Samaritan Dual Advantage (HMO D-SNP)
Available to residents of Lincoln County, OR for 2026. Contract H3811, plan 003, segment 0.
Plan details
| Monthly drug premium | $10.50 |
|---|---|
| Drug deductible | $615.00Tier 6 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H3811-003-0 |
| Offered by | Samaritan Advantage Health Plans |
| Parent organization | Samaritan Health Services, Inc. |
| Formulary drugs | 3,729 |
CMS star ratings
- Overall
- 3 out of 5 stars for Overall
- Health plan (Part C)
- 3 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3811 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | 25% |
| Tier 2 | 25% |
| Tier 3 | 25% |
| Tier 4 | 25% |
| Tier 5 | 25% |
| Tier 6 | $0.00 |
Also available in 2 other OR counties
Plan facts come from the CMS quarterly prescription drug plan public use files.