Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H3811-003
Samaritan Dual Advantage (HMO D-SNP)
Offered by Samaritan Advantage Health Plans (Samaritan Health Services, Inc.) · available in 3 counties in OR
Only for people who have both Medicare and Medicaid.
Monthly premium$6.30health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Enhanced Alternative
Star Rating★★★ 3 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | hearing aids |
| Over-the-counter items | $30 per quarter allowance |
| Fitness | Fitness benefit (gym membership or program) |
| Personal emergency response system | Medical alert device or service |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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