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.

2023 Samaritan Choice Plans Medical & Pharmacy Member Handbook

2022 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.

2023 Schedule of Benefits – Wellness Plan
2023 Schedule of Benefits –  HSA Eligible High-Deductible Plan

2022 Schedule of Benefits – Wellness Plan
2022 Schedule of Benefits – HSA Eligible High-Deductible Plan

Plan Comparison

Compare benefits and costs between Samaritan Choice Wellness and HSA Eligible High-Deductible plans.

2023 Samaritan Choice Plan Comparison

2022 Samaritan Choice Plan Comparison

Summary of Benefits & Coverage

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

2023 Summary of Benefits & Coverage – Wellness Plan
2023 Summary of Benefits & Coverage – HSA Eligible High-Deductible Plan

2022 Summary of Benefits & Coverage – Wellness Plan
2022 Summary of Benefits & Coverage – HSA Eligible High-Deductible Plan

Prior Authorization List

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

2023 Prior Authorization List (Updated April 20, 2023)

2022 Prior Authorization List

Vision Plan

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

2023 Vision Handbook

2022 Vision Handbook

Other Member Documents

Gain a better understanding of commonly used insurance terms.

Glossary of Terms

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