Step 3 SummaCare Contracting will contact you to either discuss a provider agreement or notify you of denial to participate in our network. SummaCare providers may confidentially report a potential violation of our compliance policies or any applicable regulation by utilizing any of the methods indicated below. 252. 8401 or via email at contactproviderservices@summacare. Email: appeals@summacare. AKRON, Ohio, August 3, 2021 – SummaCare has announced that Cleveland Clinic is joining its extensive Medicare Advantage provider network effective August 1. Find helpful information about how your plan works, as well as contact information, services you have access to as a SummaCare member and valuable information about how SummaCare assists in helping you live a happy, healthy life. For questions, contact Provider Support Services: contactproviderservices@summacare. Note: for status updates, email sccontracting@summacare. 8739 (TTY 711) CareCentrix SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the assigned Provider Engagement Specialist for your office. If you answered “no” to any of these questions, do not hesitate to reach out with any questions for SummaCare or how to contact Better Doctor. SummaCare follows Medicare payment policies unless a specific payment policy is listed below. Forge St. Oct 1, 2022 · Write: ATTN: Appeals & Grievances, SummaCare, PO Box 1107, Akron, OH 44309-1107. 8671 or 833. H3660_21_721NS_C 03042021 SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 Request Medicare Advantage plan materials for 2024 enrollment from SummaCare, offering affordable health insurance options in Ohio. Benefits, premiums, deductibles, and/or copayments/coinsurance may change on January 1, 20 25. Contact SummaCare Provider Support Services at 330. The formulary, pharmacy network, and/or provider network may change at any time. com or via phone at 330-996- EDI saves time, reduces cost and improves accuracy. 5111 • Quarterly allowance to purchase OTC To refer members for Health Services programs, please call SummaCare’s Health Services Management at 330. TTY users may call 800. So, if you’re over the age of 65 and have possible symptoms of COVID-19 or believe you’ve been exposed, contact your doctor’s office to determine the need for testing. Phone: 800. SummaCare’s goal is to offer the highest quality healthcare to our members. To contact Summa Health, call 330. She has held positions in both the hospital and provider office settings as an office manager, financial/office coordinator and clinical roles as a certified medical assistant and phlebotomist. 750. SummaCare is pleased to provide EDI document processing for providers and employers. Valuable extra benefits are included with all plans including dental, vision, hearing aids and more! Your 2024 coverage also includes Silver Sneakers, Family On-Demand with Papa, Travel Coverage and more. 5922 or 844. Contact Person’s Phone Number/Email: _____ Please notify SummaCare Provider Support Services by: Mail: P O Box 3620, Akron, Ohio 44309-3620 Fax: (330) 996-8490 E-mail address: ContactProviderServices@SummaCare. Jaime joins SummaCare with over 14 years of experience in the healthcare industry. Author: Rastetter, Amy Created Date: Provider Engagement Specialists. 8400, 800. 435. You may also send referrals through Provider Support Services. 8440 (TTY 711) to speak to a SummaCare Medicare Advisor. SummaCare | 2,196 followers on LinkedIn. 6250 if you need this SummaCare Member Services can also assist you in finding a doctor or hospital through the online search. 6250 if you need this SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. Find Home SummaCare Medicare has been in Northeast Ohio since 1996 and has more than 22,000 members in northern Ohio. 920. 237. 8401 for assistance. Enrollment in SummaCare depends on contract renewal. Providers may contact Amplifon on behalf of SummaCare members. Send Us a Fax or Email Claims Attachments: 612-884-2261 Claims Adjustments: 612-884-2186 Provider Engagement Specialists. 668. 1249 or visit the Greater Akron Chamber website. Other providers are available in our network. please contact your Provider Aug 3, 2021 · SummaCare Medicare Members Now Have Access to Approximately 6,000 Health System Providers Across All Northeast Ohio Locations. 873. 8931 or toll free at 877. Please include member's first and last name, address and phone number. Upon receipt of your signed agreement, SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 Extra Benefits. 8885 or toll-free 800. SummaCare Customer Service at 330-996-8700 or 800-996-8701. Participating employers in the Chamber Health Benefits Plan are eligible for discounted life programs offered by SummaCare. Research and narrow down your list of options: Ask Friends and Family One of the best ways to find a healthcare provider is to ask your friends and family for recommendations. Provides hearing exams and fitting of hearing aids. 8440 (TTY 711). Sign In To Plan Central. 6250 if you need this Any questions regarding the take back process should be directed to Provider Support Services at 330. Providers Tax Identification Number: National Provider Identifier (NPI): Providers Address: Providers City, State, Zip Code: Providers Phone Number: Providers Email Address: Contact Name: Page 1 of 2 Summa Health System provides a comprehensive directory of Summa credentialed physicians. Teladoc visits can be scheduled 24 hours a day, 365 days a year. 6250 if you need this SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 If you have any questions, please contact the Provider Support Services at 330. Akron, OH 44304 SummaCare Health Plans; Summa Foundation | Donations & Giving; Providers Employers Brokers Members. 3000 or visit the online physician directory. 141 N. 330. CT or support To find a provider, search here or call VSP Customer Service at 855-868-4561. 464. 375. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 . SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. This is accomplished, in part, by building a provider network of physician and practitioner professionals who meet our standards. As a SummaCare Network Provider, your organization/office must adopt and enforce a zero-tolerance policy for retaliation or retribution against anyone who reports suspected means SummaCare Medicare Topaz. or Give Us a Call. Find a Doctor Skip subnavigation. Akron, OH 44304 SummaCare Health Plans; Summa Foundation | Donations & Giving; Yes. m. 1249. SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 If you answered “no” to any of these questions, do not hesitate to reach out with any questions for SummaCare or how to contact Better Doctor. to 8 p. SummaCare Health Plans; Summa Call Us 330. Upon receipt of your signed agreement, Aug 28, 2023 · SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 If you have any questions about the information provided, please contact Member Services at 330. 8401. Jan 22, 2019 · SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 Contact Summa Health Contact Us. Step 4 If a provider agreement has been offered, please sign and return to sccontracting@summacare. SummaCare’s Medicare Advantage plans have an extensive network of more than16,000 providers and 64 hospitals. , Monday through Friday. Website: medimpact. May 12, 2023 · Shop Medicare Shop Individual & Family Shop Employer Contact. Current SummaCare Members Online . Enrollment in SummaCare depends on upon contract renewal. 5001 (TTY 800. 2549 • Therapeutic massage services are available on Amber, Topaz, Garnet and Emerald plans. Provider contracts will supersede any policy Dec 6, 2023 · SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 To learn more about the Chamber Health Benefits Plan, contact your broker, call the Greater Akron Chamber at 330. Phone: SummaCare Medicare Sales at 330-996-8440 or (toll-free) 888-464-8440 (TTY 711) From October 1 through March 31, a representative will be available to take your call from 8:00 am until 8:00 pm, seven days a week. At SummaCare, our focus is always on you. Need care right away? If you or a loved one needs help right away, please call 911 or one of the following: SummaCare’s 24-Hour Nurse Line: 800. If you plan to submit HIPAA transactions to SummaCare, please complete the appropriate form below and return to: SummaCare Attn: EDI Support PO Box 3620 Akron, Ohio 44309-3620 Fax: 330. The Dental Care Plus Group (DCPG) Based in Akron, SummaCare’s Medicare Advantage plan service area includes 33 northern Ohio counties and gives Medicare Advantage members access to more than 22,000 providers and more than 70 hospitals. x Complete ALL information that is requested by “Employee”. SummaCare members who have dental benefits through Guardian Dental should call Guardian’s Customer Service Team at 800-627-4200 with questions and comments. Personal attention you deserve | SummaCare is headquartered in Akron, Ohio and is one of the region's only provider-owned health insurance companies Meet virtually with a Provider! On demand appointments for new & existing patients, Contact Us. Physicians’ offices; Hospital discharge planners; Insurance case managers and other providers; And the patient; Provider Direct Referrals - HOMELINK is not only a referral source to in-network providers. 6250 if you need this Provider Engagement Specialists. Be sure to ask what they like about the provider. 8401 or contactproviderservices@summacare. My Dental Benefits Guardian Dental. Grievances. Email Address. 0750) & Contact Info Details of Supplemental Benefit Offerings Therapeutic Massage* Homelink 844. If you have any questions, please contact our SummaCare Medicare Customer Service Department at 330-996-8885 or toll free at 800-996-6250. 3000. Providers Name: Providers Information. Our Member Services team can help you select a Primary Care Physician (PCP), learn about deductibles and copays and more. The plans we represent and their subsidiaries do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. Contact Provider Support Services at 330. 996. A total of 1,500 surveys were mailed to provider offices on July 1. 6250 if you need this Apr 8, 2024 · Northeast Region 1 Provider/Pharmacy Directory - includes providers in the counties of Ashland, Carroll, Columbiana, Holmes, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne Northeast Region 2 Provider/Pharmacy Directory - includes providers in the counties of: Ashtabula, Cuyahoga, Geauga, Lake, Lorain, Medina and Portage Contact Summa Health Contact Us. com. From April 1 through September 30, a representative will be available to speak with you from 8 a. Ask about your options upon enrollment. 8885 or toll free at 800. 751. Grievances may be filed orally, in writing by fax, mail or in person: Phone: SummaCare Medicare Customer Service at 330. com Phone: 855. medicare. gov. CT or support Learn about the services available to you through VGM HOMELINK by filling out our contact form. A member of our team will respond to your request soon. Communicate with your doctor Get answers to your medical questions from the comfort of your own home; Access your test results No more waiting for a phone call or letter – view your results and your doctor's comments within days SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. 0750. Providers may also email questions to contactproviderservices@summacare. ) Call SummaCare Medicare Member Services to request this booklet in an alternate format, such as large print, or another language. Make all checks payable to SummaCare and mail to: SummaCare PO Box 7411080 Chicago, IL 60674-1080. 443. contact your broker If you have any questions about the SummaCare prescription drug benefits, please contact SummaCare Provider Support Services via email at contactproviderservices@summacare. 1164 or email CaseManagement@SummaCare. Contact Summa Health Contact Us. com We must receive your change of information in writing, along with a current W-9. If you’re not currently a SummaCare member and are unsure which network to search, please call SummaCare Member Services at 330. Find a provider to support your behavioral health. 8877 Apex Health By joining the HOMELINK network, providers gain access to: HOMELINK Direct Referrals - HOMELINK’s primary referral sources include. 4327 (TTY 711) Birdi (MedImpact Direct Mail) SummaCare’s mail-order pharmacy partner. Mar 11, 2021 · For more information on SummaCare’s Plan Central and Health and Wellness programs, call our customer service phone number on the back of your Member ID card or visit summacare. please call SummaCare Provider Support Services at 330. Teladoc’s Mental Health Services offers adults 18 and older care for anxiety, depression, grief, family issues and more. You can also sign up for SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. 6250 if you need this Credentialing Physicians and Practitioners. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 The name of the network you are enrolled in can be found in the upper right corner of your SummaCare ID card. Apr 9, 2016 · For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www. If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the assigned Provider Engagement Specialist for your office. 358. If you are enrolled in a SummaCare health insurance plan featuring the SCSelect, SCPremier, SCPrime, The Preferred Choice Network or MercyChoice provider networks, the SummaCare Service Area includes the following counties in Ohio: SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. Find out how to get in touch Contact Us Provider Engagement Specialists. not just as a health insurance provider but as an active member of the community. Contact us today. 97% retention rate based on 2023 AEP voluntary disenrollment study completed by SummaCare. Individual & Family plan members have access to the SCConnect network, which provides access to some of the area’s best providers. Provider Engagement Specialists. 6250. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 You’re covered for telehealth visits with primary care providers, specialists and/or behavioral health and substance abuse providers. The SummaCare Medicare Advantage provider network recently expanded to include The Metro Health System and their associated providers. SummaCare is committed to improving provider satisfaction. 8400 or 800. (Homelink will contact provider for order with CPT code) Over the Counter Benefit Call SummaCare OTC at 855. Phone Number. SummaCare is waiving any copays and deductibles related to provider-ordered testing for COVID-19, regardless of where the test is ordered and performed. For accommodation of persons with special needs at sales meetings call 888. Akron, OH 44304 SummaCare Health Plans; Summa Foundation | Donations & Giving; Welcome to SummaCare. x PLEASE PRINT OR TYPE information requested. Log in to your SummaCare Plan Central member account to pay your ongoing monthly premium here by credit card. Contact Quest Better Doctor at 844. 379. We SummaCare Medicare Dental Plan Provider Directory Please contact SummaCare at 330. com . 888. –5 p. 6250 if you need this Step 3 SummaCare Contracting will contact you to either discuss a provider agreement or notify you of denial to participate in our network. 2543 M–F, 9 a. SummaCare is an HMO and HMO-POS plan with a Medicare contract. How do I get a quote? To get a quote, contact your broker or contact the Greater Akron Chamber at 330. Visits can be scheduled through in-network providers or through Teladoc®. Find out how to request a claim adjustment, appeal a claim decision, or use SummaCare's claim editing software. 0818 (TTY 711). SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 Welcome to our newest Provider Engagement Specialist! Jaime Reed. 0436. Contact your provider administrator to create and modify user accounts. com (800) 996 8401 . 6250 if you need this Learn more about SummaCare's employers health insurance. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 Provider Finder helps you find the care that you need. fn ed lc ue iw py rq yf yn me