SummaCare Medicare Amber (HMO) Medicare Advantage Plan H3660-052-1 • 2026 • Medina County, OH

SummaCare Medicare Amber Overview

Coverage Overview for SummaCare Medicare Amber

SummaCare Medicare Amber is a Medicare Advantage HMO plan that provides Medicare Part A and Part B coverage through a network of participating providers. The monthly premium is $0.00, and the plan generally requires selection of a primary care provider (PCP) and use of in-network services, except in emergency situations.

Primary care visits have a $0 copay, specialist visits come with a $30 copay, urgent care services carry a $40 copay, and ambulance transportation is $200 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $3450.00. After this limit is reached, in-network services are fully covered.

This plan is listed by CMS under Plan ID H3660-052-1. A summary of cost sharing is provided below.

Cost-Sharing Overview

Cost-sharing for SummaCare Medicare Amber includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H3660-052-1.

Certain preventive services are covered 100% by SummaCare Medicare Amber as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.