Use our Find Care tool to search our Medicare Advantage network of healthcare providers and hospitals. Please know that not all providers are in our network. Make sure you choose providers who are in our network. This will save you money. To choose an in-network provider, you can use Find Care. Please be aware that our provider networks may change. If this happens, we will let you know. Please note: If you are having a medical emergency, you do not need to see a Medicare provider. Instead, call 911 right away, or go to the nearest emergency room. You do not need to get approval or a referral from your primary care provider. A medical emergency is anything that is life-threatening. Examples include chest pain, uncontrolled bleeding and difficulty breathing.
Get the most out of your plan. See what's covered and not covered. Make sure to visit your Member Dashboard, and review your Evidence of Coverage (EOC). Your EOC is your member handbook. To find out what medicines are covered, review the formulary (list of medicines).
As a Medicare member, you have many preventive services and screenings available for no cost. Preventive care is necessary for good health. Examples of your no-cost benefits are:
See a complete list of your preventive benefits for no cost.
If you are within the first 12 months of signing up for Medicare, make sure you get the Welcome to Medicare preventive visit from your primary care provider. Your provider will use this visit to develop your personalized prevention plan. This plan will be based on your current health and risk factors. This visit is yours for no cost. If you have been a Medicare member for more than 12 months, you can get a Medicare yearly wellness visit. You can get the Medicare yearly Wellness visit once every 12 months for no cost. Please note that you cannot get your first yearly wellness visit within 12 months of your Welcome to Medicare preventive visit.
Talk with your primary care provider about preventive services and screenings. Vaccines are also important. Ask your provider what vaccines you need. And, be sure to review your prescription and over-the-counter medications, vitamins and supplements with all of your healthcare providers at each visit. See your member handbook for any additional costs that may apply.
As a Summit Health Medicare member, you also have supplemental benefits included in your plan:
You may also choose the optional supplemental benefit, Extra Care. For an additional $5 premium per month, Extra Care covers 50% of the cost of the following services up to a combined $500 annually:
If you would like to learn more about this benefit, please contact Summit Health Customer Service.
Or call toll-free 844-827-2355. TTY users should call 711.
We want you to enjoy good health. Make sure you use your discounts for health and wellness services from ChooseHealthy™.
Last updated Dec. 17, 2020