Make a Payment

Direct Debit Form

If you would like your monthly premium taken directly out of your savings/checking account or charged to a credit card, please print the Direct Debit/Credit Card Authorization Form. Send the completed form to:

SummaCare
P.O. Box 3620
Akron, OH 44309-3620

You will receive a letter from us informing you when your request will become effective. For a listing of your Electronic Banking Rights, click here.

You may also sign up for direct debit payments by phone by calling SummaCare Member Services at <phone>.

Premium Withhold from Social Security*

If you would like your monthly premium automatically deducted from your Social Security check, please print the Premium Withhold from Social Security Form. Send the completed form to:

SummaCare
P.O. Box 3620
Akron, OH 44309-3620

You will receive a letter from us informing you when your request will become effective.

*Automatic deduction from your monthly Social Security benefit check. (The Social Security deduction may take two or more months to begin after Social Security approves the deduction. In most cases, if Social Security accepts your request for automatic deduction, the first deduction from your Social Security benefit check will include all premiums due from your enrollment effective date up to the point withholding begins. If Social Security does not approve your request for automatic deduction, we will send you a paper bill for your monthly premiums.)

Low Income Subsidy Information

The Centers for Medicare & Medicaid Services (CMS) requires health plans like SummaCare to provide the cost-sharing subsidy to Medicare beneficiaries who are eligible for low-income subsidies even if our system and the system at CMS do not yet reflect that eligibility.

SummaCare is required to provide you with the tools you need to submit a request to have our system updated to meet your Low Income Subsidy level as awarded to you by the Social Security Administration (SSA). Learn more about Low Income Subsidy eligibility and how to have your subsidy level updated.