Large Group Plans

For companies with 51+ employees, we offer both fully insured and self-funded plan designs paired with broad local and national network coverage, ensuring employees can access care wherever they live or work. Through SummaCare PPO plans, members can choose from providers in both the SummaCare contracted network and affiliated PPO networks, expanding access while helping minimize out-of-pocket costs when using participating providers. Download 2026 Enrollment Guide Here

Fully-Insured Group Plans

We offer a comprehensive portfolio of fully-insured plan options to meet the specific needs of our customers, both large and small. Plan options include standard PPO plan designs, high deductible plans and tailored plans built to your specifications.

Self-Funded Group Plans

Focus on your business while SummaCare oversees and administers self-funded group coverage for your employees (both inside and outside of our 20-county service area) on your behalf.

SummaCare’s Self-Funded Products & Solutions:

• Benefits Administration of medical plans, dental and vision plans including consumer-directed health plans, Voluntary Employee Beneficiary Association (VEBA) and Taft Hartley Funds
• Integrated Health & Wellness Services including Disease Management, Wellness Services, Case Management, Utilization Management and Large Case Management
• Dental, vision, life and disability plans available through Humana group ancillary benefits
• Pharmacy Benefit Management
• Stop loss/reinsurance coverage
• COBRA administration
• Flexible Spending Account (FSA) administration
• Subrogation

Health & Wellness

Condition Management Programs

SummaCare's Condition Management programs provide specialized services to members who have been diagnosed with conditions such as asthma, depression, diabetes, heart failure and high-risk pregnancy.

 

Wellness Services

Our wellness services help identify at-risk members and possible interventions, encouraging lifestyle changes aimed at reducing risk. These services include: 

• Health Manager powered by WebMD®, providing exclusive access to WebMD’s Health Manager online tool.
• SummaCare's 24-Hour Nurse Line where experienced registered nurses have accurate, up-to-date information about almost any health topic. A nurse can answer questions, offer support and help make decisions about any non-emergency health situation.
• QuitCare, a program helping members stop smoking for good.
• Preventive Health Reminders for preventive services and other recommended care for common conditions and preventive screenings.
• Discounts on gym memberships, vitamins/supplements, weight loss programs, Fitness On Demand and more through HUSK.
• Health Coaching, a one-on-one telephonic service used to help with lifestyle modifications to prevent future diagnosis of chronic diseases such as high blood pressure, diabetes, high cholesterol and heart disease.
• Free Flu Shots

Plan Central

SummaCare's member portal allows today’s workforce 24/7 access to information. Our member portal gives your employees the self-service tools they need to manage their member account, including:

• Reviewing benefit information
• Changing an address
• Requesting a new ID card
• Searching for a provider
• Signing up for paperless EOB statements
• Viewing eligibility status and pharmacy information

Pharmacy & Drug Benefits

SummaCare features a wide range of pharmacy riders with varying copay and coinsurance options. All SummaCare plans include comprehensive prescription drug benefits, but prescription drug coverage varies by the plan in which the member is enrolled.

 

Find Your Drug

To view SummaCare's prescription drug formularies or search for a prescription drug, use the Find Your Drug tool.

 

Find Your Pharmacy

To view and search SummaCare's nationwide network of pharmacies, use the Find Your Pharmacy tool.

SummaCare Network Options

SummaCare offers a variety of networks to choose from, and we are pleased to share both the SCPremier network and The Preferred Choice Network include Cleveland Clinic Akron General. Learn more. 

Our benefits consultants will work with you to determine the product that best suits your budget and employees’ needs. For more information:

Contact your broker or call a SummaCare Account Manager at 330.996.8955.