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Plans for 1-50 Employees

Samaritan Health Plans offers small group plans for Oregon businesses with 1–50 employees. Our integrated health plans and wellness programs help hold the line on your insurance costs by engaging employees and their families in maintaining and improving their health.

Our plans include:

  • A local provider network.
  • Free preventive services.
  • Wellness services — includes a health assessment, biometric screening and online health courses (these services not available with Standard plans).

Standard Plans

Health & Wellbeing Plans

New Performance Plan

Small Group Plan Information

Certificate 

For plans with an effective start date in 2021, review the 2021 Certificate - Small Group Plans.

Some Services Require Authorization

Coverage of certain medical services and surgical procedures requires Samaritan Health Plans’ written authorization before the services are performed. Your provider can request prior authorization by phone, fax or mail. If for any reason your provider will not or does not request prior authorization for you, you must contact Samaritan Health Plans yourself. In some cases, additional information or a second opinion can be required before authorizing coverage. Review the 2021 Authorization List - Small Group Plans

Benefit Summaries

The deductibles and out-of-pocket maximums reflect costs for individuals using in-network providers. Costs will be higher when using out-of-network providers. Please refer to the plan documents for a full description of benefits.

Standards Plans

2021 Summary of Benefit Changes - Standard Bronze Plan
2021 Plan Summary - Standard Bronze Plan
2021 Summary of Benefit Changes - Standard Silver Plan
2021 Plan Summary - Standard Silver Plan

Tier 1 - 20% Coinsurance Plans

2021 Summary of Benefit Changes -  Platinum 500 Tier 1
2021 Plan Summary - Platinum 500 Tier 1
2021 Summary of Benefit Changes - Gold 1250 Tier 1
2021 Plan Summary - Gold 1250 Tier 1
2021 Summary of Benefit Changes -  Gold 2000 Tier 1
2021 Plan Summary - Gold 2000 Tier 1
2021 Summary of Benefit Changes - Gold 3150 Tier 1
2021 Plan Summary - Gold 3150 Tier 1
2021 Summary of Benefit Changes - Gold 4000 Tier 1
2021 Plan Summary - Gold 4000 Tier 1

Tier 2 - 30% Coinsurance Plans

2021 Summary of Benefit Changes - Gold 500 Tier 2
2021 Plan Summary - Gold 500 Tier 2
2021 Summary of Benefit Changes - Gold 1000 Tier 2
2021 Plan Summary - Gold 1000 Tier 2
2021 Summary of Benefit Changes -  Gold 1500 Tier 2
2021 Plan Summary - Gold 1500 Tier 2
2021 Summary of Benefit Changes - Gold 2500 Tier 2
2021 Plan Summary - Gold 2500 Tier 2
2021 Summary of Benefit Changes - Silver 5200 Tier 2
2021 Plan Summary - Silver 5200 Tier 2

Tier 3 - 50% Coinsurance Plan

2021 Summary of Benefit Changes -  Silver 6850 Tier 3
2021 Plan Summary - Silver 6850 Tier 3

HDHP Plan

2021 Summary of Benefit Changes - Silver 2800 HDHP
2021 Plan Summary - Silver 2800 HDHP
2021 Summary of Benefit Changes - Bronze 7000 HDHP
2021 Plan Summary - Bronze 7000 HDHP

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Friendly, Local Service. Statewide Network.

Samaritan Health Plans understands the needs of our members and groups vary. We have developed two provider networks, that complement our benefit offerings. In addition to offering the expertise of our Samaritan primary care providers and specialists, we partner with other provider groups and hospital systems throughout the state of Oregon to meet the needs of our members.

And our large and small group plans use a comprehensive formulary and an extensive pharmacy network for your clients’ prescription drug coverage.

Background image: Samaritan employees working out at SamFit

Partner with Oregon’s Healthiest Employer

For seven out of the past eight years, Samaritan has been named Oregon’s Healthiest Employer in the 1500+ employee category by Portland Business Journal. With its own self-insured plan, Samaritan has achieved a return on investment through a commitment to workplace wellness.

As the state’s healthiest employer, Samaritan is inviting Oregon businesses to join a health plan with an award-winning formula for healthier employees and lower costs.