ElectNews: November 10, 2006

Updates to Elect Benefits at a Glance

The following benefit changes will apply beginning January 1, 2007:

Elect Plus

The accident benefit will increase by waiving the deductible and providing 100 percent coverage for the first $1,000 of accident-related covered expenses within 90 days.

The number of covered well baby exams will increase to nine exams in the first 24 months of life, including a standard in-hospital exam at birth and related laboratory tests.

The routine physical benefit will change from a $250, 24-month limitation to a scheduled benefit by age.

Colonoscopies , whether preventive or for a medically necessary diagnosis, will be paid at the same level as outpatient surgery.

Urgent care center visits will have a $50 copayment, then be covered at 80 percent (not subject to the deductible).

The transplant lifetime maximum benefit will change to $250,000.

Elect FlexPerks

The number of covered well baby exams will increase to nine exams in the first 24 months of life, including a standard in-hospital exam at birth and related laboratory tests.

The routine physical benefit will change from a $250, 24-month limitation to a scheduled benefit by age.

Colonoscopies , whether preventive or for a medically necessary diagnosis, will be paid at the same level as outpatient surgery.

The transplant lifetime maximum benefit will change to $250,000.

Elect Value

Colonoscopies , whether preventive or for a medically necessary diagnosis, will be paid at the same level as outpatient surgery.

The transplant lifetime maximum benefit will change to $250,000.

Alternate Plan Options and New Deductibles

Members interested in lowering their monthly premium cost are encouraged to consider increasing their deductible or reducing their co-insurance. In addition, we would be happy to suggest other options. As you know, we offer a variety of individual health plans for specific needs and budgets, including two new deductible options for the Elect Plus policies—$750 per calendar year and $7,500 per calendar year. The premiums for these new options are listed on the new 2007 rate sheet.

Members to Receive Policy Change Notices

At the end of November, our Elect policyholders will receive a letter outlining their specific plan changes and expected January 1 premium amount, based on their age and current enrollment status. In addition, they will receive a schedule of benefits, general policy endorsement, and a rate sheet of premiums for all Elect policies.

ElectNews is published by PacificSource Health Plans • Each issue is archived at http://www.pacificsource.com/for_agents_N.html
Copyright 2006 • PacificSource Health Plans • All rights reserved
PO Box 7068, Eugene OR 97401 • www.pacificsource.com
To unsubscribe, e-mail individual@pacificsource.com



In this issue: Special Preview for Agents—2007 Elect Materials Updates to Elect Benefits at a Glance Alternate Plan Options and New Deductibles Members to Receive Policy Change Notices	Issue 10: November 10, 2006 Announcing Elect Plan Changes for 2007! Special Preview for Agents—2007 Elect Materials PacificSource individual policies renew on January 1, 2007, and we will make our annual premium rate adjustments at that time as well. In addition to rate adjustments, we're also making changes to benefits to meet market demands and regulatory requirements, and we're adding two new deductible options to our Elect Plus plan. You can preview the new Elect plan benefit summaries, rate sheet, and application on our PacificSource Elect 2007 Plan Preview page at http://www.pacificsource.com/elect_2007.html . Our preview page is created especially for agents. In early December, we will remove this page and replace the 2006 plan materials on our Web site—at http://www.pacificsource.com/our_plansIF.html —with these 2007 materials. Remember, you can fax Elect individual policy applications to us for fast turnaround. As soon as the application has been underwritten, we'll contact you by e-mail. Top of page Updates to Elect Benefits at a Glance The following benefit changes will apply beginning January 1, 2007: Elect Plus The accident benefit will increase by waiving the deductible and providing 100 percent coverage for the first $1,000 of accident-related covered expenses within 90 days. The number of covered well baby exams will increase to nine exams in the first 24 months of life, including a standard in-hospital exam at birth and related laboratory tests. The routine physical benefit will change from a $250, 24-month limitation to a scheduled benefit by age. Colonoscopies , whether preventive or for a medically necessary diagnosis, will be paid at the same level as outpatient surgery. Urgent care center visits will have a $50 copayment, then be covered at 80 percent (not subject to the deductible). The transplant lifetime maximum benefit will change to $250,000. Elect FlexPerks The number of covered well baby exams will increase to nine exams in the first 24 months of life, including a standard in-hospital exam at birth and related laboratory tests. The routine physical benefit will change from a $250, 24-month limitation to a scheduled benefit by age. Colonoscopies , whether preventive or for a medically necessary diagnosis, will be paid at the same level as outpatient surgery. The transplant lifetime maximum benefit will change to $250,000. Elect Value Colonoscopies , whether preventive or for a medically necessary diagnosis, will be paid at the same level as outpatient surgery. The transplant lifetime maximum benefit will change to $250,000. Top of page Alternate Plan Options and New Deductibles Members interested in lowering their monthly premium cost are encouraged to consider increasing their deductible or reducing their co-insurance. In addition, we would be happy to suggest other options. As you know, we offer a variety of individual health plans for specific needs and budgets, including two new deductible options for the Elect Plus policies—$750 per calendar year and $7,500 per calendar year. The premiums for these new options are listed on the new 2007 rate sheet. Top of page Members to Receive Policy Change Notices At the end of November, our Elect policyholders will receive a letter outlining their specific plan changes and expected January 1 premium amount, based on their age and current enrollment status. In addition, they will receive a schedule of benefits, general policy endorsement, and a rate sheet of premiums for all Elect policies. Top of page
Questions? You're always welcome to contact us! Individual Sales (541) 684-5585 (866) 695-8684 toll free individual@pacificsource.com (541) 684-5401 fax Comments or suggestions about this publication? E-mail us at individual@pacificsource.com
ElectNews is published by PacificSource Health Plans • Each issue is archived at http://www.pacificsource.com/for_agents_N.html Copyright 2006 • PacificSource Health Plans • All rights reserved PO Box 7068, Eugene OR 97401 • www.pacificsource.com To unsubscribe, e-mail individual@pacificsource.com