SummaCare Value with 3 Free PCP Visits + Adult Vision · 52664OH1540001
Summa Insurance Company offers this marketplace plan (Plan ID 52664OH1540001). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.
Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Ohio). Submit changes before the deadline to avoid a coverage gap.
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Special Enrollment Periods
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Silver-tier CSR plans lower deductibles for households ≤250% FPL.
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Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 14 Jul 2026 05:45 GMT).
All providers in Ohio5519
PCPs in Ohio407
Telehealth supportData pending
Nationwide providers62828
5,519 doctors statewide407 PCPs21 OB/GYN
Provider network(s)
SCCONNECT
Providers
Ohio
All US states
All
5519
62828
PCP
407
469
Allergy
1
1
OB/GYN
21
28
Dentists
N/A
1
Drug coverage overview
3,910 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
NON-PREFERRED-GENERIC
2,492
SPECIALTY-DRUGS
646
ZERO-COST-SHARE-PREVENTIVE-DRUGS
398
NON-PREFERRED-BRAND
374
Prior authorization
Drugs
Required
755
Not Required
3,155
Step therapy
Drugs
Required
98
Not Required
3,812
Quantity limits
Drugs
Has Limit
1,550
No Limit
2,360
Customer highlights
What stands out for members
Issuer: Summa Insurance Company · Plan ID 52664OH1540001 · 2026 filing.
Download the latest formulary directly from the issuer here.
SummaCare Value with 3 Free PCP Visits + Adult Vision (52664OH1540001) is a marketplace plan from Summa Insurance Company in Ohio for the 2026 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does SummaCare Value with 3 Free PCP Visits + Adult Vision support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is SummaCare Value with 3 Free PCP Visits + Adult Vision HSA-eligible and does it include dental or vision coverage?
HSA eligibility is not published; check the Summary of Benefits or ask the issuer.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does SummaCare Value with 3 Free PCP Visits + Adult Vision support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
How do I enroll in or manage payments for SummaCare Value with 3 Free PCP Visits + Adult Vision?
Disclaimer: Based on the Tue, 14 Jul 2026 05:45 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
