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  • What To Expect After You Enroll

    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…

  • Enrollment Eligibility

    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 …

  • Care Management

    View directories for primary and specialty care providers within your patient's plan network to refer for care.…

  • Small Group Resources

    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.…

  • How Do I Enroll in Medicare?

    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…

  • Prescription Drugs

    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…

  • Broker Resources

    Access and download forms and resources for your clients below. Don't hesitate to contact us if you need further assistance.…

  • 2016 Benefits

    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…

  • Member Forms

    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…

  • Billing

    Online Tools Make it Easy…

  • Update Your Information

    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…

  • InterCommunity Health Network CCO

    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…

  • EFT/ERA Enrollment

    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…

  • Meeting the Challenge

    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…

  • Network Pharmacies

    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…

  • Member Rights

    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:…

  • Your Benefits

    Network Pharmacies This plan covers medically necessary prescription drug services through Samaritan Health Services pharmacies or any Walgreens pharmacy. The following is a list of the current participating Samaritan Health Services pharmacies: Albany: Elm Street Pharmacy, 541-812-5071,…

  • High-Risk Medications and Medicare Members

    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…

  • Health Resources

    We have put together some resources for our members to help you maintain good health, prevent disease and manage chronic conditions.…

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