Samaritan Health Plans is a leading provider of high-quality health insurance options for people living in Oregon. The health plan was established in 1994 and since then has been dedicated to providing exceptional healthcare services to its members. Samaritan Health Plans has a mission to provide innovative, affordable, and high-quality healthcare services that meet the needs of their members.
Samaritan Health Plans is a non-profit organization and is part of Samaritan Health Services network. Samaritan Health Services (SHS) is a not-for-profit regional health system based in Oregon that is committed to providing exceptional care to its patients. SHS is a coordinated and integrated network of healthcare services that includes hospitals, clinics, and care centers. Samaritan Health Plans operates as the insurance arm of SHS and provides health coverage for individuals and families.
Vision and Mission
Samaritan Health Plans has a vision to become the leading healthcare provider in the Pacific Northwest by offering innovative plans and services. The organization’s mission is to improve the health and well-being of its members by providing them access to quality medical care.
Accreditation and Awards
Samaritan Health Plans is accredited by the National Committee for Quality Assurance (NCQA). It has received recognition for its commitment to improving the quality of healthcare by offering preventive care and disease management programs. Samaritan Health Plans has been awarded the highest rating of 5.0 out of 5.0 for its commercial HMO and PPO plans.
Samaritan Health Plans has a large membership base that includes individuals, families, and small businesses. Members receive access to a comprehensive network of healthcare providers, hospitals, and clinics across Oregon. Samaritan Health Plans provides a range of health insurance options to meet the needs of its members.
In the next sections, we will delve deeper into the benefits, plan options, and provider networks offered by Samaritan Health Plans.
Key Benefits of Samaritan Health Plans
Samaritan Health Plans offers a comprehensive range of benefits that are designed to meet the unique healthcare needs of individuals and families. Here are some of the key benefits of Samaritan Health Plans:
Samaritan Health Plans offers affordable coverage in a range of plans that are tailored to meet the healthcare needs and budgets of individuals and families. The plans are generally more affordable than traditional health insurance plans, making them an attractive option for those seeking value for their money.
Samaritan Health Plans emphasizes the importance of preventive care, offering comprehensive coverage for preventive services such as annual physical exams, immunizations, cancer screenings, and more. This focus on preventive care helps members stay healthy, avoid costly medical procedures, and maintain their overall well-being.
Access to Quality Providers
Samaritan Health Plans provides members with access to a network of high-quality healthcare providers, including physicians, hospitals, and other medical facilities. Members can choose from a broad range of providers, many of whom are located in their local communities, making it easy to find the care they need close to home.
Comprehensive Coverage for Medical Expenses
Samaritan Health Plans provides comprehensive coverage for a range of medical expenses, including physician visits, hospitalizations, laboratory tests, imaging studies, and prescription drugs. The plans are designed to cover a wide range of healthcare services, ensuring that members get the care they need when they need it.
Health and Wellness Programs
Samaritan Health Plans offers a range of health and wellness programs that are designed to help members manage chronic medical conditions, maintain a healthy lifestyle, and improve their overall well-being. These programs include weight management, smoking cessation, stress management, and more.
Exceptional Member Support
Samaritan Health Plans is committed to providing exceptional member support, with a dedicated team of experts available to answer questions, provide guidance, and help members navigate the complex world of healthcare. This support can be particularly valuable for those who are new to the world of health insurance and need help understanding the benefits and options available to them.
Coverage, Plans and Options
Samaritan Health Plans offers a variety of coverage options to suit different medical needs and budgets. Whether you need a plan for yourself, your family or your employees, you’ll find a range of choices designed to meet your unique requirements.
One of the most popular choices is the Samaritan Choice plan, which is a Preferred Provider Organization (PPO) plan. This plan allows you to choose your healthcare providers from the extensive network of doctors and hospitals that Samaritan Health Plans partners with. You’ll get more value for your money with the Samaritan Choice plan, as it offers a lower deductible and out-of-pocket maximum compared to other plans. Additionally, the Samaritan Choice plan covers preventive care services at no extra cost, so you can stay healthy and avoid costly medical bills down the line.
Samaritan Health Plans also offers a Health Savings Account (HSA) plan, which is a good option if you want to save money on your medical expenses and have more control over your healthcare spending. With an HSA plan, you can contribute pre-tax dollars to your account and use them to pay for qualified medical expenses, such as deductibles, copays and prescriptions. You can also use your HSA funds to cover your health insurance premiums, which can lower your overall healthcare costs.
If you’re looking for a more affordable option, you can consider the Samaritan Bronze plan, which has a lower monthly premium but a higher deductible. This plan is good for young and healthy individuals who don’t need frequent medical care and prefer to pay for routine expenses out of pocket. You can also choose the Samaritan Silver plan, which strikes a balance between cost and coverage, or the Samaritan Gold plan, which has a higher monthly premium but a lower deductible.
When it comes to dental and vision coverage, Samaritan Health Plans has you covered as well. You can add dental and vision benefits to your medical plan for an additional cost, or opt for standalone dental and vision plans. These plans cover a range of services, from routine cleanings and exams to major dental procedures and vision correction. Having dental and vision coverage can help you maintain your overall health and well-being, as these areas of your body often affect each other.
Samaritan Health Plans offers a comprehensive range of coverage options to fit every budget and medical need. Whether you choose the Samaritan Choice plan, HSA plan or another option, you can rest assured that you’ll have access to quality healthcare at an affordable price. With additional options for dental and vision coverage, you can take care of your whole body and enjoy peace of mind knowing that you’re covered.
Provider Network and Access
Choosing a health plan is a significant decision for everyone, and the provider network is an essential factor in making that decision. Samaritan Health Plans understands this and provides access to a broad range of healthcare providers, ensuring members can receive the care they need when they need it.
With Samaritan Health Plans, members have access to a significant network of healthcare providers, including primary care physicians, specialists, and hospitals. This network comprises more than 5,500 healthcare providers and 13 hospitals across the state of Oregon, providing members with an extensive range of options to choose from.
Samaritan Health Plans’ provider network partners with some of the best healthcare providers in the industry, ensuring that members receive the highest quality care possible. The network includes in-network providers, specialty care, and out-of-network coverage, providing members with comprehensive healthcare options to meet their specific needs.
The health plan provides easy access to healthcare through its online portal, where members can search for medical providers based on their location, specialty, and personal preferences. The portal also allows members to schedule an appointment, view their medical history, access laboratory results, and renew their prescriptions.
Samaritan Health Plans’ members have access to some of the most well-respected hospitals and medical centers in the region. The network includes Samaritan Health Services, a not-for-profit organization with five hospitals located in Albany, Corvallis, Lebanon, Lincoln City, and Newport. Members can access specialty care at Samaritan Health Services through their provider network, which offers many advanced diagnostic and treatment options.
In addition to its provider network, Samaritan Health Plans offers coverage for telemedicine services. Members can access virtual consultations with healthcare providers through video, phone, or chat appointments, making medical appointments more convenient and accessible.
Samaritan Health Plans’ provider network offers members an extensive range of healthcare providers and top-notch medical services. Its online portal and telemedicine services provide members with innovative and convenient methods of accessing healthcare, making it a top choice for anyone in need of robust and accessible healthcare coverage.
Member Services and Support
Samaritan Health Plans offers top-notch support and services to its members. As a member, you can access a range of tools, resources and support services tailored to meet your unique healthcare needs.
MyChart is a secure and user-friendly online portal offered by Samaritan Health Plans. This service offers personalized, real-time access to your medical records, test results, and diagnosis from the comfort of your home. You can also use this service to schedule an appointment, renew your prescription or communicate with your healthcare provider.
Samaritan Health Plans offer a range of wellness programs such as fitness classes, wellness coaching, and weight management programs. These programs are designed to encourage healthy living and reduce the risk of chronic diseases. As a member, you can access these programs at no extra cost.
Samaritan Health Plans offers a wealth of health information and resources through its website. These resources include articles, videos, webinars, and other educational resources designed to help members make informed health decisions. Additionally, you can participate in community events and programs designed to promote health and wellness.
Samaritan Health Plans offers care management services at no extra cost. These services are designed to help members manage chronic conditions such as diabetes, heart disease or asthma. Care managers work closely with members, their families, and healthcare providers to develop personalized care plans tailored to meet individual healthcare needs.
24/7 Nurse Line
The 24/7 Nurse line provides members with access to experienced medical professionals who can provide immediate advice on health matters. Members can call the nurse line anytime and from anywhere to receive guidance on non-emergency medical issues or to ask questions about their coverage.
Samaritan Health Plans has a dedicated customer service team available to help members with any issues they may encounter. Members can contact customer service via phone, email or online chat. Customer service representatives are knowledgeable, friendly and responsive, and can help members with various issues, including plan information, claims, and billing questions.
Samaritan Health Plans prides itself on providing excellent member services and supports to its members. The company goes the extra mile to ensure that its members have access to high-quality care, support and resources to help them manage their health and wellbeing. Whether you need help with managing chronic conditions, accessing healthcare services or understanding your benefits, Samaritan Health Plans has got you covered.
When it comes to healthcare, choosing the right plan is crucial. Samaritan Health Plans offer a range of options to fit your needs and budget, no matter what stage of life you are in. From preventative services to complex medical procedures, they provide coverage that makes sense for you and your family.
Samaritan Health Plans stand out for their commitment to quality care and their focus on the individual. Their plans are flexible, competitive and can fit any budget. Plus, their range of services and exceptional provider network means you can always find the care you need.
While many healthcare plans can be complicated to navigate, Samaritan Health Plans make the process simple and user-friendly. Their experienced customer service team is always available to help answer any questions you may have, and their online tools make it easy to manage your health and wellness from anywhere.
Choosing Samaritan Health Plans means choosing a partner in your healthcare journey. With their focus on affordability, accessibility, and quality care, you can have peace of mind knowing that you and your family are in good hands. So why wait? Contact Samaritan Health Plans today to learn more and start your journey to better health.
In conclusion, Samaritan Health Plans is an excellent option for individuals and families who are looking for high-quality health insurance coverage. With a variety of plans and options to choose from, members can tailor their coverage to fit their specific needs. Whether you’re looking for basic coverage or comprehensive coverage, Samaritan Health Plans has a plan that can meet your needs.
One of the key benefits of Samaritan Health Plans is its extensive network of healthcare providers. Members have access to a large number of top-rated healthcare providers in the region, including hospitals, clinics, physicians, and specialists. This means that you can get the care you need, when you need it, without having to worry about out-of-network costs.
In addition to its robust provider network, Samaritan Health Plans offers a wide range of member services and support. From online tools and resources to dedicated member support lines, members have access to the help they need to get the most out of their coverage. This includes assistance with finding a provider, understanding your benefits, and managing your claims.
Overall, Samaritan Health Plans is a top-notch health insurance provider that offers a wide range of coverage options and benefits for individuals and families in the Pacific Northwest. With its commitment to quality care and member support, it’s no wonder that so many people choose Samaritan Health Plans for their healthcare needs. If you’re in the market for health insurance, be sure to check out what Samaritan Health Plans has to offer.