2020 Oregon Small Group Plans

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

Quicklinks

 

Learn what we have to offer

Download a brochure (PDFs): (coming soon)

 

At your service: plans and networks come with choice

PacificSource is excited to introduce Navigator, Voyager, and Pathfinder (an additional option for the Portland area), which join SmartChoice (Southern Oregon and Willamette Valley) in Oregon.

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:

  • Clackamas
  • Crook
  • Deschutes
  • Jefferson
  • Multnomah
  • Washington
  • Yamhill

Pathfinder—an additional choice that’s uniquely Portland

As a coordinated care product for the Portland tri-county area, Pathfinder is powered by Legacy Health and OHSU Health, which includes Tuality Healthcare and Adventist Health Portland. Pathfinder is also a coordinated care product, focusing on exceptional access to local providers, and promoting member engagement within an accountable network of providers.

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

  • Clackamas
  • Multnomah
  • Washington

SmartChoice—serving Southern Oregon and the Willamette Valley

SmartChoice is coordinated care powered by select provider groups, including Legacy Health, OHSU Health, McKenzie-Willamette Medical Center, PeaceHealth, and Samaritan Health Services.

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

  • Benton
  • Coos
  • Curry
  • Douglas
  • Jackson
  • Josephine
  • Lane
  • Linn
  • Marion
  • Polk

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 Oregon.

 

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. Plans are available direct with PacificSource and through OregonHealthcare.gov, unless otherwise noted.

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
Platinum 500^ $500 $3,000 Covered in Full Primary/Urgent Care: $10*
Specialist: $20*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Gold 1000^ $1,000 $5,500 Covered in Full Primary/Urgent Care: $25*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Gold 2000^ $2,000 $5,500 Covered in Full Primary/Urgent Care: $25*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Gold 2500^ $2,500 $5,500 Covered in Full Primary/Urgent Care: $25*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Gold 3500^ $3,500 $5,500 Covered in Full Primary/Urgent Care: $25*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Silver 3000 $3,000 $8,150  Covered in Full Primary/Urgent Care: $35*
Specialist: 40%
Navigator / Pathfinder / SmartChoice / Voyager  Navigator / Pathfinder / SmartChoice / Voyager
Silver 4500^ $4,500 $7,500  Covered in Full Primary/Urgent Care: $30*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Silver 5500^  $5,500 $7,500 Covered in Full Primary/Urgent Care: $30*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Silver 6500^  $6,500 $7,500 Covered in Full Primary/Urgent Care: $30*
Specialist: $60*
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Bronze 7500 $7,500 $7,500  Covered in Full Primary/Urgent Care: $35*
Specialist: Covered in Full
Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Gold HSA 3000 $3,000 $3,000  Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Silver HSA 3000 $3,000 $6,750  Covered in Full 20% Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Silver HSA 4500 $4,500 $4,500  Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Silver HSA 5500 $5,500 $5,500  Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Bronze HSA 5000 $5,000 $6,750  Covered in Full 50% Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Bronze HSA 6750 $6,750 $6,750  Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
Standard Gold** $1,000 $7,300 Covered in Full Primary: $20*
Urgent Care: $60*
Specialist: $40*
Voyager Voyager
Standard Silver**  $3,550 $8,150 Covered in Full Primary: $40*
Urgent Care: $70*
Specialist: $80*
Voyager Voyager
Standard Bronze**  $7,900  $7,900  Covered in Full Primary: $45*
Urgent Care: Covered in Full
Specialist: $90*
Voyager Voyager

^Adult vision included on this plan.
*Not subject to deductible. 

**Only available on the Voyager network.

 

Decide on dental plans

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 1000 Dental Advantage 0-20-50 1500
Dental Advantage 20-20-50 1000 Dental Advantage 20-20-50 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
Dental Advantage Essentials Dental Advantage Essentials Plus
Ortho 1000 WP^*  

^ Available direct from PacificSource only.

* Additional eligibility requirements may apply.

 

Brochures, enrollment forms, and more 

Brochures (PDFs):  

Quote Request and Enrollment Forms (PDFs): 

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