All degree-seeking and visiting law and undergraduate students (including students enrolled in the Academic English Studies Program, Off-Campus and Overseas Programs) at Lewis & Clark are required to carry medical insurance coverage comparable to that offered through the school’s Student Health Insurance Plan. These students are automatically enrolled in the student health insurance program, but can easily waive enrollment if they have other health insurance coverage that is comparable to the coverage offered by the college.
To waive Student Health Insurance Plan coverage, you will need to have your other health insurance information available before you begin the online waiver form. You will be asked to provide your current health insurance information on the waiver form, such as your carrier’s phone number and your policy number.
To waive coverage, visit waive.pacificsource.com/lewi by September 19, 2023.
Your plan must meet the following requirements to waive coverage:
Note: These waivers are not audited for accuracy. It is your responsibility to confirm compatibility before waiving coverage.
Students are given one opportunity to waive coverage for the academic year at the beginning of the fall semester, with the exception of spring waivers for students newly admitted for spring term and student’s returning from leave of absence or a study abroad program for the spring semester. If you’re a student newly admitted for spring term, visit pacificsource.com/lewi to waive coverage by February 2, 2024.
If you have any questions regarding health insurance waiver rules or timelines, please contact Lewis & Clark Student Accounts at 503-768-7829.
You are eligible to purchase student health insurance if taking 6 credits or more. See the table below for enrollment periods. You must re-enroll in coverage each semester. Premium is paid directly to PacificSource at the time of enrollment.
To enroll in coverage, visit enroll.pacificsource.com/lclark by:
| Student Type | Fall Semester 8/15/23 – 12/31/23 |
Spring Semester (with Summer) 1/1/24 – 8/14/24 |
|---|---|---|
| Undergraduate & Returning Law | $1,943.50 | $1,940.50 |
| Student Type | Fall Semester 8/14/23 – 12/31/23 |
Spring Semester (with Summer) 1/1/24 – 8/14/24 |
|---|---|---|
| First Year Law | $1,943.50 | $1,940.50 |
| Student Type | Fall Semester 9/1/23 – 12/31/23 |
Spring Semester (with Summer) 1/1/24 – 8/31/24 |
|---|---|---|
| Graduate Student | $2,502 | $2,502 |
| Graduate Student Enrollment Period | 8/1/23 – 10/1/23 | 12/1/23 – 2/1/24 |
| Student Type | Summer A 5/8/24 – 8/31/24 |
Summer B 6/12/24 – 8/31/24 |
Summer C 7/17/24 – 8/31/24 |
|---|---|---|---|
| New Graduate Student | $1,586 | $1,107.50 | $590 |
| Graduate Student Enrollment Period | 4/9/24 – 6/9/24 | 5/13/24 – 7/13/24 | 6/18/23 – 7/31/23 |
If you have lost your health insurance coverage, you may be eligible to join the student health insurance plan under a Qualifying Life Event. Please contact accountservices@lclark.edu for additional information.
| Plan Features | PacificSource PPO Group #G0035861 |
|
|---|---|---|
| In-Network | Out-of-Network | |
| Contract-Year Deductible | $500 | $900 |
| Contract-Year Out-of-Pocket Limit | $3,500 | $10,500 |
| Medical Coverage | You pay: | |
| Preventive Care | $0 copay | 40% after deductible |
| Lewis & Clark Health Service | $0 copay | Not covered |
| Primary Care or Naturopath | $20 copay | 40% after deductible |
| Specialist | $40 copay | 40% after deductible |
| Mental Health/Chemical Dependency | $20 copay | |
| Chiropractic (20 visits/contract year) |
$20 copay | 40% after deductible |
| Acupuncture (12 visits/contract year) |
$20 copay | 40% after deductible |
| Urgent Care | $20 copay | 40% after deductible |
| Emergency Room | $200 copay (waived if admitted) | |
| Prescription Drugs | ||
| Preventive | $0 | |
| Tier 1 | $15 copay | |
| Tier 2 | $30 copay | |
| Tier 3 | $50 copay | |
| Tier 4 | $75 copay | |
Note: In-network and out-of-network provider charges accumulate separately toward the deductibles and out-of-pocket limits.
Annual checkups help you stay healthy. Take care of yourself by using your FREE in-network preventive care benefits each year! Preventive care visits allow you to take action early and keep treatable health issues from becoming chronic conditions.
Call your doctor and dentist to schedule your FREE annual checkup today. Need to find a doctor? Click here.
Students age 18 and under have access to dental and vision benefits up to the last day of the month in which you turn 19.
You are eligible for the following dental benefits each benefit year in which you are eligible:
You are eligible for the following vision coverage each benefit year in which you are eligible:
Access your benefits anytime, anywhere with the myPacificSource mobile app via the App Store or Google Plan. Log in with your InTouch account to:
Visit the InTouch to view your ID card, check claims, get the status of prior authorizations, determine how much you’ve paid toward your deductible, and more.
Using InTouch, gain access to online, personalized guidance and support to live a healthier life.
Locate a healthcare provider or facility in your plan’s network. Click here.
Click here for immediate access to your insurance ID card.
PacificSource student policyholders traveling 100+ miles from home or campus, or studying abroad, have access to a global emergency assistance program through Scholastic Emergency Services (SES). SES immediately connects you to doctors, hospitals, pharmacies, and other services if you experience a medical or non-medical emergency while away from home.
Call SES at 877-488-9833 (inside U.S.) or 1-609-452-8570 (outside U.S.). Use the reference number 01-SES-PSH-08153. You can also email medservices@assistamerica.com.
Joyages is a FREE, on-demand coaching app that teaches skills for managing life’s ups and downs. The app helps you develop positive habits and mindset changes. In just three minutes a day, you can use Joyages to become happier and ready to take on life’s challenges.
Download the Joyages app to get access to:
To get the Joyages app, visit the App Store or Google Play and type in Joyages. After clicking “create an account”, enter “LCSTUDENT” where you see the “Unlock Code.” Email info@joyages.com if you have any questions.
Is the student health insurance comprehensive, i.e., includes hospitalization if needed?
Yes, the plan offered is ACA compliant and covers all Essential Health Benefits. It is rated as a Gold level plan for those familiar with metal levels for ACA plans.
Does the coverage last for 12 months?
Yes, if enrolled in the fall semester, the plan is a 12-month plan from 8/15/2023- 8/14/2024. Costs are divided between fall and spring semester. Students are given one opportunity to waive for the academic year at the beginning of the fall semester, with the exception of spring waivers for students newly admitted for spring term and student’s returning from a leave of absence or study abroad program for the spring semester. Enrollment is available at any point in the year for students experiencing Qualifying Life Event (i.e. parents lose current coverage, student ages out of the parent’s plan, etc.). Coverage for students newly admitted for the spring semester will be effective at the beginning of the spring semester.
What is in-network near the college in case of needing hospital or urgent care? I don’t live in Portland, so names of practices don’t mean much to me.
The current options include but are not limited to: Legacy Health, Legacy Health Partners, The Portland Clinic, and OHSU. Urgent cares such as Zoom and Legacy Go Health are in-network. However, contracts can frequently change and we recommend confirming with the provider close to the date of service that they are in-network. To help with this process, you can use the Find a Doctor tool on PacificSource’s website and search by entering your zip code to narrow the results for your preferred area.
Does the student health insurance cover student medical expenses off campus or when traveling, or back in a home state?
Yes, the student health insurance covers medical expenses while off campus, when traveling, and when in a home state.
What are the deductibles and copays?
Does Medicaid from other states qualify a student to waive PacificSource coverage?
Unfortunately, Medicaid plans from other states generally DO NOT meet the college’s requirements for health insurance, because these plans provide only emergency and/or urgent care in the Portland area. Additional information for Medicaid participants can be found at lclark.edu/offices/health_service/insurance/for-medicaid-participants.
Group #: G0035861
Phone: 855-274-9814 TTY: 711
Email: studenthealth@pacificsource.com
Plan Details & Documents: pacificsource.com/members/groups/lewis-clark
Find a Provider: pacificsource.com/find-a-doctor
Terms & Definitions: pacificsource.com/glossary.aspx
ID Card: pacificsource.com/members/getting-care/id-card
Website: lclark.edu/offices/health_service
Website: lclark.edu/offices/health_service/insurance
Website: joyages.com
Reference Number: 01-SES-PSH-08153
Phone: 877-488-9833 (inside U.S.) or 1-609-452-8570 (outside U.S.)
Email: medservices@assistamerica.com
Lewis & Clark College
Phone: 503-768-7160
Email: stuhealthinsurance@lclark.edu
Phone: 800-251-4246
Email: studenthealthinquiries@usi.com
This website highlights some of your benefit plans. Your actual rights and benefits are governed by the official plan documents. If any discrepancy exists between this communication and the official plan documents, the plan documents will prevail. The company reserves the right to change any benefit plan without notice. Benefits are not a guarantee of employment.
