Individual Health Insurance - PacifiCare Health Systems Resources

Plans Offered:

SignatureOptions 1000:

SignatureOptions 1500:

SignatureOptions 2000:

SignatureOptions 3000:

SignatureValue 10:

SignatureValue 15:

SignatureValue 35:

Plan Name	SignatureOptions 1000
Details Brochure	No brochure available
Plan Description Benefit	This plan offers reduced premiums, comprehensive benefits and a large network of providers.
Plan Deductible Benefit	1000
Plan Out of Network Deductible Benefit	$1,000 per person, $2,000 per family
Plan Coinsurance Benefit	You pay 30% of covered medical expenses after the deductible
Plan Out of Network Coinsurance Benefit	You pay 50% of covered medical expenses after the deductible
Plan Out of Pocket Maximum Benefit	$5,000 - includes deductible
Plan Out of Network Pocket Maximum Benefit	$9,000 - includes deductible
Plan Family Out of Pocket Maximum Benefit	$10,000 in network, $18,000 out of network - includes deductibles
Maternity Benefit	Not included
Plan Lifetime Maximum Benefit	$2,000,000
Plan Preventive Care Benefit	Subject to deductible then coinsurance ($300 calendar year maximum for routine physical exams)
Plan Child Preventive Care Benefit	Subject to deductible then coinsurance
Plan Lab & X-Ray Benefit	Subject to deductible then coinsurance
Plan Inpatient Hospital Benefit	Subject to deductible then coinsurance ($1,000 maximum per day for out of network)
Plan Outpatient Surgery Benefit	Subject to deductible then coinsurance ($750 maximum per day for out of network)
Plan Office Visits Benefit	Subject to deductible then coinsurance
Plan Urgent Care Benefit	Subject to deductible then coinsurance
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	Subject to deductible then coinsurance of 40%
Plan Prescription Drug Benefit	Generic - $20 copay; Brand name formulary - $250 deductible then $35 copay (benefits reduced 50% out of network)
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

Plan Name	SignatureOptions 1500
Details Brochure	No brochure available
Plan Description Benefit	This plan offers reduced premiums, comprehensive benefits and a large network of providers. Maternity is included with this plan.
Plan Deductible Benefit	1500
Plan Out of Network Deductible Benefit	$1,500 per person, $3,000 per family
Plan Coinsurance Benefit	You pay 30% of covered medical expenses after the deductible
Plan Out of Network Coinsurance Benefit	You pay 50% of covered medical expenses after the deductible
Plan Out of Pocket Maximum Benefit	$4,500 - includes deductible
Plan Out of Network Pocket Maximum Benefit	$7,500 - includes deductible
Plan Family Out of Pocket Maximum Benefit	$9,000 in network, $15,000 out of network - includes deductibles
Maternity Benefit	Subject to deductible then coinsurance
Plan Lifetime Maximum Benefit	$2,000,000
Plan Preventive Care Benefit	Subject to deductible then coinsurance ($300 calendar year maximum for routine physical exams)
Plan Child Preventive Care Benefit	Subject to deductible then coinsurance
Plan Lab & X-Ray Benefit	Subject to deductible then coinsurance
Plan Inpatient Hospital Benefit	Subject to deductible then coinsurance ($1,000 maximum per day for out of network)
Plan Outpatient Surgery Benefit	Subject to deductible then coinsurance ($750 maximum per day for out of network)
Plan Office Visits Benefit	Subject to deductible then coinsurance
Plan Urgent Care Benefit	Subject to deductible then coinsurance
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	Subject to deductible then coinsurance of 40%
Plan Prescription Drug Benefit	Generic - $20 copay; Brand name formulary - $250 deductible then $35 copay (benefits reduced 50% out of network)
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

Plan Name	SignatureOptions 2000
Details Brochure	No brochure available
Plan Description Benefit	This plan offers reduced premiums, comprehensive benefits and a large network of providers.
Plan Deductible Benefit	2000
Plan Out of Network Deductible Benefit	$2,000 per person, $4,000 per family
Plan Coinsurance Benefit	You pay 30% of covered medical expenses after the deductible
Plan Out of Network Coinsurance Benefit	You pay 50% of covered medical expenses after the deductible
Plan Out of Pocket Maximum Benefit	$6,000 - includes deductible
Plan Out of Network Pocket Maximum Benefit	$10,000 - includes deductible
Plan Family Out of Pocket Maximum Benefit	$12,000 in network, $20,000 out of network - includes deductibles
Maternity Benefit	Not included
Plan Lifetime Maximum Benefit	$2,000,000
Plan Preventive Care Benefit	Subject to deductible then coinsurance ($300 calendar year maximum for routine physical exams)
Plan Child Preventive Care Benefit	Subject to deductible then coinsurance
Plan Lab & X-Ray Benefit	Subject to deductible then coinsurance
Plan Inpatient Hospital Benefit	Subject to deductible then coinsurance ($1,000 maximum per day for out of network)
Plan Outpatient Surgery Benefit	Subject to deductible then coinsurance ($750 maximum per day for out of network)
Plan Office Visits Benefit	Subject to deductible then coinsurance
Plan Urgent Care Benefit	Subject to deductible then coinsurance
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	Subject to deductible then coinsurance of 40%
Plan Prescription Drug Benefit	Generic - $20 copay; Brand name formulary - $250 deductible then $35 copay (benefits reduced 50% out of network)
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

Plan Name	SignatureOptions 3000
Details Brochure	No brochure available
Plan Description Benefit	This plan offers reduced premiums, comprehensive benefits and a large network of providers.
Plan Deductible Benefit	3000
Plan Out of Network Deductible Benefit	$3,000 per person, $6,000 per family
Plan Coinsurance Benefit	You pay 30% of covered medical expenses after the deductible
Plan Out of Network Coinsurance Benefit	You pay 50% of covered medical expenses after the deductible
Plan Out of Pocket Maximum Benefit	$7,000 - includes deductible
Plan Out of Network Pocket Maximum Benefit	$11,000 - includes deductible
Plan Family Out of Pocket Maximum Benefit	$14,000 in network, $22,000 out of network - includes deductibles
Maternity Benefit	Not included
Plan Lifetime Maximum Benefit	$2,000,000
Plan Preventive Care Benefit	Subject to deductible then coinsurance ($300 calendar year maximum for routine physical exams)
Plan Child Preventive Care Benefit	Subject to deductible then coinsurance
Plan Lab & X-Ray Benefit	Subject to deductible then coinsurance
Plan Inpatient Hospital Benefit	Subject to deductible then coinsurance ($1,000 maximum per day for out of network)
Plan Outpatient Surgery Benefit	Subject to deductible then coinsurance ($750 maximum per day for out of network)
Plan Office Visits Benefit	Subject to deductible then coinsurance
Plan Urgent Care Benefit	Subject to deductible then coinsurance
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	Subject to deductible then coinsurance of 40%
Plan Prescription Drug Benefit	Not included
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

Plan Name	SignatureValue 10
Details Brochure	No brochure available
Plan Description Benefit	This HMO plan offers competitive premiums, extensive benefits and a large network of providers. All services must be arranged by your PCP (except OB/GYN and Emergency/Urgent Care).
Plan Deductible Benefit	0
Plan Out of Network Deductible Benefit	No coverage out of network (emergency only)
Plan Coinsurance Benefit	None
Plan Out of Network Coinsurance Benefit	No coverage out of network (emergency only)
Plan Out of Pocket Maximum Benefit	$2,500 copayment maximum per person
Plan Out of Network Pocket Maximum Benefit	No coverage out of network (emergency only)
Plan Family Out of Pocket Maximum Benefit	$5,000 copayment maximum per family
Maternity Benefit	$10 copay per physician visit, $250 copay per hospital admit
Plan Lifetime Maximum Benefit	Unlimited
Plan Preventive Care Benefit	$10 copay (ages 2 and above)
Plan Child Preventive Care Benefit	Paid in full (under 2 years of age)
Plan Lab & X-Ray Benefit	Lab - paid in full; X-ray - office or outpatient copay applies
Plan Inpatient Hospital Benefit	$250 copay per admit
Plan Outpatient Surgery Benefit	$250 copay per admit
Plan Office Visits Benefit	$10 PCP, $30 Specialist
Plan Urgent Care Benefit	$50 copay
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	$50 copay
Plan Prescription Drug Benefit	Generic - $10 copay; Brand Name - $30 copay (mail order available)
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

Plan Name	SignatureValue 15
Details Brochure	No brochure available
Plan Description Benefit	This HMO plan offers competitive premiums, extensive benefits and a large network of providers. All services must be arranged by your PCP (except OB/GYN and Emergency/Urgent Care).
Plan Deductible Benefit	0
Plan Out of Network Deductible Benefit	No coverage out of network (emergency only)
Plan Coinsurance Benefit	None
Plan Out of Network Coinsurance Benefit	No coverage out of network (emergency only)
Plan Out of Pocket Maximum Benefit	$2,500 copayment maximum per person
Plan Out of Network Pocket Maximum Benefit	No coverage out of network (emergency only)
Plan Family Out of Pocket Maximum Benefit	$5,000 copayment maximum per family
Maternity Benefit	$15 copay per physician visit, 20% of cost per hospital admit
Plan Lifetime Maximum Benefit	Unlimited
Plan Preventive Care Benefit	$15 copay (ages 2 and above)
Plan Child Preventive Care Benefit	Paid in full (under 2 years of age)
Plan Lab & X-Ray Benefit	Lab - paid in full; X-ray - office or outpatient copay applies
Plan Inpatient Hospital Benefit	You pay 20% of cost
Plan Outpatient Surgery Benefit	You pay 20% of cost
Plan Office Visits Benefit	$15 PCP, $30 Specialist
Plan Urgent Care Benefit	$50 copay
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	$50 copay
Plan Prescription Drug Benefit	Generic - $20 copay; Brand Name - $35 copay (mail order available)
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

Plan Name	SignatureValue 35
Details Brochure	No brochure available
Plan Description Benefit	This HMO plan offers competitive premiums, extensive benefits and a large network of providers. All services must be arranged by your PCP (except OB/GYN and Emergency/Urgent Care).
Plan Deductible Benefit	0
Plan Out of Network Deductible Benefit	No coverage out of network (emergency only)
Plan Coinsurance Benefit	None
Plan Out of Network Coinsurance Benefit	No coverage out of network (emergency only)
Plan Out of Pocket Maximum Benefit	$5,000 copayment maximum per person
Plan Out of Network Pocket Maximum Benefit	No coverage out of network (emergency only)
Plan Family Out of Pocket Maximum Benefit	No family maximum
Maternity Benefit	$35 copay per physician visit, 30% of cost per hospital admit
Plan Lifetime Maximum Benefit	Unlimited
Plan Preventive Care Benefit	$35 copay (ages 2 and above)
Plan Child Preventive Care Benefit	Paid in full (under 2 years of age)
Plan Lab & X-Ray Benefit	Lab - paid in full; X-ray - office or outpatient copay applies
Plan Inpatient Hospital Benefit	You pay 30% of cost
Plan Outpatient Surgery Benefit	You pay 30% of cost
Plan Office Visits Benefit	$35 copay
Plan Urgent Care Benefit	$100 copay
Plan Emergency Care Benefit	$100 copay (waived if admitted)
Plan Ambulance Service Benefit	$50 copay
Plan Prescription Drug Benefit	Generic - $20 copay; Brand Name - $35 copay (mail order available)
Plan Supplemental Accident Benefit	Not included
Plan Pre-Existing Conditions Benefit	No Pre-existing restrictions once the policy is in force

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Name:	PacifiCare Health Systems
Description:	PacifiCare Health Systems is one of the nation's largest health and consumer services companies, serving over 3 million health plan members and 9 million specialty plan members nationwide.
Website:	http://www.pacificare.com/
Customer Service:
Address:	5995 Plaza Drive Cypress, CA 90630
Not Offered by QuickQuote in:	All states except for CA
Year Founded:	1978
AM Best Rating:	A as of 2005
S&P Rating:	A