As a SummaCare Secure member, your plan includes comprehensive benefits that are richer than those available through Original Medicare alone. Below, you will find links to SummaCare Secure plan documents that include detailed information about your coverage. Click on one of the links below to learn more about and view the plan document of your choice:
Summary of Benefits
This document provides a summary of your medical and prescription drug benefits, including copay information.
Evidence of Coverage
This document is a detailed explanation of the benefits and services available to you. Your Evidence of Coverage also outlines your member rights and responsibilities.
Prescription Drug Information
This page includes information about your prescription drug coverage and a link to our online drug search tool.
Prior Authorization List - Pharmacy The Importance of Utilization Review
Prior Authorization List - Medical
Some healthcare services or medicines require prior authorization (approval by SummaCare in advance). This document describes SummaCare’s prior authorization process and lists many of the services and medications that require prior authorization.
Important Appeals & Grievances Information
Includes links to documents that describe our appeals and grievances processes.
Low Income Subsidy Information
Important information for Medicare beneficiaries that may be eligible for assistance with their Medicare Part D (prescription drug) costs.
Last Updated: 04/11/2013