PacificSource Oregon Standard Bronze HSA Plan Core
Expanded Bronze · EPO · PacificSource Health Plans · Oregon
At age 40 it costs between $515 and $579 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 10091OR0770003 |
|---|---|
| Insurer | PacificSource Health Plans |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Standardised design | Design 3 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $9,200 |
| Deductible (family) | $18,400 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,200 |
| Family maximum | $18,400 |
| Primary care visit | $50 |
| Specialist visit | $150 |
| Emergency room | No Charge after Deductible |
| Inpatient stay | No Charge after Deductible |
| Generic drugs | $25 |
| Preferred brand drugs | No Charge after Deductible |
| Specialty drugs | No Charge after Deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.99% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-977-9299 · TTY 1-800-735-2900 |
Where it is sold, and what it costs there
36 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Clackamas County | $403 | $458 | $515 | $720 | $1,094 |
| Deschutes County | $403 | $458 | $515 | $720 | $1,094 |
| Klamath County | $403 | $458 | $515 | $720 | $1,094 |
| Lake County | $403 | $458 | $515 | $720 | $1,094 |
| Multnomah County | $403 | $458 | $515 | $720 | $1,094 |
| Washington County | $403 | $458 | $515 | $720 | $1,094 |
| Yamhill County | $403 | $458 | $515 | $720 | $1,094 |
| Marion County | $420 | $476 | $537 | $750 | $1,139 |
| Polk County | $420 | $476 | $537 | $750 | $1,139 |
| Baker County | $428 | $486 | $547 | $765 | $1,162 |
| Crook County | $428 | $486 | $547 | $765 | $1,162 |
| Douglas County | $428 | $486 | $547 | $765 | $1,162 |
| Gilliam County | $428 | $486 | $547 | $765 | $1,162 |
| Grant County | $428 | $486 | $547 | $765 | $1,162 |
| Harney County | $428 | $486 | $547 | $765 | $1,162 |
| Hood River County | $428 | $486 | $547 | $765 | $1,162 |
| Jackson County | $428 | $486 | $547 | $765 | $1,162 |
| Jefferson County | $428 | $486 | $547 | $765 | $1,162 |
| Josephine County | $428 | $486 | $547 | $765 | $1,162 |
| Malheur County | $428 | $486 | $547 | $765 | $1,162 |
| Morrow County | $428 | $486 | $547 | $765 | $1,162 |
| Sherman County | $428 | $486 | $547 | $765 | $1,162 |
| Umatilla County | $428 | $486 | $547 | $765 | $1,162 |
| Union County | $428 | $486 | $547 | $765 | $1,162 |
| Wallowa County | $428 | $486 | $547 | $765 | $1,162 |
| Wasco County | $428 | $486 | $547 | $765 | $1,162 |
| Wheeler County | $428 | $486 | $547 | $765 | $1,162 |
| Clatsop County | $436 | $495 | $558 | $779 | $1,184 |
| Columbia County | $436 | $495 | $558 | $779 | $1,184 |
| Coos County | $436 | $495 | $558 | $779 | $1,184 |
| Curry County | $436 | $495 | $558 | $779 | $1,184 |
| Lincoln County | $436 | $495 | $558 | $779 | $1,184 |
| Tillamook County | $436 | $495 | $558 | $779 | $1,184 |
| Benton County | $453 | $514 | $579 | $809 | $1,230 |
| Lane County | $453 | $514 | $579 | $809 | $1,230 |
| Linn County | $453 | $514 | $579 | $809 | $1,230 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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When this plan’s price or benefits change.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.