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fPacifiCare
OPEN ENROLLMENT
APRIL 1st THROUGH APRIL 30th
(COVERAGE EFFECTIVE MAY 1st)
 

WHO CAN ENROLL?

ALL DUES PAYING ASSOCIATION MEMBERS - INCLUDING AFFILIATE MEMBERS.

 

 

 

 

THREE (3) HMOPLANS* 

  • Unlimited Benefits

  • Excellent Selection of Local Physicians
  • No Claim Forms 

  • Low Co-Pay for Generic and Brand Name Prescriptions
  • Low Co-Pay for X-Ray and Laboratory Services
  • Low Co-Pay for Office Visits
                      HMO Plan Descriptions 
                                  $10 PCP Co-Pay HMO *
                                  $20 PCP Co-Pay HMO *
               $20 PCP Co-Pay HMO w/ $1500 Deductible *
*PCP - Primary Care Physician
PPO PLAN*
  • $5 Million Lifetime Maximum Benefit
  • Choice of Physicians and Hospitals (30,000+ California Physicians available)
  • Low Co-Pay for Generic and Brand Name Prescriptions
  • Low $35  Co-Pay for Office Visits
                         PPO Plan Description
                $1000 Deductible PPO w/ $35 Office Visits
UnitedHealthCare
HSA - COMPATIBLE PPO PLAN*
  • $5 Million Lifetime Maximum Benefit
  • Choice of Physicians and Hospitals (30,000+ California Physicians Available)
  •  Tax Advantaged Savings Tool
  • Affordable Premiums with a Wide Range of Benefits Including Prescription Drugs
  • Easy To Use – NO Claim Forms When Using Preferred Providers
UnitedHealthCare  HSA Compatible PPO Plan Description
                        $3500 Deductible HSA Compatible PPO 

*Pleaser refer to the PlanSummary and Enrollment Materials for a complete description of each program.

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PacifiCare Enrollment Form and Instructions

  
  
  

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