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2012 Special Needs Plan

Samaritan Advantage Special Needs Plan for 2012

This plan is designed for people who meet specific enrollment criteria. You may be eligible to join this plan if you receive assistance from the state and Medicare. Contact Customer Service for more information at (541) 768-4550, 1-800-832-4580
(TTY 1-800-735-2900) from 8 a.m. to 8 p.m., daily.

Last modified: October 1, 2011
H3811_MA4003_2012 CMS Approved 10/14/2011

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Samaritan Advantage Health Plan HMO is a coordinated care plan with a Medicare Advantage Contract. Individuals must have both Part A and Part B to enroll. Members may enroll in the Conventional, Premier and Premier Plus plans only during specific times of the year. You must continue to pay your Medicare Part A and Part B premiums. You must receive all routine care from plan providers. Benefits, formulary, pharmacy, network, premium and/or copayments/coinsurance may change on January 1, 2013. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. Limitations, copayments and restrictions may apply. Other providers are available in our network. For more information contact Samaritan Advantage Health Plan.