GoldEPO

PacificSource Oregon Standard Gold Plan Core

PacificSource Health Plans

Starting at

$707

/month before subsidy

Key facts

PacificSource Oregon Standard Gold Plan Core is a 2026 Gold EPO health insurance plan from PacificSource Health Plans, sold on the ACA Marketplace in Oregon under plan ID 10091OR0770007. The monthly premium starts at $707 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,800 ($3,600 for a family), and the individual out-of-pocket maximum is $8,150 ($16,300 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
10091OR0770007
Plan year
2026
State
Oregon
Metal level
Gold
Plan type
EPO
HSA-eligible
No

Individual Deductible

$1,800

Family: $3,600

Out-of-Pocket Max

$8,150

Family: $16,300

Coinsurance

20%

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$20.00
Specialist Visit$40.00
Urgent Care$60.00
Emergency Room20.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$10.00
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

$4,070

your estimated cost

Deductible
$1,800
Copays
$10
Coinsurance
$2,200

Managing type 2 diabetes

A year of routine care

$1,620

your estimated cost

Deductible
$900
Copays
$700
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,060

your estimated cost

Deductible
$1,800
Copays
$200
Coinsurance
$60
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.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Official Plan Documents
Published by PacificSource Health Plans. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold EPO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

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

$1,386/month

Annual Premium

$8,484

OOP Maximum

$8,150

💡 What this means:

With a $1,800 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $8,150 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 Gold Plan Core

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

PacificSource Oregon Standard Gold Plan Core from PacificSource Health Plans starts at $707 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 Gold Plan Core?

The individual medical deductible is $1,800, and the family deductible is $3,600. 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 Gold Plan Core?

The most you would pay in a year for covered in-network care is $8,150 for an individual and $16,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is PacificSource Oregon Standard Gold Plan Core HSA-eligible?

No. PacificSource Oregon Standard Gold 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 Gold Plan Core use?

PacificSource Oregon Standard Gold 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.