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Plans for 1 to 50 Employees

Samaritan Health Plans offers small group plans for Oregon businesses with 1 to 50 employees. Our integrated health plans and wellness programs help hold the line on your insurance costs by engaging employees and their families in maintaining and improving their health.

Our plans include:

  • A local provider network.
  • Free preventive services.
  • Wellness services — includes a health assessment, biometric screening and online health courses (these services not available with Standard plans).

Explore Your Options for 2023 Small Group Plans

Small Group 2022 Plan Information

Certificate

For plans with an effective start date in 2022, review the 2022 Certificate - Small Group Plans.

Some Services Require Authorization

Coverage of certain medical services and surgical procedures requires Samaritan Health Plans’ written authorization before the services are performed. Your provider can request prior authorization by phone, fax or mail. If for any reason your provider will not or does not request prior authorization for you, you must contact Samaritan Health Plans yourself. In some cases, additional information or a second opinion can be required before authorizing coverage. Review the 2022 Authorization List - Small Group Plans.

Benefit Summaries

The deductibles and out-of-pocket maximums reflect costs for individuals using in-network providers. Costs will be higher when using out-of-network providers. Please refer to the plan documents for a full description of benefits.

Plan Summaries

See an easy to read overview of benefits for each plan.

Standard Plans

2022 Plan Summary - Standard Silver Plan
2022 Plan Summary - Standard Bronze Plan

Tier 1 - 20% Coinsurance Plans

2022 Plan Summary - Platinum 500 Tier 1
2022 Plan Summary - Gold 1250 Tier 1
2022 Plan Summary - Gold 2000 Tier 1
2022 Plan Summary - Gold 3150 Tier 1
2022 Plan Summary - Gold 4000 Tier 1

Tier 2 - 30% Coinsurance Plans

2022 Plan Summary - Gold 500 Tier 2
2022 Plan Summary - Gold 1000 Tier 2
2022 Plan Summary - Gold 1500 Tier 2
2022 Plan Summary - Gold 2500 Tier 2
2022 Plan Summary - Silver 5200 Tier 2

Tier 3 - 50% Coinsurance Plan

2022 Plan Summary - Silver 6850 Tier 3

High Deductible Health Plans

2022 Plan Summary - Silver 2800 HDHP
2022 Plan Summary - Bronze 7050 HDHP

Summary of Benefits & Coverage

See more detailed information about what each plan covers and what you pay for services.

Standard Plans

2022 Summary of Benefits and Coverage - Standard Silver Plan
2022 Summary of Benefits and Coverage - Standard Bronze Plan

Tier 1 - 20% Coinsurance Plans

2022 Summary of Benefits and Coverage -  Platinum 500 Tier 1
2022 Summary of Benefits and Coverage - Gold 1250 Tier 1
2022 Summary of Benefits and Coverage -  Gold 2000 Tier 1
2022 Summary of Benefits and Coverage - Gold 3150 Tier 1
2022 Summary of Benefits and Coverage - Gold 4000 Tier 1

Tier 2 - 30% Coinsurance Plans

2022 Summary of Benefits and Coverage - Gold 500 Tier 2
2022 Summary of Benefits and Coverage - Gold 1000 Tier 2
2022 Summary of Benefits and Coverage -  Gold 1500 Tier 2
2022 Summary of Benefits and Coverage - Gold 2500 Tier 2
2022 Summary of Benefits and Coverage - Silver 5200 Tier 2

Tier 3 - 50% Coinsurance Plan

2022 Summary of Benefits and Coverage -  Silver 6850 Tier 3

High Deductible Health Plans

2022 Summary of Benefits and Coverage - Silver 2800 HDHP
2022 Summary of Benefits and Coverage - Bronze 7050 HDHP

Small Group 2023 Plan Information

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Our Benefits Do More With Health Care Dollars

  1. Encourage Employees to Get Care 
    Low deductibles and office visit copays ensure employees will not wait for a critical and expensive illness to visit the doctor.

  2. Ensure Chronic Conditions Are Treated 
    Zero-cost drug therapy provides employees the benefits they need to effectively manage their chronic conditions.

  3. Provide Peace of Mind When Needed
    With fixed limits on hospital costs, employees will have peace of mind when unexpected illnesses arise.

Discover the proven link between healthier employees and health care savings, and help hold the line on health plan costs. Get to know a health plan that works in partnership with you and/or your clients.

Create and maintain a culture of health and wellness that supports flexible, affordable and sustainable ways to prevent illness and improve well-being.