Members
Welcome to SummaCare
At SummaCare, our focus is always on you. Find helpful information about how your health insurance plan works, explore the benefits and services available to you as a member, and access the tools you need to manage your coverage with confidence. You’ll also find support, resources, and guidance designed to help you live a healthier life.
Health & Wellness
Access health and wellness programs that support your overall well-being, including health management programs and chronic condition management programs designed to help you stay on track with your care. You’ll also have access to case management support that provides personalized guidance for members and caregivers so you can better understand your options and manage your health with confidence.
Member Resources
Access member resources to manage your health insurance benefits with ease, including ordering a new ID card, updating your personal information, and viewing services that require prior authorization. You can also access helpful tools and information to stay organized, understand your coverage, and confidently manage your healthcare.
Frequently Asked Questions
Find answers to common questions about your health insurance benefits, coverage, and member services. Whether you need help checking your benefits, finding a doctor or pharmacy, or understanding your plan, these FAQs are here to help you manage your healthcare with confidence.
Does this service require prior authorization?
How do I check the status of an authorization request?
Members can contact Member Services at 330.996.8885 (TTY 711) or their provider’s office to obtain status updates on authorization requests.
How long does prior authorization take?
Processing times vary based on the service requested and whether additional clinical information is needed. Learn more about prior authorization metrics. For more information, call Member Services at 330.996.8885 (TTY 711).
Questions? Member Services are here to help.
Hours
| Season | Days | Times |
|---|---|---|
| Oct 1 – Mar 31 | 7 days a week | 8:00 a.m. – 8:00 p.m. |
| Apr 1 – Sep 30 | Mon – Fri | 8:00 a.m. – 8:00 p.m. |
Outside these hours, you may leave us a message and a representative will return your call the next business day.