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 Advantage (English)2025 Annual Notice of Changes – Dual Advantage (English)2025 Evidence of Coverage – Dual Advantage (English)2025 Prior Authorization List (English)
2024 Summary of Benefits – Dual Advantage (English)2024 Annual Notice of Changes – Dual Advantage (English)2024 Evidence of Coverage – Dual Advantage (English)2024 Prior Authorization List (English)Over-the-Counter Drug List (English)
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 (English)
Page Update 11-15-2024
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