Business Details
33 Years
experience
Emergency
services
Your Trusted Partner for Health Insurance Solutions in Akron, OH
SummaCare Health Insurance has been dedicated to providing personalized health insurance solutions since 1993. As a community-focused partner, we prioritize coordinated care and individual attention to meet the diverse needs of our members. Our strategic partnership with Health Assurance Transformation Corporation enhances our ability to deliver innovative healthcare services. With a 4.5-Star CMS rating, we offer Medicare Advantage, individual/family, and employer plans tailored to regional needs.Our commitment to quality is reflected in 97% annual member retention and a 5-star NCQA-ranked provider network spanning 20 Ohio counties. Through value-based care models and integrated wellness programs like BrainHQ, we empower members to achieve optimal health outcomes. Our local expertise and 30-year legacy position us as a trusted leader in Northeast Ohio's healthcare landscape.
Services
Medicare Advantage Plans
Individual & Family Insurance
Employer Group Plans
Prescription Drug Coverage
Dental & Vision Benefits
Wellness Programs
24/7 Member Support
Provider Network Access
Financial Assistance Programs
Health Education Resources
Details
- Year established: 1993
Highlights and features
- 29+ years of regional healthcare insurance expertise since 1993
- 4.5-Star CMS rating for Medicare Advantage plan quality
- 20-county provider network with 75+ hospitals and 22,000+ providers
- 24/7 Nurseline support and emergency care coordination
- Integrated wellness benefits including dental, vision, and hearing coverage
Associations and certifications
- National Committee for Quality Assurance (NCQA)
What people say
Affordable premiums
Personalized service
Easy enrollment process
Comprehensive coverage
Helpful advisors
Services
Medicare Advantage Plans
Our Medicare Advantage plans offer comprehensive coverage with $0 premiums for eligible seniors. These HMO and PPO options include prescription drug benefits, dental care, vision exams, and wellness programs. Members gain access to a network of 22,000+ providers across 20 Ohio counties, with specialized benefits like BrainHQ cognitive training and Papa companionship services.
Individual & Family Plans
We provide ACA-compliant health insurance for individuals and families in Summit, Stark, Portage, and Medina counties. Our metal-tier plans feature varying cost-sharing structures with access to the SCConnect provider network. Available options include Bronze, Silver, Gold, and Catastrophic plans tailored to different budget and healthcare utilization needs.
Employer Group Plans
Our commercial insurance solutions serve businesses of all sizes with NCQA-ranked plans. Features include MEWA options for small businesses, self-funded administration services, and large group coverage with pharmacy benefit management. Employers gain access to cost-saving network options and wellness program incentives to improve workforce health.
Prescription Drug Coverage
All Medicare Advantage plans (except Amber HMO) include Part D prescription coverage with $0 copays for Tier 1 medications. Our comprehensive formulary covers brand and generic drugs, with specialty pharmacy services for complex conditions. Members can access 75+ hospitals and 22,000+ providers across northern Ohio.
Wellness Programs
We offer integrated wellness benefits including SilverSneakers gym memberships, BrainHQ cognitive training, and travel coverage. Our health and wellness initiatives focus on preventive care, chronic disease management, and mental health support through coordinated care networks and educational resources.
People
Bill Epling
President
Bill Epling leads SummaCare's strategic initiatives with over 25 years of healthcare administration experience. He oversees operations, community partnerships, and quality improvement programs while maintaining our provider-owned model's integrity.
Questions
What Medicare Advantage plans do you offer?
We offer seven Medicare Advantage plans with $0 premiums in most cases, including prescription drug coverage, dental, vision, and wellness benefits across 20 Ohio counties.
Do you provide individual and family insurance?
Yes, we offer ACA-compliant Bronze, Silver, Gold, and Catastrophic plans for individuals and families in Summit, Stark, Portage, and Medina counties.
What employer group sizes do you serve?
We provide commercial insurance solutions for businesses with 2-25 employees, mid-sized companies, and large groups with 51+ employees across Northeast Ohio.
How can I find in-network providers?
Use our online provider directory to search 22,000+ doctors and 75+ hospitals in the SCConnect network across 20 Ohio counties.
What wellness benefits are included?
Our wellness programs include SilverSneakers gym memberships, BrainHQ cognitive training, Papa companionship services, and travel coverage with all Medicare Advantage plans.
Do you offer 24/7 member support?
Yes, our 24-Hour Nurseline at 800.379.5001 provides medical advice after hours, and emergency care guidance is available anytime.
Videos
