PacifiCare Health Plans

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General Information

Plan Name:	PacifiCare Health Plans
Service Area:	Clark County
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	K91
Enrollment Code-Self & Family:	K92
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
___Monthly	Self: $63.96	Self: & Family: $167.48
___Twice Biweekly	Self: $59.04	Self: & Family: $154.60
___Biweekly	Self: $29.52	Self: & Family: $77.30
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Annuitants
___Monthly	Self: $63.96	Self: & Family: $167.48
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $13.29	Self: & Family: $36.96
___Monthly	Self: $28.78	Self: & Family: $80.08
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $13.29	Self: & Family: $65.57
___Monthly	Self: $28.78	Self: & Family: $142.07
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Worker's Compensation Recipients
___Twice Biweekly	Self: $59.04	Self: & Family: $154.60
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Certain Temporary Employees
___Biweekly	Self: $118.09	Self: & Family: $300.71
___Monthly	Self: $255.86	Self: & Family: $651.54
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Former Spouse Enrollees
___Monthly	Self: $255.86	Self: & Family: $651.54
___Biweekly	Self: $118.09	Self: & Family: $300.71
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Temporary Continuation of Coverage
___Biweekly	Self: $120.45	Self: & Family: $306.72
___Monthly	Self: $260.98	Self: & Family: $664.57
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FDIC
___Biweekly	Self: $13.29	Self: & Family: $36.96
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