Extra Benefits and Wellness Tools for PacificSource Members

Pharmacy Coverage

All PacificSource plans feature pharmacy coverage, and wherever possible, generic drugs are substituted in place of name brands to help you save money. Starting in 2015, we will offer our new Preventive Drug List with our Balance and Value plans. This new benefit has been added at no additional cost to our members.

The Preventive Drug List contains more than 90 drugs for $0.

Visit PacificSource.com/drug-list for more information about drug lists, and preauthorization and step therapy processes.

Wellness and Health Management

These extra services are not insurance, but are included in your medical plan to help you take charge of your health.

24-Hour NurseLine

Have a question about your health? Not sure whether you need to see your doctor? Our nurse line gives you 24/7 access to professionals who can answer your health and wellness questions.

Accident Benefit

If you have an unexpected injury from an accident, you'll have a little extra security knowing that within 90 days of the accident, the first $500 of covered services are paid at 100 percent and are not subject to a deductible. This benefit is included in our Balance and Value plans.

Assist America®

If you experience a medical emergency while 100 or more miles from home or traveling abroad, you can access services provided by Assist America® Global Emergency Services at no cost. With one simple phone call to Assist America, you can access medical care anywhere in the world.

Care Quality Program

Should you need more intensive medical services, we have a Utilization Management Program in place to make sure you receive appropriate, effective, and efficient medical care. Nurses are also available to assist you in ensuring you receive the right care at the right time.

Condition Support Program

Our Condition Support Program offers you education and support if you have asthma, chronic obstructive pulmonary disease (COPD), coronary artery disease, diabetes, or heart failure, or if you have a child with juvenile diabetes.

Gym Membership Discounts

As a PacificSource member, you'll receive discounts from more than 10,000 fitness centers and gyms, including big chains and local favorites.

Health and Wellness Education

You can receive a reimbursement of up to $50 per eligible health and wellness class or series offered by hospitals (up to $150 per member per plan year).

Prenatal Program

Our Prenatal Care Program helps expectant mothers reduce their risk of premature birth. Participants receive educational materials and toll-free telephone access to a nurse consultant.

Tobacco Cessation

Members can access Quit For Life® tobacco cessation services. The program includes one-on-one treatment sessions with a professional Quit Coach to help you quit tobacco use for good.

Weight Management Programs

As a part of your PacificSource medical coverage, you can participate in a Weight Watchers® reimbursement program or receive discounts from Jenny Craig®.