicare Advantage plan, you receive coverage for preventive dental services at no extra monthly premium. Find a Delta Dental provider or call Delta Dental Customer Service at 800.330.2732 for assistance. Learn more about preventive services included with your coverage.
SummaCare Medicare Advantage plan members enjoy $0 copay for diabetic supplies and services.
In order for a device to be covered, you must have a doctor's order for the items and you must request the items through HOMELINK. If you receive the doctor's order, call HOMELINK at 844.358.2549 (TTY 800.750.0750) and you will be asked to email, fax or text the order to HOMELINK.
The Over-the-Counter (OTC) benefit catalog lists items covered and includes an order form and other instructions on how to obtain items.
You’ll receive an annual allowance to use toward the purchase of standard eyeglasses and frames or contact lenses. You have the freedom to visit any vision provider you choose. Simply submit a vision claim form and your receipt to us and you’ll be reimbursed up to your annual allowance.
SummaCare Claims
PO Box 3620
Akron, OH 44309-3620
SummaCare Medicare members receive a free fitness membership with access to basic amenities, group exercise classes and online resources. Learn more.
You’re covered to speak with a licensed physician by web, phone or mobile app through Teladoc for primary care physician, dermatology and/or behavioral health visits
Trips must be scheduled through SummaCare's transportation vendor, HOMELINK, who will screen your request and determine the most appropriate level of transport for you. To schedule a ride, call HOMELINK at 844.358.2549 (TTY 800.750.0750).
You can search our network of thousands of providers or view a printed copy of our provider directories.
Find printable forms and contact information to make the most of your SummaCare Medicare Advantage plan, including a prior authorization request form, Medicare claim form, pharmacy forms and more. See forms.
Learn what to do if the geographic area in which you live is declared a state of disaster or emergency. Read more.
If you would like to file a complaint directly to Medicare, complete the Medicare Complaint Form.
The Medicare Program rates how well Medicare Advantage performs in different categories (for example, detecting and preventing illness, rating from patients, patient safety and customer service). Learn more about SummaCare's 2023 CMS Star Rating - Updated October 15, 2023.
As a member of SummaCare you may or may not be called by one of our vendors to offer you a service or information on behalf of SummaCare. Learn more.
SummaCare Medicare members have a couple options for paying your monthly premium. Learn more about your payment options.
To waive the collection of payment from a member, providers should complete the Waiver of Liability Statement and send it to:
SummaCare
Attn: Appeals Coordinator
P.O. Box 1107
Akron, OH 44309-1107
From October 1 - March 31
8:00am to 8:00pm
seven days a week
From April 1 - September 30
8:00am to 8:00pm
Monday - Friday
Outside these hours, you may leave us a message and a representative will return your call the next business day.