PacificSource Medical Plan Summary Information

• Alternative Care Summary (140KB pdf)
• PSN Medical Summary (769KB pdf)
• PSN Summary of Benefits and Coverage (349KB pdf)
• PacificSource Medical Benefit Handbook (3.95MB pdf)
• Pharmacy Summary (721KB pdf)

PacificSource Medical Information and Forms

• 24–Hour NurseLine (407KB pdf)
• Enrollment and Change Form (124KB pdf)
• Hospital Based Health Education Classes (462KB pdf)
• InTouch Access Information (441KB pdf)
• PacificSource Member Guide (1.09MB pdf)
• Teledoc Information (550KB pdf)
• Web Site
  
• Weight Watchers Program (600KB pdf)

PacificSource - Mail Service Pharmacy

• Pharmacy Mail Service-CVS Caremark-Information (150KB pdf)
• Pharmacy Mail Service-CVS Caremark-Order Form (170KB pdf)

moda / ODS Health Plans

• Enrollment and Change Form (124KB pdf)
• Vision Reimbursement Claim Form (178KB pdf)
• Web Site
  
• moda Delta Dental Handbook (1.83MB pdf)
• moda Delta Dental Summary (1.84MB pdf)
• moda Vision Handbook (1.49MB pdf)
• moda Vision Summary (517KB pdf)
• moda Willamette Dental Handbook (1.6MB pdf)
• moda Willamette Dental Summary (138KB pdf)

VEBA

• FAQ
  
• Forms
  
• Web Site
  

Travel Insurance

A comprehensive program of information, referral, assistance, transportation and evacuation services designed to help you respond to medical care situations and many other emergencies that may arise during travel. (Provided by MEDEX Assistance Corporation.)

• Medex Employee Brochure (743KB pdf)