Getting started with Samaritan InterCommunity Health Network (IHN)

Welcome, Samaritan InterCommunity Health Network members!

Samaritan InterCommunity Health Network (IHN) is the locally managed Oregon Health Plan for eligible residents of Linn, Benton, Lincoln and Tillamook County, Oregon. Member services and plan administration are provided by Samaritan Health Plan Operations, a division of Samaritan Health Services. We’re proud to serve our friends and neighbors and contribute to the health and well being of our community.

Your benefits

IHN Member Handbook
IHN Member Handbook - SPANISH

Listing of Urgent and Pediatric Care Clinics near you

IHN co-payment information

P R I O R A U T H O R I Z A T I O N

Coverage of certain medical services and surgical procedures requires Samaritan InterCommunity Health Network's written authorization before the services are performed.
NEW! IHN 2012 Prior Authorization List
IHN 2011 Prior Authorization List

Your network providers

Primary Care Physician Directory
Specialty Provider Directory

Your pharmacies and covered drugs

P H A R M A C I E S
IHN has a national network of contracted pharmacies. Most major chain pharmacies and many independently-owned pharmacies are contracted with IHN and can fill prescriptions for our members. To find out about a specific pharmacy please contact Customer Service for help.

F O R M U L A R Y
Your IHN Formulary contains a listing of covered drugs, prior authorization requirements and any drug quantity limits. This formulary does not contain the names of all medications available in the market. If your medication is not listed, please contact Customer Service for assistance.
2011 Formulary

Your member forms

Hearing Request Form: Request an Administrative Hearing from Department of Medical Assistance Programs (DMAP).

IHN Appeal Request Form: Request a medical appeal with IHN.

Medication Exception & Authorization Form: Request medically necessary medications that are not normally covered on IHN’s formulary and for medications that require prior authorization.

Primary Care Provider (PCP) Change Card: Choose or change a PCP.

Prior Authorization-Referral Form: Request an authorization for medical services.

Authorized Representative Form: You have the right to choose an Authorized Representative.

Request for Health Plan Records Form: This form is required to be completed when you are requesting any Health Plan documentation from us.

Samaritan Health Plan Operations

Section Topics