Your benefits,
simplified.
Access your health plan, find providers, check claims, and get the support you need — all in one place, any time.
Member portal
Everything you need to manage your benefits.
View your ID card
Access your digital member ID card anytime. Print or share it with your provider.
Check claims status
Track submitted claims, view EOBs, and see payment details in real time.
Find a provider
Search our network of doctors, specialists, hospitals, and urgent care facilities near you.
Plan details
Review your plan summary, covered benefits, copays, deductibles, and out-of-pocket maximums.
Prescription coverage
Look up medication coverage, find in-network pharmacies, and check your formulary.
FSA / HSA balance
Check your spending account balances, view transactions, and submit reimbursement claims.
Care navigation
Need help navigating your care? We're here for you.
Our care coordinators help you find the right provider, understand your benefits, and make informed decisions about your health — all at no extra cost.
Nurse helpline
Speak with a registered nurse 24/7 for health questions, symptom guidance, and care recommendations.
Provider matching
We help you find in-network specialists, schedule appointments, and even compare facility costs.
Pre-authorization support
We coordinate with your doctor's office to handle pre-authorization requirements so you can focus on getting better.
Wellness programs
Access to preventive care resources, health coaching, and wellness incentive programs through your plan.
Need help?
Our member services team is here for you.
Call us
1-800-555-0199
Mon-Fri 8am-6pm ET
Email us
members@summithealthadmin.com
Response within 1 business day
Live chat
Available in the member portal
Mon-Fri 8am-8pm ET
For urgent medical needs, call 911 or go to your nearest emergency room.
Understanding your plan
Common questions, clear answers.
What is a self-funded health plan?
Your employer pays for your health claims directly rather than buying insurance from a carrier. This means your benefits are customized specifically for your organization. Your coverage works the same as any other health plan — you use your ID card, see network providers, and Summit handles the claims.
How do I find an in-network provider?
Log into the member portal and use the provider search tool. You can search by specialty, location, and availability. Your ID card also lists the network name — you can visit that network's website directly to search for providers.
How do I submit a claim?
In most cases, your provider submits claims directly to Summit. If you need to submit a claim yourself (for out-of-network care or international services), download the claim form from the member portal and submit it with your itemized receipt.
What if I need a pre-authorization?
Certain procedures and medications require pre-authorization. Your doctor's office typically handles this, but if you're unsure whether your care requires it, call member services and we'll guide you through the process.
How do I appeal a denied claim?
If a claim is denied, your Explanation of Benefits will include the reason and instructions for filing an appeal. You can also call member services — we'll walk you through the process and help you gather the documentation you need.
What happens when I leave my employer?
You may be eligible to continue your coverage through COBRA. Summit administers COBRA on behalf of your employer and will send you enrollment information. You typically have 60 days to elect continuation coverage.
Ready to access
your benefits?
Log into the member portal to view your plan details, check claims, find providers, and manage your health benefits.