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Business Profile

Healthcare Management

PacificSource Health Plans

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Healthcare Management.

Complaints

This profile includes complaints for PacificSource Health Plans's headquarters and its corporate-owned locations. To view all corporate locations, see

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PacificSource Health Plans has 2 locations, listed below.

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    Customer Complaints Summary

    • 2 total complaints in the last 3 years.
    • 1 complaint closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:03/11/2025

      Type:Product Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was over-charged for eye exams at ****. Ohsu refunded a visit and sent an apology for over-charging. This was in response to my grievance filed by my managed care plan -Pacificsource at my request.Ohsu was paid by Pacificsource for this visit. Pacific source states that a contact lens exam is hardware- this is not stated in the plan paperwork. Also, this visit was refunded.Pacifisource has denied to refund my eyeglass/contact lens payment. According to my plan, I am entitled to hardwear (glass/contacts) once a year. I never received any contacts or glasses from any source that year EXCEPT from ******* i provided a receipt for these. I would like reimbursement promptly for this expense.

      Business Response

      Date: 03/12/2025

      State and federal law prohibit us from responding with any specificity, as it includes protected health information.  We have forwarded this issue to the correct company - PacificSource Community Health Plans.  That entity will treat this as an appeal and provide a response to the member.

    • Initial Complaint

      Date:02/11/2024

      Type:Customer Service Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      The company I work for changed medical insurance to Pacific Source. Pacific Source will only allow me to use CVS Specialty Pharmacy. I have obtained my once a week injection for over a year from a pharmacy near me. I have been without my medication for 5 weeks, going on 6 because CVS Specialty Pharmacy is incompetent. I am currently in pain, damage that is irreversible is occurring to my joints and I am now missing work. I have the money to pay for the medication and I continue to miss work hours and sleep because of the pain. This pharmacy can't seem to figure out their mistakes and the insurance company has created a monopoly on specialty medications. This is not patient care or good medicine, this is about kick backs and I am suffering because of it. I attempted to file a grievance online and their system won't accept it stating "Sorry, the grievance could not be submitted. Please try again later." I have called and no one will file a grievance for me, because the line I call is only for the hearing impaired. I am left with no recourse and I am not being taken care of, even though my employer and I pay for for their medical insurance, I am not getting the care I need, irreversible physical damage is occurring and I am missing work. I need my medication, I am forced to use their pharmacy and they have been unable to supply me my medication for weeks due to errors and incompetence.

      Business Response

      Date: 02/12/2024

      We are sorry to hear about your concerns.  We will reach out to you to help you with your concerns.  You can also contact our ********************* at ************ or ***************************** for assistance.  Due to state and federal privacy requirements, we are not able to respond directly to your concerns via the BBB **************.

    PacificSource Health Plans is NOT a BBB Accredited Business.

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