County of Summit
Medical Plan
SummaCare is offering a new medical plan for 2025. Our plan is a PPO plan that offers both network and non-network coverage nationwide.
Plan Highlights
- $500 per individual or $1,000 per family
- $0 Preventive Health
- $10 Office Copay with primary care physician
- $20 Office Copay with a specialist
- $30 Copay at Urgent Care
- $150 Copay for Emergency Room
Employees who enroll in the SummaCare health plan will receive an employer paid incentive of $200 single/$400 family which is disbursed at the end of every quarter ($50 single/$100 family). HRA funds will roll over annually and can be spent at any time regardless of the year earned.
Click below for full Schedule of Benefits & Summary of Benefits & Coverage.
Network Highlights
To obtain network level of care see a provider utilizing the SCSelect network within the SummaCare core counties,
Ohio Health Choice outside of the core counties, but inside of the state of Ohio or First Health outside of the
state of Ohio. The core counties are: Ashland, Ashtabula, Carroll, Cuyahoga, Erie, Geauga, Holmes, Huron, Lake,
Lorain, Medina, Ottawa, Portage, Mahoning, Sandusky, Stark, Summit, Trumbull, Tuscarawas and Wayne.
- Akron Children’s Hospital
- Crystal Clinic Orthopedic Center
- MetroHealth
- Summa Health System
- University Hospitals Health System
- Western Reserve Hospital
HOMELINK is the network manager for the above services. They utilize local vendors such as, but not limited to: Discount Drug Mart, Hanger Clinic, Hastings Professional Medic, Millers Rental and Sales and Yankee Bionics
Click below for a complete list of hospitals and physicians.
Prescription Drug Plan
- $10 Copay Tier 1
- $20 Copay Tier 2
- $50 Copay Tier 3
Click below to find a pharmacy.
- $20 Copay Tier 1
- $50 Copay Tier 2
- $100 Copay Tier 3
Click below to explore the drug formulary.
Utilization Management Programs include step therapy, quantity limits and prior authorization. The formulary will indicate if these programs apply.
MedImpactSave™ is a program where the pharmacy will compare the member’s copay to any available discounts and the retail price and charge the lowest available price for Tier 1 generic prescriptions.
Specialty MedImpact Assis™: (Copay Assistance Program for Specialty drugs) Specialty drugs are required to be filled at AcariaHealth. AcariaHealth and MedImpact will work behind the scenes to maximize available manufacturer-funded copay assistance programs.
Opiod Drug Utilization Review (DUR) Program ensures appropriate utilization and medical necessity of opioid analgesics prescribed.
Click below for additional pharmacy information.
Care+
-
Plan Central Member Portal
- 24/7 self-service access
-
Wellness Programs
- Health Coaching
- WebMD Health Manager
- HUSK Fitness Discount Program
- Preventive Health
- Vision Discounts
-
Condition Management
- Asthma
- Depression Care
- Diabetes Care
- Kidney Care
- Heart Care
- 24 Hour Nurse Line
- Virtual Care with Teladoc
Additional Links
- Access to Your Benefits 24/7
- Paperless Explanation of Benefits
- Plan Documents
- Claim Information
- Deductible Information
- Prior Authorization Status