Important Appeals & Grievances Information
If you would like to file an appeal with SummaCare Secure about a coverage decision or would like to request an exception for the coverage of a prescription drug, please click on one of the links below to review our Appeals & Grievances process or open the appropriate form.
If you would like to request that a drug be covered under your SummaCare Secure plan, please complete the
Medicare Part D Coverage Determination Request Form.
Once you print and complete the form, please return it to:
SummaCare Customer Service
P.O. Box 3620
Akron, OH 44309-3620 To view our Appeals & Grievances Processes, please click on one of the links below:
For complete information, please refer to your plan’s
Evidence of Coverage document.