Summary of Benefits

The Summary of Benefits conveys the primary features of your SummaCare Secure plan. Please note, however, that it doesn’t list every service that we cover or list every limitation or exclusion. For a complete list of our benefits, refer to our Evidence of Coverage documents.

Use the Summary of Benefits to compare SummaCare with the Original Medicare. The charts in this booklet list some important health benefits. For each benefit, you can compare our plan with Original Medicare coverage. You’ll discover that our members receive all of the benefits that Original Medicare plan offers, plus more!

2010 Summary of Benefits (MAPD) [PDF]

2010 Summary of Benefits (MA) [PDF]

Benefit Updates

We'd like to inform you of some of the updates to your coverage under the SummaCare Secure plan:

Influenza A (H1N1) Vaccine
This vaccine is now covered as a preventive immunization service.  Refer to your Summary of Benefits to determine coverage for preventive immunization services.

For more information or to find a flu shot site near you please visit  http://www.flu.gov/individualfamily/vaccination/locator.html  or contact your local health department.

HIV Screening Tests
HIV Standard and rapid screening tests are now covered for those with high risk profiles.

To determine if this screening is appropriate for you, please contact your Primary Care Physician.

For coverage information for these items, please refer to your Summary of Benefits under the section of Lab Tests.

If you have any questions, please contact SummaCare Secure Customer Service at 330-996-8885 or (toll free) 800-996-6250.  A representative is available to assist you Monday through Friday from 8:00 a.m. to 8:00 p.m. Persons with hearing impairments please call TTY at 800-750-0750.