The Samaritan Advantage Special Needs Plan (HMO D-SNP) is available to anyone who has both medical assistance from the State of Oregon and Medicare. Premiums, copays, coinsurance, and deductibles may vary based on the level of extra help you receive. Please contact the plan for further details at 541-768-7866, 866-768-7250 (TTY 800-735-2900 or 711) from 8 a.m. to 8 p.m., daily.Below you will find coverage information for this plan, which was renamed Samaritan Dual Advantage (HMO D-SNP) in 2024. These materials are important documents that describe your health insurance benefits in detail.
2025 Summary of Benefits – Dual Advantage2025 Annual Notice of Changes – Dual Advantage2025 Evidence of Coverage – Dual Advantage2025 Prior Authorization List
2024 Summary of Benefits – Dual Advantage2024 Annual Notice of Changes – Dual Advantage2024 Evidence of Coverage – Dual Advantage2024 Prior Authorization ListOver-the-Counter Drug List
Give us a call at 866-747-5267 (TTY 800-735-2900 or 711) Monday – Friday between 8:30 a.m. and 5:00 p.m.Click the link below to download our Dual Advantage 2025 Enrollment Guide. The guide includes the Summary of Benefits, an enrollment form and everything you need to know about the enrollment process.2025 Enrollment Guide – Dual Advantage
Page Update 10-1-2024
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