PacificSource is making difficult but necessary decisions to ensure we can continue to fulfill our mission and serve members for the long term amid growing pressures across the healthcare industry.
These changes include:
- Exiting the individual market across all states
- Exiting the state of Montana across individual, family, and employer plans
- Service area changes for Medicare Advantage to be shared on a future date in accordance with CMS guidance
PacificSource will honor existing contracts, and there are no immediate changes to member coverage. Our goal is to minimize disruption and support continuity of care wherever possible. We are committed to transparency and helping members, employer groups, brokers, providers, and partners understand what these changes mean for them. Transition timelines will vary by line of business and geography, and additional information will be shared directly with impacted groups as it becomes available.
What this means:
- For members: You can keep using your current coverage while your current contract remains in effect. If your coverage is affected, we will contact you before any changes take effect with information about timing, next steps, and support to help you continue getting the care you need.
- For providers: Please continue caring for PacificSource members as you do today; this includes verifying eligibility through your normal process. Claims submission, billing, and prior authorization processes will continue without disruption throughout 2026. PacificSource will also maintain the systems and support needed beyond 2026 to ensure claims are processed and commitments are fulfilled. We will communicate directly with impacted members before any coverage changes take effect.
- For brokers and employer groups: Existing contracts and coverage remain in place through the applicable coverage period, unless otherwise specified by the terms of the agreement or plan. We will share additional information directly as transition details become available.
We’re here to help:
If you have questions or need support, please contact us:
Customer service
Benefits, claims, appeals, language assistance, and online support.
Individual, family, and employer plan customer service:
Phone: 888-977-9299, TTY: 711 (we accept all relay calls)
Email: CS@PacificSource.com
Medicare customer service:
Phone: 888-863-3637, TTY: 711 (we accept all relay calls)
Email: MedicareCS@PacificSource.com
Medicaid customer service:
Phone: 800-431-4135, TTY: 711 (we accept all relay calls)
Email: CommunitySolutionsCS@PacificSource.com
Frequently Asked Questions
Do I still have coverage?
Yes. PacificSource will honor existing contracts, and your coverage is not changing right now. If your plan is affected, we will contact you well before any changes take effect so you have time to understand your options and next steps.
What changes are you making?
PacificSource is exiting the individual market across all states and the state of Montana across individual, family, and employer plans. Medicare Advantage changes to be announced at a later date, following CMS guidelines.
Who is affected by these changes?
These changes affect members enrolled in PacificSource individual market plans and members in Montana. Additional information will be shared directly with impacted groups as transition details become available.
When will these changes take effect?
Timelines vary by line of business and geography. PacificSource will honor existing contracts through their applicable coverage periods and will communicate timelines and transition information directly with impacted groups as details become available.
Will PacificSource continue to operate in other states?
Yes. PacificSource will continue serving members in Idaho and Oregon, where we have strong provider partnerships, local presence, and the scale to support long-term success.
How can PacificSource help me?
PacificSource will continue communicating directly with members, providers, brokers, employer groups, and partners throughout this process.
We can help you:
- Understand coverage changes and timelines
- Navigate next steps for your care
What should I do if I have ongoing care needs or upcoming appointments?
You can continue to schedule appointments, fill prescriptions, and access care as you do today. If your plan is affected, PacificSource will provide advance notice and support to help maintain continuity of care.
Can I continue to see my providers?
Yes. Current members can continue to see their providers, schedule appointments, and fill prescriptions as they do today. If you are choosing coverage in the future, make sure your preferred providers are included in your new plan’s network.
As a provider, what does this mean for my patients?
Your patients’ current coverage remains in effect until their plan ends or changes under its terms. For now, please continue to see PacificSource members as you do today, this includes verifying their eligibility through your usual process.
What if I need emergency care?
Members experiencing a medical emergency should always go to the nearest hospital or call 911. Emergency services are covered, and no one should delay or avoid seeking care in an emergency.
Where can I find additional updates?
PacificSource will continue sharing updates and additional information as it becomes available. Please check this page for the latest information.