SilverEPO

PacificSource Oregon Standard Silver Plan Core

PacificSource Health Plans

Starting at

$593

/month before subsidy

Key facts

PacificSource Oregon Standard Silver Plan Core is a 2026 Silver EPO health insurance plan from PacificSource Health Plans, sold on the ACA Marketplace in Oregon under plan ID 10091OR0770006. The monthly premium starts at $593 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,100 ($12,200 for a family), and the individual out-of-pocket maximum is $9,200 ($18,400 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
10091OR0770006
Plan year
2026
State
Oregon
Metal level
Silver
Plan type
EPO
HSA-eligible
No

Individual Deductible

$6,100

Family: $12,200

Out-of-Pocket Max

$9,200

Family: $18,400

Coinsurance

30%

You pay after deductible

Network Type

EPO

ORN004

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$40.00
Specialist Visit$100.00
Urgent Care$70.00
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$15.00
Brand Name Drugs50.00%
Specialty Drugs50.00%
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$8,070

your estimated cost

Deductible
$6,100
Copays
$10
Coinsurance
$1,900

Managing type 2 diabetes

A year of routine care

$1,920

your estimated cost

Deductible
$900
Copays
$1,000
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,500

your estimated cost

Deductible
$2,100
Copays
$400
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by PacificSource Health Plans. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Silver EPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,360/month

Annual Premium

$7,116

OOP Maximum

$9,200

💡 What this means:

With a $6,100 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $9,200 total. Then insurance covers everything else for the year.

More plans from PacificSource Health Plans in Oregon

View all Marketplace plans in Oregon

Frequently asked questions about PacificSource Oregon Standard Silver Plan Core

How much does PacificSource Oregon Standard Silver Plan Core cost per month?

PacificSource Oregon Standard Silver Plan Core from PacificSource Health Plans starts at $593 per month before any subsidy in Oregon. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for PacificSource Oregon Standard Silver Plan Core?

The individual medical deductible is $6,100, and the family deductible is $12,200. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for PacificSource Oregon Standard Silver Plan Core?

The most you would pay in a year for covered in-network care is $9,200 for an individual and $18,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is PacificSource Oregon Standard Silver Plan Core HSA-eligible?

No. PacificSource Oregon Standard Silver Plan Core is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does PacificSource Oregon Standard Silver Plan Core use?

PacificSource Oregon Standard Silver Plan Core is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.