PacifiCare Health Plans - Central/Northeastern Oklahoma

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General Information

Plan Name:	PacifiCare Health Plans
Service Area:	Central/Northeastern Oklahoma
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	2N1
Enrollment Code-Self & Family:	2N2
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: $51.22	Self: & Family: $133.90
___Biweekly	Self: $25.61	Self: & Family: $66.95
___Monthly	Self: $55.48	Self: & Family: $145.07
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Annuitants
___Monthly	Self: $55.48	Self: & Family: $145.07
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $11.52	Self: & Family: $30.13
___Monthly	Self: $24.97	Self: & Family: $65.28
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $24.97	Self: & Family: $70.81
___Biweekly	Self: $11.52	Self: & Family: $32.68
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Worker's Compensation Recipients
___Twice Biweekly	Self: $51.22	Self: & Family: $133.90
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Certain Temporary Employees
___Biweekly	Self: $102.43	Self: & Family: $267.82
___Monthly	Self: $221.93	Self: & Family: $580.28
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Former Spouse Enrollees
___Biweekly	Self: $102.43	Self: & Family: $267.82
___Monthly	Self: $221.93	Self: & Family: $580.28
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Temporary Continuation of Coverage
___Biweekly	Self: $104.48	Self: & Family: $273.18
___Monthly	Self: $226.37	Self: & Family: $591.89
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FDIC
___Biweekly	Self: $11.52	Self: & Family: $30.13
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