2020 Washington Large Group Plans

The information on this page is for large group plans beginning January 1, 2020. Large groups in Washington are employers with one to 51 or more employees.

Quicklinks

 

Learn what we have to offer

Download a brochure: Washington Large Group Brochure

 

At your service: plans and networks come with choice

Our health plan products are a unique combination of networks and plan designs to fit the needs of you and your employees.

For 2020 we offer Washington businesses two product portfolios: Navigator and Voyager.

These products are part of our continued effort to simplify how members make informed decisions about their health and promote more engagement with their healthcare providers. The products further refine our mission to provide you with quality of care, accountability, access, affordability, and member choice.

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:

  • Clark
  • Pierce
  • Spokane

Voyager gives you the broadest choice of networks

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 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 (Rev. 10/3/19)
250+20_10 $250 $3,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
500+20_20 $500 $3,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
500+25_20 $500 $4,000 Covered in Full Primary/Specialist: $25* Navigator / Voyager Navigator / Voyager
750+20_20 $750 $4,500 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
1000+20_20 $1,000 $5,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
1500+20_20 $1,500 $5,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
2000+20_20 $2,000 $6,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
2500+20_20 $2,500 $6,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
3000+20_20 $3,000 $6,000 Covered in Full Primary/Specialist: $20* Navigator / Voyager Navigator / Voyager
3000+30_30 $3,000 $6,000 Covered in Full Primary/Specialist: $30* Navigator / Voyager Navigator / Voyager
3500+30_30 $3,500 $6,000 Covered in Full Primary/Specialist: $30* Navigator / Voyager Navigator / Voyager
4000+30_30 $4,000 $6,000 Covered in Full Primary/Specialist: $30* Navigator / Voyager Navigator / Voyager
5000+30_30 $5,000 $6,850 Covered in Full Primary/Specialist: $30* Navigator / Voyager Navigator / 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 (Rev. 10/3/19)
HSA 1500_20+Rx Non-Embedded $1,500 $4,000 Covered in Full 20% Navigator / Voyager Navigator / Voyager
HSA 3000_50+Rx $3,000 $6,350 Covered in Full 50% Navigator / Voyager Navigator / Voyager
HSA 3000_20+Rx $3,000 $5,000 Covered in Full 20% Navigator / Voyager Navigator / Voyager
HSA 3000+Rx $3,000 $3,000 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
HSA 4000+Rx $4,000 $4,000 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager
HSA 5000+Rx $5,000 $5,000 Covered in Full Covered in Full Navigator / Voyager Navigator / Voyager

 

TMJ options 

Summaries (PDFs, rev. 10/3/19):

 

Pharmacy options

Summaries (PDFs, rev. 10/3/19): 

WA 0P WA 20P 1500DNE WA 3000D
WA 7-25-50 (rev. 10/28/19) WA 20P 3000D WA 4000D
WA 10-35-60 WA 50P 3000D WA 5000D
WA 10-50P-50P    
WA 15-40-70    

  

Vision plans complete your package

Summaries (PDFs, rev. 10/3/19):

 

Brochures, enrollment forms, and more 

Brochures (PDFs):   

Forms (PDFs):

Contact us. We're happy to help! 

Email washingtonsales@pacificsource.com

Call (866) 556-1224, Monday through Friday, from 8:00 a.m. to 5:00 p.m.

For producers

You can order sales kits for large group clients online!

Order printed materials 

Visit our Washington Forms and Materials page for more sales materials. (coming soon)