2020 Oregon Large Group Plans

The information on this page is for large group 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, Voyager, and Pathfinder (an additional option for the Portland area), which join SmartChoice (Southern Oregon and Willamette Valley) in Oregon.

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:

  • Clackamas
  • Crook
  • Deschutes
  • Jefferson
  • Multnomah
  • Washington
  • Yamhill

Pathfinder—an additional choice that’s uniquely Portland

As a coordinated care product for the Portland tri-county area, Pathfinder is powered by Legacy Health and OHSU Health, which includes Tuality Healthcare and Adventist Health Portland. Pathfinder is also a coordinated care product, focusing on exceptional access to local providers, and promoting member engagement within an accountable network of providers.

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

  • Clackamas
  • Multnomah
  • Washington

SmartChoice—serving Southern Oregon and the Willamette Valley

SmartChoice is coordinated care powered by select provider groups, including Legacy Health, OHSU Health, McKenzie-Willamette Medical Center, PeaceHealth, and Samaritan Health Services.

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

  • Benton
  • Coos
  • Curry
  • Douglas
  • Jackson
  • Josephine
  • Lane
  • Linn
  • Marion
  • Polk

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 Oregon.

 

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 table 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
500+20_20 $500 $3,000 Covered in Full Primary/Specialist: $20* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
750+20_20 $750  $3,500 Covered in Full Primary/Specialist: $20* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
1000+25_20  $1,000 $4,000 Covered in Full Primary/Specialist: $25* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
1500+25_20 $1,500 $4,000 Covered in Full Primary/Specialist: $25* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
1500+25_30 $1,500 $4,000 Covered in Full Primary/Specialist: $25* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
2000+25_20  $2,000 $5,000 Covered in Full Primary/Specialist: $25* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
2000+25_30  $2,000 $5,000 Covered in Full Primary/Specialist: $25* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
2500+30_20 $2,500 $6,000  Covered in Full Primary/Specialist: $30* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
2500+30_30 $2,500 $6,000  Covered in Full Primary/Specialist: $30* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
3000+30_20 $3,000 $6,500  Covered in Full Primary/Specialist: $30* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
3000+30_30 $3,000 $6,500  Covered in Full Primary/Specialist: $30* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
3500+35_30 $3,500 $7,500  Covered in Full Primary/Specialist: $35* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
4000+35_20 $4,000 $7,000  Covered in Full Primary/Specialist: $35* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
4000+35_30 $4,000 $7,000  Covered in Full Primary/Specialist: $35* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
4500+35_30 $4,500 $7,500  Covered in Full Primary/Specialist: $35* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
5000+35_30 $5,000 $7,500  Covered in Full Primary/Specialist: $35* Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / 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 / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
HSA 3000_50+Rx $3,000 $6,350 Covered in Full 50% Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
HSA 3000+Rx $3,000 $3,000 Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
HSA 4000+Rx $4,000 $4,000 Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager
HSA 5000+Rx $5,000 $5,000 Covered in Full Covered in Full Navigator / Pathfinder / SmartChoice / Voyager Navigator / Pathfinder / SmartChoice / Voyager

 

 

Decide on dental plans

Dental handbook samples (PDFs): 

Summaries (PDFs): 

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

* Additional eligibility requirements may apply.

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

 

Pharmacy options

Summaries (PDFs):

OR 10-35-60 ODL OR 20P 1500D ODL OR 3000D ODL
OR 10-50P-50P ODL OR 50P ODL OR 4000D ODL
OR 5000D ODL

  

Vision plans complete your package

Summaries (PDFs):

 

Chiropractic Manipulation and Acupuncture

Summaries (PDFs):

Brochures, enrollment forms, and more 

Brochures (PDFs):  

Forms (PDFs):  

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

 

For producers

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

Order printed materials 

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