Amplifon Hearing Health Care
Provides hearing coverage and hearing aid devices. When prompted, members will press “2” to access Hearing Benefit
Phone: 855.435.5111 (TTY 711)
Provides global emergency travel assistance when you’re more than 100 miles from home or in a foreign country.
SummaCare’s mail-order pharmacy partner. Birdi provides an online portal to manage and order prescription medications. Birdi can be reached by phone or members can register online.
Your online headquarters for working out your brain – exercise your memory, attention, brain speed, people skills and more.
24/7 emergency assistance and care—increasing safety, independence and extending quality of life while enabling individuals to safely age in place (GPS-enabled to work outside the home). Contact SummaCare Member Services for more information.
Cooperative Health Partners (CHP)
Medical Transportation for entire SummaCare membership. Non-911 Medical Transportation includes ground ambulance, helicopter ambulance and fixed-wing/regular aircraft ambulance.
Enhanced dental coverage available through the Delta Dental network.
Provider Search via Web: summacare.com/providersearch
Provides reminders to schedule preventive screenings, including phone calls.
Reviews and determines medical necessity on requests submitted by providers for High-Tech radiology, Medical Oncology, Radiation Therapy and Genetic Lab tests. eviCore may reach out telephonically, or more likely by fax or letter.
Offers members durable medical equipment (DME) supplies and equipment, including preferred diabetes testing supplies, for all SummaCare members per benefit. Including the following Medicare plan benefits: home safety devices, nonmedical transportation/ride-share, massage therapy/acupuncture and air purifiers (if selected on Jade (HMO) as part of Tier 2 Bene-Flex™).
Phone: 844.358.2549 (TTY 711)
Performs member in-home health assessments
Pharmacy Benefit Manager for Medicare plans. MedImpact processes all pharmacy claims and manages the pharmacy network. MedImpact reviews all coverage determinations under Part D including tier exceptions, prior authorizations and formulary exceptions. MedImpact provides members proactive reminder calls to refill their prescription before they are late.
Medtronic Care Management Services
Offers in-home remote patient monitoring for select members with congestive heart failure (CHF), coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), hypertension and/or diabetes.
Home-delivered meals that fuel healthy living following a hospital stay or for diabetes or chronic heart failure.
National Jewish Health
Offers telephonic smoking cessation counseling and nicotine replacement therapy to members, referred to as SummaCare’s QuitCare program.
Medication Therapy Management (MTM). Offers qualified members a Comprehensive Medication Review (CMR) and conducts Targeted Medication Reviews (TMR) at least quarterly.
Papa is a company that pairs Medicare beneficiaries with adults, called Papa Pals, for companionship, technology education and support, assistance with everyday tasks and more.
Press Ganey (formerly SPH Analytics)
Administers surveys to our members, including those required by CMS. These surveys help SummaCare evaluate and improve services and programs.
Offers eligible members in-home heel bone density scans, diabetes retinal eye exams and colorectal cancer screening FIT (fecal immunochemical test) kits.
The nation’s leading wellness program for Medicare beneficiaries.
Offers Medicare members over-the-counter (OTC) items (select list of OTC first aid type items).
Summa Health System Clinical Access Center
Provides the SummaCare 24-Hour Nurse Line service and also assists SummaCare's Quality Management team to schedule mammograms, prescription refill reminders or to promote SummaCare's programs.
Telehealth visits with primary care providers, specialists and/or behavioral health providers.
Community-based palliative care program which provides specialized palliative-prepared, team-based care focused on relieving the symptoms and stress of a serious illness.
Provides members a personalized health and wellness portal to help track healthy lifestyle habits.