Sorry, you need to enable JavaScript to visit this website.

Need help because of the wildfires? Call us at 888-970-2507.

×

Get our latest COVID-19 information and updates. Visit our blog

×
Home

Health Plans for Individuals & Families

Plan availability varies by location. Please enter your ZIP code to see plans available in your area.

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.

Gold 1500
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $20

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $1,500
Family $3,000

Out-of-pocket max
Individual $5,000
Family $10,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Silver 3000
Office Visits

Primary care
No deductible, $35

Urgent care
No deductible, $35

Specialist
After deductible, 40%

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $3,000
Family $6,000

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Silver 4000
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $20

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage After deductible, 30%

In-network Costs 

Deductible
Individual $4,000
Family $8,000

Out-of-pocket max
Individual $7,900
Family $15,800

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Bronze 7000
Office Visits

Primary care
No deductible, $35

Urgent care
No deductible, $35

Specialist
After deductible, 40%

Tier 1 prescription
Drug coverage After deductible, 40%

In-network Costs 

Deductible
Individual $7,000
Family $14,000

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Bronze HSA 6750
Office Visits

Primary care
After deductible, covered in full

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $6,750
Family $13,500

Out-of-pocket max
Individual $6,750
Family $13,500

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Standard Gold
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $60

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $1,000
Family $2,000

Out-of-pocket max
Individual $7,300
Family $14,600

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Standard Silver
Office Visits

Primary care
No deductible, $40

Urgent care
No deductible, $70

Specialist
No deductible, $80

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $3,550
Family $7,100

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Standard Bronze
Office Visits

Primary care
No deductible, $45

Urgent care
After deductible, covered in full

Specialist
No deductible, $90

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $7,900
Family $15,800

Out-of-pocket max
Individual $7,900
Family $15,800

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Catastrophic+
Office Visits

Primary care
Telemedicine and office combined visits 1-3 no deductible, After deductible, covered in full. Visits 4+ After deductible, covered in full after deductible.

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $8,150
Family $16,300

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Gold 1500
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $20

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $1,500
Family $3,000

Out-of-pocket max
Individual $5,500
Family $11,000

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Silver 3000
Office Visits

Primary care
No deductible, $35

Urgent care
No deductible, $35

Specialist
After deductible, 40%

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $3,000
Family $6,000

Out-of-pocket max
Individual $8,150
Family $16,300

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Silver 4000
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $20

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage After deductible, 30%

In-network Costs 

Deductible
Individual $4,000
Family $8,000

Out-of-pocket max
Individual $7,900
Family $15,800

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Bronze 7000
Office Visits

Primary care
No deductible, $35

Urgent care
No deductible, $35

Specialist
After deductible, 40%

Tier 1 prescription
Drug coverage After deductible, 40%

In-network Costs 

Deductible
Individual $7,000
Family $14,000

Out-of-pocket max
Individual $8,550
Family $17,100

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Bronze HSA 6900
Office Visits

Primary care
After deductible, covered in full

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $6,900
Family $13,800

Out-of-pocket max
Individual $6,900
Family $13,800

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Standard Gold
Office Visits

Primary care
No deductible, $20

Urgent care
No deductible, $60

Specialist
No deductible, $40

Tier 1 prescription
Drug coverage No deductible, $10

In-network Costs 

Deductible
Individual $1,500
Family $3,000

Out-of-pocket max
Individual $7,300
Family $14,600

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Standard Silver
Office Visits

Primary care
No deductible, $40

Urgent care
No deductible, $70

Specialist
No deductible, $80

Tier 1 prescription
Drug coverage No deductible, $15

In-network Costs 

Deductible
Individual $3,650
Family $7,300

Out-of-pocket max
Individual $8,550
Family $17,100

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Standard Bronze
Office Visits

Primary care
No deductible, $50

Urgent care
After deductible, covered in full

Specialist
No deductible, $100

Tier 1 prescription
Drug coverage No deductible, $20

In-network Costs 

Deductible
Individual $8,550
Family $17,100

Out-of-pocket max
Individual $8,550
Family $17,100

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.
Catastrophic+
Office Visits

Primary care
Telemedicine and office combined visits 1-3 no deductible, After deductible, covered in full. Visits 4+ After deductible, covered in full after deductible.

Urgent care
After deductible, covered in full

Specialist
After deductible, covered in full

Tier 1 prescription
Drug coverage After deductible, covered in full

In-network Costs 

Deductible
Individual $8,550
Family $17,100

Out-of-pocket max
Individual $8,550
Family $17,100

Preventive services
No deductible, covered in full

Plan Downloads (PDFs)

More details for this plan on the following networks

Navigator SmartChoice
Compare Costs
Share additional info with us.

Learn more about our plans and networks

Download a brochure (PDFs):

‡‡‡Deductible and out-of-pocket maximum amounts shown above are the costs for individuals. Amounts for families are twice the individual amounts.

**This is a cost-sharing plan. Cost-sharing plans are only available to those who qualify financially and enroll through HealthCare.gov.

***The Affordable Care Act (ACA) has special provisions for members of federally recognized American Indian tribes that purchase healthcare coverage through the Marketplace, including zero-cost health services for those whose income is at or below 300 percent of the Federal Poverty Level. Please note that even with a zero cost-sharing plan, out-of-network providers can bill for the amount over the network rate.

+Only available for people under 30, or people of any age with a hardship exemption or affordability exemption.