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  • What to Expect After You Enroll

    After you have submitted your enrollment form to us or enrolled over the phone, there are a few steps that must take place to complete your enrollment. Here's what to expect: Step 1: Enrollment verification Once we have received your enrollment form, our enrollment team will notify you in wr…

  • Enrollment Eligibility

    To be eligible to choose a plan offered by Samaritan Advantage Health Plan HMO, you must meet these requirements: You are 65 or older or have a disability and are eligible for Medicare. You have Medicare Part A and Part B and you continue to pay the premium. For most of you this amount is …

  • Thank You for Updating Your Information

    Please allow five business days for updates to reflect in our system. For new providers: Submission of this form is an initial notification only and should not be used as an effect date for new providers. You will be contacted with further instructions to complete provider enrollment.…

  • Care Management

    Search directories for primary and specialty care providers within your patient's plan network to refer for care.…

  • Small Group Resources

    Small group plan administrators may access the administrative forms, member forms and plan documents you need below. Get answers to your frequently asked questions.…

  • Search Large Group Drug List

    Search the Formulary for Everyday Choices and Momentum Plans by medication name or type. Search results include: The drug tier, which determines the copay (amount) or coinsurance (percentage) that the member will be required to pay for the drug; Any restrictions for the drug, such as …

  • 2019 Medicare Advantage Plans

    Samaritan Advantage Health Plan (HMO) is the only locally based Medicare Advantage plan available to Oregon residents of Benton, Lincoln and Linn counties. Your clients in this region will benefit from the extensive local network of hospitals, doctors and clinics we provide. We offer affordable Medi…

  • How Do I Enroll in Medicare?

    Your enrollment in Medicare is automatic if you already are receiving Social Security retirement benefits. If you are delaying retirement, you are eligible for Medicare, but you must sign up for it. Medicare Preparation Timeline 9 months before you turn 65 Learn about Medicare, Medicare health plans…

  • Benefits and Eligibility

    Use your provider portal to check claims and eligibility. Need help? Download our Provider Connect tutorial for step-by-step instructions.…

  • Oregon Associations in 2020

    Samaritan Health Plans is proud to partner with Oregon business associations to deliver benefits and wellness programs normally only available to much larger entities. We encourage you to visit our partners at Oregon Business & Industry (OBI) and Salem Contractors Exchange (SCE) to see if member…

  • Special Needs Plan Model of Care Training

    Attest to completing the SNP-MOC training through the form provided. Your training will not be documented as complete until you have submitted your attestation to us.…

  • 2019 Premier Plan Plus

    For those wanting the additional medical benefits of an Advantage plan as well as Part D prescription drug coverage, consider our Premier Plan HMO. This plan includes additional benefits like a SamFit gym membership and comprehensive dental services.   Premier …

  • Broker Resources

    Access and download forms and resources for your clients below. Don't hesitate to contact us if you need further assistance.…

  • Member Forms

    Samaritan Choice Forms  The following forms should be sent to Samaritan Choice Plans: Accident/Injury Report: Use this form to report information regarding an accident or injury for claim processing. Appeal Request: Use this form if you intend to appeal a benefit coverage decision made by …

  • Billing

    Sign up for EFT to receive payment faster, and have remittance advice mailed to you. Learn how.…

  • Update Your Information

    Update Your Information Changes If any of your practice information has changed such as TIN, practice location, change in ownership, etc., please fill out the following form and submit via facsimile to Attn: Provider Services Dept (541) 768-4513. Demographic Change form Additions If you are add…

  • 2019 Nominees

    Once again, it’s clear that creating a healthy, happy and high-performing work environment is a top priority for many Oregon employers. Here are our 2019 nominees:  Aldrich Andersen Construction Bill Davis Horse Shoeing Boardman Foods Inc Church Extension Plan Colliers Internationa…

  • InterCommunity Health Network CCO

    The InterCommunity Health Network Coordinated Care Organization's (IHN-CCO) partnership currently serves more than 50,000 Oregon Health Plan members. Visit our member website Transforming Health Care We are continually looking for ways to make health care work better in our communities. Read our pla…

  • Terms of Use and Privacy Policy

    This Terms and Conditions of Use Agreement ("Agreement") is a legal agreement between you and Samaritan Health Plans, Inc. governing your use of this Website (the "site"). YOUR USE OF THIS SITE IS SUBJECT TO THE TERMS AND CONDITIONS OF THIS AGREEMENT. BY ACCESSING, USING AND/OR VIEWING OUR SITE, YOU…

  • Explore 2020 Plans

    Samaritan Health Plans offer a proven model of integrated, health-focused benefits and wellness programs for Oregon employers. With our innovative approach to employee health benefits, we flat-lined our own health insurance costs, reduced workers compensation costs, and lowered employees' health ris…

  • Thank You for Contacting Us

    One of our Customer Service representatives will respond within one business day. To protect your privacy and personal health information (PHI), we will ask you to provide additional information to verify your identity. If you submitted a non-work email address, this email will be sent from our secu…

  • Enroll for 2020

    We are here to help you complete this process of enrolling with Samaritan Advantage Health Plan HMO! Once you have decided which plan you'd like to enroll in, you can complete your enrollment any of the following ways. It couldn't be easier!…

  • Enroll in EFT or ERA

    Did you know that Samaritan Health Plans can send your payments using an electronic funds transfer (EFT) even if you still require a paper remittance advice? Review guidelines. To enroll in EFT or ERA, or to make a change to your current enrollment, complete the EFT/ERA Enrollment Form and fax it to…

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