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3000 Benefits | Personal Select
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Personal SDHP 1500 Rates | Personal SDHP
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Providers
PacifiCare Health Systems, through its subsidiaries, offers
a wide range of products and services for employer groups,
families and individual members.
PacifiCare Personal SDHPSM & Personal SelectSM
Plans are Preferred Provider Plans (PPO). These
are a mirror of their very popular SignatureFreedom
Group Health Plans. They offer Major Medical coverage
with "first dollar"
100% coverage from a "Self Directed Health Account
(SDA)". This means that there is no deductible
100% coverage for office visits and testing done in
a Doctor's office. Up to the maximum you have in you
SDA. This amount is $250 quarterly, and is deposited
by PacifiCare into your SDA. If the money is not used
in any year it "rolls over" to the next year.
The funds spent from your SDA also apply to your Major
Medical deductible. The SignatureOptions plan does not
have the Self Directed Account.
PacifiCare's Health Maintenance
Organization (HMO) plans focus on quality of
care - with prevention and wellness as key components.
Each HMO member accesses health care through a contracted
primary care physician (PCPs) he or she selects. The
PCP gets to know a member's medical history and individual
needs, and thus a healthy partnership is formed between
the member, the provider and PacifiCare. A member's
primary care physician also selects the specialists
and hospital the member will use when necessary.
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