Medicare Blog

how to make premium payments to pacific source medicare

by Serena Legros Published 1 year ago Updated 1 year ago

Mail your Medicare premium payments to: Medicare Premium Collection Center P.O. Box 790355 St. Louis, MO 63179-0355 2. Pay by credit card or debit card. Complete the bottom portion of the payment coupon on your Medicare bill.

Here's how:
  1. Log in to InTouch (or create an account if it's your first time logging in).
  2. From the top menu, hover over Payments, and then select Payment Methods from the drop-down menu.
  3. Follow the instructions to add a payment method (credit card or bank account) and make your payment.

Full Answer

How do I make a payment to PacificSource?

Allow plenty of time for the payment to reach us. If you’d rather set up monthly automatic payments by mail, use this Electronic Funds Transfer form. You’re also welcome to pay by check or money order at a PacificSource office location. Please note we cannot accept cash.

How do I Pay my Medicare premium online?

Log into (or create) your secure Medicare account — Select “Pay my premium” to make a payment by credit card, debit, card, or from your checking or savings account. Our service is free. Contact your bank to set up an online bill payment from your checking or savings account.

Where can I find coverage details for my PacificSource plan?

In addition to the general information on this page, your PacificSource member handbook or policy provides coverage details specific to your plan. This information is also available any time through our secure member portal, InTouch for Members. You'll need to register when you use InTouch for the first time.

What happens if I have a primary claim with PacificSource?

If another plan is primary, they would process and pay your claim first, then PacificSource would process the remainder of the claim according to your plan benefits. If there is a motor vehicle accident, workers' compensation claim, or homeowners/premise claim, it may be the responsibility of a different company.

Is PacificSource the same as OHP?

PacificSource is your As a PacificSource Community Solutions member, you have access to all benefits covered under the Oregon Health Plan (OHP) at no cost to you. These benefits include medical, dental, behavioral health, substance use, and non-emergency medical transportation services.

What type of insurance is PacificSource?

PacificSource offers HMO, HMO-POS, and PPO Medicare Advantage plans in Oregon and Idaho. PacificSource plans include extra coverage for fitness, hearing, vision, and more. Many PacificSource plans include prescription drug coverage, and some come with no monthly premium.

How do I cancel my PacificSource account?

To terminate the coverage retroactively, submit your request in writing to your PacificSource Membership Service Representative. We will then make the premium adjustment on your next bill, provided no claims have been reimbursed for that month. 2.

Is PacificSource in California?

States with the most PacificSource Health Plans Doctors: Oregon. Idaho. Washington. California.

Does PacificSource Medicare cover shingles vaccine?

This vaccine is covered under Medicare Advantage plans. Please see your 2018 Evidence of Coverage for details, or contact us if you have any questions. (See page 2 for contact information.) vaccines/vpd/shingles/public/shingrix.

What does 20 percent coinsurance mean?

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. : You pay 20% of $100, or $20. The insurance company pays the rest.

Does PacificSource cover MRI?

Diagnostic test (x-ray, blood work) No charge 50% co-insurance None Imaging (CT/PET scans, MRIs) No charge 50% co-insurance Preauthorization required.

Does PacificSource cover out of country?

Most PacificSource benefits packages include a unique global emergency services program provided by Assist America. This program connects you to doctors, hospitals, pharmacies, and other services when faced with a medical emergency while traveling 100 miles or more from your permanent residence, or abroad.

Who is Medicare through?

The Centers for Medicare & Medicaid Services (CMS) is the federal agency that runs Medicare. The program is funded in part by Social Security and Medicare taxes you pay on your income, in part through premiums that people with Medicare pay, and in part by the federal budget.

Does OHSU accept PacificSource?

PacificSource and Legacy Health Welcome OHSU Health to the Navigator Network. (Portland, Ore.) November 19, 2021— PacificSource Health Plans and its health system partner Legacy Health announce that OHSU Health will become a part of PacificSource's Navigator network effective January 1, 2022.

When does PacificSource show on my ID?

If you are a renewing member and have upcoming changes to your plan , your new eligibility will show on your ID only after your plan's renewal date. Your PacificSource member handbook or policy provides specific information about benefits and services covered by your plan.

How to maximize your health insurance benefits?

To maximize your plan's benefits, always make sure your healthcare provider is in your plan’s network. If your plan has more than one tier of participating providers (indicated in our online provider directory by tier 1 or tier 2), you'll get the most value from your plan by selecting a tier 1 provider.

What is a PCP for adults?

If you or someone on your health plan is 18 years old or turning 18 this calendar year, it’s time to consider transitioning to a primary care provider (PCP) for adults. This type of PCP can be a provider who specializes in family practice, general practice, geriatrics, internal medicine, or obstetrics-gynecology.

Is PacificSource the primary payer?

In some cases, a company other than PacificSource is responsible for paying your claim, or paying it first (primary payer). If you or a dependent on your plan have coverage with another health plan, they may be considered the primary payer. This can be referred to as “double coverage.”.

Choosing a Clearinghouse

We contract with the clearinghouses listed below to provide transmission of professional and institutional electronically; our payor ID number is 20377.

Paper Claims Billing

Please use the applicable addresses below for sending in paper claims.

What time does PacificSource open?

Our regional offices are all open weekdays from 8:00 a.m. to 5:00 p.m. local time. You’re welcome to use the Contact Us form. PacificSource Customer Service can be reached by phone during business hours at 888-977-9299 or by email at cs@pacificsource.com.

What is an inquiry in PacificSource?

Inquiry means a written request for information or clarification about any matter related to a member’s health plan. An inquiry is not a complaint or grievance. Complaint means an expression of dissatisfaction about a specific problem encountered by a member, treatment by a provider, or decision made by PacificSource.

When are group insurance premiums due?

While your group policy premium is due on the first day of the coverage month, members on continuation coverage have until the last day of that month to pay their premium. If you’ve not received a former employee’s premium by the time you make your monthly premium payment, you have two options: 1.

What is a preauthorization?

Prior authorization (preauthorization) is a prospective review of a proposed treatment that determines applicable insurance benefits, medical necessity, and appropriateness. It also may include assessment of the level of care and treatment setting.

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