Skip to Main Content

Samaritan Advantage Health Plan HMO complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Samaritan Advantage Health Plan HMO does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Samaritan Advantage Health Plan HMO:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to people whose primary language is not English, such as:

  • Qualified interpreters
  • Information written in other languages

If you need these services, contact Denise Severson at 541-768-4550, TTY: 1-800-735-2900.

If you believe that Samaritan Advantage Health Plan HMO has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Denise Severson, Compliance Manager/Officer
P.O. Box 1310, Corvallis, OR 97339
541-768-4550, TTY: 1-800-735-2900, Fax: 541-768-9791
dseverson@samhealth.org

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Denise Severson, the Compliance Manager/Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue SW., Room 509F, HHH Building
Washington, DC 20201
1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Page modified: Aug. 7, 2017

Talk with our friendly
Medicare agents in Corvallis

call us at 541-768-4550 800-832-4580 TTY 800-735-2900 8:30 a.m. to 5 p.m.
Mon.–Fri.
or Visit our office at  2300 NW Walnut Blvd. in Corvallis 8:30 a.m. to 5 p.m., Mon.–Fri.