2025 – Plan Comparison – Choice Options: PPO vs. HDP See a table that compares and summarizes the 2025 medical benefits for Samaritan Choice PPO and High-Deductible Health Plan with HSA.
2025 Group Certificate of Medical, Surgical, Pharmacy & Hospital Insurance – Employer Group EPO Review the certificate for your plan to understand your health care and prescription drug benefits covered under this plan.
2025 Group Certificate of Medical, Surgical, Pharmacy & Hospital Insurance – Employer Group PPO Review the certificate for your plan to understand your health care and prescription drug benefits covered under this plan.
2025 Medical & Pharmacy Handbook – Samaritan Choice Health Plans Get a complete summary of your medical and pharmacy benefits in this handbook for Samaritan employees.
2025 Prior Auth CPT or HCPCS Codes – IHN-CCO Providers Use the Prior Authorization Coded List as a companion list for the IHN-CCO Prior Authorization List. It includes the CPT or HCPCS codes for the bulleted items found on the Prior Authorization List.
2025 Prior Authorization List – Employer Large Group Learn what medical services, procedures, supplies and equipment require authorization before being covered.
2025 Schedule of Benefits – High-Deductible Health Plan – Choice See a comparison summary of key services offered by your plan and how much you will pay for In-Network vs Out-of-Network coverage. Check your Member Handbook for a full description of your benefits.
2025 Schedule of Benefits – PPO Plan – Choice See a comparison summary of key services offered by your plan and how much you will pay for In-Network vs Out-of-Network coverage. Check your Member Handbook for a full description of your benefits.
2025 Summary of Benefits and Coverage – Choice High-Deductible Plan Use this guide to help you understand what is covered by this high deductible plan.
2025 Summary of Benefits and Coverage – Choice PPO Plan Use this guide to help you understand what is covered by the PPO plan.
