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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.

 

 

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