News and updates
November 2023 Drug List Change Notification (Commercial)
Updates on Existing Criteria
November 2023. The following changes to criteria are effective November 22, 2023:
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Trigger finger or thumb surgical procedure will require prior authorization effective November 1, 2023
For Medicaid plans: Effective November 1, 2023, a prior authorization will be required for CPT Code 26055 (Tendon Sheath Incision).
Top 5 reasons to recommend flu shots to your clients
Flu season is just around the corner, and while many PacificSource members already plan to get their flu vaccine, reminders help. Here are five reasons to inspire those procrastinators...
Fractional laser treatment will require prior authorization
For commercial plans (individual and group), fractional laser treatment (codes 0479T and 0480T) will require prior authorization effective November 1, 2023.
October 2023 Drug List Change Notification (Commercial)
Updates on Existing Criteria
October 2023. The following changes to criteria are effective October 22, 2023:
Prior Authorization Criteria – Clinical Updates...
Big improvements to your FSA and HRA website
We’re excited to announce an easier-to-use experience where you can access your account and find all our services in one place.
What changed...
Pharmacy Coverage Updates Effective September 15, 2023
We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies.
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September 2023 Drug List Change Notification (Commercial)
Updates on Existing Criteria
September 2023. The following changes to criteria are effective September 22, 2023:
Prior Authorization Criteria –...
Easier access to care away from home
Effective June 1, 2023, PacificSource Health Plans has collaborated with Aetna Signature Administrators® to offer commercial members in-network access to Aetna’s broad...
We help members deal with unexpected health and life challenges
Did you know PacificSource has a team of Member Support Specialists that help members with needs beyond healthcare? They work to remove roadblocks and help members through the...