Employer Plan Summary Oregon2018 Oregon Small Group Plans 

The information on this page is for small group plans beginning January 1, 2018. Small groups in Oregon are employers with one to 50 employees.

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 chart below. Plans are available direct with PacificSource and through OregonHealthcare.gov, unless otherwise noted.

Medical handbook samples: (to come)

  • PacificSource Network Bronze and HSA  
  • PacificSource Network Silver and Gold  
  • PacificSource Network Standard  
  • SmartChoice Network Bronze and HSA  
  • SmartChoice Network Silver and Gold  
  • Legacy Health Network Bronze and HSA 
  • Legacy Health Network Silver and Gold  

Plan

Deductible

Out-of-pocket limit

Office visits

Co-insurance

SBCs
by Network
Summaries
by Network
Bronze HSA 4000
$4,000
$6,550 
After deductible, 50%
After deductible, 50%
Bronze HSA 6550
$6,550
$6,550 
After deductible, covered in full
After deductible, covered in full
Bronze 7350
$7,350
$7,350 
$20 co-pay^
After deductible, covered in full
Silver HSA 2700
$2,700
$6,550 
After deductible, 20%
After deductible, 20%
Silver HSA 3600
$3,600
$3,600 
After deductible, covered in full
After deductible, covered in full
Silver 3000
$3,000
$7,350 
$20 co-pay^ 
After deductible, 30%
Silver 4000 
$4,000
$7,350
$20 co-pay^
After deductible, 30%
Silver 5000 
$5,000
$7,350
$20 co-pay^
After deductible, 30%
Gold 1000
$1,000
$5,000
$20 co-pay^
After deductible, 20%
Gold 2000
$2,000
$5,000
$20 co-pay^
After deductible, 20%
Standard Bronze HSA** 
$6,550 
$6,550 
After deductible, covered in full
After deductible, covered in full
Standard Silver** 
$2,500
$7,350
$40 co-pay^
After deductible, 30%
Standard Gold**
$1,000
$6,350
$20 co-pay^
After deductible, 20%

*Available direct from PacificSource only.  

**Only available on the PacificSource network.

^Not subject to annual deductible.

 

Dental Plans


Dental handbook samples:


Dental Choice 0/20/50 50-1000
 
Dental Choice Plus 0/20/50 25-1000*
Dental Choice Plus 0/20/50 25-1500*
Dental Advantage Core
 
Dental Advantage 0/20/50 1000*
Dental Advantage 20/20/50 1000*
Dental Advantage Plus 0/20/50 1000*
Kids Dental Advantage 0/20/50
Dental Advantage Essentials*
Ortho 1000 WP*  

*Available direct from PacificSource only.

 

 Brochures and Forms


Brochures:  

 

Quote Request and Enrollment Forms

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

 

Choose a Medical Plan in One of Three Networks


Access more providers with our PacificSource Network.

The PacificSource Network (PSN) includes the broadest access to in-network providers and facilities, such as hospitals and urgent care centers. Plans on the PacificSource Network will typically cost more because your employees will have more providers to choose from.

PacificSource Network Availability

All Oregon businesses can choose health plans on the PacificSource Network, regardless of location.

 

Lower your costs with our SmartChoice and Legacy Health networks.

The SmartChoice and Legacy Health Networks are designed to give your employees a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care for your employees at a lower cost.

SmartChoice Network Availability

If your business is in one of the following counties, you can choose plans on the SmartChoice Network:

  • Benton
  • Coos
  • Crook
  • Curry
  • Deschutes
 
  • Douglas
  • Jackson
  • Jefferson
  • Josephine
 
  • Lane
  • Linn
  • Marion
  • Polk
 

Legacy Health Network Availability

If your business is in one of the following counties, you can choose plans on the Legacy Health Network:

  • Clackamas
  • Multnomah
  • Washington