What Are PacificSource Health Provider Plans?

Founded in 1933, PacificSource Health Plans is an Oregon-based non-profit health-care provider. PacificSource Health Plans, initiated by a group of doctors, has a network comprised of more than 900 physicians and numerous hospitals and medical facilities. With close to 276 employees, PacificSource serves a base of approximately 144,000 members.

PacificSource Health Plans Provider Networks

• PacificSource Health Plans operates through the use of health-care provider networks. The provider networks provide PacificSource customers with doctors, dentists, hospitals and outpatient-care facilities. Some provider networks available through PacificSource health plans are national health-care provider networks; others are regional networks serving the northwestern quadrant of the United States.

First Health Network

• The First Health Network is one of the health-care provider networks available through PacificSource health-care plans. PacificSource's contract with the First Health Network allows customers to have covered medical care outside the Oregon, Idaho and southwestern Washington area when they use health-care providers within the First Health Network. In emergency situations, the network pays provider-level benefits even if the hospital is not within the provider network.

Clear One

• PacificSource Health Plans provides health-care plans for senior citizens through Clear One. Clear One offers Medicare Advantage plans that include prescription drug coverage. Medicare Advantage plans help seniors with health-care costs by covering medical expenses not covered under Medicare. In addition to covering doctor visits and prescription costs, Clear One Medicare Advantage plans have mail-order medical suppliers within their network.

Advantage Dental Provider Network

• PacificSource health plans provide dental coverage for plan participants through the Advantage Dental Provider Network. The network uses a co-payment system; when members see a participating dentist under the Advantage plan, the member pays only the co-payment, any deductible not met and co-insurance, if applicable. Typically, members are not responsible for any amount that goes above the contracted rate for covered services. If a member's dentist is not a participant in the plan, she may continue to see her dentist and the plan will pay benefits aligned with the area's reasonable and customary rates.