SummaCare Medicare Advantage Plans
SummaCare offers Medicare Advantage plans across 33 counties in northern Ohio, featuring a network of over 22,000 healthcare providers. This extensive network ensures that members have access to a wide range of healthcare services.
SummaCare’s plans start at $0 per month, making them accessible to a broad range of enrollees. This affordability, combined with comprehensive coverage, makes SummaCare an attractive option for many Medicare beneficiaries.
In 2024, SummaCare expanded their provider network to include The Metro Health System, further increasing member access to healthcare services in network. Additionally, they added a quarterly allowance for over-the-counter benefits in several of their plans, enhancing the value provided to members.
Primetime Health Plan Options
PrimeTime Health Plan offers two main types of plans: Aultimate (HMO-POS) and Basic (HMO-POS). The Aultimate plan includes comprehensive healthcare benefits along with Part D prescription drug coverage, making it a robust option for those seeking extensive coverage. The Basic plan, on the other hand, offers essential medical coverage but does not include Part D prescription drug benefits. This plan is suitable for individuals who do not require extensive prescription drug coverage.
PrimeTime Health Plan has been providing Medicare coverage to residents in Northeast Ohio since 1997, with access to a network of over 16,000 healthcare providers. The plans come with a variety of additional benefits, including dental coverage and telehealth services, including paramount elite medicare plans.
Best for Screening & Prevention
The Valor Health Plan (HMO I-SNP) is tailored for those in long-term care and emphasizes preventive services and health screenings. This focus on preventive care helps members stay proactive about their health and catch potential issues early.
Valor Health Plan received a 4.0 rating for screening and prevention by U.S. News, highlighting its effectiveness in these areas. The plan provides no-cost access to annual preventive screenings, which are crucial for early detection and management of health issues.
The plan also includes dedicated local care teams, including nurses, to enhance care coordination and focus on preventive health. Additionally, it offers a comprehensive over-the-counter benefit, facilitating access to preventive health products.
How to Choose the Right Medicare Advantage Plan
Choosing the right Medicare Advantage plan involves considering several important criteria, including health needs, budget, and provider preferences. In 2026, more than half of Medicare beneficiaries will be covered by the best Medicare Advantage plans and Medicare plans, reflecting their popularity and comprehensive coverage.
When weighing your options, it’s essential to balance costs, benefits, and the quality of the available plans. For example, many Anthem plans offer low or no monthly premiums along with $0 or low medical deductibles, providing excellent value.
Additionally, look for plans that offer added benefits such as transportation covered services for medical appointments, which can significantly enhance your healthcare experience and provide different benefits. Carefully evaluating these factors helps you compare plans to choose a plan that best suits your needs and preferences, so you can pay for the services you require.
Medicare Resources in Ohio
For Ohio residents navigating Medicare-related questions, the Ohio Senior Health Insurance Information Program (OSHIIP) offers valuable assistance. OSHIIP provides resources and guidance to help residents understand their original medicare options and make informed decisions.
The Senior Medicare Patrol (SMP) program in Ohio is dedicated to educating residents and addressing reports of Medicare fraud. This program plays a crucial role in protecting beneficiaries from fraudulent activities and ensuring they receive the benefits they are entitled to.
If you encounter any fraudulent sales practices, you can report them to the Ohio Department of Insurance’s Fraud and Enforcement Division. These resources are invaluable in helping Ohio residents navigate the complex Medicare landscape and avoid potential pitfalls.
