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Learn About Your Advantage Benefits Debit Card

You have a prepaid debit card you can use to pay for certain dental, vision, hearing and over-the-counter items.

Background image: The Samaritan Medicare Advantage Benefits card..

Stay Fit With Your Fitness Benefits

Please note: The Albany SamFit location is temporarily closed. Visit the SamFit website for other locations.

Your Medical & Dental Coverage

If you need additional copies of your member materials, please contact Customer Service.

Your Plan Benefits

Click on the link below to download our Summary of Benefits and review details about your plan’s medical, dental and prescription drug benefits, copays, coinsurance and more.

2023 Summary of Benefits - Conventional, Premier and Premier Plus Plans
2023 Summary of Benefits - Special Needs Plan

2022 Summary of Benefits - Conventional, Premier and Premier Plus Plans
2022 Summary of Benefits - Special Needs Plan

For more detailed plan information including how to use the plan’s coverage to obtain medical services, your rights and responsibilities as a member, important phone numbers and other resources, see your plan’s Evidence of Coverage.

2023 Evidence of Coverage - Conventional Plan
2023 Evidence of Coverage - Premier Plan
2023 Evidence of Coverage - Premier Plan Plus
2023 Evidence of Coverage - Special Needs Plan

2022 Evidence of Coverage - Conventional Plan
2022 Evidence of Coverage - Premier Plan
2022 Evidence of Coverage - Premier Plan Plus
2022 Evidence of Coverage - Special Needs Plan

To see how your plan benefits have changed from year to year, see your plan’s Annual Notice of Changes.

2023 Annual Notice of Changes - Conventional Plan
2023 Annual Notice of Changes - Premier Plan
2023 Annual Notice of Changes - Premier Plan Plus
2023 Annual Notice of Changes - Special Needs Plan

2022 Annual Notice of Changes - Conventional Plan
2022 Annual Notice of Changes - Premier Plan
2022 Annual Notice of Changes - Premier Plan Plus
2022 Annual Notice of Changes - Special Needs Plan

To learn which medical services, procedures, supplies and equipment require our written authorization before being performed or supplied, review our 2023 Prior Authorization List or 2022 Prior Authorization List.

 

How to Use Your Dental Coverage

How Do I Find a Dental Provider & Obtain Services?

  1. Contact our contracted dental provider, or
  2. Many other dentists who have not opted out of Medicare will accept Samaritan Advantage. If you need assistance locating a dental provider who has not opted out of Medicare, call a Customer Service team member at 541-768-4550, toll free 800-832-4580, (TTY 800-735-2900) to find one near you.

What If I Have More Questions?

Our Customer Service Team is happy to help. Call us at 541-768-4550 or toll free 800-832-4580, (TTY 800-735-2900). We are here to serve you.
Customer Service is available:

  • Oct. 1 to March 31: Daily, from 8 a.m. to 8 p.m.
  • April 1 to Sept. 30: Monday through Friday, from 8 a.m. to 8 p.m.

*Samaritan Advantage cannot pay for services rendered by providers who have opted-out of Medicare.

Page Updated 12/07/2022