Elect Plan Exclusions from PacificSource Health Plans for Oregon

		Oregon Health Insurance Call 800.884.2343 or 541.434.9613 FAX - 541.284.2994
Home \| LifeWise Oregon \| Regence BC BS of OR \| ODS Health Plans \| Kaiser \| HealthNet \| PacificSource \| PacifiCare \| Providence \| OMIP
Apply Online Now - Electronic Application Index \| Exclusions & Limitations \| Locate Providers \| Application Plan Benefits: Elect Premiere \| Elect Preferred \| Elect FlexPerks \| Elect Value Plan Rates: Elect Premiere \| Elect Preferred \| Elect FlexPerks \| Elect Value		Quote & Compare Plans LifeWise Health Plans of Oregon Plan Details Provider Directory Application Regence BC BS of OR Plan Details Provider Directory Application ODS Health Plans Plan Details Provider Directory Application PacificSource Plan Details Provider Directory Application Providence Health Plans Plan Details Provider Directory Application HealthNet of Oregon Plan Details Provider Directory Application Kaiser Permanente Plan Details Provider Directory Application PacifiCare of Oregon Plan Details Provider Directory Application Oregon Medical Insurance Pool Plan Details Provider Directory Application Other Insurance Dental Insurance Medicare Supplements Medicare Advantage Short Term Medical Student Health Plans Rx Plan Travel Insurance
Oregon Medical Insurance > PacificSource Health Plans > Elect Plan Exclusions Specific Benefit Limitations Ambulance service - ground 300 miles/year; air $6,000/year Cardiac rehabilitation (phase II)—$1,000/lifetime Chiropractic manipulation (covered under Elect Plus only)—12 visits/year Dietary/nutritional counseling for anorexia or bulimia—5 visits/lifetime Durable medical equipment—$7,500/lifetime Flu vaccine (covered under Elect Plus and FlexPerks only)—$20/year Hospice or respite care—$10,000/lifetime Mental health treatment (inpatient)—$1,000/lifetime Naturopathic and acupuncture care (covered under ElectPlus only)—$1,000/year combined Physical therapy—20 visits/year Prescription drug expense—does not accumulate toward out-of-pocket limit on the Elect Plus and Elect Value Pulmonary rehabilitation—$1,000/lifetime Routine physical exams—(covered under Elect Plus and FlexPerks only)—scheduled. Speech therapy—$1,000/year Transplants—$250,000/lifetime Transplants, travel/housing for recipient—$5,000/transplant Transplants, nonparticipating providers—$100,000 Well baby exams (covered under Elect Plus and FlexPerks only)—9 exams in the first 24 months of life, including a standard in-hospital exam at birth and related laboratory tests.
Privacy Policy \| About Us \| ©1998-2008 CDA Insurance LLC