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About PacifiCare Health Systems
PacifiCare Health Systems, founded in 1978, is among the largest providers in the United States. Headquartered in Cypress, California, it provides a nationwide network for individuals and group members. Its health plan base is approximately 4 million members strong, and more than 9 million customers participate in specialty plan coverage.
As a United HealthCare company, its core business lies in Arizona, California, Colorado, Nevada, Oklahoma, Oregon, Texas, and Washington. Within these regions, the following companies are part of the PacifiCare organization: PacifiCare Behavioral Health, PacifiCare Dental and Vision, Prescription Solutions, and Secure Horizons Senior Solutions. In 2004, American Medical Security Group (AMS) became part of the group.
PacifiCare Products
Prescription Solutions, PacifiCare's pharmaceutical subsidiary, provides an extensive list of generic and brand names in three pricing plans: Saver, Select, and Comprehensive. All three selections feature no annual deductible. The Comprehensive plan is also geared toward eliminating Medicare drug restrictions if generics are ordered.
PacifiCare utilizes an extended range of primary care physicians (PCPs) - either individually or in physician groups - to manage treatment plan options. Under standard HMO operations, however, the PCP selection is flexible and physicians must maintain quality ratings. The “Saver” plan offers a value-based premium and may best be suited for those who do not require specific or numerous medications. The “Select” plan allows for an extended menu of generic and brand name drugs.
While coverage and options will vary from state to state, PacifiCare's core plans are:

• PacifiCare SignatureValue HMO
  
• PacifiCare Signature POS
  
• PacifiCare SignatureOptions
  
• PacifiCare Signature Independence Indemnity
  
• PacifiCare SignatureFreedom SDHP
  

The Signature Value Plan is a cost-saving program that is HMO-based. Members select a primary care physician who manages all medical consultations and makes referrals as required. For individuals who want to eliminate making specialized decisions, this may be the preferred plan.
Individuals can take advantage of greater options with the PacifiCare SignatureOptions PPO level. There is no restriction to selecting a general physician or specialist. Members can also elect to visit out-of-network doctors at a higher cost.
The SignatureFreedom plan is specifically geared toward individuals who want complete control of their healthcare choices. It is based on a self directed account (SDA) system in which a specific sum is set aside for standard visits and exams. It is up to the member's discretion how these funds are directed during the course of a year. They also apply toward major medical expenses. If not used annually, the account rolls over; the funds are added to an account quarterly. Within this specialized offering, there are different plan levels with escalating price points.
Group members have the added advantage of participation in PacifiCare Health Credits. It is a credit-based incentive program that can begin with application to the VirtualHealthClub. A customized fitness program and meal plan are recommended by virtual practicing physicians, wellness experts, and nutritionists. Credits are awarded for redemption on special goods and services. Members can participate in and complete the steps in program topics that include: smoking, diabetes, asthma, menopause, cancer management, and heart health.
Credits can also be received by utilizing the mail order pharmacy. Other appealing options are available at no additional fees. The PacifiCare Perks program is a discount opportunity for health-related services and products. The “Personal Assistant Network” is an easy and instant referral service to all of PacifiCare's providers, including financial and legal resources.
PacifiCare Headquarters
PacifiCare Health Systems, Inc. is located at 5995 Plaza Drive, Cypress, CA 90630.