Before I enroll

Am I eligible for Samaritan Advantage?

To be eligible to choose a plan offered by Samaritan Advantage Health Plan HMO, you must meet these requirements:
  • You are 65 or older or have a disability and are eligible for Medicare.
  • You have Medicare Part A and Part B and you continue to pay the premium. For most of you this amount is already taken out of your Social Security before your Social Security check is deposited or sent to you.
  • Your permanent residence is located within our service area: Linn, Benton and Lincoln counties, Oregon.
  • You are not currently diagnosed as having ESRD (End Stage Renal Disease)—also known as kidney failure.

What time of year can I enroll?

Without a special election period due to special circumstances, Medicare beneficiaries may have to wait to enroll until Medicare's Annual Enrollment Period from Oct. 15 to Dec. 7. Beneficiaries with special needs or other special circumstances may be eligible to enroll at any time of year.
 
New Medicare beneficiaries 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.

 

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Samaritan's Medicare Advantage plans are available in Benton, Lincoln and Linn counties, Oregon.
Visit us Monday - Friday, 8:30 a.m. to 5 p.m. at 815 NW Ninth Street, Corvallis, Oregon. Click here for a map.

Samaritan Advantage Health Plan HMO is a coordinated care plan with a Medicare Advantage Contract and a contract with the Oregon Medicaid program. Enrollment in Samaritan Advantage Health Plan HMO depends upon contract renewal. Individuals must have both Medicare 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 B premiums. The Part B premium is covered for full-dual members. You must receive all routine care from plan providers. Benefits, formulary, pharmacy network, provider network, premium, and/or co-payments/coinsurance may change on January 1 of each year. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, co-payments, and restrictions may apply. Other providers are available in our network.

© Samaritan Health Plans

Last modified: Oct. 1, 2014
H3811_MA4001_2014A CMS approval pending