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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 nationwide provider network 
  • Free preventive services
  • Wellness services — includes a health assessment, biometric screening and online health courses (these services not available with Standard plans)
Our 2020 benefits are pending state approval.

The deductibles and out-of-pocket maximums listed below 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.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Documents
Samaritan Standard Bronze Plan $7,900 $7,900 0% Primary care: $45
Specialty care: $90
Mental health: $45
0% coinsurance 0% coinsurance Summary of Benefits and Coverage - Bronze
Schedule of Benefits - Bronze
Samaritan Standard Silver Plan $3,550 $8,150 30% Primary care: $40
Specialty care: $80
Mental health: $40
30% coinsurance 30% coinsurance Summary of Benefits and Coverage - Silver
Schedule of Benefits - Silver

The deductibles and out-of-pocket maximums listed below 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.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Documents
Performance Bronze Basic $8,150 $8,150 0% Primary care, specialty care and mental health: 0%, deductible applies
0% coinsurance 0% coinsurance Summary of Benefits and Coverage - Bronze Basic
Schedule of Benefits - Bronze Basic

The deductibles and out-of-pocket maximums listed below 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.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Documents
Performance Platinum 500 $500 $3,000 20% Primary care: $15
Specialty care: $30
Mental health: $15
$30  $200* Summary of Benefits and Coverage - Platinum 500
Schedule of Benefits - Platinum 500
Performance Gold 1000 $1,000 $8,150 20% Primary care: $15
Specialty care: $30
Mental health: $15
$30  $300* Summary of Benefits and Coverage - Gold 1000
Schedule of Benefits - Gold 1000
Performance Gold 2000 $2,000 $8,150 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* Summary of Benefits and Coverage - Gold 2000
Schedule of Benefits - Gold 2000
Performance Gold 3150 $3,150 $8,150 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* Summary of Benefits and Coverage - Gold 3150
Schedule of Benefits - Gold 3150
Performance Gold 4000 $4,000 $6,500 20% Primary care: $25
Specialty care: $45
Mental health: $25
$45  $300* Summary of Benefits and Coverage - Gold 4000
Schedule of Benefits - Gold 4000

*Copay and coinsurance apply after deductible

The deductibles and out-of-pocket maximums listed below 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.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care  Emergency Care Plan Documents
Performance Gold 500 $500 $4,500 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60  $400* Summary of Benefits and Coverage - Gold 500
Schedule of Benefits - Gold 500
Performance Gold 1000 $1,000 $8,150 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60  $400* Summary of Benefits and Coverage - Gold 1000
Schedule of Benefits - Gold 1000
Performance Gold 1500 $1,500 $8,150 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60   $400* Summary of Benefits and Coverage - Gold 1500
Schedule of Benefits - Gold 1500
Performance Gold 2500 $2,500 $6,200 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60  $400* Summary of Benefits and Coverage - Gold 2500
Schedule of Benefits - Gold 2500
Performance Silver 5000 $5,000 $8,150 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60   $400* Summary of Benefits and Coverage - Gold 5000
Schedule of Benefits - Silver 5000
Performance Silver 6850 $6,850 $8,150 30% Primary care: $40
Specialty care: $60
Mental health: $40
$60   $400* Summary of Benefits and Coverage - Gold 6850
Schedule of Benefits - Silver 6850

*Copay and coinsurance apply after deductible

The deductibles and out-of-pocket maximums listed below 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.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Documents
Performance Gold 500 $500 $5,750 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70  $500* Summary of Benefits and Coverage - Gold 500
Schedule of Benefits - Gold 500
Performance Gold 1000 $1,000 $5,750 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70   $500* Summary of Benefits and Coverage - Gold 1000
Schedule of Benefits - Gold 1000
Performance Silver 3100 $3,100 $8,150 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70   $500* Summary of Benefits and Coverage - Silver 3100
Schedule of Benefits - Silver 3100
Performance Silver 4000 $4,000 $8,150 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70  $500* Summary of Benefits and Coverage - Silver 4000
Schedule of Benefits - Silver 4000
Performance Silver 5000 $5,000 $8,150 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70  $500* Summary of Benefits and Coverage - Silver 5000
Schedule of Benefits - Silver 5000
Performance Silver 6850 $6,850 $8,150 50% Primary care: $50
Specialty care: $70
Mental health: $50
$70  $500* Summary of Benefits and Coverage - Silver 6850
Schedule of Benefits - Silver 6850

*Copay and coinsurance apply after deductible

The deductibles and out-of-pocket maximums listed below 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.

  Deductible Out-of-pocket Maximum Coinsurance Office Visits Urgent Care Emergency Care Plan Documents
Performance Silver 2800 HDHP $2,800 $6,850 20% Primary care: 20%
Specialty care: 20%
Mental health: 20%
20%  20% Summary of Benefits and Coverage - Silver 2800
Schedule of Benefits - Silver 2800
Performance Silver 3500 HDHP $3,500 $6,850 20% Primary care: 20%
Specialty care: 20%
Mental health: 20%
20%   20% Summary of Benefits and Coverage - Silver 3500
Schedule of Benefits - Silver 3500
Performance Bronze 5000 HDHP $5,000 $6,850 20% Primary care: 20%
Specialty care: 20%
Mental health: 20%
20%  20% Summary of Benefits and Coverage - Bronze 5000
Schedule of Benefits - Bronze 5000
Performance Bronze 6850 HDHP $6,850 $6,850 0% Primary care: 0%
Specialty care: 0%
Mental health: 0%
0%   0% Summary of Benefits and Coverage - Bronze 6850
Schedule of Benefits - Bronze 6850

Looking for additional forms and documents?

Find forms, certificates and other important plan documents in our Plan Administrators section.
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Friendly, Local Service. Nationwide Networks.

Our provider network includes more than 1 million health care professional service locations in all 50 states and the District of Columbia. 

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

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