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  • EFT/ERA Enrollment Guidelines

    Please use the following guidelines when completing the EFT and ERA Enrollment Form above. The form can be used to initiate, change or terminate Electronic Funds Transfer (EFT) and/or Electronic Remittance Advice (ERA/835) enrollment for medical claims. A separate form is required for each Tax Ident…

  • National Coverage Determinations

    Before deciding whether Medicare should cover a particular item (such as a brace or a hearing aid) or a service (such as therapy or screenings), the federal government conducts a comprehensive review process, and occasionally Congress may pass a law requiring coverage of a particular item or service…

  • COBRA Continuation Coverage

    Continuation coverage is available to Samaritan Employer Group members and their covered dependents in certain circumstances.…

  • Consult With a Medicare Expert

    Signing up for Medicare and then understanding your health plan options can be overwhelming. Sometimes you really need someone to sit down with you to help you make sense of it all. Fill out the form below to request a one-on-one consultation at no obligation, and let us know where you would lik…

  • Enroll Now

    .step-list li:before { border: 3px solid #42352d; } We are here to help you complete this process of enrolling with Samaritan Advantage Health Plan HMO. Once you have decided which plan you'd like to enroll in, review our enrollment instructions and complete your enrollment any of the follo…

  • Small Group Employer Plans

    Learn about our small group health plans for Oregon businesses. We offer free preventative services, a local provider network, wellness services and more.…

  • When Am I Eligible for Medicare?

    Generally, you are eligible for Medicare if you or your spouse worked at least 10 years in Medicare-covered employment and you are 65 years or older and a citizen or permanent resident of the United States. If you are not yet 65, you may qualify for coverage if you have a disability or you have End-…

  • Exclusive Member Lunches

    Cory Rahn, PharmD, BCPP, describes the effects that certain medications can have on memory for older adults.…

  • Reporting Fraud, Waste & Abuse

    Learn about medical fraud, waste and abuse and get answers to common questions about reporting these concerns to Samaritan Health Plans.…

  • Why a Medicare Advantage Plan?

    .step-list li:before { border: 3px solid #42352d; } You may be wondering whether a Medicare Advantage Plan makes sense for you. Or, you may be interested to see how it compares with Original Medicare alone. Here are four great reasons to consider Medicare Advantage for your coverage needs:…

  • Employer Group Plans

    Samaritan Employer Group health insurance serves large and small Oregon businesses and their employees with an extensive network of hospitals, clinics and caring professionals.…

  • Our Leadership

    Samaritan Health Plans is led by a team of visionaries who believe health insurance is an essential part of integrated health care delivery. Doug Boysen, JD, MHA President and CEO, Samaritan Health Services Chairman of the Board of Directors, Samaritan Health Plans, Inc. Bruce Butler VP - Chief Exec…

  • MyWellness Incentives

    Samaritan is committed to your health. We offer two incentive programs to encourage and promote healthy behavior — Premium Incentive and Healthy Habits Incentive. These incentive programs are tracked on the MyWellness portal. The MyWellness portal provides a convenient access to content designed to…

  • What Are the Four Parts of Medicare?

    Medicare consists of four parts that cover specific services - Parts A, B, C and D. Read below to get more information on what each part provides.…

  • Provider Forms

    Access and download the most commonly used forms specific to each of our health plans.…

  • Notice of Privacy Practices

    The Notice of Privacy Practices describes your privacy rights and our responsibilities to safeguard your health information. Samaritan Choice Plans and Employer Group Health Plans Notice of Privacy Practices (English). Aviso de prácticas de privacidad (Spanish). Samaritan Advantage Health …

  • Medicare Basics

    Signing up for Medicare and then deciding which health plan you need can be a bit overwhelming. We'd like to help you make sense of it all. The following information will answer some of your important questions as a new Medicare beneficiary.…

  • Brokers

    Partner with Samaritan Health Plans to offer your clients a proven model of integrated, health-focused benefits and wellness programs.…

  • Reimbursement Guidelines

    We have guidelines available to help you with reimbursement for the following services: Adolescent Well Care Annual Preventive Exams for Medicare Patients Contraception Childhood Immunizations (Ages 0–18) Developmental Screenings Immunizations Preventive Care Services SBIRT Services Telemedicine S…

  • Member Rights

    Learn about your rights as a Samaritan Advantage member. Find out how to submit a grievance or appeal.…

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