ACA issuer profile

PacificSource Health Plans health insurance company overview

Use this dashboard to audit every marketplace plan offered by PacificSource Health Plans, track CMS import health, and link into each canonical HealthPorta plan profile.

Plans tracked: 42 State: Montana Import errors: 22

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Issuer import metrics

Marketplace coverage snapshot

Plans tracked 42
State served

Montana

Last import date Tue, 02 Dec 2025 06:13 GMT
Import errors 22

Drug coverage overview

107,404 drugs tracked across 42 formularies

Prior authorization requirements
Status Drugs
Required 30,514
Not Required 76,890

Plan roster

Health insurance 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 TIER ONE Sep 13, 2024
23603MT0330003 Dental Choice 0-20-50 1000 2025 MTN002 Sep 13, 2024
23603MT0320003 Dental Choice 0-20-50 1500 2025 TIER ONE 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 TIER ONE Sep 13, 2024
23603MT0330010 Kids Dental Choice 20-40-50 2025 MTN002 Sep 13, 2024
23603MT0290015 Navigator Bronze 9200 2025 TIER ONE Sep 13, 2024
23603MT0290001 Navigator Bronze HSA 8050 2025 TIER ONE Sep 13, 2024
23603MT0290003 Navigator Gold 1500 2025 TIER ONE Sep 13, 2024
23603MT0290008 Navigator Silver 5000 2025 TIER ONE Sep 13, 2024
23603MT0290002 Navigator Silver HSA 3500 2025 TIER ONE Sep 13, 2024
23603MT0290016 Navigator Standard Expanded Bronze 2025 TIER ONE Sep 13, 2024
23603MT0290018 Navigator Standard Gold 2025 TIER ONE Sep 13, 2024
23603MT0290017 Navigator Standard Silver 2025 TIER ONE Sep 13, 2024

Data notes

Disclaimer & references

Disclaimer: This dashboard reflects nightly imports from Marketplace machine-readable files. Numbers may lag issuer submissions or be affected by upstream errors.

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