Most SummaCare Medicare Advantage plans are “all-in-one” – meaning, your medical, prescription drugs, dental and other healthcare coverage is all in one, convenient budget-friendly plan.
SummaCare Medicare Advantage plans cover everything Original Medicare covers and more.
SummaCare offers both Medicare Advantage HMO and HMO-POS plans that include prescription drug coverage, as well as a Medicare Advantage HMO plan that does not include prescription drug coverage. Plans available to you vary by your county of residence. Find a plan that is right for you.
With a SummaCare HMO plan, you utilize the SCMedicare network of providers for all your care, except in certain circumstances including emergency and urgent care services and renal dialysis services. The SCMedicare network features more than 22,000 of the area’s providers and 70 hospitals throughout Northern Ohio.
With a SummaCare HMO-POS plan, you can receive care from any Medicare-approved provider even if they are not in the SCMedicare network. Please note that your out-of-pocket costs may be higher if you select providers outside of our network. Out-of-network/non contracted providers are under no obligation to treat SummaCare members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out of-network services.
Most of our plans include Medicare (Part D) prescription drugs for no additional monthly premium.
Our plans group each medication into one of six “tiers.” You will need to use SummaCare’s Medicare Formulary (list of covered drugs) to locate what tier your drug is in to determine how much it will cost you. The amount you pay depends on the drug’s tier and what stage of the benefit you have reached. Learn more.
Through our partnership with Delta Dental of Ohio, most plans include comprehensive dental coverage including cleanings, exams, fillings, root canals, dentures and more! Additional supplemental coverage can be purchased for an additional monthly premium. Learn more.
SummaCare Medicare Advantage Plans offer so much more than medical, prescription and dental coverage. From BrainHQ and Papa to travel coverage, meal delivery and more, discover the valuable extra benefits included with most plans at no extra cost to you. Learn more.