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.

2024 Samaritan Choice Plans Medical & Pharmacy Member Handbook
2023 Samaritan Choice Plans Medical & Pharmacy Member Handbook

Schedule of Benefits

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

2024 Schedule of Benefits – PPO Plan (Updated Aug. 20, 2024)
2024 Schedule of Benefits – High-Deductible Health Plan with HSA (Updated Aug. 20, 2024)

2023 Schedule of Benefits – PPO Plan
2023 Schedule of Benefits – High-Deductible Health Plan with HSA

Plan Comparison

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

2024 Samaritan Choice Plan Comparison
2023 Samaritan Choice Plan Comparison

Summary of Benefits & Coverage

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

2024 Summary of Benefits & Coverage – PPO Plan (Updated March 21, 2024)
2024 Summary of Benefits & Coverage – High-Deductible Health Plan with HSA (Updated March 22, 2024)

2023 Summary of Benefits & Coverage – PPO Plan
2023 Summary of Benefits & Coverage – High-Deductible Health Plan with HSA

Prior Authorization List

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

2024 Prior Authorization List (Updated Jan. 3, 2024)
2023 Prior Authorization List (Updated April 20, 2023)

Vision Plan

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

2024 Vision Handbook
2023 Vision Handbook

Other Member Documents

Gain a better understanding of commonly used insurance terms.

Glossary of Terms