2020 Idaho Large Group Plans 

The information on this page is for plans beginning January 1, 2020.

Quicklinks

 

Learn what we have to offer

Download a brochure (PDFs): 

 

At your service: plans and networks come with choice

PacificSource is excited to introduce Navigator and Voyager.

Navigator—for exceptional coordinated care

Navigator gives you a more integrated approach to care—helping members get the right care, at the right time, in the right place. It’s care that’s coordinated to simplify the member experience, improve access to care, and promote member engagement through shared decision-making within an accountable network of providers.

Navigator is available for purchase by employers located in the following counties:

  • Ada
  • Adams
  • Bannock
  • Bingham
  • Blaine
  • Boise
  • Camas
  • Canyon
  • Caribou
  • Cassia
  • Custer
  • Elmore
  • Gem
  • Gooding
  • Jerome
  • Lemhi
  • Lincoln
  • Minidoka
  • Oneida
  • Owyhee
  • Payette
  • Power
  • Twin Falls
  • Valley
  • Washington

Voyager gives you the broadest choice of networks

Voyager is our rebranded evolution of the PSN (PacificSource Network) product. As a preferred provider organization (PPO), Voyager means greater choice for members. For those who prefer a more self-guided experience, Voyager gives members expanded access to our broadest network of providers.

Voyager is available for purchase by businesses located throughout the state of Idaho.

SmartAlliance Network

The SmartAlliance Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care at a lower cost. This network includes coverage with Saint Alphonsus providers and facilities, as well as other local healthcare providers.

SmartAlliance is available for purchase by employers located in the following counties:

  • Ada
  • Boise
  • Canyon
  • Gem
  • Owyhee
  • Payette
  • Washington

 

Review medical plans

Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts. 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 tables below.  

Medical handbook samples (PDFs): 

Non-HSA Qualified Medical Plans

Plan  

Deductible  

Out-of-pocket Maximum  

Preventive Services
No deductible, member pays:

Office Visits
After deductible, member pays:

SBCs (PDFs)
by Network
Summaries (PDFs)
by Network  
1000+30_20   $1,000 $4,000 Covered in Full

Primary/Specialist: $30*

Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
1000+30_30   $1,000  $4,000 Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
1500+30_20   $1,500  $4,000 Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
1500+30_30   $1,500 $4,000 Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
2000+30_20   $2,000 $5,000 Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
2000+30_30    $2,000 $5,000 Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
2500+30_20    $2,500 $5,000 Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
2500+30_30   $2,500 $5,000  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
3000+30_20   $3,000 $5,000  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
3000+30_30   $3,000 $5,000  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
4000+30_20   $4,000 $6,000  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
4000+30_30   $4,000 $6,000  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
5000+30_20   $5,000 $6,850  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
5000+30_30   $5,000 $6,850  Covered in Full Primary/Specialist: $30* Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager

 * Not subject to deductible.

HSA Qualified Medical Plans

Plan  

Deductible  

Out-of-pocket Maximum  

Preventive Services
No deductible, member pays:

Office Visits
After deductible, member pays:

SBCs (PDFs)
by Network
Summaries (PDFs)
by Network  
HSA 1500_20+Rx Non-embedded   $1,500 $4,500 Covered in Full 20% Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
HSA 3000_20+Rx   $3,000 $5,000 Covered in Full 20% Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
HSA 3000_50+Rx   $3,000 $6,350 Covered in Full 50% Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
HSA 3000+Rx   $3,000 $3,000 Covered in Full Covered in Full Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
HSA 4000+Rx   $4,000 $4,000 Covered in Full Covered in Full Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager
HSA 5000+Rx   $5,000 $5,000 Covered in Full Covered in Full Navigator / SmartAlliance / Voyager Navigator / SmartAlliance / Voyager

 

Decide on dental plans

Dental handbook samples (PDFs):  

Summaries (PDFs):

Dental Choice Plus 0-20-50 25-1000   Dental Advantage Plus 0-20-50 1000  
Dental Choice Plus 0-20-50 50-1000   Dental Advantage Plus 0-20-50 1500  
Dental Choice Plus 0-20-50 25-1500   Dental Advantage Plus 20-20-50 1000  
Dental Choice Plus 0-20-50 50-1500   Dental Advantage Plus 20-20-50 1500  
Orthodontia 1000    
Orthodontia 1500    

Voluntary Dental Option Plans

Our Voluntary Dental option is available to businesses with ten or more enrolled employees.  Summaries (PDFs):

Dental Choice 0-20-50 25-1500  Dental Advantage 0-20-50 1000  
Dental Choice 0-20-50 50-1000 Dental Advantage 0-20-50 1500  
Dental Choice 0-20-50 50-1500    

 

Pharmacy options

Summaries (PDFs):

ID 7-35-20P IDL ID 20P 1500D IDL ID 3000D IDL
ID 7-35-60 IDL  ID 20P 3000D IDL ID 4000D IDL
ID 50P 3000D IDL ID 5000D IDL

  

Vision plans complete your package

Summaries (PDFs):

 

Brochures, enrollment forms, and more

Brochures (PDFs):   

Forms (PDFs):  

Visit our Idaho Forms and Materials page for more sales materials.

Contact us. We're happy to help! 

Email idahosales@pacificsource.com

Call Monday through Friday, from 8:00 a.m. to 5:00 p.m.

  • Boise: (208) 342-3709, (888) 492-2875
  • Coeur d’Alene: (208) 333-1557, (888) 492-2875
  • Idaho Falls: (208) 522-1360, (888) 492-2875

 

For producers

You can order sales kits for individual and small group clients online!

Order printed materials 

Visit our Idaho Forms and Materials page for more sales materials.