Benefit changes are coming as a result

Everyone has been impacted by the public health emergency over the last several years. This is why PacificSource worked diligently to prioritize the healthcare needs of its members. Now, as the public health emergency officially ends May 11, we want to make sure all members, employer groups, and brokers clearly understand the benefit changes:

Benefits that stay the same

COVID-19 vaccinations and boosters are covered in full when visiting an in-network provider.

Benefit changes

  • COVID tests will be covered by a standard testing benefit.

  • Over-the-counter tests will no longer be covered under the medical or pharmacy benefit.

  • Office visits, urgent care, and emergency room visits with a COVID diagnosis will be subject to regular plan benefits and cost share.

  • For members on HSA-qualified health plans, diagnostic colonoscopies are subject to deductibles and co-insurance.

Oregon specific benefit changes

  • Oregon specific out-of-network labor and delivery are subject to out-of-network cost shares.

Washington specific benefit changes

  • Personal protective equipment requirements will end on May 11, 2023.

If you need assistance, please contact Customer Service at CS@PacificSource.com or 888-977-9299, TTY: 711. We accept all relay calls.