Samaritan Choice Benefit Details

Review Your Benefit Details

See benefit information for medical, prescription drug and pharmacy coverage for Samaritan Choice Members.

Member Handbook

See a complete summary of your medical and pharmacy benefits in this handbook for Samaritan employees.

2025 Samaritan Choice Plans Medical & Pharmacy Member Handbook (English)
2024 Samaritan Choice Plans Medical & Pharmacy Member Handbook (English)

Schedule of Benefits

See an overview of what your plan covers and how much you pay for covered services.

2025 Schedule of Benefits – PPO Plan (English)
2025 Schedule of Benefits – High-Deductible Health Plan with HSA (English)

2024 Schedule of Benefits – PPO Plan (English)
2024 Schedule of Benefits – High-Deductible Health Plan with HSA (English)

Plan Comparison

Compare benefits and costs between Samaritan Choice PPO Plan and High-Deductible Health Plan with HSA.

2025 Samaritan Choice Plan Comparison (English)
2024 Samaritan Choice Plan Comparison (English)

Summary of Benefits & Coverage

Review what your plan covers and how much you pay for covered services.

2025 Summary of Benefits and Coverage – PPO Plan (English)
2025 Summary of Benefits and Coverage – High-Deductible Plan (English)

2024 Summary of Benefits & Coverage – PPO Plan
2024 Summary of Benefits & Coverage – High-Deductible Health Plan with HSA (English)

Prior Authorization List

Learn what medical services, procedures, supplies and equipment require authorization before being covered.

2025 Prior Authorization List (English) (Effective Jan. 1, 2025)

2024 Prior Authorization List (English)

Vision Plan

See a complete summary of your vision benefits in this handbook.

2025 Vision Handbook (English)
2024 Vision Handbook (English)

Other Member Documents

Gain a better understanding of commonly used insurance terms.

Glossary of Terms (English)