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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 learn the details about 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) (10/1/2025).

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) (10/1/2025).

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) (10/1/2025).

Enroll In the Dual Advantage Plan

If you’re ready to take the next step and begin enrolling, learn more about the process and download the enrollment form.

Get Started

2025 Plan Benefit Information

2025 Enrollment Guide – Valor, Premier Plan & Premier Plan Plus (English)
2025 Summary of Benefits – Valor, Premier Plan & Premier Plan Plus (English)
2025 Low Income Subsidy Premium Summary – Premier Plan & Premier Plan Plus (English)
2025 Enrollment Guide – Dual Advantage (English)
2025 Summary of Benefits – Dual Advantage (English)

Other Important 2025 Plan Information

For more detailed plan information including how to use the plan’s coverage to obtain medical services, your rights and responsibilities as a member, important phone numbers and other resources, see the Evidence of Coverage for the plan you are interested in.

2025 Evidence of Coverage – Valor (English)
2025 Evidence of Coverage – Premier Plan (English)
2025 Evidence of Coverage – Premier Plan Plus (English)
2025 Evidence of Coverage – Dual Advantage (English)
2025 Prior Authorization List (English)
2025 Medicare Star Ratings (English)

Learn more about enrollment.

2025 Samaritan Advantage Plans Offer

Unlimited rides to and from grocery stores, doctor visits, pharmacies, fitness centers, therapy and more.
$0 medical deductible.
Part D prescription drug coverage available with Premier Plan and Premier Plan Plus.
Fitness benefits.
Nationwide urgent care and worldwide emergency care.
Access to our extensive network of Oregon health care providers, both inside and outside the Samaritan system, including The Corvallis Clinic, a part of Optum; OHSU; Providence; PeaceHealth and more.
Personal emergency response system at no cost.
24/7 Nurse Advice Line.
Coverage for preventive and comprehensive dental care, over-the-counter (OTC) items, acupuncture, chiropractic, skilled nursing facility services, eye exams and eyewear, hearing exams and aids, fitness benefits and more.

Page Updated 10-01-2025