2024 Low Income Subsidy – Advantage Premier & Premier Plus Plans If you get Extra Help, use this document to see your Premier Plan or Premier Plan Plus premium for 2024.
2024 Summary of Benefits – Advantage Valor Use this summary to compare plan premiums, cost shares, benefits and more.
2023 Pharmacy Directory – Samaritan Advantage Learn which pharmacies are in-network for Samaritan Advantage Health Plans.
Clinical Practice Guidelines – Osteoporosis Diagnosis & Treatment Refer to these guidelines in the diagnosis and treatment of osteoporosis.
Clinical Practice Guidelines – Tobacco Cessation Refer to these guidelines for counseling and intervention strategies in tobacco cessation in adults and adolescents.
Prior Authorization Request Form Request authorization from patient’s health plan to cover medical treatments or services.
2023 Prior Auth List – Provider Administered Drugs – Samaritan Advantage See a list of provider administered drugs that require prior authorization for Samaritan Advantage.
2024 Summary of Benefits – Advantage Premier & Premier Plus Plans Use this table to compare plan premiums, cost shares, benefits and more.
2023 Pharmacy Directory – Out-of-Area Plan – Samaritan Choice Use this directory to find pharmacies located out of the Samaritan service area. Updated 6/2/2023.
