The following navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move through main tier links and expand / close menus in sub tiers. Up and Down arrows will open main tier menus and toggle through sub tier links. Enter and space open menus and escape closes them as well. Tab will move on to the next part of the site rather than go through menu items.
After you have submitted your enrollment form to us or enrolled over the phone, there are a few steps that must take place to complete your enrollment. Here's what to expect: Step 1: Enrollment verification Once we have received your enrollment form, our enrollment team will notify you in wr…
To be eligible to choose a plan offered by Samaritan Advantage Health Plan HMO, you must meet these requirements: You are 65 or older or have a disability and are eligible for Medicare. You have Medicare Part A and Part B and you continue to pay the premium. For most of you this amount is …
View directories for primary and specialty care providers within your patient's plan network to refer for care.…
Employees may contact Customer Service at 541-768-4550, toll-free 1-800-832-4580 or TTY 1-800-735-2900, Monday through Friday, 8 a.m. to 8 p.m. Employees may also come to our office location at 2300 NW Walnut Blvd., Corvallis, Oregon, Monday through Friday, 8:30 a.m. to 5 p.m.…
Central School District 13J has been named the 2017 All-Star Employer for Workplace Wellness. The annual award presented by Samaritan Health Plans, recognizes one Oregon employer of any size for their exceptional commitment to promoting physical fitness, health and safety in the workplace. Under t…
Your enrollment in Medicare is automatic if you already are receiving Social Security retirement benefits. If you are delaying retirement, you are eligible for Medicare, but you must sign up for it. Medicare Preparation Timeline 9 months before you turn 65 Learn about Medicare, Medicare health plans…
Use Your Provider Portal to Check Claims and Eligibility…
Our large and small group plans use comprehensive formularies that offer a complete list of drugs covered by our plans. They include specialty drugs, brand name drugs and generic drugs to meet the needs of your clients. Please note the different formularies for small and large groups. Small…
Access and download forms and resources for your clients below. Don't hesitate to contact us if you need further assistance.…
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…
Samaritan Choice Forms The following forms should be sent to Samaritan Choice Plans: Appeal Request: Use this form if you intend to appeal a benefit coverage decision made by Samaritan Choice Plans. Authorized Representative Form: Use this form to confirm permission for Samaritan Cho…
Online Tools Make it Easy…
Update Your Information Changes If any of your practice information has changed such as TIN, practice location, change in ownership, etc., please fill out the following form and submit via facsimile to Attn: Provider Services Dept (541) 768-4513. Demographic Change form Additions If you are add…
The InterCommunity Health Network Coordinated Care Organization's (IHN-CCO) partnership currently serves more than 50,000 Oregon Health Plan members. Visit our member website. Transforming Health Care We are continually looking for ways to make health care work better in our communities. Read our pl…
This Terms and Conditions of Use Agreement ("Agreement") is a legal agreement between you and Samaritan Health Plans, Inc. governing your use of this Website (the "site"). YOUR USE OF THIS SITE IS SUBJECT TO THE TERMS AND CONDITIONS OF THIS AGREEMENT. BY ACCESSING, USING AND/OR VIEWING OUR SITE, YOU…
Did you know that Samaritan Health Plans can send your payments using an electronic funds transfer (EFT) even if you still require a paper remittance advice? Use our form below to get set up today. Review guidelines. If you are enrolling in electronic remittance advice (ERA) and you are not already …
Network pharmacies consist of pharmacies we have made arrangements with to provide prescription drugs to plan members. Provisions are in place for emergencies if a member is out of the service area. InterCommunity Health Plans contracts with 95 percent of retail pharmacies in our service…
For the Oregon business owner, like you, who needs an effective way to keep their workforce healthy, motivated, and productive, Samaritan Health Plans provides integrated health plans and wellness programs. We created our plans for our own employees, and have proven the link between healthier employ…
Just like you, our members’ health and safety are our highest priority. We would like to work with you to avoid prescribing drugs considered high-risk for our members over the age of 65. High-risk medications are those identified by AGS Beers Criteria and by the Pharmacy Quality Alliance that tend t…
Members of Samaritan Advantage Health Plan HMO have the right to make a complaint for concerns or problems related to their coverage or care or to ask us to cover a specific medical service. These rights include:…