pacificsource.com
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https://pacificsource.com/
Submission: On October 09 via api from US — Scanned from DE
Submission: On October 09 via api from US — Scanned from DE
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1 forms found in the DOMGET
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Text Content
Search: Menu MenuMenu * Shop PlansOpen submenu * MembersOpen submenu * EmployersOpen submenu * ProducersOpen submenu * ProvidersOpen submenu * ResourcesOpen submenu * InTouch Logins(link is external) * Find a doctor * Find a drug * Careers * Contact Us No results found. Close submenuShop PlansMenu/Shop Plans * Individuals & FamiliesOpen submenu * EmployersOpen submenu * Dental * Medicare(link is external) * Medicaid(link is external) * PacificSource Administrators(link is external) No results found. Close submenuIndividuals & FamiliesMenu/Shop Plans/Individuals & Families * Individuals & Families Overview * View Plans(link is external) No results found. Close submenuEmployersMenu/Shop Plans/Employers * Employers Overview * View Plans * Administrative Services * Small Group * Large Group * Self-Funded No results found. Close submenuMembersMenu/Members * MembersOpen submenu * Medicare(link is external) * Medicaid(link is external) * PacificSource Administrators(link is external) No results found. Close submenuMembersMenu/Members/Members * Members Overview * New Members * Print ID Card(link is external) * Plan Information * Getting CareOpen submenu * Healthy ResourcesOpen submenu * Behavioral Health Services * Prescription Drug InformationOpen submenu * Vision * Dental * About InTouch for Members * Make a Payment No results found. Close submenuGetting CareMenu/Members/Members/Getting Care * Getting Care Overview * Find a Doctor * Your Member ID * Telehealth * Urgent and Emergency Care * Explanation of Benefits * Prior authorization No results found. Close submenuHealthy ResourcesMenu/Members/Members/Healthy Resources * Healthy Resources Overview * Fitness Center Discount * CaféWell * Weight Management * Condition Support Program * Tobacco Cessation Program * Prenatal Program * Flu Prevention * Health Ed Reimbursement * Global Emergency Services * Rare Disease Program No results found. Close submenuPrescription Drug InformationMenu/Members/Members/Prescription Drug Information * Prescription Drug Information Overview * Find a Drug * Find a Pharmacy * Drug Resources * Lists and Criteria * Drug Costs No results found. Close submenuEmployersMenu/Employers * Employers Overview * Employer InTouch(link is external) * WellnessOpen submenu * Flu Clinic * Documents and Forms No results found. Close submenuWellnessMenu/Employers/Wellness * Wellness Resources * Wellness Toolkits * Wellness Consulting No results found. Close submenuProducersMenu/Producers * Producers Overview * Plan Details * InTouch for Producers(link is external) * Get Quotes and Materials * Get Appointed * Documents and Forms No results found. Close submenuProvidersMenu/Providers * MedicalOpen submenu * DentalOpen submenu * Provider Service Representatives * HIPAA Electronic Transactions * Partner With Us * About InTouch for Providers * Provider Resource Center * Prescription Drug Information * Community Health Excellence Program No results found. Close submenuMedicalMenu/Providers/Medical * Medical Overview * Claims Guidelines * Prior Authorization * Clinical Policies & Practice Guidelines * Medicare(link is external) * Medicaid(link is external) No results found. Close submenuDentalMenu/Providers/Dental * Dental Overview * Claims Guidelines * Prior authorization * Medicaid(link is external) No results found. Close submenuResourcesMenu/Resources * Resources Overview * Learning CenterOpen submenu * Documents and Forms * myPacificSource Mobile App No results found. Close submenuLearning CenterMenu/Resources/Learning Center * Learning Center Overview * Health Library(link is external) * Glossary * News and Articles * Video Library * FAQ No results found. Skip to main content * * Find a: * Doctor * Drug * Search Search * Shop Plans * Individuals & Families * Employers * Dental * Medicare(link is external) * Medicaid(link is external) * PacificSource Administrators(link is external) * Individuals & Families Overview * View Plans(link is external) * Employers Overview * View Plans * Administrative Services * Small Group * Large Group * Self-Funded INDIVIDUALS & FAMILIES INDIVIDUALS & FAMILIES OVERVIEW VIEW PLANS View Individual & Family Plans EMPLOYERS EMPLOYERS OVERVIEW VIEW PLANS View Employer Plans ADMINISTRATIVE SERVICES SMALL GROUP LARGE GROUP SELF-FUNDED DENTAL Employers > Dental MEDICARE MEDICAID PACIFICSOURCE ADMINISTRATORS PacificSource Administrators * Members * Members * Medicare(link is external) * Medicaid(link is external) * PacificSource Administrators(link is external) * Members Overview * New Members * Print ID Card(link is external) * Plan Information * Getting Care * Healthy Resources * Behavioral Health Services * Prescription Drug Information * Vision * Dental * About InTouch for Members * Make a Payment * Getting Care Overview * Find a Doctor * Your Member ID * Telehealth * Urgent and Emergency Care * Explanation of Benefits * Prior authorization * Healthy Resources Overview * Fitness Center Discount * CaféWell * Weight Management * Condition Support Program * Tobacco Cessation Program * Prenatal Program * Flu Prevention * Health Ed Reimbursement * Global Emergency Services * Rare Disease Program * Prescription Drug Information Overview * Find a Drug * Find a Pharmacy * Drug Resources * Lists and Criteria * Drug Costs MEMBERS Members > Members MEMBERS OVERVIEW NEW MEMBERS PRINT ID CARD Print ID Card PLAN INFORMATION Members > Plan Information GETTING CARE GETTING CARE OVERVIEW FIND A DOCTOR YOUR MEMBER ID TELEHEALTH URGENT AND EMERGENCY CARE EXPLANATION OF BENEFITS PRIOR AUTHORIZATION HEALTHY RESOURCES HEALTHY RESOURCES OVERVIEW FITNESS CENTER DISCOUNT CAFÉWELL CaféWell WEIGHT MANAGEMENT CONDITION SUPPORT PROGRAM TOBACCO CESSATION PROGRAM PRENATAL PROGRAM FLU PREVENTION HEALTH ED REIMBURSEMENT GLOBAL EMERGENCY SERVICES RARE DISEASE PROGRAM BEHAVIORAL HEALTH SERVICES PRESCRIPTION DRUG INFORMATION Members > Individuals > Pharmacy Information PRESCRIPTION DRUG INFORMATION OVERVIEW FIND A DRUG FIND A PHARMACY DRUG RESOURCES LISTS AND CRITERIA DRUG COSTS VISION Members > Vision DENTAL Members > Individuals > Dental ABOUT INTOUCH FOR MEMBERS MAKE A PAYMENT MEDICARE Members > Medicare MEDICAID Members > Medicaid PACIFICSOURCE ADMINISTRATORS PacificSource Administrators * Employers * Employers Overview * Employer InTouch(link is external) * Wellness * Flu Clinic * Documents and Forms * Wellness Resources * Wellness Toolkits * Wellness Consulting EMPLOYERS OVERVIEW Employers > Employers Overview EMPLOYER INTOUCH Members > Employers > Employer InTouch WELLNESS WELLNESS RESOURCES WELLNESS TOOLKITS WELLNESS CONSULTING FLU CLINIC Members > Employers > Flu Clinic DOCUMENTS AND FORMS Members > Employers > Documents & Forms * Producers * Producers Overview * Plan Details * InTouch for Producers(link is external) * Get Quotes and Materials * Get Appointed * Documents and Forms PRODUCERS OVERVIEW PLAN DETAILS INTOUCH FOR PRODUCERS GET QUOTES AND MATERIALS GET APPOINTED DOCUMENTS AND FORMS * Providers * Medical * Dental * Provider Service Representatives * HIPAA Electronic Transactions * Partner With Us * About InTouch for Providers * Provider Resource Center * Prescription Drug Information * Community Health Excellence Program * Medical Overview * Claims Guidelines * Prior Authorization * Clinical Policies & Practice Guidelines * Medicare(link is external) * Medicaid(link is external) * Dental Overview * Claims Guidelines * Prior authorization * Medicaid(link is external) MEDICAL MEDICAL OVERVIEW CLAIMS GUIDELINES PRIOR AUTHORIZATION CLINICAL POLICIES & PRACTICE GUIDELINES MEDICARE MEDICAID DENTAL DENTAL OVERVIEW CLAIMS GUIDELINES PRIOR AUTHORIZATION MEDICAID PROVIDER SERVICE REPRESENTATIVES HIPAA ELECTRONIC TRANSACTIONS PARTNER WITH US ABOUT INTOUCH FOR PROVIDERS PROVIDER RESOURCE CENTER PRESCRIPTION DRUG INFORMATION COMMUNITY HEALTH EXCELLENCE PROGRAM Community Health Excellence Grants * Resources * Resources Overview * Learning Center * Documents and Forms * myPacificSource Mobile App * Learning Center Overview * Health Library(link is external) * Glossary * News and Articles * Video Library * FAQ RESOURCES OVERVIEW LEARNING CENTER LEARNING CENTER OVERVIEW HEALTH LIBRARY GLOSSARY NEWS AND ARTICLES VIDEO LIBRARY Video Library FAQ DOCUMENTS AND FORMS Documents and Forms MYPACIFICSOURCE MOBILE APP * * Careers * Contact Us * Log in(link is external) NEW AND RENEWING MEMBERS Set up your online account to print member ID cards, track deductibles, check coverages, view claims, and more. Get started COVID-19 at-home home test kits available at no cost. Learn more(link is external) HEALTH PLANS THAT GO BEYOND WHAT'S REQUIRED— FOR YOU, YOUR FAMILY, OR YOUR EMPLOYEES Individual & Family Health insurance for you or your family. Get the features you want (but may not even know existed). Individual & Family View plans(link is external) Small Group Human customer service for you and your employees. For groups of 1-50. Small Group View plans Large Group Scalable, flexible plans for larger organizations of 51 or more. Large Group View plans Medicare Health insurance for people who are 65 or older, or those under 65 with certain disabilities or conditions. Medicare(link is external) Medicaid Health insurance for people with limited incomes. Medicaid(link is external) Dental Because healthy teeth and gums are an important part of a healthy body. Dental IN-NETWORK CARE, IN MORE THAN YOUR OWN BACKYARD. Get multi-state, in-network providers with many of our plans. Show me plans for Me or my family My organization Medicare (link is external) Medicaid (link is external) A FEW OF THE WAYS PACIFICSOURCE PUTS MEMBERS FIRST: Web Icons ALL Human service (not automated phone trees) Web Icons ALL Mobile access to your health insurance information Web Icons ALL On-demand access to doctors by phone or video Web Icons ALL No referrals required to see specialists A CULTURE OF HELPING Explore how we give back to the communities where we live and work to make them healthier and happier places. See how we give to the community CARING FOR YOUR MENTAL HEALTH Feelings of stress, anxiety, and depression are common and treatable. Your emotional well-being is just as important as your physical health. Explore our resources and care options ALREADY A MEMBER? Want personalized information about your health insurance? Log in to our secure member portal, InTouch. Log in (link is external) Member resources WE’RE HERE TO HELP. Serving members and their communities with reliable and caring customer service. 888-977-9299, TTY: 711 Have questions? Want to send a message? Contact us * About * Our Mission * History * Executive Team * Board of Directors * Company News * Locations * Community * A Culture of Helping * Not-for-Profit Status * Investing in Our Communities * Help * Contact Us * FAQ * Glossary * Careers * Products * Individual and Families * Employers * PacificSource Administrators(link is external) * Medicare(link is external) * Medicaid(link is external) * * * * * * * Back to top Products provided by PacificSource Health Plans, PacificSource Community Solutions, PacificSource Community Health Plans, or PacificSource Administrators, Inc. © 2022 PacificSource. All rights reserved. Non-discrimination notice | Security | JSON Files | Terms of Service | Privacy Policy Close menu