SummaCare Medicare Garnet (HMO) in Lorain County, Ohio — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

SummaCare Medicare Garnet (HMO) (H3660-053) is a $35-premium Medicare Advantage HMO from Summa Health available in Lorain County, Ohio in 2026, with a 4.5-star overall rating, a $4,800 in-network out-of-pocket maximum, and a $250 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationSumma Health
Plan nameSummaCare Medicare Garnet (HMO)
Contract IDH3660
Plan ID053
Segment ID2
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$35.00
Part C premium$0.00
Part D basic premium$35.00
Part D total premium$35.00
Annual Part D deductible$250.00
Maximum out-of-pocket (in-network)$4800.00
Overall star rating4.5

How this plan is structured

  • $35 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $4,800 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Lorain County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Lorain County

The CMS CY2026 Landscape file lists 107 Medicare Advantage plans in Lorain County, Ohio, of which 0 carry a 5.0-star overall rating and 51 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $157.00 per month, and in-network out-of-pocket maximums range from $2800.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Lorain County, Ohio.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3660-053.
  2. Call the plan (Summa Health) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3660-053 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3660-053, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3660 are the contract number issued to the organization, and the three-digit 053 is the plan benefit package under that contract. The segment ID 2 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is SummaCare Medicare Garnet (HMO) an HMO or PPO?

SummaCare Medicare Garnet (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does SummaCare Medicare Garnet (HMO) include prescription drug coverage?

Yes — SummaCare Medicare Garnet (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $250.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for SummaCare Medicare Garnet (HMO)?

The 2026 in-network maximum out-of-pocket limit for SummaCare Medicare Garnet (HMO) is $4800.00, per the CMS CY2026 Landscape file.

What counties offer SummaCare Medicare Garnet (HMO) (H3660-053)?

SummaCare Medicare Garnet (HMO) (H3660-053) is offered in 16 Ohio counties: Cuyahoga County, Erie County, Geauga County, Huron County, Lake County, Lorain County, Mahoning County, Medina County, Ottawa County, Portage County, Sandusky County, Seneca County, Stark County, Summit County, Trumbull County, and Wayne County.

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