Marketplace issuer snapshot

PacificSource Health Plans coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for PacificSource Health Plans.

Plans tracked: 42 State: Montana Coverage exceptions: 11
Plans tracked 42
Formularies 42
Latest refresh Tue, 10 Mar 2026 06:40 GMT
HealthPorta issuer coverage analytics

HealthPorta market view

Coverage, formulary, and source-quality context in one issuer profile

This issuer view combines plan availability, drug coverage footprint, and source-quality context so teams can review current marketplace status quickly.

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 42
State served

Montana

Latest source refresh Tue, 10 Mar 2026 06:40 GMT
Coverage exceptions 11

Drug coverage overview

115,626 drugs tracked across 42 formularies

Prior authorization requirements
Status Drugs
Required 38,178
Not Required 77,448

Plan roster

Marketplace plans from PacificSource Health Plans

Plan ID Plan name Year Network Last update
23603MT0380002 Core Bronze HSA 10600 2026 TIER ONE Oct 15, 2025
23603MT0380001 Core Bronze HSA 8300 2026 TIER ONE Oct 15, 2025
23603MT0380008 Core Gold 1500 2026 TIER ONE Oct 15, 2025
23603MT0380004 Core Silver 3500 2026 TIER ONE Oct 15, 2025
23603MT0380005 Core Silver 5000 2026 TIER ONE Oct 15, 2025
23603MT0380003 Core Standard Expanded Bronze HSA 2026 TIER ONE Oct 15, 2025
23603MT0380009 Core Standard Gold 2026 TIER ONE Oct 15, 2025
23603MT0380006 Core Standard Silver 2026 TIER ONE Oct 15, 2025
23603MT0320001 Dental Choice 0-20-50 1000 2026 TIER ONE Oct 15, 2025
23603MT0330003 Dental Choice 0-20-50 1000 2026 MTN002 Oct 15, 2025
23603MT0320003 Dental Choice 0-20-50 1500 2026 TIER ONE Oct 15, 2025
23603MT0330004 Dental Choice 0-20-50 1500 2026 MTN002 Oct 15, 2025
23603MT0330002 Dental Choice 0-20-50 750 2026 MTN002 Oct 15, 2025
23603MT0330001 Dental Choice Core 2026 MTN002 Oct 15, 2025
23603MT0330005 Dental Choice Plus 0-20-50 25-1000 2026 MTN002 Oct 15, 2025
23603MT0330007 Dental Choice Plus 0-20-50 25-1500 2026 MTN002 Oct 15, 2025
23603MT0330006 Dental Choice Plus 0-20-50 50-1000 2026 MTN002 Oct 15, 2025
23603MT0330008 Dental Choice Plus 0-20-50 50-1500 2026 MTN002 Oct 15, 2025
23603MT0330009 Kids Dental Choice 0-20-50 2026 MTN002 Oct 15, 2025
23603MT0320002 Kids Dental Choice 0-20-50 2026 TIER ONE Oct 15, 2025
23603MT0330010 Kids Dental Choice 20-40-50 2026 MTN002 Oct 15, 2025
23603MT0320001 Dental Choice 0-20-50 1000 2025 MTN004 Sep 13, 2024
23603MT0330003 Dental Choice 0-20-50 1000 2025 MTN002 Sep 13, 2024
23603MT0320003 Dental Choice 0-20-50 1500 2025 MTN004 Sep 13, 2024
23603MT0330004 Dental Choice 0-20-50 1500 2025 MTN002 Sep 13, 2024
23603MT0330002 Dental Choice 0-20-50 750 2025 MTN002 Sep 13, 2024
23603MT0330001 Dental Choice Core 2025 MTN002 Sep 13, 2024
23603MT0330005 Dental Choice Plus 0-20-50 25-1000 2025 MTN002 Sep 13, 2024
23603MT0330007 Dental Choice Plus 0-20-50 25-1500 2025 MTN002 Sep 13, 2024
23603MT0330006 Dental Choice Plus 0-20-50 50-1000 2025 MTN002 Sep 13, 2024
23603MT0330008 Dental Choice Plus 0-20-50 50-1500 2025 MTN002 Sep 13, 2024
23603MT0330009 Kids Dental Choice 0-20-50 2025 MTN002 Sep 13, 2024
23603MT0320002 Kids Dental Choice 0-20-50 2025 MTN004 Sep 13, 2024
23603MT0330010 Kids Dental Choice 20-40-50 2025 MTN002 Sep 13, 2024
23603MT0290015 Navigator Bronze 9200 2025 MTN003 Sep 13, 2024
23603MT0290001 Navigator Bronze HSA 8050 2025 MTN003 Sep 13, 2024
23603MT0290003 Navigator Gold 1500 2025 MTN003 Sep 13, 2024
23603MT0290008 Navigator Silver 5000 2025 MTN003 Sep 13, 2024
23603MT0290002 Navigator Silver HSA 3500 2025 MTN003 Sep 13, 2024
23603MT0290016 Navigator Standard Expanded Bronze 2025 MTN003 Sep 13, 2024
23603MT0290018 Navigator Standard Gold 2025 MTN003 Sep 13, 2024
23603MT0290017 Navigator Standard Silver 2025 MTN003 Sep 13, 2024

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

Source: CMS.gov and the HealthPorta Healthcare MRF API.