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PacifiCare of Colorado

Founded as a Health Maintenance Organization (HMO) in the 1970s, PacifiCare has now turned into one of the largest health plans in Colorado. The company caters to the needs of more than 328,000 members in a 33 county area, offering a wide range of health plan options. It boasts a contracted network of 1,100 primary care physicians, 2,400 specialist, and 27 hospitals, including 16 full service hospitals in the Denver-metro area. These resources enable the company to provide each member with the medical services to meet their health care needs. In February, 1997 PacifiCare Health Systems acquired FHP International but the contracted physicians, hospitals, pharmacies and other providers stayed in the network.

Its parent organization, 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.
PacifiCare offers several plans including PacifiCare Signature ValueSM (HMO), PacifiCare Signature POSSM (POS), PacifiCare SignatureOptions® (PPO), PacifiCare Signature Independence® (Indemnity), and PacifiCare Signature Freedom® (SDHP).

PacifiCare SignatureValueSM HMO focuses primarily 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 form a strong relationship with their doctors under this option.

PacifiCare SignaturePOSSM POS is a Point-of-Service option that provides 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 offer maximum freedom in choosing a physician, as customers are allowed to consult any participating physician or specialist without any extra charge. Members are also given the freedom to see out-of-network doctors, albeit at a higher out-of-pocket expense.

PacifiCare SignatureIndependenceSM Indemnity plan allows members the freedom to visit any doctor or specialist without requiring a referral. PacifiCare SignatureFreedomSM SDHP Plans are PPO based that allows 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.

The address of the company:
PacifiCare of Colorado, 6455 S. Yosemite Street, Greenwood Village, CO 80111, 303-220-5800.

 

 

 

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