














|
Serving Clients in: |
Cascade Mountains
CITIES: Brightwood, Camp
Sherman,
Cascade Locks, Cascadia, Chemult,
Chiloquin, Crescent, Crescent Lake, Detroit, Diamond Lake, Drew,
Estacada, Fort Klamath, Gates, Gilchrist, Government Camp, Idanha,
Klamath Agency, La Pine, Lakeview, McKenzie Bridge, Mill City, North
Umpqua, Oakridge, Prospect, Rhododendron, Sandy,
Sisters,
Sunriver, Warm Springs,
Welches, Westfir, Zigzag
AREAS: Crater Lake National Park, Deshutes National Forest,
Fremont National Forest, Mount Hood National Forest, Rogue River
National Forest, The Three Sisters, Umpqua National Forest, Willamette
National Forest, Winema National Forest
Central Oregon
CITIES: Antelope,
Arlington,
Bend, Brothers, Condon, Culver, Dufur,
Fossil, Grass Valley, Hampton, Lonerock,
Madras, Maupin, Metolius, Mitchell, Moro,
Mosier, Paulina, Post, Prineville,
Redmond, Rowena,
Rufus, Shaniko, Spray,
The Dalles, Wasco
Northeast Oregon
CITIES: Adams, Arlington,
Athena,
Baker City, Boardman, Canyon City, Condon,
Cove, Dayville, Echo, Elgin,
Enterprise, Fossil, Greenhorn, Haines, Halfway,
Heppner, Hermiston, Huntington, Imbler, Imnaha, Irrigon, Island City, John Day,
Joseph,
La Grande, Lexington, Long Creek, Lostine,
Medical Springs, Milton-Freewater, Monument, Mt Vernon, North Powder, Oxbow,
Pendleton, Pilot Rock, Prairie City,
Richland, Seneca, Summerville, Sumpter, Ukiah, Umatilla, Union, Unity,
Wallowa, Weston
AREAS:
Hell's Canyon
Oregon Coast
North Coast
Astoria, Bay City, Beaver,
Cannon Beach,
Garibaldi,
Gearhart, Hebo,
Nehalem,
Manzanita, Neahkahnie, Oceanside,
Pacific City,
Rockaway Beach,
Seaside,
Tillamook,
Warrenton,
Wheeler
Central Coast
Depoe Bay,
Dunes City,
Florence,
Gleneden Beach,
Lincoln City, Mapleton,
Newport, Otter Rock, Reedsport, Seal Rock,
Siletz,
Toledo,
Waldport,
Winchester Bay,
Yachats
South Coast
Agness,
Bandon,
Brookings,
Charleston,
Coos Bay, Coquille,
Gold Beach,
Lakeside,
Myrtle Point,
North Bend,
Port Orford, Powers, Wedderburn
Portland and Vicinity
Banks, Barlow,
Beaverton, Camas, Canby,
Clackamas, Clatskanie, Columbia City,
Cornelius,
Forest Grove, Gaston,
Gresham, Happy Valley,
Hillsboro,
Lake Oswego, Marquam,
Milwaukie, Molalla, North Plains,
Oregon City,
Portland, Rainier, Sandy, Scappoose, St.
Helens,
Tigard, Troutdale,
Tualatin, Vernonia, West Linn,
Wilsonville
Southeast Oregon
Adel, Adrian, Burns, Diamond, Drewsey,
Frenchglen, Hines, Jordan Valley, Juntura, Lakeview, Nyssa,
Ontario, Plush, Vale
Southern Oregon
CITIES:
Ashland, Butte Falls, Cave Junction,
Canyonville, Central Point, Dillard, Drain, Eagle Point, Elkton, Glendale,
Glide, Gold Hill,
Grants Pass, Jacksonville, Klamath Falls, Malin,
Medford,
Merlin, Myrtle Creek, Oakland, Phoenix,
Prospect, Riddle, Rouge River, Roseburg, Shady Cove, Sutherlin, Talent,
Umpqua, White City, Winchester, Winston, Wolf Creek, Yoncalla
AREAS: Applegate Valley, Illinois Valley
Willamette Valley
Albany, Alsea, Amity, Aumsville,
Aurora, Brooks,
Brownsville, Canby, Canyonville, Carlton,
Corvallis, Coburg, Cottage Grove, Creswell,
Culp Creek, Dallas, Dayton, Detroit, Donald,
Dundee,
Eugene, Falls City, Gates, Gervais, Halsey,
Harrisburg, Independence, Jefferson, Junction City, Keizer, Lebanon, Lowell,
Lyons,
McMinnville, Mill City, Millersburg, Mt.Angel,
Molalla, Monmouth, Newberg, Oakridge, Oregon City, Philomath,
Salem, Scio, Scott Mills, Sheridan,
Silverton, Sodaville, Springfield, Stayton, St. Paul, Sublimity, Sweet Home,
Tangerit, Turner, Veneta, Walterville, Waterloo, Willamina, Woodburn, Yamhill
|
| |
|
pacificsource health plans
 |
Provider
Directory
1-800-624-6052 |
| Select "Alternative Care
Provider" for provider type, then select "Elect" if your
Health Plan if covered with Individual Insurance Coverage.
"Look for your
provider before receiving services" |
|
PacificSource
Elect Plan "Rates 2012 |
| PacificSource
Elect Application 8/11 |
|
PacificSource
Plan Descriptions for the Premiere,
Preferred, Value and HSA 2012 |
Elect plan highlights at a glance:
- Coverage for maternity, illness and
injury, and prescription drugs
- First-dollar accident benefit
- On-the-job coverage if you are
self-employed
- No lifetime maximum benefit
- Preventive care 100% covered for
participating providers
- Some plans cover alternative practitioner
services, and vision care
-
No-cost extras
to help you save money and stay healthy
- Your choice of providers; no need for
referrals from a primary care practitioner
- All provide the highest level of benefits
if you choose participating providers, and reduced benefits for
nonparticipating providers.
- An extensive network of participating
providers within Oregon, plus
in-network coverage throughout
the U.S.
- You'll receive the highest level of benefits by using
participating providers.
- Participating providers accept benefits paid under the policy
as full payment, and will not bill you for the balance (other than
for deductibles, coinsurance, or copayments).
Choose from four Elect plans:
- Elect Premiere
is our most expansive coverage. You'll pay just a $25 copay for
office visits, acupuncture, naturopathic, and chiropractic care.
Elect Premiere plans also include vision care. Annual deductibles
range from $1.000 to $10,000.
- Elect Preferred
is comprehensive coverage. It offers $30 copays for office visits
and chiropractic care. It also offers an accident benefit, urgent
care, and prescription drug coverage. Most other in-network services
are covered at 70% after the annual deductible. Annual deductibles
range from $500 to $10,000.
- Elect Value Option is
low cost, catastrophic coverage. It offers peace of mind with basic
coverage for a low monthly rate. Most in-network services are
covered at 60% after the annual deductible; prescription drugs are
covered at 50% after the deductible. Elect Value deductibles range
from $2,500 to $10,000.
- Elect HSA plans
are high-deductible health plans eligible for combination with a
health savings account (HSA). Learn more about
HSAs and
consumer-directed health plans.
Elect HSA plan deductibles range from $1,500 to $5,000. Most other
in-network services are covered at 70% after the annual deductible.
Looking for a FHIAP-eligible plan?
The Elect Preferred $500 deductible plan is eligible for the Family
Health Insurance Assistance Program (FHIAP).
|
|
| Talk with a
Licensed Agent for specific plan benefits and questions |
|
877-786-8347 |
| Talk with a
real person 9:00am to 9:00mp |
|
Official PacificSource website
http://www.pacificsource.com/ |
|