AcariaHealth
Specialty Pharmacy provider for most Commercial and all Marketplace members. Members or providers may call AcariaHealth.
Phone: 855.422.2742 or 833.626.8417
Amplifon
Hearing aid coverage is provided for people ages 21 and younger and includes one hearing aid per ear every 48 months.
Phone: 877.751.0196 or visit www.amplifonusa.com/lp/youth
Birdi
Mail-order pharmacy. Birdi provides an online portal to manage and order prescription medications. Birdi can be reached by phone or members can register online.
Website:
medimpact.com
Phone:
1.855.873.8739 (TTY
771)
Donald Martens & Sons
Medical Transportation for entire SummaCare membership. Non-911 Medical Transportation includes ground ambulance, helicopter ambulance and fixed-wing/regular aircraft ambulance.
Phone:
866.996.8791
EMMI
Provides reminders to schedule preventive screenings, including phone calls.
eviCore
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.
Phone:
855.774.1315
Fax:
800.542.2406
First Health
Out of state members or urgent/emergent out of network all others.
Website:
firsthealth.com
Phone:
800.937.6824
HOMELINK
Offers members durable medical equipment (DME) supplies and equipment, including preferred diabetes testing supplies, for all SummaCare members per benefit.
Phone:
844.358.2549
Husk (formerly GlobalFit)
Discounted gym memberships, nutrition programs, fitness equipment, etc.
MedImpact
Pharmacy Benefit Manager for Commercial and Marketplace plans. MedImpact processes all pharmacy claims and manages the pharmacy network. MedImpact also reviews all coverage determinations under the pharmacy benefit including prior authorizations and formulary exceptions.
Please call the number on your member ID card and select the option for questions regarding pharmacy.
National Jewish Health
Offers telephonic smoking cessation counseling and nicotine replacement therapy to members, referred to as SummaCare’s QuitCare program.
Ohio Health Choice, Ohio PPO Connect
Urgent/emergent care in Ohio outside of network.
Website:
ohiohealthchoice.com
Phone:
800.554.0027
Press Ganey (formerly SPH)
Administers surveys to our members, including those required by CMS. These surveys help SummaCare evaluate and improve services and programs.
SHS 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.
Sword Health
Digital health company that develops physical therapy programs bringing personalized care to you at home - or anywhere. If you're eligible, SWORD Health gives you access to expert physical therapy from home—guided by licensed clinicians and smart technology, to help you recover from pain and stay active, without the need for in-person visits.
Website: meet.swordhealth.com/summacare
Teladoc™ Health
Telehealth visits with primary care providers, specialists and/or behavioral health providers.
Website:
teladoc.com
Phone:
800.835.2362 (TTY
855.636.1578)
Turn-Key/CareCentrix
Community-based palliative care program which provides specialized palliative-prepared, team-based care focused on relieving the symptoms and stress of a serious illness.
Phone:
234.867.7015
WebMD
Provides members a personalized health and wellness portal to help track healthy lifestyle habits.
