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Legacy Employee Health Plan Information

Legacy Health logoWelcome Legacy Health employees! Find information on this page about your Legacy Health medical, vision, and flexible spending account plans, as well as programs and services included with your coverage.

All of us at PacificSource are pleased to serve you and your family members!   

Find a Legacy + Network Provider: Portland Metro and Silverton Network Areas

Your medical plan covers eligible services and supplies from Legacy + Network facilities and providers for enrolled employees and dependents (excluding Eugene/Springfield, Corvallis, and Newport employees and their dependents). Coverage outside the Legacy + Network is limited to:   

  • Emergency and urgent care services for non-routine care (See “Important medical plan terms” in your Employee Benefits Guide.) 
  • Covered services not available within the Legacy + Network when pre-approved by PacificSource 
  • Covered services received from any licensed chiropractor or acupuncturist, diabetic supplies, and services from an optometrist or vision dispensary 

All other services rendered by a non-Legacy + Network facility or provider for any enrolled employee and or dependent will not be covered. Please be sure to review the Legacy + Network provider list before scheduling healthcare appointments. See “Summary of Medical Benefits” in your Employee Benefits Guide for more information. 

Find a Provider: Portland Metro and Silverton (all employees excluding Corvallis, Eugene/Springfield, and Newport)

What if my provider is not in the Legacy + network? 
If your provider is not a Legacy + network participating provider, you can nominate them to be added to the Legacy + network. Contact the PacificSource Customer Service team for more information and to nominate them. Please note, your provider must meet specific Legacy + network criteria and be approved to be added to the network. You will be notified if your provider is approved. Call (971) 222-1050 (local Portland area, M-F, 7:00 a.m. to 5:00 p.m.) or (844) 520-5347 (toll-free), or email LegacyEHP@pacificsource.com

Find a Provider: Corvallis, Eugene/Springfield, and Newport

Important notice for employees who work in Eugene, Springfield, Corvallis, or Newport: Starting January 1, 2017, only providers listed on the new city-specific network directory (see links below) will be considered in-network for you and your covered dependents. 

Your medical plan covers eligible services and supplies from in-network facilities and providers for enrolled employees and dependents. Coverage outside the network is limited to:  

  • Emergency and urgent care services for non-routine care (See “Important medical plan terms” in your Employee Benefits Guide.) 
  • Covered services not available within the network when pre-approved by PacificSource 
  • Covered services received from any licensed chiropractor or acupuncturist, diabetic supplies, and services from an optometrist or vision dispensary 

All other services rendered by an out-of-network facility or provider for any enrolled employee and or dependent will not be covered. Please be sure to review the network provider list before scheduling healthcare appointments. See “Summary of Medical Benefits” in your Employee Benefits Guide for more information.

Temporary ID Card 

Once your PacificSource coverage begins, you will need to present your member ID card when you visit your doctor or pharmacy to ensure they have the correct insurance information. Print a temporary ID card now.

Register for InTouch, and go paper free!

Once your coverage begins, you can register for InTouch for Members, our secure member website. InTouch gives you 24-hour access to plan materials and benefits, such as your out-of-pocket maximum or limits, Explanation of Benefits (EOBs), and the status of authorizations and referrals.

You can even sign up to go paperless and receive EOBs by email. Keep in mind it may take a few weeks before your benefit summary and member handbook are available through InTouch.

Forms and Fliers

Health plan:

Flexible spending account (FSA):

 

 

InTouch for Members

Flexible Spending Account

 

Questions?

Medical emergency? Call 911.

Need info about your benefits?
Contact PacificSource Customer Service:

Pharmacy claim questions?
Contact MedImpact:

 

For questions about your previous 2016 health plan claims:

 

 

Last updated 5/19/2017