Plan Benefits

Overview of Plan Benefits

Samaritan Advantage Health Plans will offer one Medicare plan in 2027: Samaritan Dual Advantage (HMO D-SNP). This plan is designed for people who have both Medicare and Medicaid (Oregon Health Plan) coverage.

2027 Plan Benefit Information – Dual Advantage Plan

Below you will find coverage information for this plan. These materials are important documents that describe your health insurance benefits in detail.

To understand the complete details and documentation about what is covered under the 2027 Samaritan Dual Advantage plan, download the Evidence of Coverage. This legal document explains your benefits and rights:

• 2027 Evidence of Coverage – Dual Advantage (English) (10/01/2026).

To review a summary of the plan’s medical, dental and prescription drug benefits, copays, coinsurance and more, download the Summary of Benefits:

• 2027 Summary of Benefits – Dual Advantage (English) (Spanish) (10/01/2026).
• Review a Pre-Enrollment checklist to fully understand the benefits and rules of our plan. (English) (Spanish)

To learn how the plan’s benefits have changed from year to year, see the Annual Notice of Changes:

• 2027 Annual Notice of Changes – Dual Advantage (English) (Spanish) (10/01/2026).

To learn which medical services, procedures, supplies and equipment require our written authorization before being performed or supplied, review the Prior Authorization List:

• 2027 Prior Authorization List (English) (01/1/2027).

Other Important Information

• 2027 Formulary – Dual Advantage Plan (English) (Effective 1/01/2027)

Ready to Enroll? Visit our enrollment page to get started.