Tips for Delaying Retirement
We've put together some tips to help you extend your career beyond age 65.…
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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…
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Prescription Drugs in 2018
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 employees. Please note the different formularies for small and large groups. 201…
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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 …
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Care Management
View directories for primary and specialty care providers within your patient's plan network to refer for care.…
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2018 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. 2018 …
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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.…
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2017 All-Star Employer
Central School District 13J was named the 2017 All-Star Employer for Workplace Wellness. Under the leadership of Superintendent Buzz Brazeau and a team of Get Fit coordinators, 13J has implemented a comprehensive wellness program that increases their staff's access to wellness information and help…
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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…
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2018 Large Group Plans
Samaritan Health Plans provides large group plans for businesses throughout Oregon. Our integrated health plans and wellness programs help hold the line on employers' insurance costs. We do this by engaging employees and their families in maintaining and improving their health. Compare our Everyday …
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Benefits and Eligibility
Use Your Provider Portal to Check Claims and Eligibility…
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Special Needs Plan Model of Care Training
Attest to completing the SNP-MOC training through the form provided. Your training will not be documented as complete until you have submitted your attestation to us.…
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Broker Resources
Access and download forms and resources for your clients below. Don't hesitate to contact us if you need further assistance.…
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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 Choice Plans to di…
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Billing
Online Tools Make it Easy…
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2018 Vision Plan
This Plan pays for vision examinations and corrective lenses and frames (when prescribed by a licensed ophthalmologist or licensed optometrist) for you and your insured dependents. The Plan allows you to choose any licensed ophthalmologist, optician, or optometrist. However, for eye examinations, th…
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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…
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Terms of Use and Privacy Policy
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…
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Instructions for Members
Employees who participate in a biometric screening, complete an online health assessment, and enroll in the Samaritan Choice Wellness Plan, will qualify for the lowest premium in 2018. Only employees who complete the instructions below will qualify for the lowest premium.…
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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…
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Plan Documents for 2018
Download the important plan information you need here. Still have questions? Contact us! Summary of Benefits 2018 Summary of Benefits - Conventional Plan, Premier Plan and Premier Plan Plus 2018 Summary of Benefits - Special Needs Plan Annual Notice of Changes 2018 Annual Notice of Changes - Co…
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Enroll in EFT or ERA
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 …
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Your 2018 Covered Drugs
2018 Formularies Samaritan Advantage Premier, Premier Plus, and Special Needs Plan HMOs use a comprehensive formulary. A comprehensive formulary is a complete list of drugs covered by your plan to meet patient needs. Covered drugs include specialty drugs, brand name drugs and generic drugs. Generic …