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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Oregon > Plan Profile: PacifiCare Health Plans

General Information
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Plan Name: PacifiCare Health Plans
Service Area: Metro Portland/Salem/Corvalis/Eugene
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 7Z1
Enrollment Code-Self & Family: 7Z2
Link to Plan Home Page: http://www.phs.com
Telephone: 800/531-3341
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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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
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Rates
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Non-Postal
___Biweekly Self: $69.05 Self: & Family: $146.40
___Twice Biweekly Self: $138.10 Self: & Family: $292.80
___Monthly Self: $149.61 Self: & Family: $317.20
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Annuitants
___Monthly Self: $149.61 Self: & Family: $317.20
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $51.39 Self: & Family: $106.06
___Monthly Self: $111.35 Self: & Family: $229.80
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $57.68 Self: & Family: $134.67
___Monthly Self: $124.97 Self: & Family: $291.79
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Worker's Compensation Recipients
___Twice Biweekly Self: $138.10 Self: & Family: $292.80
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Certain Temporary Employees
___Biweekly Self: $166.91 Self: & Family: $369.81
___Monthly Self: $361.64 Self: & Family: $801.26
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Former Spouse Enrollees
___Monthly Self: $361.64 Self: & Family: $801.26
___Biweekly Self: $166.91 Self: & Family: $369.81
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Temporary Continuation of Coverage
___Biweekly Self: $170.25 Self: & Family: $377.21
___Monthly Self: $368.87 Self: & Family: $817.29
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FDIC
___Biweekly Self: $51.39 Self: & Family: $106.06
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