2020 Idaho Small Group Plans

The information on this page is for small group plans beginning January 1, 2020. Small groups in Idaho are employers with two to 50 employees.

Quicklinks

 

Learn what we have to offer

Download a brochure (PDFs):

 

At your service: plans and networks come with choice

PacificSource is excited to introduce Navigator and Voyager.

Navigator—for exceptional coordinated care

Navigator gives you a more integrated approach to care—helping members get the right care, at the right time, in the right place. It’s care that’s coordinated to simplify the member experience, improve access to care, and promote member engagement through shared decision-making within an accountable network of providers.

Navigator is available for purchase by employers located in the following counties:

  • Ada
  • Adams
  • Bannock
  • Bingham
  • Blaine
  • Boise
  • Camas
  • Canyon
  • Caribou
  • Cassia
  • Custer
  • Elmore
  • Gem
  • Gooding
  • Jerome
  • Lemhi
  • Lincoln
  • Minidoka
  • Oneida
  • Owyhee
  • Payette
  • Power
  • Twin Falls
  • Valley
  • Washington

Voyager gives you the broadest choice of networks

Voyager is our rebranded evolution of the PSN (PacificSource Network) product. As a preferred provider organization (PPO), Voyager means greater choice for members. For those who prefer a more self-guided experience, Voyager gives members expanded access to our broadest network of providers.

Voyager is available for purchase by businesses located throughout the state of Idaho.

 

Review medical plans

Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts. If members receive services from out-of-network providers, their deductible and out-of-pocket limit will be higher than the amounts listed in the chart below. All plans are available direct with PacificSource and through YourHealthIdaho.org.

Medical handbook samples (PDFs): 

Plan

Deductible

Out-of-pocket Maximum

Preventive Services
No deductible, member pays:

Office Visits
After deductible, member pays:

SBCs (PDFs)
by Network
Summaries (PDFs)
by Network
Gold 1000^  $1,000 $5,500 Covered in Full Primary/Urgent Care: $25*
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Gold 2000^  $2,000 $5,500 Covered in Full Primary/Urgent Care: $25*
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Silver 3000   $3,000 $8,150  Covered in Full Primary/Urgent Care: $30*
Specialist: 40%  
Navigator / Voyager Navigator / Voyager
Silver 4500^   $4,500 $7,500 Covered in Full Primary/Urgent Care: $30*
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Silver 5500^   $5,500 $7,500 Covered in Full Primary/Urgent Care: $30*
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Silver 6500^   $6,500 $7,500 Covered in Full Primary/Urgent Care: $30*
Specialist: $60*
Navigator / Voyager Navigator / Voyager
Bronze 6800^ $6,800 $8,150  Covered in Full Primary/Urgent Care: $35*
Specialist: 40%
Navigator / Voyager Navigator / Voyager
Bronze 7500 $7,500 $7,500  Covered in Full Primary/Urgent Care: $35*
Specialist: Covered in Full
Navigator / Voyager Navigator / Voyager
Gold HSA 3000 $3,000 $3,000 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
Silver HSA 3000 $3,000 $6,750  Covered in Full 20% Navigator / Voyager Navigator / Voyager
Silver HSA 4500 $4,500 $4,500  Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
Silver HSA 5500 $5,500 $5,500  Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
Bronze HSA 5000 $5,000 $6,750  Covered in Full 50% Navigator / Voyager Navigator / Voyager
Bronze HSA 6750 $6,750 $6,750  Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager

 ^ Adult vision included on this plan.

* Not subject to deductible.

 

Decide on dental plans

Good dental health can lead to better overall health. You can group our dental plans with your health plans, or select dental-only.

Dental handbook samples (PDFs):

Summaries (PDFs):

Dental Choice 0-20-50 50-1000   
Dental Choice Plus 0-20-50 25-1000 Dental Choice Plus 0-20-50 50-1000
Dental Choice Plus 0-20-50 25-1500 Dental Choice Plus 0-20-50 50-1500
Dental Advantage Core  
Dental Advantage 0-20-50 750  
Dental Advantage 0-20-50 1000 Dental Advantage 0-20-50 1500
Dental Advantage Plus 0-20-50 1000 Dental Advantage Plus 0-20-50 1500
Kids Dental Advantage 0-20-50 Kids Dental Advantage 20-40-50
Ortho 1000 WP^*  

^ Available direct from PacificSource only.

* Additional eligibility requirements may apply.
 

 

Brochure, enrollment forms, and more

Brochures (PDFs):

Quote Request and Enrollment Forms (PDFs):

Visit our Idaho Forms and Materials page for more sales materials.

  

For producers

You can order sales kits for individual and small group clients online!

Order printed materials (2020 materials coming soon)

Visit our Idaho Forms and Materials page for more sales materials.