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PacifiCare of California

PacifiCare of California has a contracted commercial provider network of over 230 hospitals, 30,000 primary care and specialty physicians, and 4,695 pharmacy locations, making it one of the largest networks in the state. Set up in 1978 and headquartered in Cypress, California, PacifiCare Health Systems today is one of the largest providers in the United States having a nationwide network for individuals and group members. PacifiCare’s health plans have nearly 4 million members and more than 9 million customers take part in specialty plan coverage. This United HealthCare company’s core business is concentrated in Arizona, California, Colorado, Nevada, Oklahoma, Oregon, Texas, and Washington. The companies that are part of the PacifiCare organization within these regions are PacifiCare Behavioral Health, PacifiCare Dental and Vision, Prescription Solutions, and Secure Horizons Senior Solutions. American Medical Security Group (AMS) also became part of the group in 2004.
Many of PacifiCare's commercial health plans have received Excellent Accreditation by the National Committee for Quality Assurance (NCQA). The company specializes among others in behavioral health, dental and vision, and complete pharmacy and medical management through its wholly owned subsidiary, Prescription Solutions. The company has about 7,500 employees spread over the nation. PacifiCare Foundation is a nonprofit organization operated by PacifiCare Health Systems that is devoted to charitable and educational causes that enhance the health, wellness and welfare of individuals, families and the public at large.

There are a number of PacifiCare Plans such as PacifiCare Signature ValueSM (HMO), PacifiCare Signature POSSM (POS), PacifiCare SignatureOptions® (PPO), PacifiCare Signature Independence® (Indemnity), and PacifiCare Signature Freedom® (SDHP).

PacifiCare SignatureValueSM HMO focuses mainly on the quality of care provided to members, by laying emphasis on prevention and general wellness. Customers are free to directly contact primary care physicians (PCPs), and establish a strong link with their doctors under this option.

PacifiCare SignaturePOSSM POS is a Point-of-Service option providing maximum flexibility to its customers. This plan provides HMO savings and also the freedom to choose either an in-network or out-of-network approach to healthcare.

PacifiCare SignatureOptionsSM PPO plans provide great freedom in picking a physician, as customers are allowed to visit any participating physician or specialist without any additional charge. Members are also allowed to see out-of-network doctors, but at a higher out-of-pocket expense.

PacifiCare SignatureIndependenceSM Indemnity plan offers members the freedom to consult any doctor or specialist without needing a referral. PacifiCare SignatureFreedomSM SDHP Plans are PPO based that allows access to the widest physician network possible, and also the freedom of a Self-Directed Account (SDA). This SDA functions as an 'allowance' that can be used at the member's discretion, for preventative health services such as doctor's visits and covered exams.

PacifiCare also offers special Value Added Programs such as Well-Baby Care, Taking Charge of DiabetesSM and educational health resources at no extra charge. PacifiCare’s Seniors Secure Horizons Medicare Advantage Plans give all the benefits of Medicare although you have to pay low or no premiums, deductibles or co-payments, and almost without any paperwork.

The address of the company:
PacifiCare Group of California, 5995 Plaza Drive, Cypress, CA 90630.



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