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COVID-19 coverage update for commercial members

Treatment cost-share benefit update The member cost-share waiver for COVID treatment will expire at the end of this year. Beginning January 1, 2022, commercial members will be responsible for any deductibles, copays, and/or coinsurance for the treatment...

Streamlined EOBs coming soon for PacificSource members

Being a “members first” health insurer means communicating in ways that members find easy to understand. That’s why we’re pleased to announce a redesign of the Explanation of Benefits (EOB) statements members receive when they use their PacificSource benefits. As you know, the EOB is a fixture of...

The time to recommend flu shots is now

With our region’s facilities currently overtaxed by COVID-19 patients, a major flu outbreak this fall would be especially dangerous. Current guidance from the CDC states that “everyone 6 months and older should get a flu vaccine every season with rare exceptions.” What can you do to help? Simple...

Special enrollment period recap

Special enrollment periods (SEP) in Idaho, Montana, Oregon, and Washington began in February or March. SEPs may include consumers on and off the exchange. Because each state has its own rules and dates, we’re providing a recap of dates and information about changing plans. Note about...

New Client Service Representative in Idaho

PacificSource Health Plans is pleased to announce Lisa Brown has been promoted to the role of Client Service Representative. Lisa will partner with you to provide service and support to your small group clients insured with PacificSource. Lisa will be your point of contact for any...

What you need to know about the CAHPS surveys

Your commercial and Medicare clients may be asked to participate in the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The survey is overseen by a company called SPH Analytics. Participants are chosen at random, and we hope you’ll encourage clients to complete the...

ACA reporting for 2020: deadlines and details

Employers, health insurers, and individuals will soon need to prepare for filing their 1094 and 1095 forms with the IRS. Here’s what you need to know to assist your clients with this requirement: 1095-C forms (from applicable employers) are due to employees by March 2, 2021....
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