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Plan Profile

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

General Information
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Plan Name: PacifiCare Health Plans
Service Area: Puget Sound/Most West WA
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: WB1
Enrollment Code-Self & Family: WB2
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: $33.01 Self: & Family: $119.68
___Monthly Self: $71.52 Self: & Family: $259.30
___Twice Biweekly Self: $66.02 Self: & Family: $239.36
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Annuitants
___Monthly Self: $71.52 Self: & Family: $259.30
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $15.35 Self: & Family: $79.34
___Monthly Self: $33.26 Self: & Family: $171.90
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $21.64 Self: & Family: $107.95
___Monthly Self: $46.88 Self: & Family: $233.89
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Worker's Compensation Recipients
___Twice Biweekly Self: $66.02 Self: & Family: $239.36
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Certain Temporary Employees
___Biweekly Self: $130.87 Self: & Family: $343.09
___Monthly Self: $283.55 Self: & Family: $743.36
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Former Spouse Enrollees
___Monthly Self: $283.55 Self: & Family: $743.36
___Biweekly Self: $130.87 Self: & Family: $343.09
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Temporary Continuation of Coverage
___Biweekly Self: $133.49 Self: & Family: $349.95
___Monthly Self: $289.22 Self: & Family: $758.23
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FDIC
___Biweekly Self: $15.35 Self: & Family: $79.34
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