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Legacy Employee
Health Plan Information

 

 

Legacy+ Network

Your medical plans cover eligible services and supplies from Legacy+ network facilities for enrolled employees and dependents, including labs and advanced imaging. Please give this notice to your providers when seeking care: Legacy Employee Health Plan: Crucial Information for Providers

Out-of-network coverage is not covered except for:

  • Medically necessary covered services not available through the Legacy+ Network*
  • Urgent and Emergency Care
  • Diabetic supplies (also available through MedImpact) 

*Prior authorization from PacificSource is required before services are rendered.

Please note, there is not a benefit for out-of-network alternative care after January 1, 2021. You will need to go to in-network chiropractors, acupuncturists, massage therapists and naturopaths in order to have these services covered under the plan.

Find a Legacy+ Provider

 

 

Note about lab work
and imaging

If your provider is not a Legacy Medical Group provider and you need lab work, ask for a written order and take to a Legacy Laboratory to have your labs drawn and processed. You must also go to a Legacy facility for services such as mammograms, and all advanced imaging such as CT scans, MRIs, etc. Your provider may not be aware that out of network providers and facilities are NOT COVERED under your employee health plan.

Please give the notice, “Legacy Employee Health Plan: Crucial Information for Providers,” to your providers. This notice informs them about sending your labs, advanced imaging referrals, and so on to only in-network Legacy providers and facilities

Manage your benefits and health, 24/7

Sign up for InTouch for secure, online access to your plan's benefits. Plus tools and resources to support your well-being.

Sign up for InTouch

Mobile apps

The free myPacificSource and myPacificSource Admin (PSA) mobile apps let you manage your benefits, wherever you are.
 

ps app phone screen and app icon

 

 

 

 

 

 


myPacificSource app:

  • Access your ID card, anytime.
  • Call our 24-Hour NurseLine.
  • Find a provider, hospital, or urgent care center.
  • Check your deductible and out-of-pocket totals.
     
Download the myPacificSource app on Android
Download the myPacificSource app from Apple

 

psa phone screen and app

 

 

 

 

 

 


myPacificSource Admin (PSA) app:

  • Manage your FSA or other reimbursement accounts

Download the app today, and log in with your PSA account username and password.
 

Download the myPacificSource app on Android
Download the myPacificSource app from Apple

 

Important note about your pharmacy benefits

Between now and December 31, 2021, keep using MedImpact. Starting January 1, 2022, your pharmacy will be with PacificSource and CVS, not MedImpact.

2022 PacificSource prescription drug information

Utilization Management

For certain prescription drugs, we have additional coverage requirements or limits. Learn more about utilization management, including prior authorization, quantity limits, and step therapy.

Affordable Care Act Standard Preventive No-cost Drug List (CVS Caremark)

The ACA Standard Preventive No-cost Drug List contains medications required by the government to be available at no cost to members of a health insurance plan. The list is maintained by CVS Caremark.  

Opioid info for members

Opioid prescription tips

Find a drug

See if a prescription drug is covered by your plan. In the search fields, select the year and the "Preferred (PDL)" list. 

Find a drug

Find a pharmacy

Get your prescriptions at the best price through a Legacy pharmacy. Specialty drugs and home delivery by mail are also available.

  • The Apothecary–Legacy Mount Hood, 24800 SE Stark, Gresham OR 97030
    503-674-1597, fax 503-674-1650
  • The Apothecary–Legacy Emanuel, 501 N Graham, Portland OR 97227
    503-413-4225, fax 403-413-4515
  • The Apothecary–Legacy Good Samaritan, 1040 NW 22nd Ave Suite 100, Portland OR 97210
    503-413-8122, fax 503-413-8453
  • Legacy Meridian Park Community Pharmacy, 19300 SW 65th Ave, Tualatin OR 97062
    503-692-2662, fax 503-692-7437
  • Woodburn Pharmacy at Woodburn Health Center, 1475 Mt Hood Ave, Woodburn OR 97071
    971-983-5290, fax 971-216-0090
  • Legacy Apothecary-Legacy Salmon Creek, 2121 NE 139TH St, Suite 310, Vancouver WA 98686
    360-487-3700, fax 360-487-3709

Find another CVS pharmacy

Your pharmacy, dental, and vision benefits

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Pharmacy Coverage

Need prescription drugs? Your pharmacy benefits are provided by MedImpact.

Medimpact

Between now and December 31, 2021, keep using MedImpact. Starting January 1, 2022, your pharmacy will be with PacificSource and CVS, not MedImpact.

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Dental Plan

Your dental benefits are not through PacificSource, but are instead provided by Moda Health.

Portland: 503-243-3886
Elsewhere: 888-281-0405
Moda Health

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Vision Plan

Vision coverage is offered through EyeMed

888-581-3648
eyemed.com

More benefits

 

 


Quitting tobacco
for good

The Quit For Life tobacco cessation program is brought to you by the American Cancer Society® and Optum®

  • There is no cost to participate
  • PacificSource covers unlimited quit attempts
  • You’ll receive ongoing support throughout the process

Enroll in Quit for Life

 

 


CaféWell

Support your health goals with:

  • Personalized health resources and action plans
  • Activities, wellness challenges, and expert health coaching
  • Communities of health experts
  • Helpful tips and articles on a variety of health and wellness topics

Access CaféWell





Flexible Spending Account

Manage your FSA account from the convenience of your home, office or phone.

  • View account information
  • Submit a claim
  • Update your personal information
  • Change your direct deposit preferences

Download the MyPacificSource Admin app for iOS or Android to access your account on your mobile device

Log into FSA account

Legacy Employee health plan news

 

FSA can now be used for over-the-counter products

The CARES Act permanently reinstated over-the-counter products as eligible expenses for flexible spending account (FSA) funds without a prescription. This reverses laws put in place by the Affordable Care Act nearly 10 years ago, which stated that those expenses were only eligible for reimbursement with a prescription.

Includes menstrual care products
As part of the legislation, menstrual care products were added as eligible expenses. That means employees can now use their HSA, FSA, and HRA funds to purchase items such as tampons, pads, and menstrual sponges. This change, and the general over-the-counter change above take place retroactive to January 1, 2020


Additional changes to FSA accounts

For the 2021 and 2022 plan years, the full amount in your FSA Health Care and Dependent Care account can be rolled over into the next year.  This is a change from the previous limit of $550 that could roll over from your Health Care account and $0 that could roll over from your Dependent Care account to the next plan year.  Rollover funds will be available after the runout claims for the prior year are processed, by the end of April.
Available funds in your dependent care account may now be used for work-related care or care while looking for another job, after being laid off or terminated from employment with Legacy.
 

Use in-network Legacy providers for labs and imaging

Please give the notice, “Legacy Employee Health Plan: Crucial Information for Providers,” to your providers. This notice informs them about sending your labs, advanced imaging referrals, and so on to only in-network Legacy providers and facilities. Your provider may not be aware that out-of-network providers and facilities are not covered under your employee health plan.

Documents and forms

Contacts

PacificSource Customer Service
(For 
medical and FSA benefits)
​​​​​​

971-222-1050 (local Portland area,
M-F, 7:00 a.m. to 5:00 p.m.)

844-520-5347 (toll-free)
LegacyEHP@pacificsource.com


Pharmacy claims
MedImpact
800-788-2949
Dental

Moda
Portland: 
503-243-3886
Outside Portland: 888-281-0405


Vision 

EyeMed 
888-581-3648

COBRA

PacificSource Administrators
877-355-2760
Mail Payments to:
PacificSource Administrators
PO Box 2440
Omaha, NE 68103-2440