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Akron, Ohio – Summa Health System is making a significant change to its scheduling policy, impacting patients with out-of-network insurance plans. Starting September 1st, Summa will no longer schedule non-emergency appointments for individuals covered by these plans. This decision, announced recently, aims to streamline billing processes and address ongoing challenges with insurance reimbursements.

Why the Change?

Summa Health cites persistent difficulties in securing fair reimbursements from insurance companies for out-of-network care as the primary driver behind this policy shift. The complex and often lengthy negotiation process with insurers has created administrative burdens and financial strain on the health system. By focusing on patients with in-network coverage, Summa hopes to improve operational efficiency and ensure the long-term financial stability necessary to continue providing high-quality care to the Akron community.

“This was not an easy decision, and we understand it may cause inconvenience for some patients,” stated a Summa Health spokesperson. “However, this change is crucial to our ability to sustain our services and continue offering the exceptional medical care our community deserves. We encourage all patients to verify their insurance coverage and ensure they are utilizing in-network providers whenever possible.”

What Does This Mean for Patients?

For those with out-of-network insurance, this means they will no longer be able to schedule new, non-emergency appointments at Summa Health facilities, including hospitals, clinics, and physician offices. This policy applies to a wide range of services, from routine check-ups to specialist consultations. However, emergency care will not be affected. Patients experiencing a medical emergency should always seek immediate treatment at the nearest emergency room, regardless of their insurance status.

Existing Appointments and Ongoing Care

Patients who currently have scheduled appointments with Summa Health under out-of-network insurance will likely be able to keep those appointments. Summa is working to communicate the specifics of this transition to affected patients. Individuals requiring ongoing care with Summa physicians should discuss their options with their healthcare provider to explore in-network alternatives or potential referral options.

Navigating the Change: Resources for Patients

Summa Health encourages patients to take the following steps:

• Verify Your Insurance Coverage: Contact your insurance provider to confirm whether Summa Health is in-network.
• Review Your Plan Details: Understand your out-of-pocket expenses for in-network and out-of-network care.
• Explore In-Network Providers: Use Summa Health's online provider directory (link to Summa's provider directory) to find in-network physicians and specialists.
• Contact Summa Health: If you have questions or concerns, contact Summa Health’s patient financial services department for assistance.

This policy change represents a significant shift in how Summa Health manages its patient scheduling. While it aims to improve financial stability and operational efficiency, it’s crucial for patients to understand the implications and proactively manage their healthcare needs to ensure continued access to quality medical care.

This article provides general information and should not be considered medical advice. Always consult with your healthcare provider for any health concerns or before making any decisions related to your health or treatment.