Plan Benefits

Overview of Plan Benefits

Starting in 2026, Samaritan Advantage Health Plans will offer one Medicare plan: Samaritan Dual Advantage (HMO D-SNP). This plan is designed for people who have both Medicare and Medicaid (Oregon Health Plan) coverage.

2026 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 2026 Samaritan Dual Advantage plan, download the Evidence of Coverage. This legal document explains your benefits and rights:

• 2026 Evidence of Coverage – Dual Advantage (English) (10/01/2025).

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

• 2026 Summary of Benefits – Dual Advantage (English) (10/01/2025).

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

• 2026 Annual Notice of Changes – Dual Advantage (English) (10/01/2025).

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

• 2026 Prior Authorization List (English) (10/01/2025).

Other Important Plan Information

• 2026 Pharmacy Directory (English) (Effective 1/01/2026).
• 2026 Formulary – Dual Advantage Plan (English) (Effective 1/01/2026).
• 2026 Low Income Subsidy Summary – Dual Advantage Plan (English) (Effective 1/01/2026).
• 2026 Medicare Star Ratings (English).