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PacificSource Provider Directory

Details: A physician’s affiliation with a hospital does not guarantee the hospital is a participating provider in your plan’s provider network. Please confirm your desired hospital is in-network. Close . Accepting New Patients Explained. Accepting New Patients indicates if a physician is currently accepting new patients into his/her practice.

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› Url: https://providerdirectory.pacificsource.com/Home/Index/ Go Now

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Add a Hospital-based Provider

Details: A provider is considered hospital based if they meet the following criteria. They: • Provide healthcare services with a PacificSource-credentialed hospital • Are privileged/credentialed by the hospital • Do not accept appointments for services at the hospital, and • See only patients who are directed to the hospital for healthcare services

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PacificSource Community Solutions Provider Directory

Details: Hospital Affiliation. There are hospitals that allow a certain provider to use their facility to care for you. We update this information during credentialing, every quarter and when there are any changes to the agreement. A provider's agreement with a hospital does not promise the hospital is in our network. Please make sure that the hospital

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Health Education Reimbursement PacificSource

Details: Any class that is offered by a hospital An online course on a health-education or wellness topic, or that is a fitness activity Health-education, wellness, or fitness-activity …

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PacificSource Medicare

Details: A physician’s affiliation with a hospital does not guarantee the hospital is a participating provider in your plan’s provider network. Please confirm your desired hospital is in-network. Close . Accepting New Patients Explained. Accepting New Patients indicates if a physician is currently accepting new patients into his/her practice.

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PacificSource Medicare

Details: A hospital is a facility licensed to provide care and treatment for sick or injured patients, primarily while they are acutely ill or chronically ill. It must have facilities for diagnostic treatment and major surgery and offer nursing care 24 hours a day. It does not include a nursing home, rest home, home for the aged, sanatorium

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization may be required depending on the procedure, except in urgent or emergent situations. Notification from your provider is required upon admission. $325 per day for days 1–5 $0 for days 6 and beyond Outpatient Surgery

› Verified 2 days ago

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization is required, except in urgent or emergent situations. $395 per day for days 1–4 $0 for days 5 and beyond Outpatient Surgery Ambulatory surgical center Outpatient hospital Prior authorization is required for some services

› Verified 2 days ago

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OHP Client Agreement to Pay for Health Services

Details: There is a hospital, medical school, service organization, free clinic or county health department that might provide this service, or help you pay for it. Will your OHP benefits, or any other health insurance you may have, change soon? If so, try to find out if this service will …

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› Url: http://communitysolutions.pacificsource.com/Library/General/Forms/OHP_Patient_Responsibility_Form.pdf Go Now

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Your Health Safeguard

Details: meal delivery, and help with care plans after a hospital stay. Giving back to our communities PacificSource is proud to support local charities and other organizations—financially and through volunteer efforts. One example: The PacificSource Foundation for Health Improvement provides resources and funds for the health and welfare of underserved

› Verified 4 days ago

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PacificSource Medicare Summary of Benefits

Details: hospital stay. Prior authorization is required, except in urgent or emergent situations. $400 co-pay per day for days 1–4 $0 for days 5 and beyond 20% of the cost per stay Outpatient Surgery Prior authorization is required for some services. $400 co-pay for ambulatory surgical center $400 co-pay for outpatient hospital 50% of the cost for

› Verified 1 days ago

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PacificSource Medicare

Details: When you’re recovering from a hospital stay, the last thing you need to worry about is cooking. Our plans include 14 home-delivered meals after a recent hospital or nursing facility stay. Two meals per day for seven days; Condition-specific menus, such as heart-healthy, diabetic friendly, and low-sodium; Vegetarian and kosher options

› Verified 2 days ago

› Url: https://medicare.pacificsource.com/Members/2020/CO/Essentials2 Go Now

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization may be required depending on the procedure, except in urgent or emergent situations. Notification from your provider is required upon admission. $395 per day for days 1–4 $0 for days 5 and beyond Outpatient Surgery

› Verified 6 days ago

› Url: https://medicare.pacificsource.com/Document/QrpjkzkUIymm-QtXty0lFzAbS45Eag1OnWT4yMAT8eP6ucU6t4SzI9vwvz6q6VYZivcX4xn4s4gEqulOzj1w1gvK9SsCJOD4K_N5cgJSVocZlkiEl6lF3fuzwr6xJ6bVD56xJHApwqk%3D Go Now

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PacificSource Medicare

Details: No-cost meal delivery after a hospital stay No-cost fitness program Compare Plans . Enroll Now . New here? We'll help you get the most from your plan. Watch a Quick Start Video . Get an Overview . Call for a quote, to enroll, or for more info: 866-282-8814, TTY 711 Compare Plans

› Verified 9 days ago

› Url: https://medicare.pacificsource.com/Find Go Now

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History PacificSource

Details: Serving Lane County, Oregon: 1933–1973. PacificSource was founded in 1933 by a group of 21 physicians who staffed and operated Pacific Christian Hospital in Eugene, Oregon. Within two years, the not-for-profit covered 600 employees, hired its first full-time manager, and named itself Pacific Hospital Association (PHA).

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization may be required depending on the procedure, except in urgent or emergent situations. Notification from your provider is required upon admission. $295 per day for days 1–6 $0 for days 7 and beyond Outpatient Surgery

› Verified 2 days ago

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Inpatient Utilization Review

Details: PacificSource requires notification of all inpatient hospital admissions. Notification allows for timely and effective discharge planning as well as the identification of patients in need of Case Management. Submission of inpatient admission notification and utilization review must be initiated online.

› Verified 1 days ago

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization may be required depending on the procedure, except in urgent or emergent situations. Notification from your provider is required upon admission. $350 per day for days 1–5 $0 for days 6 and beyond Outpatient Surgery

› Verified 6 days ago

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization may be required depending on the procedure, except in urgent or emergent situations. Notification from your provider is required upon admission. $350 per day for days 1–5 $0 for days 6 and beyond Outpatient Surgery

› Verified 6 days ago

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PacificSource Community Solutions Contracts with Salem

Details: PacificSource Community Solutions Contracts with Salem Health Hospitals and Clinics (SALEM, Ore.) December 12, 2019— PacificSource Community Solutions, a Coordinated Care Organization (CCO), has contracted with Salem Health Hospital and Clinics to serve as part of the organization’s provider network beginning January 1, 2020.PacificSource Community Solutions recently signed a contract with

› Verified 8 days ago

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Glossary PacificSource

Details: See ACA Uniform Glossary. . Federal legislation designed to improve the portability of health coverage, reduce healthcare costs by standardizing the processing of healthcare transactions, increase the security and privacy of healthcare information, and to make other changes to the healthcare delivery system. An IRS-approved, tax-favored benefit

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Oregon Health Plan Questions

Details: In Oregon, the Medicaid program is called the Oregon Health Plan (OHP). Medicaid is a health care program for low-income families. PacificSource Community Solutions works with the State of Oregon to provide health services for those enrolled in OHP.

› Verified 4 days ago

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PacificSource Medicare Summary of Benefits

Details: hospital stay. Prior authorization is required, except in urgent or emergent situations. $285 co-pay per day for days 1–7 $0 for days 8 and beyond 35% of the cost per stay Outpatient Surgery Prior authorization is required for some services. $285 co-pay for ambulatory surgical center $285 co-pay for outpatient hospital 50% of the cost for

› Verified 8 days ago

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PacificSource Medicare Summary of Benefits

Details: hospital care. Your yearly limit in this plan: • $4,950 for Medicare-covered services you receive from in-network providers If you reach the limit on out-of-pocket costs, you keep getting covered hospital and medical services and we will pay the full cost for the rest of the year. Please note that you will still need to pay your monthly

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PacificSource Medicare

Details: 20% of the costs for most services including doctor office visits, outpatient surgery, emergency and urgent care. Part A (Hospital) $1,484 deductible per benefit period. $0 per day (days 1-60) $371 per day (days 61-90) $742 per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime) You pay all costs

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PacificSource Medicare

Details: The hospital should continue to bill for inpatient rehabilitation services under the inpatient rehabilitation facility prospective payment system for such patients and annotate the medical record to indicate the patient is a rehabilitation inpatient being cared for in an acute care bed because of capacity or other exigent circumstances related

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PacificSource Medicare

Details: When you’re recovering from a hospital stay, the last thing you need to worry about is cooking. Our plans include 14 home-delivered meals after a recent hospital or nursing facility stay. Two meals per day for seven days; Condition-specific menus, such as heart-healthy, diabetic friendly, and low-sodium; Vegetarian and kosher options

› Verified 8 days ago

› Url: https://medicare.pacificsource.com/Members/2021/SID/MyCareChoiceRx24 Go Now

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The information provided on this form is required for

Details: 2. Is privileged by the hospital, 3. Does not accept appointments for health care services at the hospital, and 4. Exclusively sees patients who have been directed to the hospital for health care services. If the practitioner provides health care services at any other location not identified as a hospital

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization is required, except in urgent or emergent situations. $350 per day for days 1–5 $0 for days 6 and beyond 50% Outpatient Surgery Ambulatory surgical center Outpatient hospital Prior authorization is required for some services

› Verified 2 days ago

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Pacificsource medicare explorer rx 11 (PPO) summary of

Details: Covered Medical and Hospital Benefits Inpatient Hospital Care Our plan covers an unlimitednumber of days for an inpatient hospital stay. When in-network: Prior authorization is required, except in urgent or emergent situations. In-network: • $250 co-pay per day for days 1 through 7 • You pay nothing per day for days 8 and beyond

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Pacificsource medicare explorer rx 9 (PPO) summary of benefits

Details: Covered Medical and Hospital Benefits Inpatient Hospital Care Our plan covers an unlimitednumber of days for an inpatient hospital stay. When in-network: Prior authorization is required, except in urgent or emergent situations. In-network: • $250 co-pay per day for days 1 through 7 • You pay nothing per day for days 8 and beyond

› Verified 9 days ago

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PacificSource Medicare Summary of Benefits

Details: Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization is required, except in urgent or emergent situations. $360 per day for days 1–5 $0 for days 6 and beyond Outpatient Surgery Ambulatory surgical center Outpatient hospital Prior authorization is required for some services

› Verified 6 days ago

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Non-Emergent Ambulance Transport

Details: Facility refers to a hospital, skilled nursing facility, inpatient rehabilitation or behavioral health inpatient or residential setting. Urgent Care Services are health services that are medically appropriate and immediately required to prevent serious deterioration of a member’s health that …

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Portland State University Student Health Plan Information

Details: 2021-2022 School Year. Notice of Change to Your Medical and Dental Plan Benefits 2021-2022. Learn more about your student health plan on the Portland State University, Academic HealthPlans page.

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and dated no more than 180 days prior to the credentialing

Details: privileges at a participating hospital, or a written admit plan), as applicable to practitioner’s specialty. E. A valid DEA certificate in each state the practitioner will be rendering services to PacificSource members, if applicable. (The DEA certificate must be effective at the time of …

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PacificSource Medicare

Details: When you’re recovering from a hospital stay, the last thing you need to worry about is cooking. Our plans include 14 home-delivered meals after a recent hospital or nursing facility stay. Two meals per day for seven days; Condition-specific menus, such as heart-healthy, diabetic friendly, and low-sodium; Vegetarian and kosher options

› Verified 9 days ago

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More Mileage from Medicare

Details: Inpatient Hospital Care $395/day (1–4) $0/day (5+) Outpatient Surgery $395 Skilled Nursing Facility (SNF) $0/day (1–20) $172/day (21–100) Diagnostic Lab Diagnostic X-ray Advanced Diagnostics $0–$15 $15 $190–$310 Physical Therapy $35 Durable Medical Equipment (DME) 20% Ambulance (ground and air, worldwide coverage) $300

› Verified 4 days ago

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*Please be advised that IPN will hold an application for

Details: 2. Is privileged by the hospital, 3. Does not accept appointments for health care services at the hospital, and 4. Exclusively sees patients who have been directed to the hospital for health care services. If the practitioner provides health care services at any other location not identified as a hospital

› Verified 7 days ago

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Pacificsource medicare mycare rx 22 (HMO) summary of benefits

Details: Covered Medical and Hospital Benefits Inpatient Hospital Care Our plan covers an unlimited number of days for an inpatient hospital stay. Prior authorization is required, except in urgent or emergent situations. $295 co-pay per day for days 1 through 5 You pay nothing per day for days 6 and beyond

› Verified 7 days ago

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More Mileage Yellowstone from Medicare County

Details: The hospital provides a level II trauma center and assisted living facility. Together, we’re creating a future where providers and insurers work together to make healthcare work better for you. In-network Hospitals and Clinics • Billings Clinic • Billings Clinic Cancer Center

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Frequent Questions

Details: As soon as you know you are pregnant, call your DHS caseworker. Your caseworker will make sure you don’t lose medical coverage before your baby is born. If you don’t have a caseworker, call OHP at (800) 699-9075. Care while you are pregnant is very important. Call your …

› Verified 9 days ago

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pacificsource medicare essentials choice rx 27 (HMO

Details: Covered Medical and Hospital Benefits Inpatient Hospital Care • Part A deductible of $1,288 applies to days 1 -60 • $322 co -pay days 61 -90 • $644 co -pay each lifetime reserve days 91 -150 • There is no coverage for 151 days and beyond Note: This is the Medicare cost-sharing amount for 2016. This amount may change for 2017.

› Verified 2 days ago

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Pacificsource medicare essentials choice rx 14 (HMO-POS

Details: Covered Medical and Hospital Benefits Inpatient Hospital Care Our plan covers an unlimitednumber of days for an inpatient hospital stay. When in-network: Prior authorization is required, except in urgent or emergent situations. In-network: • $300 co -pay per day for days 1 through 6 • You pay nothing per day for days 7 and beyond

› Verified 7 days ago

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