Need help navigating through the confusing options for Medicare Part D? Rely on your LOCAL Advantage, Samaritan Advantage Health Plan.
Personal attention
At Samaritan Advantage Health Plan, we’re here to help you with answers to your questions about Medicare’s new prescription drug coverage. With local people that are happy to meet you in person or answer your questions over the phone, Samaritan Advantage gives you the personal attention and extra service you need to make the best choice.
If you are a Medicare-eligible individual living in Benton, Lincoln or Linn counties, we invite you to take advantage of our complimentary services to aid in your decision-making:
- Medication review with our Clinical Pharmacist – Sit down with our pharmacist for a personal and confidential review that will help you determine the best approach for managing your prescription medications. As an added benefit, you will receive a Personal Medication Record developed by the pharmacist to ensure that you receive quality medication services from your health providers, and to help you self-manage your drug regime. Request a meeting via email, or call our Pharmacy Services at (541) 768-5207 or toll free at 1-888-435-2396. TTY users please call 1-800-735-2900.
- Informational seminars at your local hospital – Join your neighbors in these informal group meetings that provide ample time for questions and answers.
- In-home consultations – Have a convenient meeting in your home with one of our knowledgeable representatives. Request a meeting via email, or call us at (541) 768-4550 or toll free at 1-800-317-7489. TTY users please call 1-800-735-2900.
More benefits, better value
As a Medicare beneficiary, you can choose from different Medicare options for your Part D coverage. There are two basic types. The most simple is a prescription drug plan (sometimes called a PDP) that covers only drugs and can be used with your traditional Medicare and/or a Medicare supplement plan.
The other type offers more comprehensive benefits, like Samaritan Advantage’s Premier Plan and Premier Plan Plus, which combine a prescription drug plan with a medical benefits package that covers more than original Medicare with less out-of-pocket expense for you. Additional benefits include:
- Routine physical and preventative exams
- Routine vision services, including glasses
- Routine chiropractic services
- Worldwide coverage for emergency and urgent care services
- Acupuncture
- Hearing exams
- Health and wellness education services and classes
- Hearing aid benefit (Premier Plan Plus only)
- Dental benefits (Premier Plan Plus only)
- Coverage for generic drugs through Medicare’s coverage gap (Premier Plan Plus only)
Combining a prescription plan with medical benefits with Samaritan Advantage’s Premier Plan or Premier Plan Plus,provides you with better value:
- More medical attention – If you are taking many prescription drugs or have high drug costs, you are eligible for Samaritan Advantage’s no-cost medication therapy program, designed by a team of pharmacists and physicians to ensure that you are receiving the appropriate drugs to treat your medical condition.
- Protected care – Each time you fill a prescription, we run a review to check that the medications you have been prescribed are safe for you to use (drug allergies, dosage, harmful interactions, etc.). These reviews are especially important if you have more than one doctor who is prescribing your medication.
- Less hassle – You pay one premium for your medical and prescription benefits, and we handle virtually all of the paperwork for you.
| 2009 Medicare Part D Benefits | Conventional Plan $37 month |
Premier Plan $70.10 month |
Premier Plan Plus $83.20 month |
|---|---|---|---|
|
Outpatient Prescription Drugs
|
Medical benefits only; DOES NOT INCLUDE MEDICARE PART D PRESCRIPTION DRUGS |
 Includes medical & Medicare Part D prescription drug benefits |
Includes medical, Medicare Part D prescription drug, & dental benefits |
| You pay 100% for your prescription drugs once your total drug spend reaches: $2,700 | |
Coverage for generics drugs through the Medicare prescription drug coverage gap | |
| After you’ve spent $4,350 out-of-pocket: you will pay the greater of: $2.40 and $6 co-pays or 5% coinsurance | |
|
See also: Summary of Benefits, Evidence of Coverage, Medicare’s Drug Plan Finder.
Need 2008 benefits information?
MA213.pdf (363k) 2008 Benefit Highlights.
See also 2008 Plan Documents.
Last modified: January 05, 2009
MA4000 Pending CMS Approval