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Oregon-Gateway-GraphicSample Plan Summaries en Español

The sample summaries and plan limitations below are approved PacificSource employer plan designs. At enrollment, members receive customized benefit books showing their specific benefits, lifetime maximums, and any optional coverage provided by the employer. For group-specific member benefit summaries, or previously offered summaries, contact your regional PacificSource office.

Group Medical Plans

Plan Limitations for plans effective August 1, 2012

Preventive Care Limits for Preferred, Prime, and Choice

Preferred CoDeduct Plans

Preferred CoDeduct Value Plans


Effective August 1, 2012:

CDV 300+35 Diamond CDV 300+35/70% Diamond  
CDV 500+35 Diamond CDV 500+35/70% Diamond  
CDV 750+25 CDV 750+35
CDV 1000+25 CDV 1000+35
 CDV 1500+25 CDV 1500+35  
 CDV 2000+25  CDV 2000+35  
CDV 2500+25   CDV 2500+35 
CDV 3000+25 CDV 3000+35
CDV 5000+25 CDV 5000+35
CDV 7500+25 CDV 7500+35
CDV 750+25/70%  CDV 750+35/70%
CDV 1000+25/70%  CDV 1000+35/70%  
CDV 1500+25/70%  CDV 1500+35/70%  
CDV 2000+25/70%  CDV 2000+35/70%  
CDV 2500+25/70%   CDV 2500+35/70% CDV 2500+50/70%
CDV 3000+25/70%  CDV 3000+35/70% CDV 3000+50/70%
CDV 5000+25/70%   CDV 5000+35/70%  CDV 5000+50/70%
CDV 7500+25/70%   CDV 7500+35/70%  CDV 7500+50/70%


Diamond $300 and $500 deductible plans available for small groups only. 


Note: A few plans will be updated effective January 1, 2012. Those plans are:

Effective July 1, 2011:

CDV 300+35 Diamond CDV 1500+25 Star CDV 3000+25 Star
CDV 300+35/70% Diamond CDV 1500+25/70% Star CDV 3000+25/70% Star
CDV 300+50 Diamond CDV 1500+35 CDV 3000+35
CDV 300+50/70% Diamond CDV 1500+35/70% CDV 3000+35/70%
CDV 500+35 Diamond CDV 1500+50 CDV 3000+50
CDV 500+35/70% Diamond CDV 1500+50/70% CDV 3000+50/70%
CDV 500+50 Diamond CDV 2000+25 Star CDV 5000+25 Star
CDV 500+50/70% Diamond CDV 2000+25/70% Star CDV 5000+25/70% Star
CDV 750+25 Star CDV 2000+35 CDV 5000+35
CDV 750+25/70% Star CDV 2000+35/70% CDV 5000+35/70%
CDV 750+35 CDV 2000+50 CDV 5000+50
CDV 750+35/70% CDV 2000+50/70% CDV 5000+50/70%
CDV 750+50 CDV 2500+25 Star CDV 7500+25 Star
CDV 750+50/70% CDV 2500+25/70% Star CDV 7500+25/70% Star
CDV 1000+25 Star CDV 2500+35 CDV 7500+35
CDV 1000+25/70% Star CDV 2500+35/70% CDV 7500+35/70%
CDV 1000+35 CDV 2500+50 CDV 7500+50
CDV 1000+35/70% CDV 2500+50/70% CDV 7500+50/70%
CDV 1000+50    
CDV 1000+50/70%    

Diamond $300 and $500 deductible plans available for small groups only.
Star $25 copay plans available for large groups only. 


Preferred Deductible and Percentage Plans


Beginning August 1, we will no longer offer Preferred Deductible and Preferred Percentage plans.

Effective July 1, 2011:
80+300 80+1000 50/3750
80+500 80+1500 50/5000
80+750 80+2000 70/3500
  80+2000  

Preferred CoPay Plans


Effective August 1, 2012:
15/200D 25/200D  

 

Effective July 1, 2011:
15/200D 25/200D  

Preferred HSA Plans


Effective August 1, 2012:
No Rx Coverage: Rx Subject to Deductible:
HSA 80+1500 HSA 80+1500+Rx  
HSA 80+2000 HSA 80+2000+Rx  
HSA 80+3000 HSA 80+3000+Rx  
HSA 5000 HSA 5000+Rx  

Effective July 1, 2011:
No Rx Coverage: Rx Subject to Deductible:
HSA 80+1500 HSA 80+1500+Rx  
HSA 80+2000 HSA 80+2000+Rx  
HSA 80+3000 HSA 80+3000+Rx  
HSA 5000 HSA 5000+Rx  

Preferred Basic Health Plan (BHP)


Effective August 1, 2012:

BHP    

Effective July 1, 2011:

BHP    

Prime Plans


Effective August 1, 2012:

15/200D 500+25  
25/200D 1000+35  

Effective July 1, 2011:

15/200D 500+25  
25/200D 1000+35  

Choice Plans


Effective August 1, 2012:
15/200D 25/200D  

Effective July 1, 2011:
15/200D 25/200D  

Optional Benefits

Prescription Drug Plans

Dental Plans


Effective July 1, 2011:

Indemnity Plans

Dental Advantage Premier (PPO)

Dental Advantage (PPO)

Preventive 25/1000  80/80/80/50 25/1000 80/80/50/50 25/1000
Preventive 50/1000 80/80/80/50 25/1500 80/80/50/50 25/1500
Preventive 25/1500 80/80/80/50 25/2000 80/80/50/50 25/2000
Preventive 50/1500 80/80/80/50 50/1000 80/80/50/50 50/1000 Diamond
Comprehensive 25/1000 80/80/80/50 50/1500 80/80/50/50 50/1500 Diamond
Comprehensive 50/1000  80/80/80/50 50/2000 80/80/50/50 50/2000
Comprehensive 25/1500  100/80/80/50 25/1000  100/80/50/50 25/1000
Comprehensive 50/1500 100/80/80/50 25/1500 100/80/50/50 25/1500
 Orthodontia  100/80/80/50 25/2000 100/80/50/50 25/2000
  100/80/80/50 50/1000 100/80/50/50 50/1000 Diamond
  100/80/80/50 50/1500 100/80/50/50 50/1500 Diamond
  100/80/80/50 50/2000 100/80/50/50 50/2000

Diamond Available on a stand-alone basis for groups with 2 to 9 enrolled employees


Vision Plans


Effective August 1, 2012:

Vision 10/150 Vision 10/300
Vision Plus (no change)  Vision Exam-Only 

Effective prior to August 2012:

Vision 10/150 Vision 10/300
Vision Exam-Only   

Alternative Care and Chiropractic Care Plans

Other Optional Benefits

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Last updated 4/15/2013