What’s New for Agents

SCL Health Montana Joins Navigator

SCL Health Montana is now part of the PacificSource Navigator network for large group members, effective May 1, 2020. Read more in the June 9 Montana Agent Bulletin.

PacificSource is now waiving all medical costs related to COVID-19

In our continuing effort to expand COVID-19 coverage, PacificSource is now eliminating member cost shares for testing and treatment of COVID-19. See the April 7 Agent Bulletin for details.

July Small Group Renewal Information and COVID-19 Updates

Read the April 3 Agent Bulletin for news about July renewals and COVID-19:

Idaho, Montana, and Oregon: July Small Group Renewals Provided Online Only
New COVID-19 Site Provides Updates and Resources
PacificSource Helps to Ease Strain on Providers

Pharmacy Product Guidelines FAQ Updated

See our updated Pharmacy Product Guidelines FAQ.

The Annual Healthcare Survey is Coming!

It’s that time again: The annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) is underway.

Participants are chosen at random, so it’s possible some of your clients could be selected. We’ve been letting members know to be on the lookout for the survey, which is overseen by a company called SPH Analytics.

If asked, feel free to let clients know that a healthcare survey from SPH Analytics is legitimate, and that their personal information will not be shared

Thanks for your assistance, and for helping us make healthcare better.

Learn about the survey on our blog. >>

Read the Agent Bulletin.

ACA Reporting for 2019: Deadlines and Details

Employers, health insurers, and individuals will soon need to prepare for filing their 1094 and 1095 forms with the IRS. Here’s what you need to know to assist your clients with this requirement: Read the Agent Bulletin.

Introducing bold new offerings for 2020

Launching now are two new products: Navigator and Voyager. By elevating quality of care, access and choice, we’re also improving predictability and how members make more informed decisions about their health.

To partner agents everywhere: more opportunity to...

Improve the member experience through a focus on quality of care and cost
Optimize patient outcomes through greater provider-partner information sharing
Offer more choices and price points across our geography

Navigator is for coordinated care

Through data sharing and accountable care management, providers are better informed to direct and guide the patient experience across the full spectrum of health conditions—helping members engage and attain their healthiest selves.

Voyager is our PPO (preferred provider organization)

Formerly known as PSN, Voyager is our rebranded PPO to give members expanded access to our broadest network of providers. (Note: Voyager is not available to individual plans in Oregon and Washington.)

See what’s available in your area

Explore the 2020 PacificSource plan summaries for your local area. Sort by Individual, Small Group, and Large Group.

2020 Commercial Sales Kits and Materials Are Now Available

The 2020 commercial sales kits for Individual and Small Group* customers, and the commercial brochures for Large Group* customers are now available. (Note: Washington small group materials are pending state approval and not available yet. Washington large group materials are still in production and will be available online by October 21, 2019. Printed materials will be available for online ordering in November.) Read more in the Agent Bulletin.

Effective dates for individual plans to match the exchange

PacificSource is adjusting its timing on effective dates on individual and family plans to match the federal exchange register. Read more in the Agent Bulletin.

PacificSource “Anti-Flu Force” campaign promotes no-cost flu shots

What can you do to help prevent flu’s spread? Send a strong message to members to roll up a sleeve. According to the Centers of Disease Control and Prevention, the flu shot offers 60% more protection than no shot at all.

For its annual campaign, PacificSource is reminding members of convenient, no-cost options to get a flu shot. Themed “Be a Flu Fighter,” the Anti-Flu Force campaign touts how flu fighters not only prevent the misery of flu for themselves; they also help prevent spreading the flu to loved ones and others who cross their paths.

Members’ no-cost flu-shot options include drop-ins at local in-network pharmacies, public health clinics, or in-network providers.

In-network pharmacies include Albertsons, Costco, CVS, Fred Meyer (Kroger), and Safeway. For a no-cost flu shot, members simply show up with their PacificSource member ID card.

Employer groups can also host on-site flu shot clinics for their employees. For more information about employer-hosted clinics, please contact a representative listed on our Employer Clinic page.

2020 Product Trainings for Producers

You’re invited to an overview of 2020 PacificSource medical and dental plans, services, and no-cost extras. Don’t miss this opportunity to learn about changes and new offerings, so you can be prepared to assist your existing and potential clients.

Space is limited, so be sure to register as soon as possible. Light refreshments will be served.

Our 2020 Product Trainings have begun!

Note: Visit a registration page (links below) and select an event option to see the list of specific dates, times, and locations.

Portland and Vancouver

Springfield

Oregon: PacificSource Community Solutions Notified by OHA of Intent to Award Four CCOs

See the July 9 message from President and CEO Ken Provencher and the July 9 news release.

Idaho (select areas): PacificSource Partners with Rx Savings Solutions to Help Members Save on Prescription Costs

PacificSource and St. Luke’s Health Partners have partnered with Rx Savings Solutions, a prescription cost-savings program. This exciting new program helps inform members about lower-cost prescription drugs available to them under their existing health plan. See the July 2 announcement for more information.

Members Aging into Medicare Can Get Help from Someone They Know: PacificSource

Just like others who are approaching age 65, PacificSource members are faced with making decisions about Medicare. Months before their Medicare eligibility period, they begin receiving information from a number of different sources. It can be a confusing time, but we can help. Group and individual members who will soon turn age 65 will receive notifications informing them of their options for continuing PacificSource coverage (depending on location). See the June Agent Bulletin for more information.

Oregon: PacificSource Announces a New Partnership with Legacy Health and OHSU Health System

PacificSource is excited to announce that it is partnering with Legacy Health and OHSU Health System to introduce new health plan offerings to the commercial group market beginning January 2020. See the May 28 Oregon Agent Bulletin for more information.

Montana and Oregon: Group Size Determination

Each year, we are required to determine if an employer still qualifies for group coverage. See the May Montana and Oregon Agent Bulletin for more information.

Renewing Small Groups? Remember InTouch

If you've not yet used the new automation, give this video a quick review to see just how easy it is. Watch the video.

A Partnership to Build a Healthier Future for Northwest Consumers

We’re proud to announce that PacificSource Health Plans and Legacy Health are pursuing a partnership to bring together complementary capabilities. Our shared vision of healthcare focuses on improving the experience of care, reducing healthcare costs, and improving the health of our communities.

Important points for you and your clients:

No change to our name, brand, 2016 plans, processes, or your PacificSource representatives.
For clients and members, nothing has changed. They’ll continue to receive the same outstanding benefits and unmatched customer service that have been hallmarks of PacificSource since 1933.
Coming improvements and enhancements, will include

Increased access to care for PacificSource members
New and unique health plan offerings
Increased stability in today’s volatile health insurance market

Continued commitment to provider partnerships. We will continue to work with our existing provider partners throughout Oregon, Idaho, and Montana. We will also continue to pursue future relationships with other providers.

Looking for more information? You’re welcome to read the news release or our FAQ for agents to learn more about Legacy Health and this partnership.