PacifiCare Health Plans - Maricopa/Pima/parts of Apache Junction

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General Information

Plan Name:	PacifiCare Health Plans
Service Area:	Maricopa/Pima/parts of Apache Junction
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	A31
Enrollment Code-Self & Family:	A32
Link to Plan Home Page:	http://www.phs.com
Telephone:	800/531-3341
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	$15

Rates

Non-Postal
___Twice Biweekly	Self: $58.00	Self: & Family: $203.32
___Monthly	Self: $62.83	Self: & Family: $220.26
___Biweekly	Self: $29.00	Self: & Family: $101.66
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Annuitants
___Monthly	Self: $62.83	Self: & Family: $220.26
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $13.05	Self: & Family: $61.32
___Monthly	Self: $28.27	Self: & Family: $132.86
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $28.27	Self: & Family: $194.85
___Biweekly	Self: $13.05	Self: & Family: $89.93
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Worker's Compensation Recipients
___Twice Biweekly	Self: $58.00	Self: & Family: $203.32
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Certain Temporary Employees
___Biweekly	Self: $115.99	Self: & Family: $325.07
___Monthly	Self: $251.31	Self: & Family: $704.32
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Former Spouse Enrollees
___Monthly	Self: $251.31	Self: & Family: $704.32
___Biweekly	Self: $115.99	Self: & Family: $325.07
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Temporary Continuation of Coverage
___Monthly	Self: $256.34	Self: & Family: $718.41
___Biweekly	Self: $118.31	Self: & Family: $331.57
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FDIC
___Biweekly	Self: $13.05	Self: & Family: $61.32
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