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PacifiCare Health Systems, through its
subsidiaries, offers a wide range of products and services
for employer group's families and individual
members. The following is a list of products and services
available through our health care plans for California.
Please contact PacifiCare for more information and service
areas where each of these products and supplemental benefits
are available. |
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PacifiCare SignaturePOSSM
(POS) |
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PacifiCare SignatureOptionsSM
(PPO)* |
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PacifiCare SignatureIndependenceSM
(Indemnity)* |
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Medicare + Choice |
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Individual
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Chiropractic |
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Wellness |
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*PacifiCare SignatureOptionsSM (PPO), PacifiCare
SignatureIndependenceSM (Indemnity) and PacifiCare
SignatureFreedomSM (SDHP) products are underwritten
by PacifiCare Life & Health Insurance Company.
Plan Summary Matrix
Small
Group Plans
Individual
Plans
Schedules of Benefits
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PacifiCare SignatureFreedomSM
With the PacifiCare SignatureFreedomSM (SDHP)
plan, you can enjoy the freedom and flexibility of a
traditional PPO plan with the added feature of Self Directed
Account (SDA).
The SDA is fully insured by PacifiCare Life and Health
Insurance Company and provides a yearly credit of $1,000
for certain routine and preventive services.
Any unused funds carry over year after year, for as
long as you are enrolled on the plan.
Once you deplete your SDA, or if you require services
not covered by the SDA, the plan defaults to a PPO plan.
You must meet annual deductibles. Eligible medical services
paid from the SDA will count toward satisfying the PPO
deductible.
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PacifiCare
SignatureValueSM
These coordinated plans provide the most
comprehensive coverage of our plan offerings. Your medical
care is coordinated by the primary care physician (PCP)
you select. You visit your PCP for general medical care,
and when you need to see a specialist, your PCP provides
a referral. In general:
You choose a PCP from our network.
You are charged only a co-payment for a doctor's visit.
After your co-payment, many health care expenses are
covered at 100%.
Preventive health care, including check-ups, is covered.
You do not have to meet an annual deductible.
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Health plan products and services are offered
by PacifiCare of California and PacifiCare Behavioral Health
of California, Inc. |
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Indemnity insurance products (including PPO
products) offered in California are underwritten by PacifiCare
Life and Health Insurance Company. |
| Other products and services are offered by PacifiCare
Health Plan Administrators, Inc., RxSolutions, Inc., and PacifiCare
Behavioral Health, Inc. |
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PacifiCare® is a federally registered
trademark of PacifiCare Life and Health Insurance Company. |
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