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Members

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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.

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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.

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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.

How can I view my benefits or get more information about my coverage?

Members can log in to their SummaCare member account to view medical benefits, check claims, review prescription coverage details and find pharmacy information. Members who would like to learn more about Care Management programs can also call 330.996.8931 or 877.888.1164 (TTY 800.750.0750) during business hours.

How does Care Management work?

Care Management connects members with registered nurse Care Managers who help coordinate care between providers, hospitals and home settings. Care Managers can assist patients in understanding their medical conditions, arrange services, help with transitioning patients from hospital to home and connect members to community resources. Licensed social workers are also available to help with support services such as transportation or community assistance.

What programs does SummaCare offer to help members manage their health?

SummaCare offers several programs to support members in managing their health and wellness needs. These include Care Management for complex or ongoing health needs, Pregnancy Care for high-risk expectant mothers, Health Coaching to support lifestyle improvements and wellness tools such as WebMD® Health Manager. These programs and tools are designed to help members stay healthy, manage conditions and access the care and resources they need.

Questions? Member Services are here to help.

Phone

330.996.8885 (TTY 711) Member Services

1.800.996.6250 (TTY 711) Toll Free

Email

info@summacare.com existing members

info@summacare.com all other inquiries

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.

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