Member Resources

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.

Changes

To Change Your Address

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.

To Change Your Primary Care Provider (PCP)

Change your Primary Care Provider by completing the online form.

Your relationship with your Primary Care Provider (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 711).   

To Change Your Plan

Interested in switching your current SummaCare Medicare Advantage plan to a different one? Use this link to explore plan options and choose one of the four ways to update your plan. 

Determinations, Appeals & Grievances

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 made. As a SummaCare Medicare member, you may also request a drug be covered under your SummaCare Medicare plan.

Find a SummaCare Provider

You can search our network of thousands of providers or view a printed copy of our provider directories. 

Forms

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. 

Getting Care During a Disaster

Learn what to do if the geographic area in which you live is declared a state of disaster or emergency. 

If the Governor of your state, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of disaster or emergency in your geographic area, you are still entitled to care from your plan.

Please visit the following website: medicare.gov for information on how to obtain needed care during a disaster.

Generally, if you cannot use a network provider during a disaster, your plan will allow you to obtain care from out-of-network providers at in-network cost sharing. If you cannot use a network pharmacy during a disaster, you may be able to fill your prescription drugs at an out-of-network pharmacy. Please refer to your Evidence of Coverage for more information. Read more.

Medicare Complaint Form 

If you would like to file a complaint directly to Medicare, complete the Medicare Complaint Form.

CMS Star Rating

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 2025 CMS Star Rating.

Our Vendors

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.

Payments

As a SummaCare Medicare member, you have several options for paying your monthly premium. Learn more about your payment options.

Waiver of Liability Statement (for PROVIDERS)

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