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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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