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PacifiCare of Oregon
Founded in 1985, PacifiCare of Oregon is among the state's major
federally qualified managed care organizations, which offers a wide
range of products to meet diverse needs of employers. Its commercial
service areas consist of Greater Portland, I-5 south to Eugene/Springfield
and it administers Clark County, Washington, for PacifiCare of Washington,
a health care service contractor. Its parent company, 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.
PacifiCare offers customers a number of plans that include PacifiCare
Signature ValueSM (HMO), PacifiCare Signature POSSM (POS), PacifiCare
SignatureOptions® (PPO), PacifiCare Signature Independence®
(Indemnity), and PacifiCare Signature Freedom® (SDHP).
PacifiCare SignatureValueSM HMO gives utmost attention to the quality
of care provided to members, by focusing on prevention and general
wellness. Customers are given the freedom to directly contact primary
care physicians (PCPs), and enter into a strong relationship with
their doctors under this option.
PacifiCare SignaturePOSSM POS is a Point-of-Service option that
provides maximum flexibility to its members. This plan provides
HMO savings as well as the freedom to opt for either an in-network
or out-of-network approach to healthcare.
PacifiCare SignatureOptionsSM PPO plans offer maximum freedom in
selecting a physician, as customers are free to consult any participating
physician or specialist without any additional charge. Members are
also given the freedom so that they can see out-of-network doctors,
albeit at a higher out-of-pocket expense.
PacifiCare SignatureIndependenceSM Indemnity plan gives members
the freedom to see any doctor or specialist without needing a referral.
PacifiCare SignatureFreedomSM SDHP Plans are PPO based that gives
access to the widest physician network possible, as well as the
freedom of a Self-Directed Account (SDA). This SDA acts as an 'allowance'
that can be used at the member's discretion, for preventative health
services such as doctor's visits and covered exams.
The company also offers special Value Added Programs such as Well-Baby
Care, Taking Charge of DiabetesSM and educational health resources
at no extra charge. Its Seniors Secure Horizons Medicare Advantage
Plans provide all the benefits of Medicare although you have to
pay only a low or no premiums, deductibles or co-payments, and with
almost no paperwork worth the name.
The address of the company:
PacifiCare of Oregon, 5 Centerpointe Dr. Ste. 600, Lake Oswego,
OR 97035 1-800-922-1444 or 503-603-7355.