2022 Creative Portfolio A LOOK INSIDE PAGE 4 Medicare PAGE 14 Medicare Members PAGE 18 Broker PAGE 20 Commercial PAGE 24 Individual & Family
2 SummaCare 2022 Creative Portfolio
Our Values
Our Values
We provide high quality, compassionate care and contribute to a healthier community, guiding you to be the healthiest version of yourself. We are committed to giving customers comprehensive, community-focused healthcare options priced to reflect quality, value and service.
Our Approach
We provide personal attention as your community health insurance partner.
We do so by:
• Partnering with providers to coordinate care and help you manage your health
• Building lasting relationships, making sure you have the best experience
• Being a trusted resource, providing insight, guidance and leadership
Our Insight
We know health insurance is confusing. We strive to simplify the complex and help you evaluate your options to find the best solution.
Our Belief
We are a trusted insurance partner providing you with excellent service and quality care. We guide you on your healthcare journey by understanding your needs and helping you make decisions.
3 SummaCare 2022 Creative Portfolio
4 SummaCare 2022 Creative Portfolio
of Benefits
2 SummaCare Medicare Topaz (HMO) $0 Monthly Premium This plan is available to residents living in the 13 shaded counties on the map to the right. If you live in a county named on the map, you are eligible to enroll in this HMO plan. SummaCare Medicare Garnet (HMO) $29 Monthly Premium This plan is available to residents living in the 11 shaded counties on the map to the left. If you live in a county named on the map, you are eligible to enroll in this HMO plan. SummaCare Medicare Ruby (HMO) $43 Monthly Premium This plan is available to residents living in the 17 shaded counties on the map to the right. If you live in a county named on the map, you are eligible to enroll in this HMO plan. HMO Plans With a SummaCare HMO plan, you utilize the SCMedicare network of providers for all your care, except in certain circumstances including emergency and urgent care services and renal dialysis services. 3 Summary of Benefits – Northeast Region Premiums and Benefits SummaCare Medicare Topaz (HMO) SummaCare Medicare Garnet (HMO) SummaCare Medicare Ruby (HMO) Monthly Plan Premium You must continue to pay your Medicare Part B premium. You pay $0. You pay $29. You pay $43. Medical Deductible You pay nothing. You pay nothing. You pay nothing. Maximum Out-of-Pocket Responsibility Does not include prescription drugs. Includes copays and other costs for medical services throughout the year. $3,700 $3,700 $3,600 Inpatient Hospital Coverage Our plan pays for an unlimited number of days for an inpatient hospital stay. $340 copay per day for days through 6. You pay nothing after day 6. $306 copay per day for days 1 through 6. You pay nothing after day 6. $270 copay per day for days 1 through 6. You pay nothing after day 6. Outpatient Hospital Coverage Ambulatory surgical center: $310 copay $275 copay $250 copay Outpatient hospital: $310 copay $275 copay $250 copay Observation services: $310 copay $275 copay $250 copay Provider Visits You are not required to receive authorization before seeking care from most specialists. Primary care provider visit: You pay nothing. You pay nothing. You pay nothing. Specialist visit: $35 copay $40 copay $40 copay Enrollment Guides SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_23_22_M Accepted 09132022 The SummaCare Medicare Topaz (HMO) plan is available to residents of the following counties in Ohio: Carroll, Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne. The SummaCare Medicare Garnet (HMO) plan is available to residents of the following counties in Ohio: Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne. The SummaCare Medicare Ruby (HMO) plan is available to residents of the following counties in Ohio: Ashland, Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Holmes, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne. SummaCare Medicare Topaz (HMO) (H3660_050) SummaCare Medicare Garnet (HMO) (H3660_053) SummaCare Medicare Ruby (HMO) (H3660_044) Summary of Benefits Northeast Region Plan Year January 1, 2023 through December 31, 2023 Questions? Call us or go online. To speak to a SummaCare Medicare Advisor, call 888.290.0610 (TTY 800.750.0750). Or, visit summacare.com/medicare. Follow SummaCare on Social Media! Facebook Blog LinkedIn YouTube Instagram H3660_23_408NS_C 08042022 Northwest Region Enrollment Guide Northwest Region SummaCare Topaz (HMO) Northwest plan is available to residents of the following counties: Erie, Huron, Ottawa, Sandusky and Seneca. New for 2023! SummaCare Jade (HMO) Northwest plan is available to residents of the following counties: Allen, Erie, Fulton, Hancock, Huron, Lucas, Ottawa, Putnam, Sandusky, Seneca and Wood. SummaCare Ruby (HMO) Northwest plan is available to residents of the following counties: Allen, Fulton, Hancock, Huron, Lucas, Putnam, Seneca and Wood. SummaCare Sapphire (HMO-POS) Northwest plan is available to residents of the following counties: Allen, Auglaize, Defiance, Fulton, Hancock, Henry, Huron, Lucas, Mercer, Ottawa, Putnam, Seneca, Van Wert and Wood. 2023 Medicare Advantage Plans 2021 Medicare Advantage Plans Enrollment Guide H3660_23_409NS_C 08052022 Facebook Blog LinkedIn YouTube Instagram Follow SummaCare on Social Media! To speak to a SummaCare Medicare Advisor, call 888.290.0610 (TTY 800.750.0750). Or, visit summacare.com/medicare. Questions? Call us or go online. SummaCare Amber (HMO) is available to residents of the following counties: Allen, Ashland, Ashtabula, Auglaize, Carroll, Columbiana, Cuyahoga, Defiance, Fulton, Geauga, Hancock, Henry, Holmes, Huron, Lake, Lorain, Lucas, Mahoning, Medina, Mercer, Ottawa, Portage, Putnam, Seneca, Stark, Summit, Trumbull, Tuscarawas, Van Wert, Wayne and Wood. Amber (HMO) Plan Enrollment Guide 2023 Medicare Advantage Plans SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. summacare.com/medicare Northeast Region New for 2023! SummaCare Jade (HMO) Northeast plan is available to residents of the following counties: Ashland, Ashtabula, Carroll, Columbiana, Cuyahoga, Geagua, Holmes, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne. SummaCare Topaz (HMO) plan is available to residents of the following counties: Carroll, Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne. SummaCare Garnet (HMO) plan is available to residents of the following counties: Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne. SummaCare Ruby (HMO) Northeast plan is available to residents of the following counties: Ashland, Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Holmes, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne. SummaCare Sapphire (HMO-POS) Northeast plan is available to residents of the following counties: Ashland, Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Holmes, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne. SummaCare Emerald (HMO-POS) plan is available to residents of the following counties: Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne. H3660_23_406NS_C 07272022 Northeast Region Enrollment Guide 2023 Medicare Advantage Plans Enrollment Guide Booklets Medicare
Summary
(SOB)
Summary of Benefits Northwest Region
Summary of Benefits Jade (HMO)
SummaCare
1 (HMO) (H3660_056)
SummaCare Medicare Jade 2 (HMO) (H3660_056)
Plan Year January 1, 2023 through December 31, 2023
The
The
Summary of Benefits
(HMO) (H3660_052)
SummaCare
à toutes les questions que vous pouvez avoir sur notre régime d'assurance maladie ou de médicaments. Pour obtenir un interprète, il suffit de nous appeler sans frais au 855.416.6441 (TTY 800.750.0750) Une personne qui parle anglais/français peut vous aider. Ce service est gratuit.
Tiếng Việt: Chúng tôi cung cấp miễn phí dịch vụ phiên dịch để trả lời các thắc mắc của quý vị về chương trình chăm sóc sức khỏe hoặc sử dụng thuốc của chúng tôi. Để nhận dịch vụ phiên dịch miễn phí, vui lòng gọi đến số 855.416.6441 (TTY 800.750.0750) miễn phí cước. Các phiên dịch viên tiếng Anh/tiếng Việt của chúng tôi luôn sẵn sàng phục vụ quý vị. Đây là dịch vụ hoàn toàn miễn phí. Deutsch: Wir bieten kostenlose Dolmetscherdienste, die Ihnen alle Fragen zu unserem Gesundheits- oder Medikamentenplan beantworten kann. Um einen Dolmetscher zu buchen, rufen Sie uns einfach unter der gebührenfreien Nummer 855.416.6441 (TTY 800.750.0750
5 SummaCare 2022 Creative Portfolio SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_23_23_M Accepted 09132022
Plan Year January 1, 2023 through December 31, 2023 The SummaCare Medicare Sapphire (HMO-POS) plan is available to residents of the following counties in Ohio: Allen, Auglaize, Defiance, Fulton, Hancock, Henry, Huron, Lucas, Mercer, Ottawa, Putnam, Seneca, Van Wert and Wood. SummaCare Medicare Sapphire (HMO-POS) (H3660_029)
is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_23_26_M Accepted 09132022
SummaCare
SummaCare Medicare Jade (HMO) plan is available to residents of the following counties in Ohio: Ashland, Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Holmes, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne.
SummaCare Medicare Jade 2
plan is available to residents of the following counties in Ohio: Allen, Erie, Fulton, Hancock, Huron, Lucas, Ottawa, Putnam, Sandusky, Seneca and Wood.
(HMO)
Medicare Jade
Medicare contract. Enrollment in SummaCare
is an HMO and HMO-POS plan with a
depends on contract renewal. H3660_23_25_M Accepted 09132022
Plan Year January
2023 through December
2023 The SummaCare Medicare Amber (HMO) plan is available to residents of the following counties in Ohio: Allen, Ashland, Ashtabula, Auglaize, Carroll, Columbiana, Cuyahoga, Defiance, Fulton, Geauga, Hancock, Henry, Holmes, Huron, Lake, Lorain, Lucas, Mahoning, Medina, Mercer, Ottawa, Portage, Putnam, Seneca, Stark, Summit, Trumbull, Tuscarawas, Van Wert, Wayne and Wood.
Amber
2023 Medicare Advantage Prescription Drug Plan Individual Enrollment Request Form Who can use this form? People with Medicare who want to join a Medicare Advantage Prescription Drug Plan To join a plan, you must: Be a United States citizen or be lawfully present in the U.S. Live in the plan’s service area Important: To join a Medicare Advantage Plan, you must also have both: Medicare Part A (Hospital Insurance) Medicare Part B (Medical Insurance) When do I use this form? You can join a plan: Between October 15 – December 7 each year (for coverage starting January 1) Within 3 months of first getting Medicare In certain situations where you’re allowed to join or switch plans Visit medicare.gov to learn more about when you can sign up for a plan. What do I need to complete this form? Your Medicare Number (the number on your red, white and blue Medicare card) Your permanent address and phone number Note: You must complete all items in Section 1. The items in Section 2 are optional — you can’t be denied coverage because you don’t fill them out. Reminders: If you want to join a plan during fall open enrollment (October 15–December 7), the plan must receive your completed form by December 7. Your plan will send you a bill for the plan’s premium. You can choose to sign up to have your premium payments deducted from your bank account or your monthly Social Security (or Railroad Retirement Board) benefit. What happens next? Send your completed and signed form to: SummaCare ATTN: Medicare PO Box 3620 Akron, OH 44398-0998 Once they process your request to join, they'll contact you. How do I get help with this form? Call SummaCare at 888.464.8440. TTY users can call 800.750.0750 Or, call Medicare at 1.800.MEDICARE (1.800.633.4227). TTY users can call 1.877.486.2048. Llame a SummaCare al 888.464.8440 (TTY 800.750.0750) o a Medicare gratis al 1.800.633.4227 y oprima el 2 para asistencia enespañol y un representante estará disponible paraasistirle. Individuals experiencing homelessness If you want to join a plan but have no permanent residence, a Post Office Box, an address of a shelter or clinic, or the address where you receive mail (e.g. social security checks) may be considered your permanent residence address. H3660_23_403_C Approved 08082022 According to the Paperwork Reduction Act of 1995, no persons are required to respond to collection of information unless it displays valid OMB control number. The valid OMB control number for this information collection 0938-NEW. The time required to complete this information is estimated to average 20 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. IMPORTANT: Do not send this form or any items with your personal information (such as claims, payments, medical records, etc.) to the PRA Reports Clearance Office. Any items we get that aren’t about how to improve this form or its collection burden (outlined in OMB 0938-1378) will be destroyed. will OMB No. 0938-1378 Expires: 7/31/2024 Pre-Enrollment Checklist Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you have any questions, you can call and speak to a SummaCare Representative at 888.290.0610 (TTY 800.750.0750). Understanding the Benefits O Review the full list of benefits found in the Evidence of Coverage (EOC), especially for those services for which you routinely see a provider. Visit summacare.com/medicare or call 888.290.0610 (TTY 800.750.0750) to view a copy of the EOC. O Review the provider directory to make sure the providers you see now are in the network. If they are not listed, it means you will likely have to select a new provider. Understanding Important Rules O In addition to your monthly plan premium, you must continue to pay your Medicare Part B premium. This premium is normally taken out of your Social Security check each month. O Benefits, premiums and/or copayments/coinsurance may change on January 1, 2023. O Except in emergency or urgent situations, we do not cover services by out-of-network providers (providers who are not listed in the provider directory). O Our plan allows you to see providers outside of your network (non-contracted providers). However, while we will pay for certain covered services provided by a non-contracted provider, the providers must agree to treat you. Except in an emergency or urgent situations, non-contracted providers may deny care. In addition, you will pay a higher copay for services received by non-contracted providers. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_22_412NS_C 09022021 English: We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at toll-free at 855.416.6441 (TTY 800.750.0750) Someone who speaks English can help you. This is a free service. Español: Contamos con servicio gratuito de interpretación para responder todas las preguntas que pueda tener sobre nuestros planes de salud o de medicamentos. Para contactarse con un intérprete, llame a nuestra línea totalmente gratuita al número 855.416.6441 (TTY 800.750.0750). Una persona que hable inglés/español lo ayudará. Este servicio es sin costo. 中文: 我们提供免费口译服务，回答您针对我们的健康或药物计划可能会提出的任何问题。如需翻译， 请拨打免费电话 855.416.6441 (TTY 800.750.0750).会说英语/越南语的人将为您提供帮助。 本服务免费。 粵語: 我哋爲你提供免費口譯服務，爲你解答任何醫療保健或醫藥計劃問題。如果你需要口譯員，請撥 打免費電話至 855.416.6441 (TTY 800.750.0750) 英語或者越南語人士將會爲你提供服務。 呢個係免費服務。 Tagalog: Mayroon kaming libreng serbisyo mula sa tagapagsalin sa ibang wika para sa inyong mga tanong ukol sa planong pangkalusugan o droga. Tumawag lang sa aming toll-free bilang 855.416.6441 (TTY 800.750.0750) upang makapanayam ang tagapagsalin sa ibang wika. Matutulungan ka ng sino mang nakakapagsalita ng Ingles/Tagalog. Ito ay walang bayad. Français: Nous proposons des services d'interprétation gratuits pour répondre
1,
31,
SummaCare Medicare
한국어: 저희는 저희의 건강 또는 약품 플랜에 대한 질문에 답할 수 있는 무료 통역 서비스를 제공합니다. 통역사를 받으려면 무료 전화 855.416.6441 (TTY 800.750.0750) 로 전화하십시오. 영어/한국어를 할 수 있는 사람이 당신을 도울 수 있습니다. 이것은 무료 서비스입니다. Why Star Ratings Are Important Medicare rates plans on their health and drug services. This lets you easily compare plans based on quality and performance. Star Ratings are based on factors that include: Feedback from members about the plan’s service and care The number of members who left or stayed with the plan The number of complaints Medicare got about the plan Data from doctors and hospitals that work with the plan More stars mean a better plan for example, members may get better care and better, faster customer service. Get More Information on Star Ratings Online Compare Star Ratings for this and other plans online at medicare.gov/plan-compare. Questions about this plan? Contact SummaCare Medicare Advantage Plans 7 days a week from 8:00 a.m. to 8:00 p.m. Eastern time at 888.464.8440 (toll-free) or TTY 800.750.0750 from October 1 to March 31. Our hours of operation from April 1 to September 30 are Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern time. Current members please call 800.996.6250 (toll-free) or TTY 800.750.0750 Important Information: 2023 Medicare Star Ratings SummaCare Medicare Advantage Plans – H3660 SUM-22-61337/CS/TZ/10-22 SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. We do not offer every plan available in your area. Any information we provide limited to those plans we do offer in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. Every year Medicare evaluates plans based on 5-star rating system.H3660_23_702_M Accepted 10162022 For 2023, SummaCare Medicare Advantage Plans – H3660 received the following Star Ratings from Medicare: Overall Star Rating: Health Services Rating: Drug Services Rating: The number of stars show how well a plan performs. This plan got MEDICARE’S HIGHEST RATING (5 stars) Excellent Above Average Average Below Average Poor Benefits/Services Detailed benefit information can be found in the Evidence of Coverage. Topaz (HMO) Jade 2 (HMO) Garnet (HMO) Ruby (HMO) Sapphire (HMO-POS) My Current Plan Core Medical Coverage Monthly Plan Premium / Medical Deductible $0 / None $19 None $29 None $43 None $76 / None Out-of-Pocket Maximum (in-network services only) $3,700 $3,850 $3,700 $3,600 $3,550 Inpatient Hospital Stay $340 copay/day for days 1–6. $0 copay after day 6 $335 copay/day for days –6. $0 copay after day 6. $306 copay/day for days 1–6. $0 copay after day 6 $270 copay/day for days –6. $0 copay after day 6 $240 copay/day for days –6. $0 copay after day 6 Primary Care Provider / Specialist Office Visit $0 $35 copay $0 / $40 copay $0 / $40 copay $0 $40 copay $0 / $35 copay Emergency Care / Urgent Care* $110 / $30 copay $110 / $30 copay $110 $30 copay $110 $25 copay $110 / $25 copay Prescription Drug (Part D) Coverage Tier 1: Preferred Generic Drugs (30-day supply / 90-day supply) $0 copay $0 copay $0 copay $0 copay $0 copay Tier 2: Generic Drugs $9 $22.50 copay $8 / $20 copay $8 / $20 copay $8 $20 copay $8 $20 copay Tier 3: Preferred Brand Drugs $46 / $115 copay $44 / $110 copay $44 $110 copay $44 $110 copay $44 / $110 copay Tier 4: Non-Preferred Drugs $100 / $300 copay $100 / $300 copay $100 / $300 copay $100 $300 copay $100 $300 copay Tier 5: Specialty Drugs 33% of the cost 33% of the cost 33% of the cost 33% of the cost 33% of the cost Tier 6: Vaccines (includes shingles vaccine) $0 copay $0 copay $0 copay $0 copay $0 copay Prescription Drug Deductible None None None None None Supplemental Benefits Key Supplemental Benefits – Dental Coverage through the Delta Dental Network Maximum per Year $2,000 $2,000 $2,000 $500 $2,000 Preventive Dental Benefits (2 cleanings, 2 exams & x-Rays) $0 copay $0 copay $0 copay $0 copay $0 copay Comprehensive Dental Benefits (Fillings, Extractions, Root Canals Bridges, Crowns, Dentures) 30% 50% 30% / 50% $0 70% 50% for fillings 50% / 70% Prescription Eyewear Allowance $230 allowance $175 allowance $350 allowance $225 allowance $250 allowance Hearing Aids $395 $695 copay per select model hearing aid $395 $695 copay per select model hearing aid $395 / $695 copay per select model hearing aid $395 / $695 copay per select model hearing aid $395 / $695 copay per select model hearing aid Over-the-Counter (OTC) items $75 per quarter $60 per quarter $100 per quarter $25 per quarter $40 per quarter Travel Coverage / Assist America Included Bene-Flex Included Included Included Additional Supplemental Benefits Papa Pals Up to 60 hours of assistance Bene-Flex allows you to select the additional supplemental benefits that are right for you. Up to 60 hours of assistance Up to 80 hours of assistance Up to 100 hours of assistance Transportation $0 copay for 6 one-way trips $0 copay for 8 one-way trips $0 copay for 6 one-way trips $0 copay for 10 one-way trips Home Safety Devices $150 annual maximum allowance $200 annual maximum allowance $175 annual maximum allowance $225 annual maximum allowance Acupuncture Services $20 copay** $10 copay** $40 copay** $35 copay** Therapeutic Massage Services $20 copay $10 copay Not included Not included FREE Gym Memberships through SilverSneakers® Included Included Included Included NEW! Non-Jade plan members may only utilize a total of six visits (combined) when utilizing Acupuncture and Therapeutic Massage services. **Acupuncture services covered for chronic lower back pain only. Not all plans are available in all counties. Refer to list of counties to determine availability and plan premiums for that county. For the Sapphire and Emerald plans, your out-of-pocket costs may be higher you receive care from non network providers. Coverage for in-network services shown for Sapphire HMO-POS and Emerald HMO-POS. Out-of-network/non contracted providers are under no obligation to treat SummaCare members, except in emergency situations. Please call our Member Services or see your Evidence of Coverage for more information, including the cost-sharing that applies to out of-network services Plan Comparison and Benefit Highlights 2023 Medicare Advantage Plans Northwest Region Paperwork enrollment form to: Advantage renewal. Materials within the Enrollment Guides
an. Jemand, der Englisch/Deutsch spricht, hilft Ihnen. Dieser Dienst ist kostenlos.
Visitor/Travel
6 SummaCare 2022 Creative Portfolio Extra Benefit Collateral Summa Health Vitality Magazine Papa Pals to Hang Out and Help Out Papa Pals Provide Much Needed: Companionship Plan a visit, watch a movie and play board games with a Papa Pal. House Help Light cleaning, laundry, cooking/meal prep and pet care are all easier with the help of a Papa Pal. Errand Assistance Trips to and from the store—including carrying and unloading your groceries—aren’t so much of a burden with a Papa Pal. Technology Papa Pals are here to help you set up and learn how to use devices and applications to stay in touch with loved ones, enjoy games, and so much more. Papa Pals are enthusiastic and compassionate, undergo a strict vetting process, are subjected to background checks and are covered by liability insurance. To learn more, visit papa.com or call us at 888.499.1285 (TTY 800.750.0750) Papa pairs older adults and families with Papa Pals for companionship and assistance with everyday tasks. Get help around the house, including light housework, a ride to the doctor’s, pharmacy (or anywhere around town), help with errands or simply someone to talk to. Providing support to SummaCare Medicare Advantage members also offers relief and respite to caregivers. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. We do not offer every plan in your area. Any information we provide is limited to those plans we do offer in your area. H3660_23_53_M Accepted 10092022 GetSetUp is third-party provider and not owned or operated internet service to access GetSetUp service. Internet service SilverSneakers and the SilverSneakers shoe logotype are registered trademarks of Tivity Health, Inc. © 2022 Tivity Health, Inc. All rights reserved. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. We do not offer every plan available in your area. in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. H3660_23_122_M Accepted 10032022. SilverSneakers has teamed up with GetSetUp to bring you new ways to learn and grow beyond your fitness benefit. As a member of SummaCare you can join GetSetUp at no extra cost. With hundreds of peer-led classes to choose from, you’ll find the perfect ones to make your learning journey fun and rewarding. For example, you can learn how a smartphone can simplify your life, baking basics, recycled crafts, strength training for adults and so much more!. Find out more and start using your exciting new perk today! silversneakers.com/account/login 1.888.423.4632 (TTY 711) Monday – Friday 8 a.m. 8 p.m. ET Live Online Learning with SilverSneakers! Reignite your interests and hobbies or discover new ones. Enjoy participating in fun, easy-to-follow, live online classes with your peers.
Benefit NEW for 2023—Visitor/Travel Benefits Cover Arizona & Texas! If you’re a snowbird or go to Arizona, Texas or Florida regularly, go with confidence knowing you’re covered! This benefit allows SummaCare Medicare Advantage members, who visit Arizona, Texas or Florida, to receive all plan benefits at the innetwork level while temporarily in that state. For covered services/benefits, other than the benefits listed below, SummaCare Medicare Advantage members must use providers who accept Medicare. There is no limit on how many times you can access the visitor/travel benefit throughout the year. provide is limited to those plans we do er in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all your options. Some of the benefits mentioned are part of special supplemental program for the chronically ill. Not all members qualify for all benefits. H3660_23_76_M Accepted 09272022. SUM-22-60196/CS/RH/07-22 Acupuncture Transportation Papa Pals to Hang Out & Help Out Meal Delivery Dental Services OTC (Over-the-Counter items) You still must use SummaCare network providers for Part D prescription drugs and certain supplemental benefits for in-network coverage to apply. Our plans also have built-in worldwide emergency, urgent care coverage and ambulance services too, so you can travel close to home or around the world, worry free. Call or go online to learn more now. 888.464.8440 (TTY 800.750.0750) summacare.com/medicare Therapeutic Massage* Durable Medical Equipment Hearing Aids * Not available on Ruby (HMO) or Sapphire (HMO-POS) Among the options available on Jade (HMO) with Bene-Flex are Acupuncture, Transportation, Therapeutic Massage, Meal Delivery and Papa Pals. summacare.com/brainhq Get Stronger, Faster & Sharper with BrainHQ BrainHQ, a FREE online tool available to SummaCare Medicare Advantage members, has been proven to help people think faster, focus better and remember more. What is BrainHQ? Scientists from leading universities around the world designed BrainHQ exercises to work through brain plasticity—the process by which the brain physically changes through learning, experience and training. Just like lifting weights or training on a treadmill can make you stronger or faster, the physical changes brought on by BrainHQ exercises rebuild the brain’s interconnectivity making overall brain function stronger and more focused in a variety of ways. A Customized Learning Experience BrainHQ’s programming is designed to adapt to your existing and improving skill levels. As you succeed, the exercises will get more challenging. These adaptive exercises mean that you can challenge yourself at a pace that’s best for you. Or choose your own program path based on your interests or mood. The Science Behind BrainHQ More than 100 scientific publications have shown the benefits of BrainHQ. The World Health Organization recommends cognitive brain training for older adults “to reduce the risk of cognitive decline and/or dementia.” BrainHQ was designed by the internationally recognized scientist, Dr. Michael Merzenich, who discovered brain plasticity and won the Kavli Prize in Neuroscience (the near equivalent to the Nobel Prize for neuroscience). summahealth.org Summa Health Wednesday, March 16 6 p.m. Tuesday, March 22 12 p.m. Saturday, March 26 10 a.m. Tuesday, March 29 1 p.m. Thursday, March 31 6 p.m. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodation of persons with special needs at sales meetings, call 888.464.8440 (or TTY 800.750.0750). H3660_22_679NS_C 02082022 Call 888.240.9024 (TTY 800.750.0750) Visit summacare.com/vitality Register for an upcoming seminar and get your free information kit: New to Medicare? 65 Birthday or Retirement Contact SummaCare to understand your Medicare coverage options. Compare plans with SummaCare Medicare Advisor and ensure your doctors and prescriptions are covered. Your SummaCare Medicare Advisor will help you enroll in Medicare Parts A and B and then help you select a SummaCare Medicare Advantage plan that best meets your needs. Don’t wait until the last minute to research your options. Follow this timeline to learn what steps to take and when. Here are some important dates to keep in mind before you turn 65 or retire: 4 months before 1-3 months before 6 months before Still Have Questions? Join us for an informational seminar where you’ll learn about: How and when to enroll Plan options with SummaCare Medicare resources Can’t make it to a seminar? Get the kit. Request your free information kit now. Once you join, you’ll want to stay! 11 In the simplest of terms, BrainHQ is your online headquarters for working out your brain. Think of it as a personal gym, where you exercise your memory, attention, brain speed, people skills, intelligence and navigation instead of your abs, delts and quads. Just as our bodies require care and exercise over the course of life, so do our brains—especially as we age. BrainHQ provides the exercise your brain needs to be at its sharpest. Papa Pals Hang Out and Help Out Papa pairs older adults and families with Papa Pals for companionship and assistance with everyday tasks. Get help around the house, including light housework, a ride to the doctor’s office, pharmacy (or anywhere around town), help with errands or simply someone to talk to. Providing support to SummaCare Medicare Advantage members also offers relief and respite to caregivers. Companionship & Assistance Think faster, focus better and remember more with online brain-training Benefit must be elected as a Bene-Flex™ option to be utilized on the Jade plan. Benefit must be elected as a Bene-Flex™ option to be utilized on the Jade plan. Jade (HMO) 2023 Quick Reference Guide Medicare Advantage Plans Extra Benefits 11 summahealth.org Summa Health Want to Learn More? Get Your Free Info Kit! Call 888.240.9024 (TTY 800.750.0750) to reach a SummaCare Medicare Advisor 8 a.m.–8 p.m. Monday–Friday or visit summacare.com/vitality Key $0 Benefits Found in Our Medicare Advantage Plans Cost Benefits $0 Shingles Vaccine What are the risks associated with Shingles? According to the CDC: One out of every three Americans will develop shingles Shingles sufferers also risk nerve pain, pneumonia, hearing problems, blindness or even death Why choose Shingrix, the shingles vaccine? +90 percent effective in preventing shingles and associated long-term nerve pain Can prevent shingles from redeveloping or lessen the symptoms should it reoccur Source: cdc.gov/shingles/multimedia/shringrix-50-older.html Cleanings, Exams & X-Rays Through Delta Dental Cleanings help prevent health issues like cavities and gum disease. Regular dental checkups lead to less invasive and easier treatments. Dental exams can reveal signs of Vision & Hearing Exams As two of your five senses, it is important to pay attention to vision and hearing changes over time. Some eye problems are easily treated, others can be quite serious if left undiscovered. Vision exams can catch and slow the progression of glaucoma, diabetic retinopathy and more. Hearing loss, if undiscovered or untreated, can lead to cognitive, balance and other issues. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_22_333_M Accepted 06132022 In addition to already built-in comprehensive medical, prescription drug (Part D) coverage and core supplemental benefits, you are empowered to select FIVE additional supplemental benefits to add the coverage you want to your plan. 5 Pick Core Benefits (Included) Tier 1 (Pick 3) Tier 2 (Pick 1) Tier 3 (Pick 1) Dental Vision Hearing OTC Assist America Visitor/Travel Massage Therapy Acupuncture Fitness Tracker Toenail Trimming Nutrition Coaching BrainHQ Memory Fitness SilverSneakers Papa Pals Chiropractic Care Transportation Air Purifier* Post-Discharge Meal Delivery Chronic Care Meal Delivery** Flex Card for Vision, Dental & Hearing Healthy Grocery Allowance** PERS (Personal Emergency Response System) Home Safety Device 3 1 1 Build your own package of benefits Build your own Medicare Advantage plan! Exclusively from SummaCare for just $19/month Introducing Jade (HMO) with Bene-Flex New for 2023! Explore All SummaCare Medicare Advantage Plans at summacare.com/vitality or call 888.240.9024 (TTY 800.750.0750). Requires a diagnosis of COPD including asthma, chronic bronchitis and/or emphysema. Requires diagnosis of diabetes mellitus and/or congestive heart failure. 11 summahealth.org Summa Health SummaCare an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. Some of the benefits mentioned are part of a special supplemental program for the chronically ill. Not all members qualify for all benefits. H3660_23_715_M Accepted 10242022 Nonprofit Organization U.S. Postage Paid Permit No. 83 Vitality Magazine Corporate Office 1077 Gorge Blvd *********ECRWSSEDDM**** Residential Customer Sign up for our free monthly enewsletter that’s full of general health and wellness tips, Summa Health program updates and more. Visit summahealth.org/vitality or call us at 888.689.2037 to schedule an appointment. You can also check out our Flourish blog at summahealth.org/flourish every week for helpful articles on health and wellness for the betterment of a healthier community. Want more info? Switch Now to a 5-Star Medicare Advantage Plan SummaCare’s Medicare Advantage plans have been rated 5-Stars for 2023 the highest possible rating when it comes to customer service, member satisfaction and overall quality. From Jade (HMO) with Bene-Flex to a wide variety of other plan options, see what SummaCare can do for you. The enrollment window closes on December 7, 2022! Explore all your SummaCare Medicare Advantage plan options at an upcoming seminar—registration is easy! or visit summacare.com/vitality to reserve your spot Call 888.240.9024 (TTY 800.750.0750) SummaCare an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at sales meetings call 888.464.8440 (TTY 800.750.0750). Every year Medicare evaluates plans based on 5-star rating system. H3660_23_715_M Accepted 10242022 Important benefits like hearing aids, home safety devices, transportation and acupuncture/therapeutic massage* are coordinated through our partner, HOMELINK, and are available to all SummaCare Medicare Advantage plan members. Benefits and coverage amounts may be confirmed by referring to your Summary of Benefits or Evidence of Coverage documents. TRANSPORTATION You’re covered for one-way trips to a medical appointment or visit. Eligible trips include: Provider visits Physical therapy Dialysis Pharmacy visits not included. Please consult with your provider prior to outpatient procedures. HOME SAFETY DEVICES** If you’ve experienced a hip or knee replacement, a femur fracture or received a diagnosis of falls within the last 12 months, you’re eligible and covered for any of the home safety devices listed below: Eligible products: Bath/shower chair Hand-held shower Raised toilet seat/toilet seat frame Bathroom rail/grab bars Bed rails Hip kit Temporary ramp ACUPUNCTURE/ THERAPEUTIC MASSAGE* Most plans include coverage for general acupuncture services and therapeutic massage. All plans include coverage for acupuncture services for chronic low back pain. Eligible visits include: Any therapeutic massage service* Your initial acupuncture service with electrical stimulation The first 15 minutes of an acupuncture service without electrical stimulation Each additional 15 minutes with or without electrical stimulation doesn’t count toward the six-visit limit A provider’s order is required for therapeutic massage.* Acupuncture does not require a provider’s order. To access your benefits through HOMELINK, please call 844.358.2549 (TTY: 800.750.0750) *Available with most plans. **Diagnosis requirements do not apply for Jade plan members who choose Home Safety Devices as an elected supplemental benefit. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. We do not offer every plan available in your area. Any information we provide limited to those plans we do offer in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. H3660_23_131_M Accepted 10042022 Benefit Bucks on Your SummaCare Visa Card Three Ways SummaCare Medicare Members May Use their Benefit Bucks on their New SummaCare Visa Over-the-Counter (OTC) Allowance Benefit Bucks All SummaCare Medicare Advantage plans offer a quarterly OTC allowance that may be used to buy non-prescription drugs and everyday health-related items, for example: Pain relievers Antacids Cough drops First aid supplies Skin & sun care Vitamins OTC allowance amounts vary by plan and unused quarterly balances do not roll over. OTC allowance can be used to order health-related items over the phone, online or in person at more than 62,000 participating retailers. Preventive Care Rewards Benefit Bucks All SummaCare Medicare Advantage members are also eligible to receive rewards on your SummaCare Visa card for receiving key preventive care services, including: Annual Wellness Visit $50 Breast Cancer Screening $10 Colorectal Cancer Screening $10 Member rewards may also be used at more than 62,000 participating retailers. The SummaCare Visa card and corresponding reward dollars may not be used to make alcohol, tobacco, firearm, fuel, lottery or gift card purchases, but other than that, you are not restricted on your purchases. See next page for more information > 1 2 New for 2023! Print
7 SummaCare 2022 Creative Portfolio Sales Support Materials Henry Auglaize Wayne Stark Geauga Portage The SCMedicare network is SummaCare’s extensive network of providers. It includes more than 22,000 of the area’s providers and 70 hospitals throughout Northern Ohio. Key hospital systems inside our service area include: Other providers are available in our network.
SummaCare Medicare Advantage service area Other Network Hospitals SummaCare is committed to providing quality products and services to our Medicare Advantage members. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. Every year, Medicare evaluates plans based on a 5-star rating system. H3660_23_745_M Accepted 11122022 79 Named a Best Insurance CompanyMedicare Advantage 2023 in Ohio by U.S. News & World Report Among the most powerful measures of satisfaction, the NPS is a metric that identifies the ratio of those who are willing to recommend a service or product they use to others Net Promoter Score (NPS) measures the loyalty of customers to a company. *Based on 2022 SummaCare member survey results National Medicare Advantage 38 SummaCare Medicare Advantage* Our dedication to member service is receiving national recognition Call 888.464.8440 (TTY 800.750.0750) or visit summacare.com/medicare to learn more. by the Centers for Medicare and Medicaid Services (CMS). Quick response to members’ needs and concerns Overall well-being of members Provider access in prevention and detection of illnesses High member satisfaction Quality ratings show: Help your Primary Care Provider (PCP) establish this important baseline of your overall health. Catch—or even prevent—serious health conditions. Rewards are loaded automatically to your SummaCare Visa Card approximately 45 days after claims are paid. Additional Preventive Care and Screenings Covered by Your Plan for $0: Annual Flu Shot Abdominal aortic aneurysm screening Alcohol misuse counseling Bone Density Testing for Osteoporosis (ages 65+ or if you are high risk) Breast Cancer Screening/Mammogram offers a $10 incentive for completion Cardiovascular disease risk reduction and testing Cervical Cancer Screening: HPV Screening/Pap Smear (ages 30–64) Colorectal Cancer Screening (ages 45–75) offers a $10 incentive for completion Depression Screening Diabetes Screening: A1C, retinal eye exam, nephropathy screening HIV screening Lipid Profile Screening (cholesterol) as needed Lung Cancer Screening Nutrition, Physical Activity and Urinary Incontinence Counseling as needed Obesity screening and counseling One-time Hepatitis C Screening (for adults aged 18–79) Pneumonia Vaccinations (ages 65+ or if you are high risk) Smoking Prevention/Cessation Counseling Sexually transmitted infections screening and counseling Preventive Care Pays Off SummaCare Medicare plan members receive a $50 incentive for completing an Annual Wellness Visit. When appropriate, SummaCare may send you reminders to suggested preventive services care. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare is based upon contract renewal. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. H3660_23_27_M Accepted 09192922 Thinking about Medicare? Reserve your space today by calling 888.354.1604 (TTY 800.750.0750) summacare.com/events Join us for an informational seminar and learn: The ABCs of Medicare How and when to enroll Important things to consider when choosing a Medicare option How to Build Your Own Plan in 2023 with SummaCare's NEW Jade plan Thursday, October 20 Petitti Garden Centers 2803 Center Rd Brunswick, OH 44212 Community Room SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). H3660_23_29_M Accepted 09122022 Christine D. Thwing, SummaCare Medicare Advisor You are welcome to bring a Medicare-eligible friend or family member with you to learn about these important topics. Succulents with SummaCare Attendees will take home a planter and two succulents at no charge! Enjoy a nonalcoholic happy hour and refreshments. Learn about planting and caring for succulents. Reserve your space today by calling 888.354.1604 (TTY 800.750.0750) or visiting summacare.com/events Tuesday, October 11 2:30 p.m. Forest Meadow Villas Community Room SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). H3660_23_29_M Accepted 09122022 You are welcome to bring a Medicare-eligible friend or family member with you to learn about these important topics. Decorate a pumpkin at the SummaCare Pumpkin Palooza Thinking about Medicare? Christine D. Thwing, SummaCare Medicare Advisor Join us for an informational seminar and learn: The ABCs of Medicare How and when to enroll Important things to consider when choosing a Medicare option How to Build Your Own Plan in 2023 with SummaCare's NEW Jade plan with Bene-Flex Reserve your space today by calling 888.354.1604 (TTY 800.750.0750) or visiting summacare.com/events Friday, October 7 1:00 p.m. Huntington Square Senior Apartments Community Room SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). <material ID> You are welcome to bring a Medicare-eligible friend or family member with you to learn about these important topics. Enjoy a complimentary nacho bar! Thinking about Medicare? Christine D. Thwing, SummaCare Medicare Advisor Join us for an informational seminar and learn: The ABCs of Medicare How and when to enroll Important things to consider when choosing a Medicare option How to Build Your Own Plan in 2023 with SummaCare's NEW Jade plan with Bene-Flex Seminar Invites Benefits $0 Dental exams, cleanings and X-rays Vaccines, including shingles Vision and hearing Gym membership through SilverSneakers Tier drugs PCP copay, including telehealth Family On-Demand with Papa (help with daily tasks and more) Monthly premiums VIRTUAL SEMINARS Tuesday, January 25 12 p.m. Wednesday, January 26 6 p.m. Thursday, January 27 12 p.m. Saturday, January 29 10 a.m. Monday, January 31 6 p.m. Registration is easy – just call 888.820.7015 (TTY 800.750.0750) or visit summacare.com/seminar to reserve your spot. New to Medicare? Join us for an upcoming virtual seminar. Once you join, you'll want to stay! NEW! Cleveland Clinic, including Cleveland Clinic Akron General, is now in-network! SummaCare an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). Other providers are available in our network. H3660_22_208_M Accepted 12272021 Medicare can be confusing, but SummaCare Medicare Advisors will help to make it simple. Learn about: How and when to enroll Plan options with SummaCare Medicare resources Ask questions. Get answers – and even enroll on the spot. Join us for an upcoming virtual seminar. Registration is easy – just call 800.994.9360 (TTY 800.750.0750) or visit summacare.com/events to reserve your spot Seminar dates/locations are subject to change depending on COVID-19 community and location guidelines. Medicare can be confusing, but SummaCare Medicare Advisors will help to make it simple. Learn about: • How and when to enroll • Plan options with SummaCare • Medicare resources SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodation of persons with special needs at sales meetings, call 888.464.8440 (or TTY 1.800.750.0750). Other providers are available in our network. H3660_22_634NS_C 12222021 NEW! Cleveland Clinic is now in-network! VIRTUAL SEMINARS Date Time Date Time Date Time Date Time Date Time Pull up banners In Your Backyard Medicare Advantage Network More than 22,000 providers More than 70 hospitals 33 counties Henry Auglaize The choice is yours! Shop Medicare plans summacare.com/medicare We do not every plan available your area. Any information we provide or 1.800.MEDICARE get information on all your options. Other providers Build Your Own Medicare Advantage Plan with benefits such as: • $550 Flex card to enhance your dental, vision and hearing benefits Free Fitbit® Fitness Tracker Meal Delivery • Transportation • SilverSneakers® And more! Shop Medicare plans summacare.com/medicare is registered trademark of Fitbit LLC and/or its affiliates in the United States and other countries. We do not offer every plan available in your area. Any information we provide limited to those plans we do offer in your area. Please contact medicare.gov or 1.800.MEDICARE to get information on all of your options. Introducing Jade (HMO) with Bene-Flex™ Switch now to a 5-Star Medicare Advantage plan. Shop Medicare plans summacare.com/medicare we provide limited those plans we do er 5 MEDICARE’S HIGHEST RATING 5 OUT OF 5 STARS FOR 2023
Provider Network
8 SummaCare 2022 Creative Portfolio Telephone: () Email: Yes! Send my FREE guide to this address: PO Box 3620 Akron, Ohio 44309-3620 Once you join, you’ll want to stay! Learn why 96% of our Medicare Advantage members stay with SummaCare. Reserve your FREE Enrollment Guide and be among the first to learn about your 2023 Medicare plan options. See the many reasons to join and stay with SummaCare Medicare Advantage Be among the first to learn about 2023 SummaCare Medicare Advantage plans! Request your FREE Enrollment Guide now! Access to thousands of providers across Northern Ohio, including: Cleveland Clinic, including Cleveland Clinic Akron General, is in our Medicare Advantage provider network! So many reasons to join — and so many more to stay! SummaCare Medicare Advantage SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. d1smgpa H3660_23_405NS_C 07272022 Our goal is to exceed your expectations. From helping you choose to making sure it’s easy for you to stay, we strive to provide you with your own reasons to stay year after year. Ask questions. Get answers. Once you receive your FREE Enrollment Guide, a SummaCare Medicare Advisor can assist you in selecting a plan that makes sense for you. Shopping for Medicare may seem hard. SummaCare makes it easy. Get the support you need and the peace of mind you deserve. That’s why 96% of our Medicare members stay year after year. Call 800.801.2516 (TTY 800.750.0750) Visit summacare.com/guide Return this prepaid postcard Request your FREE Enrollment Guide by completing one of these easy steps: One more reason SummaCare may be the only Medicare plan you’ll ever want to choose: Cleveland Clinic, including Cleveland Clinic Akron General, is in our Medicare Advantage provider network! Get the guide. Get the scoop! Request your guide now to be one of the first to view your 2023 Medicare options. Scan the code or fill out and mail the prepaid postcard. ATTENTION: MEDICARE SUMMACARE INC PO BOX 3620 AKRON OH 44398-0998 NO POSTAGE IF MAILED IN THE BUSINESS REPLY MAIL AKRON, OH Artwork for User Defined (4.25" 6") Layout: 1-brc-4.25 6-IMb.LYT August 19, 2021 Produced by DAZzle, Version 12.2.02 (c) 1993-2012, DYMOEndicia, www.Endicia.com Authorized User, Serial # IMPORTANT: DO NOT ENLARGE,REDUCEOR MOVEthe FIM and barcodes.They are only valid as printed! Special care must be taken to ensure FIM and barcode are actual size AND placed properly on the ma piece to meet both USPSregulations and automation compatibility standards. Direct Mail ATTENTION: MEDICARE SUMMACARE INC PO BOX 3620 AKRON OH 44398-0998 NECESSARY IF MAILED UNITED STATES BUSINESS REPLY MAIL FIRST-CLASS MAIL AKRON, OH PERMIT NO. 776 POSTAGE WILL BE PAID BY ADDRESSEE Artwork for User Defined (4.25" x 6") Layout: 1-brc-4.25 6-IMb.LYT August 19, 2021 Produced by DAZzle, Version 12.2.02 (c) 1993-2012, DYMO Endicia, www.Endicia.com Authorized User, Serial # IMPORTANT: DO NOT ENLARGE, REDUCE OR MOVE the FIM and barcodes. They are only valid as printed! Special care must be taken to ensure FIM and barcode are actual size AND placed properly on the ma piece to meet both USPS regulations and automation compatibility standards. In the meantime, here are some important dates to keep in mind before you turn 65 or retire: 12 months before: Request this Medicare booklet from SummaCare. 6 months before: Contact SummaCare to understand your Medicare coverage options. 4 months before: Compare plans with your SummaCare Medicare Advisor and ensure your doctors and prescriptions are covered. 1-3 months before: Your SummaCare Medicare Advisor will help you to enroll in Medicare Parts A and B and then help you select a SummaCare Medicare Advantage plan that best meets your needs. To understand more about your options, request this FREE Medicare booklet – the official Medicare booklet, published by the Social Security Administration. When the time comes to make your choices for Medicare Part C (Medicare Advantage) and Medicare Part D (prescription drug coverage), please remember that these important benefits are available to you from SummaCare. Med care Soc lSecurity.gov The fastest way to get your FREE Medicare booklet is to call or go online. 888.236.1720 (TTY 800.750.0750) summacare.com/ssbook Fill in, detach and mail this portion Send in for your FREE booklet! Will you be eligible for Medicare within the next year? Now is the time to get information on available benefits. Med ar So Telephone: ( ) Email: By providing my phone or email, give permission for a SummaCare Medicare Advisor to contact me to answer my questions and discuss my options. < material ID > <BRC_Code> <First_Name> <Last_Name> <Address_Line1> <Address_Line2> <City>, <State_code> <Zipcode> Call or go online to request your FREE Medicare booklet. Or complete and mail this form. Med Will you be eligible for Medicare within the next year? Now is the time to think about the Medicare options you’re entitled to. Medicare So alSecu ty.gov 1200 E Market St, Suite 400 Akron, OH 44305-4018 <FIRST_NAME> <LAST_NAME> <SUFFIX> <ADDRESS_LINE1> <ADDRESS_LINE2> <CITY>, <STATE_CODE> <ZIPCODE> <USPS BARCODE> Med Get your free Medicare booklet now! Return this prepaid postcard for your FREE Medicare booklet Name: Address: City: State: Zip: Telephone: Email: By providing my phone and/or email, give permission for a SummaCare Medicare advisor to call and/or email me to answer my questions and discuss my options. H3660_22_635NS_C 12222021 Yes!3 Send my FREE Medicare booklet to this address. Have you ever wished that you could build your own Medicare plan – so that more of your benefits could actually benefit you? Now you can. Introducing Jade (HMO) with Bene-Flex™ The new Medicare Advantage plan, exclusively from SummaCare, that lets you choose the benefits you want for just $19/month. Start with money-saving Core Benefits, such as: Dental, Vision and Hearing Dollars for over-the-counter items such as vitamins, aspirin and toothpaste And more! Then, add your own extras! Choose 5 from a set of 16 exciting options, including: $550 Visa® Flex Card to reduce out-of-pocket expense for dental, vision and hearing Free Fitbit® tracker Healthy grocery delivery* ($40 monthly allowance on a SummaCare Visa) Papa Pals to hang out and help out (80 hours) Plus many more! Access care from thousands of doctors and hospitals across Northern Ohio including: Summa Health Cleveland Clinic University Hospitals Mercy Health And more! See the back of this letter for details about our extensive provider network. This is the year to switch to SummaCare. Jade (HMO) with Bene-Flex is just one of the many value-packed Medicare Advantage plan options from SummaCare. We’ll help you build the right Medicare Advantage plan for you. Just complete and return the form below to request your free Enrollment Guide or call 888.330.1544 (TTY 800.750.0750) to speak with a SummaCare Medicare Advisor now. *Requires a diagnosis of diabetes mellitus and/or congestive heart failure. All new. All you. Build a Medicare Advantage plan your way. Scan this code with your smartphone to request your FREE Enrollment Guide. Or visit summacare.com/aep. Please send my FREE Enrollment Guide to: By providing my phone and/or email, give permission for a SummaCare Medicare Advisor to call and/or email me to answer my questions and discuss my options. 87339 Request your FREE Enrollment Guide. See back to learn more! Dea <Prospect> Address TDTATDFDAFTTDTDDATTDTAAFTDFFATTATAFTADAFAATADAFDATDDADFADTDAFATAT Address PRSRT-STD U.S. POSTAGE PAID KANSAS CITY, MO PERMIT NO. 5264 Build your own Medicare Advantage plan! Introducing Jade (HMO) with Bene-Flex™ Exclusively from SummaCare. Akron, Ohio 44309-3620 Available here, in your community. Choose the seminar that works best for you and RSVP at summacare.com/events or call 888.330.1544 (TTY 800.750.0750.) Get the info you need to make the right choice for you. Join us at a Medicare Seminar. Summa Health System, 3825 Fishcreek Rd.; Ste 200; Multi-Purpose Room October 12, 2022, 1:00 p.m. Summa Health System, 3825 Fishcreek Rd.; Ste 200; Multi-Purpose Room Summa Health, 60 North Ave.; Tallmadge Community Room Tallmadge, OH 44278 October 17, 2022, 3:00 p.m. Hyatt Place NW; Meeting Place October 19, 2022, 2:00 p.m. Summa Health, 155 5th St.; NE; Room A/B Barberton, OH 44203 October 19, 2022, 4:00 p.m. Summa Health, 155 5th St.; NE; Room A/B Barberton, OH 44203 WebEx Virtual Seminar Miss Molly’s Tea Room and 140 W. Washington St.; Hudson October 22, 2022, 2:00 p.m. SummaCare Akron, OH 44305 October 24, 2022, 3:00 p.m. Hartville Kitchen 1015 Edison St., NW Hartville, OH 44682 Summa Health at Green Salem Community Center Salem, OH 44460 October 27, 2022, 4:00 p.m. Hilton Garden Inn Wooster, OH 44691 Hampton Inn October 28, 2022, 3:00 p.m. WebEx Virtual Seminar Summa Health, Medina Medical 3780 Medina Rd., Medina Classroom October 31, 2022, 1:00 p.m. WebEx Virtual Seminar sembuck_a RSVP for a Medicare seminar near you at summacare.com/events or call 888.330.1544 (TTY 800.750.0750.)* For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750.) Here to help. Not to “sell” Attend a SummaCare Medicare Seminar near you. Learn about SummaCare Medicare Advantage plans available in the Akron area. This is a great opportunity to meet with a Medicare expert, ask questions and even hear questions asked by others. Dear [Prospect], These days, everyone is looking for ways to save money. But you don’t want to compromise quality when it comes to your Medicare plan. Get the quality benefits you need and real savings with a Garnet (HMO) or Topaz (HMO) Medicare Advantage plan from SummaCare. Available here in Akron. Starting at $0/month. Keep more money in your pocket with: No deductibles Low out-of-pocket max $0 copays for primary care provider visits Get some of our best money-saving, all-in-one benefits, such as: • Prescription drug (Part D) coverage with $0 copays for many drugs and coverage through the Gap • Dental, vision and hearing Dollars for over-the-counter items (such as vitamins, aspirin and toothpaste) Plus more! Access care from thousands of doctors and hospitals across Northern Ohio, including: • Summa Health Cleveland Clinic • University Hospitals Mercy Health And more! See the back of this letter for details about our extensive provider network. This is the year to switch to SummaCare. Garnet and Topaz are just two of the many value-packed Medicare Advantage plan options from SummaCare. We’ll help you find the right Medicare Advantage plan for you. Just complete and return the orm below to request your free Enrollment Guide or ca l<88.957.5721> (TTY: 800.750.0750) to speak with a SummaCare Medicare Advisor now Sample A. Sample 1234 Any Street Anytown, US 12345-6789 1234567890 Health Insurance Get more Medicare value. From $0/month. Scan this code with your smartphone to request your FREE Enrollment Guide. Or visit summacare.com/topazgarnet. Please send my FREE Enrollment Guide to: By providing my phone and/or email, give permission for a SummaCare Medicare Advisor to call and/or email me to answer my questions and discuss my options. Sample A. Sample 1234 Any Street Anytown, US 12345-6789 Request your FREE Enrollment Guide. See back to learn more! 87446 SummaCare 2023 AEP General Audience DM3 34876-C SummaCare AEP Letter – Garnet/Topaz (front) Akron flat size: 8.5” x 14.5” folded size: 8.5” x 5.5” 9/12/22 PO Box 3620 Akron, Ohio 44309-3620 dm3oe_tg PRSRT-STD U.S. POSTAGE PAID KANSAS CITY, MO PERMIT NO. 5264 Choose Medicare that saves you more. See what SummaCare Medicare Advantage can do for you – starting at $0/month. Available here, in your community. Choose the seminar that works best for you and RSVP at summacare.com/events or call 888.330.1544 (TTY 800.750.0750.) Get the info you need to make the right choice for you. Join us at a Medicare Seminar. Summa Health System, 3825 Fishcreek Rd.; Ste 200; Multi-Purpose Room Summa Health System, 3825 Fishcreek Rd.; Ste 200; Multi-Purpose Room Summa Health, Tallmadge Medical Center 60 North Ave.; Tallmadge Community Room Tallmadge, OH 44278 Hyatt Place 5421 Whipple Ave., NW; Meeting Place Canton, OH 44720 Summa Health, Barberton Campus 155 5th St.; NE; Room A/B Barberton, OH 44203 Summa Health, 155 5th St.; NE; Room A/B Barberton, OH 44203 Miss Molly’s Tea Room and 140 W. Washington St.; Hudson Room Akron, OH 44305 1015 Edison St., NW Hartville, OH 44682 Uniontown, OH 44685-7965 Salem Community Center Salem, OH 44460 Wooster, OH 44691 Hampton Inn Stow, OH 44224 Summa Health, Medina Medical 3780 Medina Rd., Medina Classroom WebEx Virtual Seminar RSVP for a Medicare seminar near you at summacare.com/events or call 888.330.1544 (TTY 800.750.0750.)* For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750.) Here to help. Not to “sell” Attend a SummaCare Medicare Seminar near you. Learn about SummaCare Medicare Advantage plans available in the Akron area. This is a great opportunity to meet with a Medicare expert, ask questions and even hear questions asked by others.
9 SummaCare 2022 Creative Portfolio Join us for anseminarupcoming Medicare can be confusing, but SummaCare Medicare Advisors will help to make it simple. Learn about: How and when to enroll SummaCare plan options Medicare resources $0 Vaccines, including shingles Vision and hearing exams Gym membership through SilverSneakers Tier 1 drugs PCP copay, including telehealth Monthly premiums Seminars Near You Virtual Seminars Also Available Call <888.820.7015 (TTY 800.750.0750)> or visit <summacare.com/seminar> to reserve your spot, or to view a full listing of upcoming seminars. Now is the time to make your Medicare decision — and we’re here to help. NEW! Cleveland Clinic, including Cleveland Clinic Akron General, is now in-network! SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). Other providers are available in our network. H3660_22_315_M Accepted 05082022 1200 E Market St, Suite 400 Akron, OH 44305-4018 Time is running out! SUM-21-57444_2022SCMCDM1mAgeIn_OE_9x6.indd 1/7/22 10:19 AM You have a limited time to make your important Medicare decision. Your Initial Enrollment Period (IEP) is now. If you haven’t already done so: Request your free Medicare information kit to learn how you can make the most for your Medicare dollar Join us at an upcoming Medicare seminar where you can enroll on the spot with a SummaCare Medicare Advisor Don’t miss the deadline to select your Medicare coverage. NEW! Cleveland Clinic, including Cleveland Clinic Akron General, is now in-network! Your Birthday Month IEP ends three months after the month you turn 65 SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodation of persons with special needs at sales meetings, call 888.464.8440 (or TTY 800.750.0750). Other providers are available in our network. H3660_22_213_M Accepted 01042022 $0 Dental exams, cleanings and X-rays Vaccines, including shingles Vision and hearing Gym membership through SilverSneakers Tier 1 drugs PCP copay, including telehealth Family On-Demand with Papa (help with daily tasks and more) Monthly premium Visit summacare.com/zero Call 888.354.1604 (TTY 800.750.0750) SUM-21-57444_2022 SC MC DM 1m Age Package_CC_FINAL.indd Out-of-Home (OOH) Billboards Summa Health Shuttle Bus Switch now to a 5-Star Medicare Advantage plan.
10 SummaCare 2022 Creative Portfolio *Requires diagnosis of diabetes mellitus and/or congestive heart failure. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. Some of the benefits mentioned are part of a special supplemental program for the chronically ill. Not all members qualify for all benefits. Fitbit is a registered trademark of Fitbit LLC and/or its affiliates in the United States and other countries. For accommodations of persons with special needs at sales meetings, call 888.464.8440 (TTY 800.750.0750). Every year Medicare evaluates plans based on 5-star rating system. H3660_23_706_M Accepted 10192022 Health Insurance Health Insurance Introducing Jade (HMO) with Bene-Flex Exclusively from SummaCare. Introducing Jade (HMO) with Bene-Flex Exclusively from SummaCare. See inside: Attend a free seminar to learn more Or call 888.244.5580 (TTY: 800.750.0750) now. Build your own Medicare Advantage plan. Build a Medicare Advantage plan your way. Don’t wait. Enroll now. Start with money-saving core benefits, such as: Dental, vision and hearing Dollars for over-the-counter items, such as vitamins, aspirin and toothpaste And more! Then, add your own extras! Choose 5 from a set of more than 15 wellness options, including: $550 Visa Flex Card to enhance dental, vision and hearing coverage Free Fitbit® tracker Healthy grocery allowance* ($40 monthly allowance on a SummaCare Visa card) Papa Pals to hang out and help out (80 hours) Plus many more! And you can change your extras every year to meet your changing needs Enrolling is easy. We’re here to help. Call to speak with a Medicare advisor at 888.244.5580 (TTY: 800.750.0750) Find a seminar near you at summacare.com/cr Or scan this code with your smartphone Want a $550 Visa® Flex Card to use for additional dental, vision or hearing coverage? Prefer a free Fitbit®? Dollars for a healthy grocery allowance*? Or even free massages? Switch to 5-Star Quality! Top-rated Medicare Advantage plans from SummaCare. All for just $19/month. contract renewal. Other program for the chronically in the United States and (TTY 800.750.0750). Every Insurance Health Insurance Introducing Jade (HMO) with Bene-Flex Exclusively from SummaCare. See inside: Attend a free seminar to learn more Or call 888.244.5580 (TTY: 800.750.0750) now. Build a Medicare Advantage plan your way. Don’t wait. Enroll now. extras! Choose 5 than 15 wellness to enhance hearing coverage allowance* allowance on a card) and help out you can every year to needs Want a $550 Visa® Flex Card to use for additional dental, vision or hearing coverage? Prefer a free Fitbit®? Dollars for a healthy grocery allowance*? Or even free massages? Switch to 5-Star Quality! Top-rated Medicare Advantage plans from SummaCare. for just /month. *Requires a diagnosis of diabetes mellitus and/or congestive heart failure. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. The benefits mentioned are part of special supplemental program for the chronically ill. Not all members qualify. Fitbit is a registered trademark of Fitbit LLC and/or its affiliates in the United States and other countries. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). H3660_23_67_M Accepted 09272022 Health Insurance Health Insurance Introducing Jade (HMO) with Bene-Flex™ Exclusively from SummaCare. Introducing Jade (HMO) with Bene-Flex Exclusively from SummaCare. See inside: Attend a free seminar to learn more Or call 888.217.0978 (TTY: 800.750.0750) now. Build your own Medicare Advantage plan. Build a Medicare Advantage plan your way. All new. All you. Start with money-saving Core Benefits, such as: Dental, vision and hearing Dollars for over-the-counter items such as vitamins, aspirin and toothpaste And more! Then, add your own extras! Choose 5 from a set of more than 15 wellness options, including: $550 Visa® Flex Card to enhance dental, vision and hearing coverage Free Fitbit tracker Healthy grocery allowance* ($40 monthly allowance on a SummaCare Visa card) Papa Pals to hang out and help out (80 hours) Plus many more! And you can change your extras every year to meet your changing needs Learn more at a seminar near you. See upcoming dates on reverse side. RSVP at summacare.com/abj Or call 888.217.0978 (TTY: 800.750.0750) Or scan this code with your smartphone Want a $550 Visa® Flex Card to use for additional dental, vision or hearing coverage? Prefer a free Fitbit®? Dollars for a healthy grocery allowance*? Or even free massages? Our new Medicare Advantage plan lets you choose the benefits you want for just $19/month. *Requires a diagnosis of diabetes mellitus and/or congestive heart failure. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. The benefits mentioned are part of a special supplemental program for the chronically ill. Not all members qualify. Fitbit is a registered trademark of Fitbit LLC and/or its affiliates in the United States and other countries. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). H3660_23_67_M Accepted 09272022 Health Insurance Health Insurance Introducing Jade (HMO) with Bene-Flex™ Introducing Jade (HMO) with Bene-Flex Exclusively from SummaCare. See inside: Attend a free seminar to learn more Or call 888.217.0978 (TTY: 800.750.0750) now. Build your own Medicare Advantage plan. Build a Medicare Advantage plan your way. All new. All you. Learn more at a seminar near you. See upcoming dates on reverse side. RSVP at summacare.com/abj Or call 888.217.0978 (TTY: 800.750.0750) Or scan this code with your smartphone Want a $550 Visa® Flex Card to use for additional dental, vision or hearing coverage? Prefer a free Fitbit®? Dollars for a healthy grocery allowance*? Or even free massages? Our new Medicare Advantage plan lets you choose the benefits you want for just $19/month. Build your own Medicare Advantage plan with our all NEW Jade (HMO) with Bene-Flex™ the wide variety of value-packed plan options from SummaCare. Talk to us today and we’ll help you choose the right plan for your needs. This is the year to switch to SummaCare! Available here in your community. Wednesday, October 12, 2022, 11:00 a.m. Summa Health Stow-Kent Medical Center Multi-Purpose Room 3825 Fishcreek Rd, Ste 200 Stow, OH 42244 Wednesday, October 12, 2022, 1:00 p.m. Summa Health Stow-Kent Medical Center Multi-Purpose Room 3825 Fishcreek Rd, Ste 200 Stow, OH 42244 Monday, October 17, 2022, 10:00 a.m. Summa Health Tallmadge Medical Center Tallmadge Community Room 60 North Ave Tallmadge, OH 44278 Wednesday, October 19, 2022, 2:00 p.m. Summa Health, Barberton Campus Room A/B 155 5th St., NE Barberton, OH 44203 Wednesday, October 19, 2022, 4:00 p.m. Summa Health, Barberton Campus Room A/B 155 5th St., NE Barberton, OH 44203 Thursday, October 20, 2022, 10:00 a.m. Virtual via WebEx Saturday, October 22, 2022, 2:00 p.m. SummaCare Ste. 400 1200 E Market St. Akron, OH 44305 Friday, October 28, 2022, 11:00 a.m. Hampton Inn Conference Room 4331 Lakepointe Corporate Dr. Stow, OH 44224 Friday, October 28, 2022, 3:00 p.m. Virtual via WebEx Monday, October 31, 2022, 10:00 a.m. Summa Health Medina Medical Center Medina Classroom 3780 Medina Rd, Medina, OH 44256 Monday, October 31, 2022, 1:00 p.m. Virtual via WebEx And more! SummaCare’s extensive Medicare network includes more than 22,000 providers and 70 hospitals throughout Northern Ohio. Featuring leading hospitals and health systems in the Akron area and across Northern Ohio, such as: SummaCare Everywhere Can’t make it to a seminar? Request your free Enrollment Guide to learn more now. Call 888.217.0978 or visit Dental coverage provided through Get the info you need. Join us at a Medicare Seminar near you. Health Insurance Reserve your spot: RSVP at summacare.com/abj Or call 888.217.0978 (TTY: 800.750.0750) Build your own Medicare Advantage plan with our all NEW Jade (HMO) with Bene-Flex™ – just one of the wide variety of value-packed plan options from SummaCare. Talk to us today and we’ll help you choose the right plan for your needs. This is the year to switch to SummaCare! Available here in your community. Wednesday, October 12, 2022, 11:00 a.m. Summa Health Stow-Kent Medical Center Multi-Purpose Room 3825 Fishcreek Rd, Ste 200 Stow, OH 42244 Wednesday, October 12, 2022, 1:00 p.m. Summa Health Stow-Kent Medical Center Multi-Purpose Room 3825 Fishcreek Rd, Ste 200 Stow, OH 42244 Monday, October 17, 2022, 10:00 a.m. Summa Health Tallmadge Medical Center Tallmadge Community Room 60 North Ave Tallmadge, OH 44278 Wednesday, October 19, 2022, 2:00 p.m. Summa Health, Barberton Campus Room A/B 155 5th St., NE Barberton, OH 44203 Wednesday, October 19, 2022, 4:00 p.m. Summa Health, Barberton Campus Room A/B 155 5th St., NE Barberton, OH 44203 Thursday, October 20, 2022, 10:00 a.m. Virtual via WebEx Saturday, October 22, 2022, 2:00 p.m. SummaCare Ste. 400 1200 E Market St. Akron, OH 44305 Friday, October 28, 2022, 11:00 a.m. Hampton Inn Conference Room 4331 Lakepointe Corporate Dr. Stow, OH 44224 Friday, October 28, 2022, 3:00 p.m. Virtual via WebEx Monday, October 31, 2022, 10:00 a.m. Summa Health Medina Medical Center Medina Classroom 3780 Medina Rd, Medina, OH 44256 Monday, October 31, 2022, 1:00 p.m. Virtual via WebEx And more! SummaCare’s extensive Medicare network includes more than 22,000 providers and 70 hospitals throughout Northern Ohio. Featuring leading hospitals and health systems in the Akron area and across Northern Ohio, such as: SummaCare Everywhere Can’t make it to a seminar? Request your free Enrollment Guide to learn more now. Call 888.217.0978 (TTY: 800.750.0750) or visit summacare.com/abj Dental coverage provided through Get the info you need. Join us at a Medicare Seminar near you. Health Insurance Reserve your spot: RSVP at summacare.com/abj Or call 888.217.0978 (TTY: 800.750.0750) SummaCare’s Medicare Advantage plans have been rated 5-Stars — the highest possible rating — when it comes to customer service, member satisfaction and overall quality. From Jade (HMO) with Bene-Flex to a wide variety of other plan options, see what SummaCare can do for you. Switch Now to a 5-Star Medicare Advantage Plan. Available here in your community. SummaCare’s extensive Medicare network includes more than 22,000 providers and 70 hospitals throughout Northern Ohio. Featuring leading hospitals and health systems in the Canton area and across Northern Ohio, such as: SummaCare Everywhere Medicare questions? Need help enrolling? Request your free Enrollment Guide to learn more now. Call 888.244.5580 (TTY: 800.750.0750) or visit summacare.com/cr Dental coverage provided through And more! Tuesday, November 15, 2022, 4:00 p.m. Virtual via WebEx Monday, November 21, 2022, 10:00 a.m. The New Center at NEOMED Boardroom #3 4211 OH-44 Rootstown, OH 44272 Tuesday, November 22, 2022, 10:00 a.m. Hartville Kitchen Restaurant & Bakery 1015 Edison St., NW; West Wing Hartville, OH 44682 Monday, November 28, 2022, 10:00 a.m. Virtual via WebEx Wednesday, November 30, 2022, 4:00 p.m. Hyatt Place Meeting Place 5421 Whipple Ave., NW Canton, OH 44720 Thursday, December 1, 2022, 3:00 p.m. Virtual via WebEx Tuesday, December 6, 2022, 1:00 p.m. Virtual via WebEx Get the info you need. Join us at a Medicare Seminar near you. Health Insurance You still have time to join SummaCare for 2023. Call 888.244.5580 (TTY: 800.750.0750) now to RSVP for a seminar above. Print Ads – Spadea Print Ads
11 SummaCare 2022 Creative Portfolio Visit summacare.com/mg2 888.354.1606 (TTY 800.750.0750) Ready to learn more? Get your free information kit now. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_22_247_M Accepted 013102022 New to Medicare? See why 96% of SummaCare Medicare members stay year after year. Benefits $0 Dental exams, cleanings and X-rays Vaccines, including shingles Vision and hearing exams Gym membership through SilverSneakers Tier 1 drugs PCP copay, including telehealth Family On-Demand with Papa (help with daily tasks and more) Monthly premiums New to Medicare? We can help. Medicare can be confusing, but SummaCare Medicare Advisors will help to make it simple. Learn about: • How and when to enroll • Plan options with SummaCare • Medicare resources Join us for an upcoming seminar DATE TIME LOCATION Thursday, May 12, 2022 12 p.m. Massillon Parks & Recreation Center 505 Erie St., N.; Community Room B Massillon, OH 44646 Tuesday, May 24, 2022 2 p.m. Hartville Kitchen & Bakery 1015 Edison St., NW.; West Wing, Hartville, OH 44632 Call 888.354.9716 (TTY 800.750.0750) Visit summacare.com/cr2 SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. For accommodation of persons with special needs at sales meetings, call 888.464.8440 (TTY 800.750.0750.) H3660_22_309_M Accepted 04182022 Can’t make it to a seminar? Get the kit. Call or go online to request your free Medicare Information Kit today so you can make the right decision when it comes to your Medicare coverage. Monthly premiums Gym membership through SilverSneakers Vision and hearing exams Vaccines, including shingles Family On-Demand with Papa (help with daily tasks and more) Delta Dental (exams, cleanings and X-rays) Tier 1 drugs PCP copay, including telehealth With SummaCare, you’ll have access to more than 22,000 providers and 75 hospitals across northern Ohio, including: Benefits $0 Virtual seminars also available Monday, May 16, 2022 6 p.m. Saturday, May 21, 2022 10 a.m. Introducing Jade (HMO) with Bene-Flex™ Build your own Medicare Advantage plan! Pick 5 of Our More Than 15 Available Wellness Options Examples Include: $550 Visa® Flex Card to enhance dental, vision and hearing coverage Free Fitbit tracker Papa Pals to hang out and help out Our new Jade plan starts with important core benefits like dental, vision, hearing and an over-the-counter allowance. Our exclusive Bene-Flex option allows you to choose five additional supplemental benefits at No Cost to You! NEW FOR 2023! Want to Compare Available Plans? Request your FREE Enrollment Guide today. SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodations of persons with special needs at sales meetings, call 888.464.8440 (TTY 800.750.0750). Fitbit is a registered trademark of Fitbit LLC and/or its a liates in the United States and other countries. Every year Medicare evaluates plans based on 5-star rating system. H3660_23_707_M Accepted 10192022 Call 800.394.0260 (TTY 800.750.0750) Go Online summacare.com/sr Learn More at an Upcoming Seminar VIRTUAL Tuesday, November 15, 2022, 4:00 p.m. WebEx Monday, November 28, 2022, 10:00 a.m. WebEx Thursday, December 1, 2022, 3:00 p.m. WebEx Tuesday, December 6, 2022, 1:00 p.m. WebEx Health Insurance Introducing Jade (HMO) with Bene-Flex Exclusively from SummaCare. Build your own Medicare Advantage plan. SummaCare’s extensive Medicare network includes more than 22,000 providers and 70 hospitals throughout Northern Ohio. Featuring leading hospitals and health systems in the Cleveland area and across Northern Ohio, such as: SummaCare Everywhere Get the info you need. Join us at a Medicare Seminar near you. IN-PERSON VIRTUAL Tuesday, October 18, 2022, 11:00 a.m. French Creek Family YMCA, Conference Room 2010 Recreation Ln., Avon, OH 44011 Thursday, October 20, 2022, 10:00 a.m. WebEx Thursday, October 20, 2022, 10:00 a.m. Cuyahoga County Public Library, Parma-Powers Branch, Meeting Room A/B 6996 Powers Blvd., Parma, OH 44129 Friday, October 28, 2022, 3:00 p.m. WebEx Friday, October 21, 2022, 11:00 a.m. Miss Molly’s Tea Room and Gift Shop Hudson Room 140 W. Washington St., Medina, OH 44256 Monday, October 31, 2022, 1:00 p.m. Tuesday, October 25, 2022, 11:00 a.m. Fairview Park Gemini Recreation Center 21225 Lorain Rd., Fairview Park, OH 44126 RSVP at summacare.com/pd Or call 888.778.1927 (TTY: 800.750.0750) Or scan this code with your smartphone *Requires a diagnosis of diabetes mellitus and/or congestive heart failure. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. Some of the benefits mentioned are part of a special supplemental program for the chronically ill. Not all members qualify for all benefits. Fitbit® is a registered trademark of Fitbit LLC and/or its affiliates in the United States and other countries. For accommodations of persons with special needs at meetings, call 888.464.8440 (TTY 800.750.0750). H3660_23_135_M Accepted 10082022 Dental coverage provided through Start with money-saving Core Benefits, such as: Dental, vision and hearing Dollars for over-the-counter items such as vitamins, aspirin and toothpaste And more! Then, add your own extras! Choose 5 from a set of more than 15 wellness options, including: $550 Visa Flex Card to enhance dental, vision and hearing coverage Free Fitbit tracker Healthy grocery allowance* ($40 monthly allowance on a SummaCare Visa card) Papa Pals to hang out and help out (80 hours) Plus many more! And you can change your extras every year to meet your changing needs Free-Standing Insert (FSI) Print Ad – Half Page Other Print Ads Complete the form below, fold, seal and mail postage-free. First Name Last Name Address City State Zip Email Phone ( ) By providing my phone number or email address, give permission for a SummaCare Medicare Advisor to contact me to answer my questions and discuss my Medicare plan options. YES, send me my FREE Enrollment Guide! Several SummaCare Plans have New Enhancements for 2023! Our Medicare Advantage plans feature important benefits such as: $0 Monthly premiums $2,000 dental maximum on most plans through Delta Dental Enhanced vision and hearing aid coverage SummaCare Visa card to access over-the-counter items at more than 62,000 retailers Get the Details with No Obligation Request Your FREE 2023 SummaCare Medicare Advantage Enrollment Guide to see important details like maximum out-of-pocket amounts, deductibles, copays and more—and easily learn which plan is best for you. Attend a SummaCare Medicare Seminar Near You Learn about how you can Build Your Own Plan in 2023 with Jade (HMO) with Bene-Flex as well as the benefits of many other SummaCare Medicare Advantage plans available in your area. Meet with a SummaCare Medicare Advisor, ask questions and even hear questions asked by others. Registration is easy! VIRTUAL Monday, October 31, 2022, 10:00 a.m. 3780 Medina Rd, Medina Classroom Friday, October 28, 2022, 3:00 p.m. WebEx Wednesday, November 2, 2022, 1:00 p.m. 3180 W Market St; B & W Room Monday, October 31, 2022, 1:00 p.m. WebEx Thursday, November 3, 2022, 10:00 a.m. The Natatorium of Cuyahoga Falls Friday, November 4, 2022, 2:00 p.m. WebEx Wednesday, November 9, 2022, 5:00 p.m. Summa Health Stow-Kent 3825 Fishcreek Rd; Suite 200 Tuesday, November 15, 2022, 4:00 p.m. WebEx SUM-22-60798/CS/TZ/09-22 ABJ or visit summacare.com/abj to reserve your spot. Build your own Medicare Advantage plan! Exclusively from SummaCare. Introducing Jade (HMO) with Bene-Flex access to more than hospitals across Available here, in your community. Return this prepaid postcard with a Medicare on contract renewal. needs at sales 800.750.0750). Other providers H3660_23_83_M Accepted 09282022 YES, send me my FREE Information Kit! SUM-21-57443/CS/GW/12-21 ABJ Join us for an upcoming virtual seminar. We can help make Medicare simple. Medicare can be confusing, but SummaCare Medicare Advisors will help to make it simple. Learn about: How and when to enroll Plan options with SummaCare Medicare resources Call 888.421.0953 (TTY 800.750.0750) or visit summacare.com/abj now. Can’t make it to a seminar or ready for more information? Get your free information kit now. Call, go online or return this card. 12 p.m. Wednesday, January 26 6 p.m. 12 p.m. 10 a.m. 6 p.m. Registration is easy! or visit to reserve your spot. summacare.com/abj (TTY 800.750.0750) Benefits $0 Dental exams, cleanings and X-rays Vaccines, including shingles Vision and hearing exams Gym membership through SilverSneakers Tier 1 drugs PCP copay, including telehealth Family On-Demand with Papa (help with daily tasks and more) Monthly premiums Complete the form below, fold, seal and mail postage-free. First Name Last Name Address City State Zip Email Phone ( ) By providing my phone number or email address, give permission for a SummaCare Medicare Advisor to contact me to answer my questions and discuss my options. ABJ 01232022 87355 New to Medicare? We can help. Return this prepaid postcard access to more hospitals across $0 Plans as low as contractMedicarerenewal. sales Other providers Accepted 12252021 Other
12 SummaCare 2022 Creative Portfolio
Digital
Available here, in your community. Start with money-saving Core Benefits, such as: Dental, vision and hearing • Dollars for over-the-counter items such as vitamins, aspirin and toothpaste • And more! Then choose five extras from a set of more than 15 wellness options! Visit summacare.com/medicare to explore plan options including the NEW for 2023 Jade (HMO) plan! Build your own Medicare Advantage plan. Introducing Jade (HMO) with Bene-Flex™ Available here, in your community. Our members have reported improvements in: Attention • Brain Speed Memory • And More! How you use the benefit is up to you! Visit summacare.com/medicare to explore plan options including the NEW for 2023 Jade (HMO) plan! Stay Sharp with BrainHQ SummaCare Medicare Advantage members have access to this online, brain-training program. Available here, in your community. As an included benefit on most plans, Papa Pals are available to—Hang Out & Help Out Play board games Schedule a ride to the doctor’s office in rough weather Get help with light housework How you use the benefit is up to you! Visit summacare.com/medicare to explore plan options including the NEW for 2023 Jade (HMO) plan! Utilize a Papa Pal for companionship and assistance with everyday tasks Available here, in your community. All SummaCare Medicare Advantage plans offer a quarterly OTC allowance for obtaining everyday health-related items, such as: Pain relievers Antacids Cough drops First aid supplies Skin & sun care Vitamins Visit summacare.com/medicare to explore plan options including the NEW for 2023 Jade (HMO) plan! New in 2023! SummaCare Visa Card for Overthe-Counter (OTC) Allowance Benefit Bucks Available here, in your community. Choose which SummaCare Medicare Advantage plan best fits your needs. Visit summacare.com/medicare to explore plan options including the NEW for 2023 Jade (HMO) plan! SummaCare an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year Medicare evaluates plans based on 5-star rating system. H3660_23_120_M Accepted 10032022 Get Your Enrollment Process Rolling—Today! This year’s Annual Enrollment Period ends on December 7, 2022! Available here, in your community. Choose which SummaCare Medicare Advantage plan best fits your needs. Visit summacare.com/medicare to explore plan options including the NEW for 2023 Jade (HMO) plan! SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year Medicare evaluates plans based on a 5-star rating system. H3660_23_120_M Accepted 10032022 Get Your Enrollment Process Rolling—Today! Newly eligible for Medicare?
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13 SummaCare 2022 Creative Portfolio Broadcast Spots Long-form Interviews SummaCare Logo with footer 5-Star TV Graphic Elements Sandusky Erie Putnam Hancock Allen Wayne Medina Mahoning Trumbull Geauga Cuyahoga
Wellness Materials and Plan Documents Postcard
Dear <First Name>, Colorectal cancer does not always show symptoms in the early stages, which is why many people wait to get a screening. Symptoms may include stomach pain or changes in bowel movement patterns, such as diarrhea, constipation or blood in your stool. Don’t wait for symptoms to appear to get your screening. Call today.
Five recommended options available to you are:
Screening Colonoscopy: This is the most effective screening for early detection or prevention since it checks the entire colon and rectum for abnormalities. You need to get a screening colonoscopy every 10 years if you’re not at an increased risk for colorectal cancer and no abnormalities were found during the test.
Flexible Sigmoidoscopy: This screening only checks part of your colon and your rectum for abnormalities. This screening is not as effective at early detection and prevention as a colonoscopy that checks your entire colon and rectum. You need to get this screening every five years or as recommended by your primary care provider.
CT Colonography (Virtual Colonoscopy): This is an advanced CT scan using X-rays to view the inside of the colon and rectum. It is less invasive than a colonoscopy. You need to get this screening every five years or as recommended by your primary care provider.
FOBT or FIT Kit: These screening tests detect hidden (occult) blood in your stool. You would need to have this screening annually, and it can be completed in the convenience of your home; however, these screening tests are not as effective for early detection and cannot help prevent colorectal cancer like getting a screening colonoscopy or flexible sigmoidoscopy.
Stool DNA (Cologuard): This screening looks for altered DNA from cancer or polyp cells and blood in the stool. A kit is used for you to collect a stool sample in your home and mail it to the lab for testing. This test should be done every three years or as recommended by your primary care provider.
If you already had a colonoscopy or flexible sigmoidoscopy prior to becoming a SummaCare member, please complete the enclosed Test Verification Form and send it back in the postagepaid envelope. For completing one of the following screenings: a screening colonoscopy, flexible sigmoidoscopy, CT Colonography, FIT kit, or Cologuard by <<<< Date >>>>, you will receive one <<<< Gift Card >>>>. The gift card will be mailed within 45 days after claims are paid by SummaCare.
These tests each have pros and cons, and your primary care provider can help you determine which is better for you. Most importantly, GET SCREENED, no matter which test you choose.
James F. Grow,
F.
November 2022 Dear SummaCare Member, There are a lot of Medicare Advantage plans out there, but you chose SummaCare and we couldn’t be more proud! As a thank you, we have created this beautiful calendar for you to enjoy all year long. We hope you will find it useful and that it will serve as a reminder of our deep appreciation for you and your membership in our plan. SummaCare’s Medicare Advantage plans have been rated 5-Stars for 2023 by CMS — the highest possible rating — when it comes to customer service, member satisfaction and overall quality. We’ve always
14 SummaCare 2022 Creative Portfolio Medicare Members
Dear <First Name>, Women’s health is very important to us. As your partner in health, we encourage you to receive an annual, preventive mammogram to screen for breast cancer. There is no cost to you for this important preventive screening when you visit a facility in your SummaCare network. HOW TO SCHEDULE YOUR MAMMOGRAM: Call 888.908.0314 for any of the following convenient Summa Health locations: Akron, Green, Medina, Wadsworth, Barberton, Hudson, Tallmadge, West Akron-White Pond, Cuyahoga Falls, Stow-Kent. For other locations in your network, go to and click on the Find Your Doctor” button. Summa Health’s mammography locations do not require an order for a screening mammogram; however, other mammography sites may request that your primary care provider (PCP) or gynecologist send an order for this procedure. If you do not have a PCP or gynecologist, selecting one is an important first step toward managing your healthcare. Choose a selection in your network by going to summacare.com and clicking on the “Find Your Doctor” button. If you have questions about why you need a mammogram, please call your primary care provider (PCP) or gynecologist. As a reward for taking such an important step to protect your health, you will receive a <<< gift card >>> within 45 days after a claim is paid by SummaCare just for completing your mammogram by <<< date >>>. Sincerely, James F. Grow, Jr. James F. Grow, Jr., M.D. Medical Director, SummaCare SUM-22-59093/CS/KG/5-22 Other providers are available in network. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments and restrictions may apply for any diagnostic procedures performed. View your Summary of Benefits and other plan documents on Plan Central at summacare.com/plancentral If you need assistance, please call Customer Service Preventive Health at 877.514.1562 (TTY: 800.750.0750) H3660_22_811NS_C 05232022 Enclosure: Women’s Health Newsletter
Print
Mammograms are the first step in early detection.
Sincerely,
Jr. James
Grow, Jr., M.D. Medical Director Enclosures: Test Verification Form, postage-paid envelope Are you avoiding your colorectal screening? Read this. p
Contact your Primary Care Provider (PCP) to schedule a screening today.
Time to Get Your Flu Shot As part of your member benefits, you can get your flu shot for free! Seasonal flu varies in severity, and in most cases it takes seven or more days to recover from the illness. Getting an annual flu vaccine is the single most effective way to protect yourself against the flu. Receiving a flu shot is is especially important for members age 50 and older and those with asthma or other chronic health conditions Here’s how to get your flu shot: Go to any in-network pharmacy offering the flu vaccination. Call the pharmacy in advance to make sure they offer vaccinations, have the vaccine available and the best time of day to get a vaccination. You can find a pharmacy by visiting summacare.com Click on “Find Your Pharmacy” on the right side under the “Find” tools and enter your search criteria. Simply present your SummaCare Member ID card at any of the in-network pharmacies and no copay will be required. Check with your SummaCare provider. Ask if they have vaccines available. Please be aware that you may be asked to pay a copay if you receive additional services during your office visit. NOTE A visit to an urgent care center for your flu shot will result in either an urgent care copay or deductible plus coinsurance, depending on your schedule of benefits. H3660_22_851NS_C 07132022 SUM-22-60002/CS/RH/07-22 am currently a member of the plan in SummaCare with a monthly premium of $ would like to change to the plan in SummaCare. understand that this plan has different health benefits and a monthly premium of $ If you enroll in the Amber, Topaz, Jade, Garnet or Ruby HMO plans, you must use the SCMedicare network for all of your medical care, except for emergency or urgent care services and out-of-area renal dialysis services. First Name: Last Name: Middle Initial (Optional): Birth Date (MM/DD/YYYY): Sex: O M O F Phone Number: Permanent Residence Street Address (Don't Enter a PO Box): Street Address: City: County: State: Ohio Zip Code: Mailing Address, if Different from Your Permanent Address (PO Box Allowed): Street Address: City: County: State: Zip Code: Email Address (Optional): Medicare Number (as it appears on your Medicare card): SummaCare Member ID Number (as it appears on your SummaCare card): Please indicate whether you'd like to enroll in the optional supplemental dental plan. Optional Supplemental Dental: If you are currently enrolled in the optional supplemental Delta Dental of Ohio plan and you are switching to a different SummaCare Medicare Advantage plan, you will need to RE-ENROLL in the optional supplemental Delta Dental plan by checking the “YES” box below to ensure continuation of your supplemental dental coverage: O YES, I would like to enroll in the optional supplemental dental plan. understand that will be billed an additional $35 each month for this coverage. O NO, do not want to enroll in the optional supplemental dental plan. Requested Effective Date: (generally the first day of the month after form is received): (Month) (Year) 2023 Your Information H3660_23_433NS_C 08292022 2023 Medicare Advantage Prescription Drug Plan Plan Change Request Form PAID SUMMACARE PO Box 3620 Akron, OH 44309-3620 Refer a Friend — Earn a $15 Bob Evans Gift Card Encourage family members and friends who are eligible for Medicare (or will be in the next 12 months) to explore SummaCare’s 5-Star-Rated Medicare Advantage plans for 2023! If they fill out a form at summacare.com/refer or call 888.492.7990 (TTY 800.750.0750) requesting information and mention YOU as the friend who referred them — you’ll receive a $15 Bob Evans gift card! Thank you for your membership with SummaCare! SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year Medicare evaluates plans based on 5-star rating system. This gift is subject to CMS guidelines and is not contingent upon enrollment. Gift cards are limited to three per member per year. H3660_23_760_M Accepted 11142022 Our 5-Star plans start at $0 per month 2023 Offerings Include a Brand-New Plan & Other Improvements New plan — Jade (HMO) with Bene-Flex™ pick your own benefits! Increased dental coverage up to $2,000 on most plans through the Delta Dental network and now also includes bridges, crowns and dentures along with preventive services OTC will now be available through a SummaCare Visa Card that can now be used online at more than 62,000 retail locations as well as summacare.com/otc by mail or by phone Select maintenance drugs, including vaccines, have been added to tier 6 at a $0 copay with 100-day supply SummaCare Helps You Stretch Your Medicare Dollars Low out-of-pocket maximums on all plans Urgent Care copays have been lowered on most plans Vision hardware allowances have been increased for most plans Travel benefit now extends beyond Florida to Arizona & Texas on all plans No medical or Rx deductible on any plan Refer Your Friends to One of SummaCare’s 5-Star-Rated Medicare Advantage Plans & Earn a Bob Evans $15 Gift Card Calendar Package SUM-22-60854/CS/RH/09-22
worked to provide you with an outstanding member experience — in 2023, take confidence in knowing that the service we provide to our members has been deemed among the top nationwide! Additionally, in 2023 our Medicare Advantage provider network has expanded to consist of more than 22,000 providers and 70 hospitals across a 33-county service area, including Cleveland Clinic and Cleveland Clinic Akron General! So, if you have friends and family members who are eligible for Medicare, please share your SummaCare experiences with them and help us grow. You’ll find more information about our Member Referral Program included with this mailing. Again, thank you for being a SummaCare Medicare Advantage plan member. We look forward to serving you for many years to come. Sincerely, Christine Elerick Director, Member Experience SummaCare is an HMO and HMO_POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. Every year Medicare evaluates plans based on a 5-star rating system. H3660_23_734_M Accepted 11022022 Enjoy your FREE calendar! 2022 - 2023 Calendar Remember to Use Your Quarterly Over-theCounter (OTC) Item Allowance Your Benefit Bucks quarterly allowance can be used to buy non-prescription drugs and everyday health-related items at more than 62,000 participating retailers nationwide or have them shipped right to your door. December 2022 SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 CHRISTMAS NEW YEAR’S EVE CHRISTMAS EVE KWANZAA BEGINS Flu Shot. Go to any in-network pharmacy for your free flu shot! MEDICARE ENROLLMENT PERIOD ENDS HANUKKAH BEGINS 2022 December
Colorectal cancer is the second leading cause of cancerrelated deaths in the U.S.
Want to Do More, But Need a Hand?
15 SummaCare 2022 Creative Portfolio Newsletters Slim Jim Follow SummaCare on Social Media! Instagram LinkedIn YouTube Facebook Blog SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. What to Expect on Plan Central? Your plan name, provider network and drug formulary (if applicable) Your plan documents, including current status Your prescription, eligibility, claim and authorization history Links to other benefit resources—provider search, formulary review, etc. Subscription access to SummaCare eNews our monthly e-newsletter Questions? Contact SummaCare Customer Service using the number on the back of your Member ID card. We want to ensure SummaCare members, like you, can easily access the information you need when you need it. Stay Connected to SummaCare! Activate your member portal on Plan Central by visiting summacare.com/plancentral Subscribe to SummaCare eNews Follow us on social media Ways to Connect Online 2 1 3 SummaCare Member Medicare Journey – Spring 2022 5 How do I take classes? You can take classes anywhere you have an internet connection. All you need is your smartphone, computer or tablet to log in and start learning. You can select live or pre-recorded classes. What if I’m interested in a topic I don’t see listed? You can suggest new classes to be added. More than 90% of GetSetUp classes were originally suggested by a GetSetUp community member! You can even apply to teach a class and share your knowledge and passions. Are there limits to the amount of time spend on GetSetUp? No. You can participate in as many classes as you wish! What’s the best way to learn how to use GetSetUp? GetSetUp offers a new member orientation class. It’s a great way to get acquainted with GetSetUp and learn about navigating their website, how to book a class and more. Why did SilverSneakers choose to team up with GetSetUp? Like SilverSneakers, GetSetUp is designed specifically for older adults. We wanted to offer additional virtual learning opportunities beyond your fitness benefit, and we believe their easy-to-use platform, diversity of classes and peer-to-peer learning settings are the perfect complement to our existing online classes.
Learn New Skills with SilverSneakers & GetSetUp
SilverSneakers®, your fitness benefit from SummaCare, has teamed up with GetSetUp to offer fun ways to grow through interactive online classes. SilverSneakers members can join GetSetUp at no additional cost. As a GetSetUp member, you may improve your well-being beyond physical fitness as you learn new hobbies, technology tricks, travel tips, photography and more! GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access GetSetUp service. Internet service charges are responsibility of SilverSneakers and the SilverSneakers shoe logotype are registered trademarks of Tivity Health, Inc. ©2022 Tivity Health, Inc. All rights reserved. GSU2635_1221 Join GetSetUp at no additional cost! Thanks to SummaCare’s partnership with Papa, Medicare beneficiaries have an opportunity to improve their daily lives through enriched social companionship, technology education and support, assistance with everyday tasks and more when they utilize a Papa Pal. To learn more about the Papa Pals program, visit summacare.com/papa or call us at 888.499.1285 (TTY 800.750.0750) Some activities that Papa Pals could be utilized for this spring… Getting ready to have family over? Papa Pals can help with light, household spring cleaning. Want to connect with loved ones through technology? Papa Pals can help educate you on how. Need transportation to the store or to a doctor’s visit? Papa Pals can help to get you where you need to go. Your Medicare Journey A Publication for SummaCare Medicare Members | Spring 2022 A LOOK INSIDE PAGE 3 Keep Your Brain Strong with BrainHQ PAGE 4 Learn New Skills with SilverSneakers & GetSetUp PAGE 6 Beneficiary Opioid Education SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network.H3660_22_791NS_C 05022022 Business Referral Card (BRC) 4 5 What is BrainHQ? In the simplest of terms, BrainHQ is an online brain-training program for exercising your brain and all the elements that keep it performing at its best. More than 100 published scientific papers show the benefits of BrainHQ exercises. But what does that really mean? By completing many of BrainHQ’s various exercises, participants experience changes such as: • increased brain activation Those changes lead to real, measurable, quality-of-life improvements such as: • improved confidence • happier days Is BrainHQ Already Making a Difference with SummaCare Medicare Members? Absolutely. SummaCare members participating in BrainHQ have made progress in all cognitive categories. In general, this means that members are using BrainHQ with regularity while achieving success against BrainHQ’s activities that become more challenging over time. BrainHQ sets a benchmark of 20 percent as a significant show of improvement; SummaCare Medicare Advantage members are showing significant progress well above that benchmark percentage in several areas: These numbers illustrate BrainHQ usage from January–June of 2022. To learn more about BrainHQ Call BrainHQ support if you experience any technical issues at 877.848.2505 % PROGRESS The SummaCare Medicare Network will stretch across 33 northern Ohio counties in 2023! Providers from Cleveland Clinic—including Cleveland Clinic Akron General are in the SummaCare Medicare Advantage network! SummaCare eNews—Monthly News Exclusively for SummaCare Members Sent directly to your email inbox each month, SummaCare eNews is filled with valuable information such as benefit spotlights, important health and wellness tips, and even opportunities to attend community events in your area. Sign up for SummaCare eNews through our online member portal, Plan Central, at summacare.com/plancentral today. Auglaize Erie Allen Ashland Holmes Carroll Geauga Advantage service area Other Network Hospitals Dental coverage provided through The SCMedicare network includes more than 22,000 providers and 70 hospitals throughout Northern Ohio. Your Medicare Journey A Publication For SummaCare Medicare Members | Fall 2022 A LOOK INSIDE PAGE 3 Who are Papa Pals? PAGE 4 What is BrainHQ? PAGE 6 Important Extra Benefit Reminders SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. H3660_23_812_M Accepted 10232022 4 5 Build a plan that best fits your needs. For a $19 monthly plan premium you’ll start with already built-in comprehensive medical, prescription drug (Part D) coverage as well as included core benefits such as: dental, vision, hearing, over-the-counter (OTC), Assist America and Visitor/ Travel. SummaCare’s new Bene-Flex option allows you to choose FIVE additional supplemental benefits from a collection of more than 15 choices—at no extra cost! The Jade plan is available in the counties listed on the map to the right. For more information, questions or to check about Jade plan availability in your county: Go Online to summacare.com/changeplans to request more information Call Us at 330.996.1965 (TTY 800.750.0750). If you want to change to the Jade plan, you must do so by December 7, 2022. Your change will be effective January 1, 2023. For a $29 monthly plan premium, you’ll get all the benefits you currently receive — plus more coverage on many supplemental benefits including OTC, vision hardware and dental coverage. The Garnet plan is available in the counties listed on the map to the left. For more information, questions or to check about Garnet plan availability in your county: Go Online to summacare.com/changeplans to request more information Call Us at 330.996.1965 (TTY 800.750.0750). If you want to change to the Garnet plan, you must do so by December 7, 2022. Your change will be effective January 1, 2023. NEW! Jade (HMO) Plan with Bene-Flex Two Additional Great Options—Consider Switching to SummaCare Jade HMO or Garnet HMO plans! Garnet (HMO) Plan What is BrainHQ? In the simplest of terms, BrainHQ is an online brain-training program for exercising your brain and all the elements that keep it performing at its best. More than 100 published scientific papers show the benefits of BrainHQ exercises. But what does that really mean? By completing many of BrainHQ’s various exercises, participants experience changes such as: Those changes lead to real, measurable, quality-of-life improvements such as: improved confidence happier days Is BrainHQ Already Making a Difference with SummaCare Medicare Members? Absolutely. SummaCare members participating in BrainHQ have made progress in all cognitive categories. In general, this means that members are using BrainHQ with regularity while achieving success against BrainHQ’s activities that become more challenging over time. BrainHQ sets a benchmark of 20 percent as a significant show of improvement; SummaCare Medicare Advantage members are showing significant progress well above that benchmark percentage in several areas: These numbers illustrate BrainHQ usage from January–June of 2022. To learn more about BrainHQ Call BrainHQ support if you experience any technical issues at 877.848.2505 % PROGRESS Your Medicare Journey A Publication For SummaCare Medicare Members | Fall 2022 A LOOK INSIDE PAGE 3 Who are Papa Pals? PAGE 4 What is BrainHQ? PAGE 6 Important Extra Benefit Reminders SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. H3660_23_719_M Accepted 10262022 SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. This gift is subject to CMS guidelines and is not contingent upon enrollment. Gift cards are limited to three per member per year. H3660_23_58_M Accepted 09212022 Tape Here Tape Here If you know someone who’s getting ready for Medicare, tell them about SummaCare! If they request more information about our Medicare Advantage plans, you’ll receive a $15 Bob Evans gift card. Be sure to have them identify you when they request information and your gift will be on its way to you within 30 days. Requesting SummaCare Medicare information is easy. Have them do one of the following: Yes! would like more information about SummaCare Medicare Advantage Plans. A SummaCare Medicare Advisor will contact you to answer your questions and discuss your options. Name: Address: City: State: Zip: Phone Number: Email: By providing my phone or email, give permission for a SummaCare Medicare Advisor to contact me to answer my questions and discuss my options. My friend who referred me is: Name: Address: City: State: Zip: Fold this edge, seal and return. Refer A Friend – Get a Gift Card! Go to summacare.com/refer Call us at 888.492.7990 (TTY 800.750.0750) Return the card in the mail Pull Up Banner SummaCare Medicare Members Pick Up Your Grab-n-Go Tote Today! SummaCare an HMO and HMOPOS plan with Medicare H3660_23_505NS_C 10102022 Thank you to our major sponsors!
(Butrans) 2 QL (4 per 28 days)
buprenorphine transdermal patch weekly 10 mcg/hour, 15 mcg/hour, 20 mcg/hour, 5 mcg/hour, 7.5 mcg/hour
butalbital-acetaminop-caf-cod oral capsule 50-300-40-30 mg (Fioricet with Codeine) 4 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
butalbital-acetaminop-caf-cod oral capsule 50-325-40-30 mg 2 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
butalbital-acetaminophen oral tablet 50-325 mg (Tencon) 2 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
butalbital-acetaminophen-caff oral capsule 50-325-40 mg (Zebutal) 4 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
butalbital-acetaminophen-caff oral tablet 50-325-40 mg (Esgic) 2 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
butalbital-aspirin-caffeine oral capsule 50-325-40 mg 2 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
butalbital-aspirin-caffeine oral tablet 50-325-40 mg
PA-HRM; QL (180 per 30 days); AGE (Max 64 Years)
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16 SummaCare 2022 Creative Portfolio New for 2023! Benefit Bucks & SummaCare Visa Card Upon enrollment you’ll receive a SummaCare Visa card to spend your various Benefit Bucks earnings or allowances. You can receive and use your benefit bucks as follows: Over-the-Counter (OTC) Allowance Benefit Bucks You’ll receive a quarterly OTC allowance that may be used to buy non-prescription drugs and everyday health-related items, for example: Pain relievers Antacids Cough drops First aid supplies Skin & sun care Vitamins Unused quarterly balances do not roll over. Your OTC allowance can be used to order healthrelated items over the phone (855.435.5111 or TTY 711) summacareotc.com or in person at more than 62,000 participating retailers. More information on available OTC items, retailers near you, transaction history as well as other ways to order OTC items can all also be viewed at summacareotc.com Preventive Care Rewards Benefit Bucks You’re also eligible to receive rewards on your SummaCare Visa card for receiving key preventive care services, including: Annual Wellness Visit $50 Breast Cancer Screening $10 Colorectal Cancer Screening $10 Member rewards may also be used at more than 62,000 participating retailers. The SummaCare Visa card and corresponding reward dollars may not be used to make alcohol, tobacco, firearm, fuel, lottery or gift card purchases, but other than that, you are not restricted on your purchases. WHAT’S COVERED Extra Benefits Your SummaCare Medicare Advantage plan covers everything Original Medicare covers and more! See the following pages and your Evidence of Coverage included in this handbook for additional details. Dental Coverage through the Delta Dental Network You’re covered for a wide variety of services including cleanings and exams as well as extractions, root canals, bridges, crowns and dentures on most plans! Supplemental dental coverage can be purchased for an additional monthly premium. Get Started Call Delta Dental at 800.330.2732 (TTY 800.750.0750) or go to summacare.com/ providersearch then scroll down to Medicare Advantage Delta Dental PPO Providers or Premier Providers to find a dentist. Vision Coverage See a Vision Provider of Your Choice. You’ll receive an annual reimbursement amount to use toward the purchase of frames/lenses or contact lenses with the freedom to purchase ANYWHERE you choose. Coverage also includes diagnostic and routine vision exams for a $0 copay. Get Started Simply submit a vision claim form and your itemized receipt to SummaCare and you’ll be reimbursed up to your annual allowance. Go to summacare.com/medicare-members/memberresources and see Prescription Eyewear Reimbursement Form, print and complete form, attach your receipt and mail to: SummaCare Claims PO Box 3620 Akron, OH 44309-3620 Or call Member Services at 330.996.8885 or toll-free 800.996.6250 (TTY 800.750.0750) SUM-22-61427/CS/KG/10-22 MC/Jade Effective January 2023 2023 Member Handbook Welcome to SummaCare SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. H3660_23_821NS_C 10282022 About SummaCare As your community health insurance partner, we’re here to provide you with the personal attention and coordinated care that you deserve. We’re proud to have been serving our Medicare-eligible friends and neighbors since 1996. We look forward to serving you! Contents This handbook will help you get the most from your SummaCare Medicare Advantage coverage so you can manage your costs, your care and your health. Using Your Plan Learn about SummaCare
What’s
In
benefits covered
In
you
find
benefit,
dental, vision
You
also find your Evidence
Coverage document. Helpful Forms
you can view helpful forms,
Direct Debit form
paying your monthly premium), Transitional Care form, HIPAA form and the Vision Claim form. Formulary 2023 Comprehensive (List of Covered Drugs) Please read: This document contains information about the drugs we cover in this plan This formulary was updated on September 1, 2022. For more recent information or other questions, please contact SummaCare Member Services at 800.996.6250 or 330.996.8885 (TTY users should call 800.750.0750.) From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., seven days a week. From April 1 through September 30, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., Monday through Friday. Or visit summacare.com/medicare.. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information. Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on. Formulary ID: 23414.000, Version: 6 H3660_23_468NS_C 09082022 SummaCare 2023 Part D Formulary Effective: January 1, 2023 Drug Name Drug Tier Requirements/Limits Analgesics Analgesics, Miscellaneous acetaminophen-codeine oral solution 120-12 mg/5 ml 2 QL (4500 per 30 days) acetaminophen-codeine oral tablet 300-15 mg, 300-30 mg 2 QL (360 per 30 days) acetaminophen-codeine oral tablet 300-60 mg 2 QL (180 per 30 days) ascomp with codeine oral capsule 30-50-325-40 mg (codeine-butalbitalasa-caff) 2 PA-HRM; QL (180 per 30 days); AGE (Max 64 Years) buprenorphine hcl injection solution 0.3 mg/ml (Buprenex) 2 buprenorphine
resources, the SCMedicare network, how to get the most from your benefits and how to pay your premium (if applicable). You will also find a copy of your rights and responsibilities as a member and the Notice of Privacy Practices.
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You can find information on what the symbols and abbreviations in this table mean by going to the introduction pages of this document 3 d C inic Eucl d k l d E l d 9 216 531-9000 d C i i F i i rai Ave Cle elan 1 216 476-7000 d C inic Foun atio lid Ave Clev land 5 216 444-2200 d C inic Hill rest fie d Rd May ield OH 441 4 440 449-4500 d C inic Luth ran 5th St l d OH 216 696-4300 d C inic Mary o nt Cra ken d G rfie d OH 441 5 216 581-0500 d C inic Sout Poi te d Rd W ll OH 441 2 216 491-6000 lth B d M di l agr n Bl d B achw od 2 216 545-4800 6) 45-4 10 t G nera Hea th gle Rd Midd ebur OH 441 0 440 816-6850 nt hari y Me ical t 2 d S Cl l d 5 216 861-6200 nive sity Hosp tals
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015 OH Defiance County Merc Hea th - De i nc H p t l 1404 East Seco d t D f an e OH 3512 Ph (4 9) 7 2- 4 4 OH Erie County Fire ands Regi na ed c l C t 1111 Hay A S u y O 4487 Ph (4 9) 5 7- 4 0 OH Fulton County Fult n Co nty ea t C n er 725 Sh p A O 4356 Phon : (4 9) 3 0- 7 6 OH G g C ty U i it H it l R g l Hosp tals - Ge ug am u 1320 Rav nna d C ar o H 4402 Phon : (4 0) 2 5- 0 0 OH Hancock County Bl h d V ll y pi 1900 S Ma n St F n la OH 4584 Ph (4 9) 4 3- 5 0 OH Huron County Fish r-Ti us M di a C n er 272 d t A N l H 4485 Phon : (4 9) 6 8- 1 1 M H th - Wi l d Hosp tal 1100 Neal Zick Rd il a d OH 4890 Ph (4 9) 9 4- 0 0 OH Lake County L k H l h T P M d C t 7590 Aubu n Rd P i es i le OH 4077 Ph (4 0) 3 5- 1 0 H it l OH L k C y 7 summacare.com/medicare SC21-02 SUM-20-50072/CS/TZ/09-20 OCTOBER 2020 PROVIDER DIRECTORY I SC MEDICARE Provider Directory October 2020 SCMedicare Northwest Region September 2022 This directory lists SummaCare providers in the counties of: Allen, Auglaize, Defiance, Fulton, Hancock, Henry, Huron, Lucas, Mercer, Ottawa, Putnam, Seneca, Van Wert and Wood. For a listing of all SummaCare providers, please go to summacare.com. This directory is current as of September 1, 2022. SilverSneakers® The SilverSneakers fitness program is the nation’s leading wellness program for Medicare beneficiaries. You’ll receive a fitness membership at no cost to you with access to basic amenities, group exercise classes and online resources at over 17,000 participating fitness locations. SilverSneakers has also teamed up with GetSetUp to bring you new ways to learn and grow beyond your fitness benefit. At no extra cost, SummaCare members may choose from hundreds of peer-led classes to make your learning journey fun and rewarding. For example, you can learn how a smartphone can simplify your life, baking basics, recycled crafts, strength training for adults and so much more! 888.423.4632 (TTY 711) silversneakers.com/starthere Fitness Program 17 Telehealth Services Utilize Your Benefits—Even Virtually You’re covered for telehealth visits with primary care providers, specialists and/or behavioral health and substance abuse providers. Visits can be scheduled through in-network providers or through Teladoc® Teladoc visits can be scheduled 24 hours a day, 365 days a year. Get Started To set up your Teladoc account, go to teladoc.com or call 800.835.2362 (TTY 855.636.1578). You’re also covered for telehealth visits to network providers. Contact your provider to determine if they offer this service. 2023 Quick Reference Guide Medicare Advantage Plans Extra Benefits Multi-page Plan Document Booklets
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17 SummaCare 2022 Creative Portfolio Our Members Say, "TryPapaPals" Papa is a company that pairs Medicare beneficiaries with adults, called Papa Pals, for companionship, technology education and support, assistance with everyday tasks like grocery shopping and delivery, picking up prescription refills and more. Watch our testimonials National Colorectal AwarenessMonth Several screening tests can detect colorectal cancer early. Most colorectal cancers start as precancerous polyps. Colorectal cancer screenings can find these polyps and remove them before they become cancerous. Screenings should start at age 45 if you’re at average risk, or earlier and more frequently for those with increased risk factors. Speak with your primary care provider to discuss your appropriate screening options. Learn more Know Your Options Do you know your care options if you don’t have an emergency? If your symptoms are not severe or if you are unsure if your symptoms constitute consider calling our 24‐hour Nurse Line, going to your primary care provider, using telehealth services or going to an urgent care. (please refer to your Statement of Benefits to verify services) Learn more about your options DiabetesCare Program DiabetesCare is a FREE diabetes management and prevention program that provides tools, health coaching and resources to help you manage your diabetes. Participation and support activities in this voluntary program are tailored according to your needs. Call 877.888.1164 (TTY 800.750.0750) Learn more Understanding Your Benefits Do you understand your Explanation of Benefits (EOB)? Your EOB is a statement provided by SummaCare that outlines all of the services rendere associated costs for a particular test or visit. Those costs are divided to show SummaCare’s responsibility and your responsibility per your plan’s summary of benefits. Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 H3660_22_748NS_C 03212022 Review your EOBs Osteoporosis is a SilentDisease Osteoporosis causes your bones to become weak making them more likely to fracture/break. While anyone can develop osteoporosis, it’s most common in older
Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Wednesday, March 30, 2022 10:25 AM Richard, Lesley Caution: This email originated outside of Summa. or download any attachment unless you recognize the sender and safe. Problems viewing this email? View online. Refer a friend and get a $15giftcard! Learn more. Your Health Matters: March 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest news, benefits and updates as well as health and wellness tips. SummaCare Medicare Advantage Plans Receive 5‐Star Rating for 2023 SummaCare Medicare Advantage plans have been recognized with a 5‐star (out of 5) overall rating for 2023 by the Centers for Medicare and Medicaid Services (CMS). The new rating is the highest‐possible star rating awarded by CMS and is also an increase from SummaCare’s 4.5‐star rating in 2022. Learn more Fall Prevention Falls are the number one cause of injury in adults 65 and older. Understand your medications that may put you at risk, the importance of staying physically active, doing balance exercises, fall‐proof your home and talk to your healthcare provider about falls. Learn more National Breast Cancer Awareness Month October is Breast Cancer Awareness month. Per the CDC, other than skin cancer, breast cancer is the most common cancer among American women. M are the best way to find breast cancer early, when it is easier to treat and before it is big enough to feel or cause symptoms. Mammography near you Colorectal Cancer Screening A colorectal cancer screening can detect colorectal cancer early, when it can be more easily and successfully treated. Talk to your primary care provider to discuss the various screening options to select an option appropriate for you and schedule a screening. Learn more Blood Pressure Screening Do you have hypertension? The only way to know if you have hypertension or high blood pressure is to have your blood pressure read a few times throughout the year. Understanding your results is the key to controlling high blood Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 H3660_23_809NS_C 10212022 SummaCare Expands Medicare Advantage Plan Offerings with New Plan for 2023 SummaCare’s newest Medicare Advantage plan, Jade (HMO) with Bene‐Flex™, offers full medical and pharmacy coverage as well as embedded core benefits such as dental, vision, hearing, over‐the‐counter and visitor/travel benefits then allows members to customize their extra benefits based on their unique needs and preferences. Learn more Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Thursday, October 27, 2022 10:41 AM Richard, Lesley Caution: This email originated outside of Summa. or download any attachment unless you recognize the sender and safe. Problems viewing this email? View online. Refer a friend and get a $15giftcard! Learn more. Your Health Matters: October 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest health insurance news, benefits and updates, as well as health and wellness tips.
Member
Digital
women. Risk factors include: age; small, thin body frame; family history; certain medications; osteopenia (low bone density) to name a few. A bone mineral density test is the best way to check your bone health. To keep bones strong, eat a diet rich in calcium and vitamin D, strength train and do not smoke.
Member Testimonials
eNews
18 SummaCare 2022 Creative Portfolio Broker Please R.S.V.P. by Friday, April 29, 2022 Attendees will earn total of 3 CE credits to be mailed after the event. Thank you, Lori Duraj Director, Broker Relations SummaCare 1200 E. Market Street, Suite 400 Akron, OH 44305-4018 330.996.5233 330.996.8799 durajl@summacare.com Broker Resources SummaCare Broker Support Team Lori Duraj, Director, Broker Relations Deana Alexander, Broker Support Coordinator Broker Support Email: brokerservices@summacare.com Marketplace & Medicare Plans Broker Support Phone: 330.996.5673 Commercial, Self-Funded & MEWA Plans Broker Support Phone: 330.996.8955 If our members have any questions concerns regarding their claims, billing, paying their premiums or need any additional assistance, they can always Copyright © 2022 SummaCare, All rights reserved. You have received this electronic newsletter because you have egistered as SummaCare broker. This email from the SummaCare Marketing and Broker Services departments. SummaCare's Broker eNewsletter is the primary meth ng SummaCare updates to you. Our mailing address is: SummaCare P.O. Box 3620 Add us to your address book Richard, Lesley Lori Duraj, Director of Broker Relations <brokerservices@summac Sent: Tuesday, April 26, 2022 1:30 PM To: Richard, Lesley Subject: Reminder! Earn Free Continuing Education Credits! Caution: This email originated outside of Summa. Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. SummaCare is proud to announce our first continuing education opportunity for our Brokers! Taught by Richard M. Muccio from Pronto Education Thursday, May 5, 2022 1:00 p.m.–4:30 p.m. Hilton Akron/Fairlawn 3180 W. Market Street, Akron, OH 44333 This opportunity is at NO cos to SummaCare Brokers. We hope that you enjoy using this to many great opportunities this selling season and beyond. Kind regards, Lori Duraj Broker Resources SummaCare Broker Support Team Lori Duraj, Director, Broker Relations Deana Alexander, Broker Support Coordinator Susan Frank, Broker Support Coordinator Broker Support Email: brokerservices@summacare.com Marketplace & Medicare Plans Broker Support Phone: 330.996.5673 Commercial, Self-Funded & MEWA Plans Broker Support Phone: 330.996.8955 If our members have any questions o concerns regarding their laims, billing, paying their premiums or need any additional assistance, they can always contact SummaCare Customer Service. Copyright © 2022 SummaCare, All rights reserved. You have received this electronic newsletter because you have egistered as SummaCare broker. This is marketing and communication email from the SummaCare Marketing and Broker Services departments. SummaCare's Broker eNewsletter is the primary meth ng SummaCare updates to you. Our mailing address is: SummaCare P.O. Box 3620 Add us to your address book why did get this? update subscription preferences ron, OH 44309-3620 USA Richard, Lesley Lori Duraj, Director of Broker Relations <brokerservices@summac Sent: Friday, October 28, 2022 8:41 AM To: Richard, Lesley Subject: Exciting News New Broker Marketing Store Available Caution: This email originated outside of Summa. Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Hello Broker Partner! SummaCare has heard you and as a esult—we have exciting news! Today a Broker Marketing Store is live for our Broker Partners! This online tool is designed to make it easier for you to obtain and customize SummaCare materials so that you can better serve your clients and prospects. Having an opportunity to create custom materials is an excellen way to highlight your agency, advertise your partnership with SummaCare and of course—grow your business! how to begin ordering and/or customizing materials, click here Fliers Broker eNews Brochures Postcards Dear Partner, Do you have clients who are Medicare eligible or getting ready for Medicare eligibility in the coming months? Choosing a Medicare solution can be very confusing. Let one of our highly trained, licensed and qualified Medicare Advisors help your clients remove this confusion. If you would like to refer your qualified Medicare-eligible clients and receive a $100 Referral Fee, it’s simple: Step 1: Evaluate your client’s needs. If they qualify for Medicare or will soon, talk to them about their interest in hearing more about SummaCare’s 5-Star Medicare Advantage plans. Step 2: Have them fill out the consent-to-contact cards we will provide. Make sure to fill out the Partner section with your information. Step 3: Return the completed cards to SummaCare. After receiving your referrals, we will reach out to your clients to discuss their needs and our plan options. As long as they agree to discuss our plans and they are or will soon be Medicare eligible, you will earn the $100 referral fee. SummaCare Medicare Advantage Prescription Drug Plans are described in the enclosed Plan Compare Guide. Our 5-star plans include over 70 hospitals and include most of the area’s major hospital systems like Cleveland Clinic, Summa Health and University Hospitals. We have more than 22,000 providers in 33 counties in Northern Ohio. If you are interested in pursuing this opportunity, please contact us to get started. Sincerely, Your SummaCare Medicare Sales Team 330.996.8440 (toll-free) 888.464.8440 (TTY 800.750.0750) Refer your clients to our 5-Star Plan Get $100! Our 5-Star plans feature: Plan with $0 Premium – Topaz (HMO) Plan that allows consumers to choose their own supplemental benefits – Jade (HMO) with Bene-Flex™ Plans that offer an HMO and POS option –Sapphire (HMO-POS) & Emerald (HMO-POS) Plan with the richest supplemental benefit –Garnet (HMO) SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year Medicare evaluates plans based on a 5-star rating system. <MATERIAL ID> Jade (HMO) with Bene-Flex™ Offerings For more information on our new Jade plan or other SummaCare Medicare Advantage Plans 5 Pick Take control of your medical coverage like never before with the Bene-Flex options available in our new Jade plan. You select the benefits you want to add to the core benefits that are already built in as part of our comprehensive medical and prescription drug (Part D) coverage. Here’s how it works: In addition to core supplemental benefits listed below, you select a total of FIVE additional supplemental benefits to add to your plan at NO additional cost/copay. Call Us Email Us Core Benefits (Included) Tier 1 (Pick 3) Tier 2 (Pick 1) Tier 3 (Pick 1) Dental Vision Hearing OTC Assist America Visitor/Travel Massage Therapy 10 visits Acupuncture 10 visits Fitness Tracker Fitbit Toenail Trimming 6 times per year Nutrition Coaching 4 visits BrainHQ Memory Fitness Annual subscription SilverSneakers® Papa Pals 80 hours Chiropractic Care 10 visits Transportation 24 one-way trips Indoor Air Quality Air purifier* Meal Delivery Post-Discharge –28 meals; or Chronic Care –84 meals** Flex Card for Vision, Dental & Hearing $550 additional allowance on your SummaCare Visa to lower out-ofpocket expenses Healthy Grocery Allowance** $40 monthly allowance on your SummaCare Visa PERS (Personal Emergency Response System) Home Safety Devices $400 allowance, not limited by diagnosis *Requires a diagnosis of COPD including asthma, chronic bronchitis and/or emphysema. **Requires a diagnosis of diabetes mellitus and/or congestive heart failure. 3 Pick 1 Pick 1 Pick Build your own package of benefits NOW IN 33 COUNTIES! Sandusky & Erie Counties added for 2023. SummaCare’s Medicare Advantage provider network includes more than 22,000 providers and more than 70 hospitals across northern Ohio. Extensive Provider Network NEW! Jade (HMO) with Bene-Flex Medicare Advantage Plan You select the benefits to add to already-built in comprehensive medical and prescription drug (Part D) coverage. In addition to dental, vision, hearing and other core benefits, you select five additional supplemental benefits to add to your plan. Options include: $550 Flex card to enhance your dental, vision & hearing benefits Free Fitbit® Fitness Tracker Meal Delivery* Transportation SilverSneakers® And more! 84 healthy meals once per year if you have been diagnosed with diabetes mellitus or congestive heart failure 24 meals post hospital discharge $3,700 Maximum Out-of-Pocket $0 Primary Care Provider Copay $35 Specialist Copay $0 Prescription Drug Deductible Enhanced Dental with $2,000 Annual Maximum through Delta Dental 2023 Topaz (HMO) Medicare Advantage Plan Highlights Our lowest plan premium –comprehensive coverage without a plan premium. $0 Premium $0 SUM-22-60723_2023 Medicare Trifold_Broker/Consumer.indd 4-6 9/27/22 11:43 AM SUM-22-61302/CS/KG/10-22 Robert J. Mooney President of Sales & Marketing Premier Planning Services LTD. 219 S. Front St, Suite 201 Fremont, OH 43420 office: 419.370.3036 cell: 567.201.5617 fax: 419.930.5190 email: rmooney.pps@gmail.com Call or email to learn more! SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Other providers are available in our network. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. H3660_23_713_M Accepted 10232022 Presorted Standard US Postage PAID SummaCare Broad access to care throughout Northern Ohio with more than 22,000 providers and 70 hospitals including Cleveland Clinic and University Hospitals Select maintenance drugs, including vaccines, have been added to tier 6 at $0 copay for a 100-day supply. Hundreds of drugs moved to money-saving tiers New for 2023 Jade (HMO) with Bene-Flex ! Start with medical/pharmacy coverage and embedded core benefits then choose five extra benefits at no additional cost. Make the most of your Medicare Dollar! Plans with additional benefits such as Papa Pals, BrainHQ, SummaCare Visa Card, Assist America and more Rich dental benefits with a $2,000 maximum on most plans through the Delta Dental Network 2023 Medicare Advantage Plans 97% Member Retention Rate* Plans now available in Sandusky and Erie Counties! *Based on Medicare Member Satisfaction Surveys administered by SummaCare 5 Pick and HMO-POS plan contract. Enrollment in contract renewal. plan available in information we provide we do offer in Medicare.gov get information on is a registered and/or its affiliates other countries. Accepted 10022022 Introducing Jade with Bene-Flex Build Your Own Medicare Advantage Plans SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends on contract renewal. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1.800.MEDICARE to get information on all of your options. Some of the benefits mentioned are part of special supplemental program for the chronically ill. Not all members qualify for all benefits. Fitbit® is a registered trademark of Fitbit LLC and/or its affiliates in the United States and other countries. H3660_23_38_M Accepted 09162022 Standard US Postage PAID Medicare Annual Enrollment Period ends December 7, 2022. Call or email me today to learn more. SUM-22-60722_2023 Medicare Postcard_Broker Consumer_8.5x5.5.indd 2 $3,700 Maximum Out-of-Pocket $0 Primary Care Provider Copay $35 Specialist Copay $0 Prescription Drug Deductible Enhanced Dental with $2,000 Annual Maximum through Delta Dental 2023 Topaz (HMO) Plan Highlights Our lowest plan premium – comprehensive coverage without a plan premium. $0 Premium $0 NEW! Jade (HMO) with Bene-Flex™ Medicare Advantage Plan You select the benefits to add to already-built in comprehensive medical and prescription drug (Part D) coverage. In addition to dental, vision, hearing and other core benefits, you select 5 additional supplemental benefits to add to your plan. Options include: $550 Flex card to enhance your dental, vision & hearing benefits Free Fitbit® Fitness Tracker Meal Delivery* Transportation SilverSneakers® And more! 84 healthy meals once per year if you have been diagnosed with diabetes mellitus or congestive heart failure. 24 meals post hospital discharge SUM-22-60722_2023 Medicare Postcard_Broker Consumer_8.5x5.5.indd 1 SummaCare Medicare Advantage Plans HMO and HMO-POS plan contract. Enrollment in on contract renewal. every plan available in your information we provide is limited to offer in your area. Please Medicare.gov or 1.800.MEDICARE on all of your options. available in our network. required for some Bene-Flex registered trademark of Fitbit LLC the United States and Accepted 09262022 Medicare
Print Henry Auglaize Huron Wayne Carroll Trumbull Geauga Portage Cuyahoga Summit The SCMedicare network is SummaCare’s extensive network of providers. It includes more than 22,000 of the area’s providers and 70 hospitals throughout Northern Ohio. Key hospital systems inside our service area include: Other providers are available in our network. Provider Network SummaCare Medicare Advantage service area Other Network Hospitals
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19 SummaCare 2022 Creative Portfolio Print MEWA Slim Jim If your company has 1–50 employees, you can get affordable health benefits with a Chamber Health Benefits Plan, which offers: A variety of SummaCare PPO plan designs Multiple provider networks: see back for options Comprehensive health and wellness services for employees Competitive rates Dental, vision and life available (for groups of 2 or more enrolled employees) Telehealth visits in partnership with To learn more about the Chamber Health Benefits Plan, contact: Save on the cost of health insurance for your employees. SUM-22-60091-MEWA Slim Jim for Broker Mktg Store.indd 1 8/3/22 12:48 PM SUM-22-60091/CS/GW/07-22 Network Options View a list of providers included in each network by visiting our website at summacare.com and clicking on “Find Your Doctor” on the right-hand side. 51 Hospitals and more than 16,000 providers including, but not limited to: 20 Hospitals and more than 8,000 providers including, but not limited to: 61 Hospitals and more than 22,000 providers Including, but not limited to: SUM-22-60091-MEWA Slim Jim for Broker Mktg Store.indd 2 8/3/22 12:48 PM Commerical Broker Marketing Store Order customized online collateral for Medicare, Commercial and Individual/Family
$12,000 50% $10,500 $21,000 $18,000 / $36,000 Plan 803-3060B $30 / $60 20% $3,500 / $7,000 $6,000 $12,000 50% $10,500 $21,000 $18,000 / $36,000 Plan 804-2040B $20 / $40 20% $5,500 $11,000 $7,000 / $14,000 50% $16,500 $33,000 $21,000 / $42,000 Plan 804-3060B $30 / $60 20% $5,500 $11,000 $7,000 / $14,000 50% $16,500 $33,000 $21,000 / $42,000 PPO Plan C Series* Plan 805-3060C $30 / $60 0% $1,000 / $2,000 $6,350 $12,700 50% $3,000 $6,000 $19,050 / $38,100 Plan 806-2040C $20 / $40 0% $2,000 / $4,000 $6,350 $12,700
807-3060C $30 / $60 0% $3,000 / $6,000 $6,350 $12,700 50% $9,000 / $18,000 $19,050 / $38,100 Plan 808-2040C $20 / $40 0% $4,000 $8,000 $6,350 $12,700 50% $12,000 $24,000 $19,050 / $38,100 Plan 808-3060C $30 / $60 0% $4,000 $8,000
20 SummaCare 2022 Creative Portfolio Commercial SUM-22-59660/CS/TZ/08-22 Employer Group Plan Guide SummaCare Network Options 51 Hospitals and more than 16,000 providers Including, but not limited to: 20 Hospitals and more than 8,000 providers Including, but not limited to: 61 Hospitals and more than 22,000 providers Including, but not limited to: Out-of-Area Coverage Provided By: View a list of providers included in each network by visiting our website at summacare.com and clicking on “Find Your Doctor” on the right hand side. We offer comprehensive health insurance plans that meet the needs of our community over a lifetime. (outside of Ohio, powered by Aetna) (within Ohio) Huron Ashland Wayne Trumbull Geauga Portage Cuyahoga Summit A variety of available plans that offer Up to 61 different area hospitals and 17,000 different physicians/ providers Competitive rates Comprehensive health and wellness services for employees Multiple provider networks and pharmacy plans Telehealth visits New Updates: Quoting update on the requirement of medical applications If the below criteria is met, no medical applications are required: 50 Contracts enrolled, renewal under 30%, SB9 report provided Chamber Health Benefits Plan (A Multiple Employer Welfare Arrangement—MEWA) Joining this group arrangement allows for Competitive rates Comprehensive health and wellness services for employees A variety of SummaCare PPO consumer-driven plans Multiple provider networks and pharmacy plans Telehealth visits Competitive bonuses available New Updates: Now accepting 120 day applications through formfire for large and small group 25% total participation (previously 50%) Options for dental, vision and life coverage Large Group Health Plans SummaCare commercial service area *Included in MEWA service area 1.4% GAC membership discount SummaCare Offers Employer Group Plans: Fully-insured PPO and consumer-directed plans Self-funded benefit administration Multiple Employer Welfare Arrangement (MEWA) plans Ancillary products such as life, dental and vision offered with MEWA plans Retiree group coverage Contact Us Today Email: groupservice@summacare.com Phone: 330.996.8955 We also offer Medicare Advantage as well as Individual & Family plans…talk to your rep! For businesses with more than 50 total employees For businesses with 50 or fewer total employees Fliers You’re Invited! To Join SummaCare’s Health Plan Join Us <Recipient Name> <Company Name> <Address 1> <Address 2> <City, State ZIP> Time to Get Your Flu Shot As part of your member benefits, you can get your flu shot for free! Seasonal flu varies in severity, and in most cases it takes seven or more days to recover from the illness. Getting an annual flu vaccine is the single most effective way to protect yourself against the flu. Here’s how to get your flu shot: Go to any in-network pharmacy offering the flu vaccination. Call the pharmacy in advance to make sure they offer vaccinations, have the vaccine available and the best time of day to get a vaccination. You can find a pharmacy by visiting summacare.com. Click on “Find Your Pharmacy” on the right side under the “Find” tools and enter your search criteria. Simply present your SummaCare Member ID card at any of the in-network pharmacies and no copay will be required. Check with your SummaCare provider. Ask if they have vaccines available. Please be aware that you may be asked to pay a copay if you receive additional services during your office visit. NOTE: A visit to an urgent care center for your flu shot will result in either an urgent care copay or deductible plus coinsurance, depending on your schedule of benefits. Dear <First Name>, Colorectal cancer does not always show symptoms in the early stages, which is why many people wait to get a screening. Symptoms may include stomach pain or changes in bowel movement patterns, such as diarrhea, constipation or blood in your stool. Don’t wait for symptoms to appear before you get your screening. Call today. Options available to you are: Screening Colonoscopy This is the most effective screening for early detection or prevention since it checks the entire colon and rectum for abnormalities. You need to get a screening colonoscopy every 10 years if you’re not at an increased risk for colorectal cancer and no abnormalities were found during the test. Flexible Sigmoidoscopy This screening only checks part of your colon and your rectum for abnormalities. This screening is not as effective at early detection and prevention as a colonoscopy that checks your entire colon and rectum. You need to get this screening every five years or as recommended by your primary care provider. CT Colonography (Virtual Colonoscopy) This is an advanced CT scan using X-rays to view the inside of the colon and rectum. It is less invasive than a colonoscopy. You need to get this screening every five years or as recommended by your primary care provider. FOBT or FIT Kit: These screening tests detect hidden (occult) blood in your stool. You would need to have this screening annually, and it can be completed in the convenience of your home; however, these screening tests are not as effective for early detection and cannot help prevent colorectal cancer like getting a screening colonoscopy or flexible sigmoidoscopy. Stool DNA (Cologuard): This screening looks for altered DNA from cancer or polyp cells and blood in the stool. A kit is used for you to collect a stool sample in your home and mail it to the lab for testing. This test should be done every three years or as recommended by your primary care provider. These tests each have pros and cons, and your primary care provider can help you determine which is better for you. Most importantly, GET SCREENED, no matter which test you choose. Sincerely, James F. Grow, Jr. James F. Grow, Jr., M.D. Medical Director Contact your Primary Care Provider (PCP) to schedule a screening today. Are you avoiding your colorectal screening? Read this. p Colorectal cancer is the second leading cause of cancerrelated deaths in the U.S. Choose a Network Choosing the right provider network to partner with your health plan is important. View a list of providers included in each network by visiting our website at summacare.com and clicking on “Find Your Doctor” on the right hand side. The participating hospital, physician and provider data is current as of July 2022. SUM-22-61092/CS/TZ/09-22 SummaCare Networks Preferred Choice SCSelect SCPremier 20 participating hospitals 51 participating hospitals 61 participating hospitals More than 8,000 participating physicians and providers More than 16,000 participating physicians and providers More than 22,000 participating physicians and providers High quality, cost-competitive network including: Summa Health Cleveland Clinic (including Cleveland Clinic Akron General) Akron Children’s Hospital Wooster Community Hospital Specialized network including: Summa Health Aultman Hospital Crystal Clinic Orthopedic Center Akron Children’s Hospital Cleveland Clinic Mercy Hospital University Hospitals Broad network including: Summa Health Aultman Hospital Crystal Clinic Orthopedic Center Akron Children’s Hospital Cleveland Clinic Mercy Hospital University Hospitals Cleveland Clinic (including Cleveland Clinic Akron General) National network for services received outside the primary service area. National network for services received outside the primary service area. National network for services received outside the primary service area. In-Network Out-Of-Network Plan Name Copay Coinsurance Deductible OOP Maximum Coinsurance Deductible OOP Maximum PPO Plan B Series* Plan 800-3060B $30 / $60 20% $750 / $1,500 $3,500 / $7,000 50% $2,250 $4,500 $10,500 / $21,000 Plan 801-3060B $30 / $60 20% $1,000 / $2,000 $4,000 / $8,000 50% $3,000 $6,000 $12,000 / $24,000 Plan 802-2040B $20 / $40 20% $2,000 / $4,000 $5,000 $10,000 50% $6,000 / $12,000 $15,000 / $30,000 Plan 802-3060B $30 / $60 20% $2,000 / $4,000 $5,000 $10,000 50% $6,000 / $12,000 $15,000 / $30,000 Plan 803-2040B $20 / $40 20% $3,500 / $7,000 $6,000
$6,350 $12,700 50% $12,000 $24,000 $19,050 / $38,100 Plan 809-2040C $20 / $40 0% $5,000 $10,000 $6,350 $12,700 50% $15,000 $30,000 $19,050 / $38,100 Plan 809-3060C $30 / $60 0% $5,000 $10,000 $6,350 $12,700 50% $15,000 $30,000 $19,050 / $38,100 Plan 810-2040C $20 / $40 0% $6,000 $12,000 $7,150 / $14,300 50% $18,000 $36,000 $21,450 / $42,900 Plan 810-3060C $30 / $60 0% $6,000 $12,000 $7,150 / $14,300 50% $18,000 $36,000 $21,450 / $42,900 Plan Designs & Pharmacy Riders Large Group (51+ Employees) Networks: SCPremier, SCSelect and SCConnect 2023 ACA Small Group Plan Options (Off Marketplace Only) Networks available: SCSelect available to groups domiciled in Carroll, Stark, Summit, Medina and Portage counties SCConnect available to groups domiciled in Stark, Summit, Medina and Portage counties IN-NETWORK BENEFIT LEVEL Plan Name Deductible (Single Family) OOP Maximum (Single Family) Coinsurance ER Inpatient Outpatient Surgery Primary Physician Office Visit Specialist RX Deductible Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Tier 6 Bronze Plan Bronze 6200 $6,200 $12,400 $7,000 / $14,000 20% 20% 20% 20% 20% 20% Integrated 0% 20% 20% 20% 20% 20%^ Bronze 6000-23 $6,000 $12,000 $7,900 / $15,800 20% $350* 20% 20% $30* $60* $1,000 $0 $15* $20* $35* $75* 25%^* Silver Plan Silver 3500-23 $3,500 / $7,000 $9,100 $18,200 30% $250* 30% $350 $30 $50 $750 $0 $15 $20 $35* $75* 25%^* Silver 5000-23 $5,000 $10,000 $8,550 $17,100 20% $300* 20% $300 $30 $50 $500 $0 $15 $20 $35* $75* 25%^* Gold Plan Gold 2000-23 $2,000 / $4,000 $6,850 / $13,700 20% $300 20% 20% $25 $45 $0 $0 $15 $20 $35 $75 25%^* *Copay subject to deductible ^ Up to a maximum of $300 Pharmacy Key: Tier 1: No cost generic Tier 2: Preferred generic Tier 3: Non-preferred generic Tier 4: Preferred brand Tier 5: Non-preferred brand Tier 6: Specialty Print
50% $6,000 / $12,000 $19,050 / $38,100 Plan 806-3060C $30 / $60 0% $2,000 / $4,000 $6,350 $12,700 50% $6,000 / $12,000 $19,050 / $38,100 Plan 807-2040C $20 / $40 0% $3,000 / $6,000 $6,350 $12,700 50% $9,000 / $18,000 $19,050 / $38,100 Plan
Your Health Matters: May 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest news, benefits and updates as well as health and wellness tips.
Living with Asthma Can Be LessRestrictive May is Asthma Awareness Month. The breathing difficulties asthma sufferers experience are caused by swollen and inflamed airways. Learning better condition management, through SummaCare’s FREE AsthmaCare program, can improve your overall quality of life. This program is voluntary and participants may opt‐out at any time. Call 877.888.1164 (TTY 800.750.0750)
paces have an opportunity to meet with a Summa Health provider and Akron Marathon representative before hitting the Blue Line as a group! Join Dr. Nilesh Shah, M.D. at our first event on June 11. Summa Health sponsors the Akron Marathon Race Series.
Get Help With HealthCoaching Did you know SummaCare offers Health Coaching? Health coaching is a FREE on‐one, telephonic service to help you with lifestyle modifications to prevent future diagnosis of chronic diseases by identifying at‐risk behaviors and help set goals. Call 877.888.1164
Make Sunscreen a DailyPriority May is also National Skin Cancer and Melanoma Month. People who have experienced more than five sunburns in their life have double the risk of developing skin cancer. To better protect yourself from the effects of the sun, choose at least SPF 15 or SPF 30 sunscreen for everyday use and reapply every 90–120 minutes when in the sun for extended periods.
Schedule Your Breast CancerScreening A breast cancer screening checks a woman’s breasts for cancer before there are signs or symptoms of the disease. Although a breast cancer screening cannot prevent breast cancer, it can help find breast cancer early, when it is easier to treat. Talk to your primary care provider (PCP) about which breast cancer screenings are right for you and when you should have them.
Good Meals Make a World ofDifference Mom’s Meals , a SummaCare partner, is pleased to offer discounted, high‐quality,
21 SummaCare 2022 Creative Portfolio Member eNews Schedule Your Preventive Health Screenings Preventive health screening tests check for diseases and health conditions before you experience any signs or symptoms. Preventive health screenings are provided at no cost to most health plans and may include: blood pressure, cholesterol, diabetes (blood sugar), cancer screenings (breast cancer, colon cancer, cervical cancer), and bone density – to name a few. Talk with your primary care provider to determine the screening tests that are right for you. For more information Cervical Health Awareness Women 30 years of age and older should have a cervical cancer and HPV screening. Conducting both screenings can detect abnormal cervical cells, which may lead to cervical cancer. For more information WebMD’s Health Risk Assessment WebMD® has launched its new and improved HealthQuest ONE Assessment. This health risk assessment will evaluate your health risks and provide you with health and wellness resources based on your evaluation to assist you in your wellness journey. Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 Access through Plan Central 3 Free Access to Global Fit Gym Network 360 SummaCare’s GlobalFit Gym Network 360 can help you achieve your New Year’s fitness goals by focusing on the essential components of wellness: exercise, eating and education. GlobalFit provides you with access to discounted health club memberships, nutrition programs and educational resources. Check it out Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Wednesday, January 26, 2022 10:41 AM Richard, Lesley Subject: Schedule Your Preventive Health Screenings This email originat Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Problems viewing this email? View online. Your Health Matters: January 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest health insurance news, benefits and updates, as well as health and wellness tips. American Heart Month
Learn more
Heart disease is the leading cause of death in the United States. One in four people dies of it each year. Take the time to see your primary care provider (PCP) to ensure your heart is in good condition by knowing and understanding your blood pressure numbers.
Schedule today Start Using WebMD HealthManager SummaCare’s Health Manager, powered by WebMD®, provides online tools that make it easy to get started on your journey to improved health. Set personal goals, monitor your health progress, track results, set personal health and wellness reminders. Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 Try it out Stop Skipping Doses Per the American Heart Association, it is estimated that three out of four Americans do not take their medication as directed. Many people delay or do not fill a prescription, skip doses, split pills, or stop a medication early, which leads to poorer health outcomes. One of the best ways to understand your medications is to talk with your primary care provider (PCP) or pharmacist. Talk with your PCP today. Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Friday, February 25, 2022 2:32 PM Richard, Lesley Subject: American Heart Month This email originat Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Problems viewing this email? View online. Your Health Matters: February 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest health insurance news, benefits and updates, as well as health and wellness tips.
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refrigerated, ready‐to‐heat meals today! These programs are for long‐term service and support, chronic care, post‐discharge care and self‐pay individuals. Mom’s Meals provides access to specific menus designed to support various health conditions and dietary requirements. Call 877.347.3438 Learn More Don’t Overlook Proper EyeCare Diabetes places individuals at a higher risk for several eye conditions such as glaucoma and cataracts. A primary concern is diabetic retinopathy, which develops when blood vessels in your retina become damaged, causing loss of vision. Talk with your primary care provider if you are experiencing any changes in your vision. Learn More Get Proactive about Colorectal CancerScreenings It’s recommended that all individuals 45 and older receive regular colorectal cancer screenings. These important procedures can provide early detection, often leading to easier and more successful treatment. There are now several ways to check the status of your colorectal health, including less‐invasive options. Talk to your primary care provider to discuss which screening choices are best for y / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 Learn More 3 Run (or Walk) with a DocReturns
Register Today Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Tuesday, May 24, 2022 4:49 PM Richard, Lesley Subject: AsthmaCare helps you breathe easier This email originat Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Problems viewing this email? View online.
Back by popular demand! In this exciting training series, runners and walkers of all
Learn more Osteoporosis is a SilentDisease Osteoporosis causes your bones to become weak making them more likely to fracture/break. While anyone can develop osteoporosis, it’s most common in older women. Risk factors include: age; small, thin body frame; family history; certain medications; osteopenia (low bone density) to name a few. A bone mineral density test is the best way to check your bone health. To keep bones strong, eat a diet rich in calcium and vitamin D, strength train and do not smoke. Learn more Understanding Your Benefits Do you understand your Explanation of Benefits (EOB)? Your EOB is a statement provided by SummaCare that outlines all of the services rendered and their associated costs for a particular test or visit. Those costs are divided to show SummaCare’s responsibility and your responsibility per your plan’s summary of benefits. Review your EOBs COVID‐19 Protection: Booster vaccine, at‐home test kits and N95 masks The COVID‐19 vaccine is a proven way to protect individuals from severe illness, hospitalization and even death from the virus in most cases. However, recent studies have shown that immunity from the initial COVID‐19 vaccine series begins to wane over time, especially in people aged 65 and older. Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 Find Ways to Protect Yourself Time to Start Moving Did you know you have access to a discounted gym membership? GlobalFit also offers discounts for supplements, weight loss programs, Fitness On Demand and more. It’s free to register! Check it out Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Wednesday, March 30, 2022 10:30 AM Richard, Lesley Subject: Colorectal Awareness Month This email originat Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Problems viewing this email? View online. Your Health Matters: March 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest news, benefits and updates as well as health and wellness tips. Digital
National Colorectal AwarenessMonth Several screening tests can detect colorectal cancer early. Most colorectal cancers start as precancerous polyps. Colorectal cancer screenings can find these polyps and remove them before they become cancerous. Screenings should start at age 45 if you’re at average risk, or earlier and more frequently for those with increased risk factors. Speak with your primary care provider to discuss your appropriate screening options.
22 SummaCare 2022 Creative Portfolio Commercial MEWA
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Jim Employers are Greater Akron Chamber Members - Employer groups must be a member of, and in good standing with the Akron Chamber or one of the specifically designated affiliate/regional Chambers for the duration of coverage. Talk to the group’s local Chamber of Commerce about regional membership with the Greater Akron Chamber. HIPAA Defined Group - An employer meeting the requirements of section (b), (c), (m) or (o) of Section 414 of the Internal Revenue Code (“common control” sections) may be considered one employer. Sole Proprietor and Group Status 1. Specific qualifying characteristics of valid sole proprietors: The use of Schedule C or Schedule F (and corresponding Form 1040) outside of a K-1 or corporate tax returns evidences a sole proprietor. IRS restrictions limit the number of sole proprietors to 10 percent (10%) of total employee membership in The Plan. The Plan reserves the right to place a moratorium on accepting sole proprietor applications if The Plan may exceed the IRS restriction. The Plan reserves the right to assign quotas to Brokers for specific time periods to The determination of acceptance of a sole proprietor is subject to underwriting The group is organized as a corporation and is designated C-Corp, S-Corp or LLC for The group is organized as a partnership and prepares a K-1 for each partner (and iv. The group has active W-2 employees (ODJFS wage detail — Form JFS 20215 — All groups (including sole proprietors) must be formally and legally established and operational for 60 days prior to initial submission to be eligible for group coverage with The Plan. Eligible employees must be actively at work at the effective date of coverage. - An eligible employee is defined as one who works 30 or more hours in a normal - Eligible employees are those paid on W-2s or are owners/partners Social Security Number Eligible employees must possess a valid Social Security number or be able to provide a copy of their current Work Visa. Government Payroll Forms Eligible employees must be reported on state and federal payroll returns or in the case of owners Schedule K1, F, or C. Entities should be aware they may be subject to withholding requirements. Please see your tax accountant or attorney with questions. C. Dependents Spouse - Employee spouse as recognized under the laws of Ohio or where the employee lives. Children - Employee or employee spouse’s children including natural children, stepchildren, newborn, legally adopted and other children whom the employer has determined are covered under a “Qualified Medical Support Order” as defined by ERISA or any applicable law. Children are covered until the age limit listed in the Employer Benefit Book. Guardianship - Children of whom the employee or employee’s spouse are legal guardian. Who is Ineligible? Temporary Employees Seasonal Employees Absentee Employees - Employees absent from work and off payroll due to non-medical reasons. Former Employees - Former employees not covered under state or federal continuation programs. 1099 Contractors Retirees Late Enrollees Employees who apply for benefits no more than 30 days after they are eligible or more than 30 days after the end of the waiting period. An enrollee is not late if at the time of enrollment, the application is made within 31 days of a HIPAA special enrollment period. Domestic Partners Broker Manual Effective June 1, 2022 in partnership with MEWA New Business Broker Bonus in partnership with New Business Bonus for Groups sold with effective dates of January 1 through December 1, 2023. Payment of $50 PEPM for 12 months. On renewal date in 2024, payments revert back to a rate of $42 PEPM standard commission. Qualifiers: Groups sold with two to 50 contracts and electing The Preferred Choice Network. Groups sold with 10+ contracts with any network. Program Rules: January – December 2023 Bonus is payable for new medical business to the Chamber Health Benefits Plan. Payment is based upon employees enrolled in the medical plan and not total eligible employees. Existing SummaCare employers transferring to the MEWA are ineligible for the bonus program. Agent of Record changes will not qualify for the bonus program. Broker must be properly licensed and appointed to receive bonus compensation. Group must maintain an active GAC or affiliate membership for all 12 months and duration of group policy. summacare.com/chamberhealth If your company has 1-50 employees, you can get affordable health benefits with a Chamber Health Benefits Plan, which offers: A variety of SummaCare PPO plan designs Multiple provider networks: see back for options Comprehensive health and wellness services for employees Competitive rates Dental, vision and life available (for groups of 2 or more enrolled employees) Telehealth visits in partnership with To learn more about the Chamber Health Benefits Plan and to view videos of small business owners who love their Chamber Health Benefits Plan, visit summacare.com/chamberhealth call 330.237.1249 or contact your broker. Save on the cost of health insurance for your employees. Network Options View a list of providers included in each network by visiting our website at and clicking on “Find Your Doctor” on the right hand side. More than 16,000 participating physicians and providers 40 Hospitals Including, but not limited to: More than 8,000 participating physicians and providers 20 Hospitals Including, but not limited to: More than 22,000 participating physicians and providers 61 Hospitals Including, but not limited to: summacare.com/chamberhealth in partnership with Attract & retain employees. Offer them health benefits. Print
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23 SummaCare 2022 Creative Portfolio Member Testimonials Display Ads Postcards SUM-22-60089/CS/TZ/07-22 If your company in the Cleveland, Akron or Canton area has 1–50 employees, you can get affordable health benefits with a Chamber Health Benefits Plan which offers: Dental, vision and life available (for groups of 2 or more enrolled employees) in partnership with To learn more, visit Presorted Standard US Postage PAID SummaCare Competitive rates A variety of SummaCare PPO plan designs Comprehensive health and wellness services for employees Multiple provider networks and pharmacy plan options Telehealth visits SUM-22-60089-MEWA Testimonial Postcard-Broker.indd 2 7/27/22 10:13 AM in partnership with “Offering medical benefits to my employees is very important because I care about them and their families.” Halle Jones Capers President, Halle’s Engineering & Design, Akron, 4 employees Save on the cost of health insurance for your employees SUM-22-60089-MEWA Testimonial Postcard-Broker.indd 1 7/27/22 10:13 AM Be sure to ask your insurance broker/agent about adding Guardian ancillary products to your September renewal package! Group Insurance products are underwritten and issued by The Guardian Life Insurance Company of America, New York, NY. Products are not available in all states. GUARDIAN® and the GUARDIAN G Logo are registered service marks of The Guardian Life Insurance Company of America and are used with express permission. 2022-141269 (Exp. 7/24) in partnership with Presorted Standard US Postage PAID SummaCare SUM-22-59928/CS/TZ/07-22 Dental Vision Life NOW AVAILABLE! Dental, Vision & Life through Guardian 1200 E Market St, Suite 400 Akron, OH 44305-4018 in partnership with NOW AVAILABLE! Dental, Vision and Life benefits are available through Guardian for purchase with your September Chamber Health Benefits Plan renewal through SummaCare. Offering ancillary benefits such as dental, vision, and life on top of medical and prescription coverage improves employee retention in a competitive workforce market. Dental Vision Life Digital TV
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Preventive Care Benefits for Adults
Essential Screenings for Women
Does my doctor need to order it? Most mammography centers don’t require an order to do a preventive screening mammogram; however, you will need to
Women
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those with a family history of breast cancer, screening may be recommended at age 35. Dense breasts can increase your risk for breast cancer. It is important to know if you have dense breasts. Women who have increased density in 75 percent or more of their breast are four to six times more likely to develop breast cancer.
A Breast Cancer Risk Assessment can help you understand your individual risk for developing breast cancer, by analyzing your unique risk factors with breast cancer risk models.
24 SummaCare 2022 Creative Portfolio Individual & Family
Review the Renewal Information Aspects of your plan that are changing for 2023 are outlined—including your premium— are outlined in the materials enclosed with this letter. Reviewing these materials is the best way to gain a greater understanding of your HMO plan benefits and the SCConnect provider network. Check Your Financial Assistance Eligibility Visit summacare.com/quote on November 1, 2022 to see if you are eligible for financial assistance with your monthly premium, or to confirm the continuation of your existing assistance for 2023. Pay Your Premium Pay your new plan premium online at summacare.com/renew or by phone at 888.585.6538 (TTY: 800.750.0750). You must pay your new premium by December 31, 2022. To ensure there is no break in coverage, please allow ample time for receipt and processing. If you are on auto-debit, your January bill will automatically be deducted directly as usual. Call Us With Questions If you have questions about your renewal, please call us at 888.585.6538 (TTY: 800.750.0750). A representative is available to take your call from 8:30 a.m. – 5:00 p.m., Monday through Friday. Thank you for allowing us to serve your health insurance needs. We appreciate your membership with SummaCare and look forward to providing excellent service and benefits. Sincerely, Anne M. Armao Vice President, Member Experience & Product Development Important Information About Your 2023 SummaCare Coverage 1200 Market St, Suite 400 Akron, OH 44305-4018 1 2 3 4 «PolicyholderName» «Address1» «Address2» «City», «ST» «ZIP» All Marketplace health plans and many other plans must cover the following list of preventive services without charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible. IMPORTANT: These services are free only when delivered by a doctor or other provider in your plan’s network. Several screenings and tests that help adults achieve healthy outcomes: Alcohol misuse screening and counseling Blood pressure screening Cholesterol screening Colorectal cancer screening Depression screening Diabetes (Type 2) screening For adults 40 to 70 years who are overweight or obese Diet counseling For adults at higher risk for chronic disease Hepatitis B screening For people at high risk Hepatitis C screening For adults age 18 to 79 years HIV screening For everyone age 15 to 65, and other ages at increased risk PrEP (pre-exposure prophylaxis) HIV prevention medication for HIVnegative adults at high risk for getting HIV through sex or injection drug use Immunizations for adults — doses, recommended ages, and recommended populations vary: Chickenpox (Varicella) Diphtheria Flu (influenza) Hepatitis A Hepatitis B Human Papillomavirus (HPV) Measles Meningococcal Mumps Whooping Cough (Pertussis) Pneumococcal Rubella Shingles Tetanus Lung cancer screening For adults 50 to 80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years Obesity screening and counseling Sexually transmitted infection (STI) prevention counseling For adults at higher risk Tobacco use screening For all adults and cessation interventions for tobacco users Tuberculosis screening For certain adults without symptoms at high risk
Letters
Get more information about preventive services for women at healthcare.gov/preventive-care-adults Dear <First Name>, Women’s health is very important to us. As your partner in health, we encourage you to receive an annual, preventive mammogram to screen for breast cancer. There is no cost to you for this important preventive screening when you visit a facility in your SummaCare network. HOW TO SCHEDULE YOUR MAMMOGRAM: Call 888.908.0314 for any of the following convenient Summa Health locations: Akron, Green, Medina, Wadsworth, Barberton, Hudson, Tallmadge, West Akron-White Pond, Cuyahoga Falls, Stow-Kent. For other locations in your network, go to summacare.com and click on the “Find Your Doctor” button. Summa Health’s mammography locations do not require an order for a screening mammogram; however, other mammography sites may request that your primary care provider (PCP) or gynecologist send an order for this procedure. In addition, it is also recommended that women have a preventive cervical cancer screening starting at age 21 through age 64. Cervical cancer screening, commonly called a Pap smear, is important because it identifies early signs of unknown cervical cancer. Early detection will make treatment easier. Cervical cancer screening is an important part of your wellness exam. HOW TO SCHEDULE YOUR CERVICAL CANCER SCREENING: Call your primary care provider (PCP) or gynecologist. If you do not have a PCP or gynecologist, selecting one is an important first step toward managing your healthcare. Choose a selection in your network by going to summacare.com and clicking on the “Find Your Doctor” button. If you have questions about why you need a mammogram and/or cervical cancer screening, please call your primary care provider (PCP) or gynecologist. Sincerely, James F. Grow, Jr. James F. Grow, Jr., M.D. Medical Director, SummaCare Other providers are available in network. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments and restrictions may apply for any diagnostic procedures performed. View your Summary of Benefits and other plan documents on Plan Central at summacare.com/plancentral If you need assistance, please call Customer Service Preventive Health at 877.514.1562 (TTY: 800.750.0750) Enclosure: Women’s Health Newsletter Mammograms and cervical screenings are the first steps in early cancer detection. POP
is critical in promoting and supporting health and well-being. Being proactive is key to preventing problems from either occurring for the first time or reoccurring. Why Should I Get a Breast Cancer Screening? About one in eight American women will develop invasive breast cancer. It is most common in women over 50, but may occur much earlier. Breast cancer screenings help detect abnormal breast findings when they are smaller and detect an earlier stage of breast cancer. We encourage you to receive an annual mammogram
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at average risk of breast cancer should start discussing with their healthcare provider when they should start mammogram screenings
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Do need a mammogram if breast cancer doesn’t run in my family? Yes, more than 85 percent of women who develop breast cancer have no family history of the disease. While the risk of breast cancer increases with age, all women are at risk of getting breast cancer. A mammogram could help with early detection and provide treatment options. The
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It can identify more cancers than a 2D Mammogram. It can reduce false positive results and the need for additional testing. It can provide clearer pictures using several low-dose images from different angles.
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screening takes about 20–30 minutes
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facilities have evening and weekend appointments to accommodate your busy schedule.
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Mammogram?
Call and schedule your mammogram today! Broker Building Signage Bus Ad 2023 Individual & Family HMO Sample Plans Affordable With SummaCare’s Individual & Family plans, you can get health insurance for yourself and/or your family, which includes: Comprehensive medical and pharmacy benefits Three FREE office visits on many plans to your SummaCare Primary Care Provider (PCP)* and outpatient mental health services for each person on your policy Access to telehealth visits through Teladoc or any in-network provider who offers telehealth, for general medical, dermatology and behavioral health visits Low copays on specialist office visits and generic prescriptions Assist America global emergency services when traveling away from home available on many plans Adult vision exam available on many plans Health and wellness programs and services SummaCare Primary Care Providers are providers with specialties in: Family Medicine, General Practice, Internal Medicine, Pediatrics and Obstetrics/Gynecology. Accessible Care SummaCare’s plans are available to individuals and families living in Summit, Stark, Portage and Medina Counties and feature the SCConnect network. This network provides access to many of the area’s finest providers, facilities and hospitals including Summa Health, Cleveland Clinic Mercy Hospital and Akron Children’s Hospital. By providing access to this exclusive network of providers, we are able to offer efficient care at lower costs. *Benefit not subject to deductible For coverage to apply, all services must be received through SCConnect providers except for emergency services. Silver Plans 3500, 5000, 5000 40 and 6000 are offered on a cost-share reduction basis for qualifying individuals. Visit summacare.com for full Summary of Benefits for each plan. Note Not included in this chart. Standard plans are new for 2023 and are available in Bronze, Silver and Gold. Please check summacare.com for more information on plan benefits and deductibles. SummaCare is a Qualified Health Plan issuer in the Health Insurance Marketplace. InNetwork Benefit GOLD 2000 SILVER 3500 SILVER 5000 SILVER 5000 40 SILVER 6000 BRONZE 8000 BRONZE 9100 BRONZE 7000 HSA VALUE (only offered to qualified individuals) Plan Deductible (Individual / Family) $2,000 / $4,000 $3,500 / $7,000 $5,000 / $10,000 $5,000 / $10,000 $6,000 / $12,000 $8,000 / $16,000 $9,100 $18,200 $7,000 / $14,000 $9,100 / $18,200 Coinsurance 20% 30% 30% 40% 40% 50% 0% 0% 0% Annual Out-ofPocket Max (Individual / Family) $8,700 / $17,400 $9,100 $18,200 $9,100 $18,200 $8,500 / $17,000 $7,600 / $15,200 $9,100 $18,200 $9,100 $18,200 $7,000 / $14,000 $9,100 / $18,200 PCP Office Visits $0 copay for first visits; then $15 copay* $0 copay for first 3 visits; then $10 copay* $0 copay for first 3 visits; then $10 copay* $0 copay for first 3 visits; then $25 copay* $0 copay for first 3 visits; then $20 copay* 50% $0 copay for first visits; then $30 copay* 0% $0 copay for first 3 visits; then 0% Specialist Office Visits $50 copay* $60 copay* $50 copay* 40% coinsurance 50% coinsurance 0% coinsurance Inpatient Hospital Stays You pay 20% You pay 30% You pay 30% You pay 40% You pay 40% You pay 50% You pay 0% You pay 0% You pay 0% Prescription Drugs (Tier 2) $15 copay for 30-day supply of preferred generic drugs* $10 copay for 30-day supply of preferred generic drugs* 50% coinsurance for 30-day supply of preferred generic drugs 0% coinsurance for 30-day supply of preferred generic drugs summacare.com 888.291.3790 800.750.0750) Summa Insurance Company by SummaCare. 2023 Health Insurance for Individuals and Families Deadlines 2023 runs Tuesday, Sunday, January 15, 2023. 2022 for coverage that Period life-changing event during birth of a child or you may be eligible for Period and can enroll outside of the Open applicable Federal civil discriminate on national origin, age, disability, sex. tiene a su disposición asistencia lingüística. Llame al 1-800-750-0750). 注意：如果您使用繁體中文，您可以免費獲得語言援 1-888-996-8675 (TTY:1-800-750-0750). Visit summacare.com/IFPBus or call 888.291.3791 Shopping for health insurance? SummaCare can help! Print Out-of-Home Signage
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Be Proactive About Cervical CancerScreenings Two screening tests can help discover or even prevent cervical cancer. The Pap test (or Pap smear) looks for precancers—cell changes on the cervix that may become cervical cancer. The HPV test looks for the human papillomavirus that can cause these cell changes. Samples for both tests can be collected in your primary care provider’s office for laboratory testing. Learn more Prevent Vision Loss A retinal eye exam is imperative to protecting your vision health. People with diabetes are at an increased risk of developing diabetic retinopathy, and vision loss. In fact, diabetic retinopathy is the leading cause of blindness in working‐age adults, according to the U.S. Centers for Disease Control and Preventio Learn more Men's Health Month Annual well visits and preventive health screenings can often discover health conditions before you experience signs or symptoms. For many conditions, early discovery means a greater likelihood of successful treatment. These office screenings include measurement of height and weight for BMI, blood pressure, pulse, oxygen levels, reflexes–to name a few. Talk with your primary care provider to determine the age and gender screenings that are right for you. Schedule a screening Why Should I Worry AboutHypertension? Another name for high blood pressure, Hypertension can lead to a risk of heart disease, stroke and sometimes death. Almost half of all adults in the United States have high blood pressure—many without even knowing it. Keeping blood pressure under control is vital for preserving health and reducing the risk of additional dangerous life‐threatening conditions. Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 Learn more Blue Line Striders—Hydration Tips for Running in the Heat Running season is under way. Meet with a Summa Health provider and Akron Marathon representative before hitting the Blue Line as a group! Join Zachary D. Vallandingham, D.O. and learn important hydration tips to keep you running strong. Register today Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Tuesday, June 28, 2022 10:00 AM To: Richard, Lesley Subject: Be Proactive About Health Changes Caution: This email originated outside of Summa. Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Problems viewing this email? View online. Your Health Matters: June 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest health insurance news, benefits and updates, as well as health and wellness tips. National Cholesterol Education Month Per the CDC, about 38% of American adults have high cholesterol (total blood cholesterol ≥ 200 mg/dL). Too much cholesterol puts you at risk for heart disease and stroke, two leading causes of death in the United States. Talk to your primary care provider about how you can manage your cholesterol levels and lower your risk. Take action Crucial Cervical Cancer Screenings Pap and HPV tests can either help prevent cervical cancer or at least find it early. The Pap test (or Pap smear) looks for precancers—cell changes on the cervix that might become cervical cancer. The HPV test looks for the human papillomavirus that can cause these cell changes. Both tests can be administered in your primary care provider’s office, or clinic, with the samples sent to a laboratory. Learn more Get a FREE Flu Shot! SummaCare members are able to get a flu shot—for free! Seasonal flu varies in severity, and in most cases it takes 7 to 10 days to recover from the illness. Getting an annual flu vaccine is the single most effective way to protect yourself against the flu. Unsubscribe / Legal and Privacy SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305‐4066 Contact your in‐network hbhdli National Prostate Health and Prostate Cancer Month The Prostate Cancer Foundation recommends that men have a conversation with their primary care provider to make a prostate cancer screening plan. Prostate cancer risks may be different for everyone, and screenings may begin as early as age 40 depending on an individual’s risk factors. Speak with your primary care provider about your risks and if a screening is right for you. Learn more Richard, Lesley From: SummaCare@mx0a-003caf01.pphosted.com on behalf of SummaCare <DoNotReply@SummaCare-email.com> Sent: Friday, September 30, 2022 10:26 AM To: Richard, Lesley Subject: A Healthier You through Positive Preventive Care Caution: This email originated outside of Summa. Don't Click that Link or download any attachment unless you recognize the sender and know the content is safe. Problems viewing this email? View online. Your Health Matters: September 2022 We know your health insurance coverage is vital to your overall well‐being and peace of mind. SummaCare eNews is dedicated to bringing you the latest health insurance news, benefits and updates, as well as health and wellness tips. Digital
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26 SummaCare 2022 Creative Portfolio 2022 SummaCare Business Goals Achieve 13% Membership Growth with a Focus on Key Products & Improved Pricing Achieve an Aggregate 1.2% Margin Retain 90% of SummaCare Members Maintain a STAR Rating of 4.5 & a State of Compliance & Audit-Readiness Continue to Develop Summa System Integration Differentiation Feature to Existing Products summacare.com
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