PacificSource Health Plans offers this marketplace plan (Plan ID 10091OR0700014). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.
Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Oregon). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Silver-tier CSR plans lower deductibles for households ≤250% FPL.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 07 Jul 2026 05:51 GMT).
All providers in Oregon852
PCPs in OregonN/A
Telehealth supportData pending
Nationwide providers1364
852 doctors statewide
Provider network(s)
TIER-ONE
Providers
Oregon
All US states
All
852
1364
PCP
N/A
1
Allergy
N/A
N/A
OB/GYN
N/A
N/A
Dentists
585
948
Drug coverage overview
4,881 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
GENERIC
2,748
SPECIALTY
1,070
NON-PREFERRED-BRAND
754
ZERO-COST-SHARE-PREVENTIVE
309
Prior authorization
Drugs
Required
1,341
Not Required
3,540
Step therapy
Drugs
Required
107
Not Required
4,774
Quantity limits
Drugs
Has Limit
1,461
No Limit
3,420
Customer highlights
What stands out for members
Issuer: PacificSource Health Plans · Plan ID 10091OR0700014 · 2026 filing.
Disclaimer: Based on the Tue, 07 Jul 2026 05:51 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
