Enroll in a 2013 plan

It's EASY to enroll ... over the phone, in-person, by mail or by fax.

If you're ready to become a Samaritan Advantage Health Plan HMO member, that's great! Our promise is to provide you with the coverage you need and the outstanding service you deserve.

It's easy to enroll in the Samaritan Advantage plan of your choice:

ENROLL OVER THE PHONE. Once you have decided which plan you would like to enroll in, you can complete your enrollment over the phone. It can't be easier! Just call (541) 768-4550 or 1-800-832-4580 (TTY 1-800-735-2900), Monday - Friday, 8 a.m. to 5 p.m. One of our enrollment experts will assist you in completing your enrollment.

ENROLL IN-PERSON.  Stop by our offices in Corvallis at 815 NW Ninth Street, Monday – Friday, 8:30 a.m to 5 p.m. One of our friendly staff can assist you, if needed, in completing your enrollment form.

ENROLL BY MAIL OR FAX. Simply download the enrollment form (right), complete the form and mail or fax the form to us.

Mail to:
Samaritan Health Plans
Attn: Enrollment Dept.
PO Box M
Corvallis, OR 97339

Fax to:
(541) 768-4294, Attn: Enrollment Dept.

The Medicare Annual Enrollment Period for 2013 benefits ends on December 7, 2012. To have Medicare Part D prescription coverage or other Medicare Advantage benefits on January 1, 2013, you must have enrolled in a plan by December 7, 2012.

EXCEPTIONS: You may apply for Samaritan Advantage coverage within 3 months of your 65th birthday, no matter when that birthday occurs. Additionally, some beneficiaries, including those that are disabled as defined by Medicare, are allowed to enroll in or switch plans at other times. Contact us for details.

What are my rights if I want to be disenrolled from Samaritan Advantage?
As a member of Samaritan Advantage, you have rights upon disenrollment from your health plan. To read more about your disenrollment rights, click here.

Last modified: January 11, 2013
H3811_MA4001_2012C CMS Approved February 6, 2013 
D O W N L O A D S

2013 ENROLLMENT FORM (PDF) CMS Approved

Enrollment Instructions  (PDF)

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Other options for enrolling:
Medicare beneficiaries may also enroll in a Samaritan Advantage Health Plan (HMO) through the Medicare website. You will leave the Samaritan Advantage website by clicking this link: Centers for Medicare & Medicaid Services Online Enrollment Center.