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PacifiCare Vision
A major dental and vision carrier in the West, PacifiCare Dental
and Vision Administrators (PDVA) provides dental and vision services
to over 800,000 members spread across eight states. These states
are California, Arizona, Nevada, Washington, Oregon, Colorado, Texas
and Oklahoma. The company began operations in California in 1972
as one of the nation's first managed dental care plans. Soon it
became a leading benefits provider of a new type of dental coverage.
Instead of the all-too-familiar fee-for-service method of payment,
dentists were paid on a per member, per month (pmpm) basis under
these plans. In this way, these were less expensive for individuals
and employers, simultaneously ensuring better service and easier
administration.
It was in 1989 that vision plans were added after two decades of
steady growth recorded by the company. This combination of dental
and vision product offerings created new markets and gave customers
the opportunity to buy key ancillary benefits from a single carrier.
The company (earlier known as California Dental Health Plan) was
taken over by PacifiCare Health Systems, Inc., in 1993. In 1996,
the company name was changed to PacifiCare Dental and Vision Administrators.
Committed to excellence in service, PDVA supports all aspects of
dental and vision program administration, including superior customer
service, prompt and accurate claims payment, flexible product development,
expert pricing and underwriting.
PacifiCare Health Systems is at present 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 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 Dental and Vision Administrators offers customers a
good choice of dental and vision plan types and premium levels:
PacifiCare SignatureValueSM (HMO), PacifiCare SignatureOptionsSM
(PPO), PacifiCare SignatureIndependenceSM (Indemnity), PacifiCare
SignatureSavingsSM (Discount), ASO, Self-Funded and Choice of full-service
or eyewear-only vision plans.
The company’s networks are among the largest dental HMO and
PPO networks in each state of operation. Its Vision PPO networks
include ophthalmologists, optometrists, opticians and (in California)
leading retail outlets. PDVA’s provider retention is of more
than 95 percent for the DHMO network. The company maintains strict
network quality standards that reward providers for service excellence
and it is committed to continually recruit and grow strong, provide
quality networks in all markets
The address of the company:
PacifiCare Dental & Vision, National Headquarters, P.O. Box
25187, Santa Ana, CA 92799.
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