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Standard Plans

Health & Wellbeing Plans

New Performance Plan

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)

Benefit Summaries

The deductibles and out-of-pocket maximums listed below reflect costs for individuals using EPO providers. Please refer to the plan documents for a full description of benefits.

The deductibles and out-of-pocket maximums listed below reflect costs for individuals using EPO providers. Please refer to the plan documents for a full description of benefits.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Summaries Summary of Benefits & Coverage
Samaritan Oregon Standard Bronze Plan $8,500 $8,500 0% Primary care: $50
Specialty care: $100
Mental health: $50
0% coinsurance 0% coinsurance Samaritan Oregon Standard Bronze Summary

Summary of Benefits and Coverage - Standard Bronze Plan 

Samaritan Oregon Standard Silver Plan $3,650 $8,550 30% Primary care: $40
Specialty care: $80
Mental health: $40
$70 copay 30% coinsurance

Samaritan Oregon Standard Silver Summary

Summary of Benefits and Coverage - Standard Silver Plan

The deductibles and out-of-pocket maximums listed below reflect costs for individuals using EPO providers. Please refer to the plan documents for a full description of benefits.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Summaries Summary of Benefits & Coverage
EPO Platinum 500 $500 $3,000 20% Primary care: $15
Specialty care: $30
Mental health: $15
$30  $200* EPO Platinum 500 Tier 1 Summary
Summary of Benefits and Coverage - EPO Platinum 500 Tier 1
EPO Gold 1250 $1,250 $8,550 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* EPO GOLD 1250 Tier 1 Summary
Summary of Benefits and Coverage - EPO Gold 1250 Tier 1
EPO Gold 2000 $2,000 $8,550 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* EPO Gold 2000 Tier 1 Summary
Summary of Benefits and Coverage - EPO Gold 2000 Tier 1
EPO Gold 3150 $3,150 $8,550 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* EPO Gold 3150 Tier 1 Summary
Summary of Benefits and Coverage - EPO Gold 3150 Tier 1
EPO Gold 4000 $4,000 $6,500 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* EPO Gold 4000 Tier 1 Summary
Summary of Benefits and Coverage - EPO Gold 4000 Tier 1

*Copay and coinsurance apply after deductible



The deductibles and out-of-pocket maximums listed below reflect costs for individuals using EPO providers. Please refer to the plan documents for a full description of benefits.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care  Emergency Care Plan Summaries Summary of Benefits & Coverage
EPO Gold 500 $500 $6,000 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60  $400*

EPO Gold 500 Tier 2 Summary

Summary of Benefits and Coverage - EPO Gold 500 Tier 2 

EPO Gold 1000 $1,000 $8,550 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60  $400* EPO Gold 1000 Tier 2 Summary
Summary of Benefits and Coverage - EPO Gold 1000 Tier 2 
EPO Gold 1500 $1,500 $8,550 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60   $400* EPO Gold 1500 Tier 2 Summary
Summary of Benefits and Coverage - EPO Gold 1500 Tier 2 
EPO Gold 2500 $2,500 $6,200 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60  $400* EPO Gold 2500 Tier 2 Summary
Summary of Benefits and Coverage - EPO Gold 2500 Tier 2 
EPO Silver 5200 $5,200 $8,550 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60   $400* EPO Silver 5200 Tier 2 Summary
Summary of Benefits and Coverage - EPO Silver 5200 Tier 2 

*Copay and coinsurance apply after deductible



The deductibles and out-of-pocket maximums listed below reflect costs for individuals using EPO providers. Please refer to the plan documents for a full description of benefits.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Summaries Summary of Benefits & Coverage
EPO Silver 6850 $6,850 $8,550 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70  $500* EPO Silver 6850 Tier 3 Summary
Summary of Benefits and Coverage - EPO Silver 6850 Tier 3

*Copay and coinsurance apply after deductible

The deductibles and out-of-pocket maximums listed below reflect costs for individuals using EPO providers. Please refer to the plan documents for a full description of benefits.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Summaries Summary of Benefits & Coverage
EPO Silver 2800 HDHP $2,800 $7,000  20% Primary care: 20%
Specialty care: 20%
Mental health: 20%
20%  20% EPO Silver 2800 HDHP Summary
Summary of Benefits and Coverage - EPO Silver 2800 HDHP
EPO Bronze 7000 HDHP
$7,000  $7,000  0%  Primary care: 0%
Specialty care: 0%
Mental health: 0%
 0%  0%

 

EPO Bronze 7000 HDHP Summary


 

Summary of Benefits and Coverage - EPO Bronze 7000 HDHP


 

Background image: Samaritan employees working out at SamFit

Partner with Oregon’s Healthiest Employer

For four out of the past five 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.