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MONTANA GROUP MASTER APPLICATION - PacificSource

MONTANA GROUP MASTER APPLICATION - PacificSource 2025

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The document is a Group Master Application for PacificSource health insurance, requiring employers to provide detailed information about their business, employee eligibility, and benefit selections. It outlines the necessary steps and documentation needed to ensure timely coverage, including submission deadlines and requirements related to prior insurance, employer contributions, and compliance with the Affordable Care Act.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does OHP cover you out of state?

Getting services outside Oregon OHP may pay for services you get outside Oregon when: It is a medical emergency or. The service is not readily available in Oregon, and your CCO or OHA approved the service.

What type of insurance is PacificSource Health Plans?

The PacificSource brand includes PacificSource Health Plans, PacificSource Community Solutions, PacificSource Administrators Inc., and IPN. Individual health insurance, Medicare Advantage, Medicaid, group health, dental, vision, and prescription coverage, are available to residents of the Northwest.

Does PacificSource work out of state?

Outside our four-state area Beyond Idaho, Montana, Oregon, and Washington, members can receive in-network care through our collaboration with Aetna Signature Administrators. Note: HCA providers in Texas are not in-network for PacificSource members.

Does PacificSource cover birth control?

Birth control and contraceptives Your first prescription can be up to a 3-month supply. After that, you can receive a years supply of the same prescription.

How to file a claim with PacificSource?

888-977-9299 TTY: 711 We accept all relay calls. If we dont have all required information, it may take longer for us to process your claim. PacificSource encourages claims submission within 90 days of service. However, we will accept submitted claims for a period of one year from the date of service.

What states does PacificSource cover?

Were local across the Greater Northwest. Idaho. Montana. Oregon. Washington.

Does my health insurance work out of state?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. As long an emergency is considered life-threatening, it will be covered as in-network, regardless if the hospital is in your plans network.

MONTANA GROUP MASTER APPLICATION - PacificSource 2025

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