PRV1_0119_ProviderManual-Commercial.pdf

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Section 8 | Products 38 8.1 Product Descriptions All PacificSource products are designed to contain healthcare costs appropriately. By providing a full spectrum of products, PacificSource is able to offer a broad range of plans with varying flexibility. 8.1.1 Products Offered in Oregon Product line Description PCP required Referral required Office calls PSN PPO plans; plans include deductibles with co-pays on some plans; some plans can be paired with a health savings account (HSA) No No Plan-specific; could require co-pay or deductible SmartChoice Coordinated care organization style of plans; plans include deductibles with co-pays on some plans; some plans can be paired with a HSA Yes No Plan-specific; could require co-pay or deductible SmartHealth Coordinated care network style of plans; plans include deductibles with co-pays on some plans; some plans can be paired with a HSA Yes No Plan-specific; could require co-pay or deductible Legacy Coordinated care network style of plans; plans include deductibles with co-pays on some plans; some plans can be paired with a HSA Yes No Plan-specific; could require co-pay or deductible Prime Managed care style of plans; plans include deductibles with co-pays on some plans; some plans can be paired with a HSA Yes Yes Plan-specific; could require co-pay or deductible Standard plans State-mandated plans; they are a part of our PSN line of business No No Plan-specific; could require co-pay or deductible 8.1.2 Oregon Provider Network Descriptions/Product Associations Network abbreviation Network name Region PSN PacificSource Network All of Oregon, Idaho, Montana, and Southwestern Washington SCN SmartChoice Network SHN SmartHealth Network Prime Prime Network LHN Legacy Oregon For more information regarding benefits and eligibility, please contact Customer Service: Oregon: (541) 684-5582 or toll-free (888) 977-9299 Idaho: (208) 333-1596 or toll-free (800) 688-5008 Montana: (406) 442-6589 or toll-free (877) 590-1596 Email: [email protected] For plan-specific participating provider directories, please contact our Sales department by phone at (541) 686-1242 or (800) 624-6052, or visit our website at PacificSource.com.
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Section 8 | Products 39 8.1.3 Products Offered in Idaho Product line Description PCP required Referral required Office calls PSN PPO plans; plans include deductibles with co- pays on some plans; some plans can be paired with a health savings account (HSA) No No Plan-specific; could require co-pay or deductible SmartChoice Coordinated care network style of plans; plans include deductibles with co-pays on some plans; some plans can be paired with a HSA Yes No Plan-specific; could require co-pay or deductible SmartHealth Coordinated care network style of plans; plans include deductibles with co-pays on some plans; some plans can be paired with a HSA Yes No Plan-specific; could require co-pay or deductible BrightIdea Managed care style of plans; plans include deductibles with co-pays on some plans; some
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  • Winter '16
  • Dr. Vincent Onyebuchi
  • PacificSource

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