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Stay in the Samaritan Health System or Go Elsewhere. It’s Your Choice.

With a Samaritan Advantage plan, you’ll have lots of options for getting the routine and specialty care you need. You’re free to use any of the doctors, specialists and hospitals that are part of our network, including those outside the Samaritan family.

It’s comforting to know that more than 90% of the doctors, hospitals and clinics in our area, and numerous specialists from Portland to Eugene, are all part of the Samaritan Health Plans network.

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Getting Care When You Travel

When you are away from the plan’s service area you may get care outside the service area, but your coverage is limited. The services we cover when you are outside our service area are:

  • Care for medical emergency (worldwide)
  • Urgently needed care (nationwide)
  • Renal dialysis
  • Care that Samaritan Advantage Health Plan or a plan provider has approved in advance

If you have questions about your medical costs when you travel, please call Samaritan Advantage Customer Service at 541-768-4550 or 800-832-4580 (TTY 800-735-2900), 8 a.m. to 8 p.m. daily.

Out of Network Coverage

In general, beneficiaries must use network providers to access their medical benefits, except in non-routine circumstances requiring urgent or emergent care. A prior authorization is required to see a non-contracted provider. If you don’t have appropriate authorization from our plan before you see a provider that is not part of our plan’s network, you may have to pay for the services he/she provided you with.

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H3811_MA4001_2019A, Page updated 10/1/2018