- Samaritan Health Plans
- Members
- Samaritan Employees
- 2021 Benefit Details
2021 Benefit Details
Samaritan Choice members, review your benefit information including medical, prescription drug and pharmacy coverage information.
2021 Documents
Member Handbook
See a summary of medical and pharmacy benefits for 2020 and 2021 in this handbook for Samaritan employees.
2020 Samaritan Choice Plans Medical & Pharmacy Member Handbook
Summary of Material Modifications
The Summary of Material Modifications (SMMs) is a legal and binding document that updates your plan’s member handbook above. You need to read all the SMMs and your member handbook to understand your benefits.
2021 Samaritan Summary of Material Modifications
Plan Comparison
2021 Samaritan Choice Plans Plan Comparison
Summary of Benefits & Coverage
2021 Samaritan Choice Plans - Summary of Benefits & Coverage
Prior Authorization List
List of Covered Drugs & Pharmacies
Samaritan Choice Plans use a formulary — a list of drugs covered by the plan — to meet patient needs. The formulary does not contain the names of all medications available in the market. If a medication is not listed, please contact Customer Service for assistance at 800-832-4580 (TTY 800-735-2900), from 8 a.m. to 8 p.m., Mon. - Fri.
COBRA Continuation Coverage
The right to COBRA Continuation Coverage was created by a federal law, the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). COBRA Continuation Coverage can become available to you when you would otherwise lose your group health coverage. It can also become available to other members of your family who are covered under the Plan when they would otherwise lose their group health coverage.
Choice Member Coverage Information
The plan documents describing your benefits can be found with your plan’s member benefits. These are the same documents referenced while you were a covered employee, spouse or dependent.
For more information, read the frequently asked questions below.
Member Forms
The COBRA Continuation Coverage forms are located on our Member Forms page.