PacifiCare Health Systems, Inc. provides managed care and other health insurance products to employer groups, individuals, and Medicare beneficiaries in the United States and Guam. The company was formerly known as Pacificare Health Sys Cl B and changed its name to Pacificare Health Systems Inc. in 1999.
Pacificare’s products include health insurance; health benefits administration; and indemnity insurance products, such as Medicare Supplement products offered through health maintenance organizations (HMO) and preferred provider organizations. The company also offers various specialty managed care products and services as a supplement to its basic commercial and senior medical plans or as stand-alone products.
Its specialty managed care products include pharmacy benefit management (PBM) services, behavioral health services, group life and health insurance, and dental and vision benefit plans. The company had approximately 3.3 million HMO and other commercial and senior product members; and approximately 10.4 million members in its PBM, dental, and behavioral plans, as of December 31, 2004.
Product Types Offered
Pacificare offers Health Products for individuals, families and sole proprietors under the age of 65 and not eligible for Medicare. Pacificare Advantage Plans for individuals, families and the self-employed are designed to make it easy for you to find and choose the coverage that's right for you and your family.
PacifiCare Health Systems, through its subsidiaries, offers a wide range of products and services for employer groups, families and individual members.:
PacifiCare SignaturePOS® (POS)
PacifiCare SignatureEliteSM (PPO)
PacifiCare SignatureIndependence® (Indemnity)
PacifiCare SignatureFreedom® (SDHP)
PacifiCare Health Systems, through its subsidiaries, offers a wide range of products and services for employer, groups, families and individual members. The following is a list of products and services available through our health care plans for Arizona, California, Colorado, Oklahoma, Oregon, and Nevada.
Plan availability and terms vary from state.
Medicare is the nation’s largest health insurance program, covering 40 million Americans. It was designed to provide high-quality health care to people 65 and over, as well as to others with disabilities.
Pacificare has one of the country’s biggest provider networks. You can use Pacificare’s online provider directory to learn more about doctors, hospitals, other medical services, dentists, vision care providers and pharmacies that work with your Pacificare plan.
Health Care Networks:
Here are some of the most recent news regarding Pacificare:
A report released Tuesday by the health insurance giant claims the system could save $332 billion over the next 10 years if health providers update their technology.
The Minnetonka, Minn.-based parent of PacifiCare Health Systems estimated 50 percent of the savings would go to hospitals and doctors, 20 percent to the federal government’s Medicare and Medicaid programs, and 30 percent to commercial payers. But UnitedHealth believes the government could institute policies to take a larger share to help pay for reform programs. (Continue Reading)
Pacificare’s rating, as rated by A.M. Best Company. A.M. Best Company is a full-service credit rating organization dedicated to serving the financial services industries, including the banking and insurance sectors.
Financial Strength Rating