Basic Information About the Plan

Note: PacifiCare changed its name to UHC of California and will do business as (dba) UnitedHealthcare of California, effective May 2011. (See the March 25, 2011 announcement.)

Provider Network

PacifiCare maintains comprehensive contracted provider networks in California.  As a PacifiCare member, you and each member of your family can select separate Primary Care Physicians (PCPs) and can change them monthly.

Selection of Participating Medical Group

Each member will receive a directory of participating medical groups.  Each member must designate a provider located within a 30-mile radius of the member's primary residence or primary workplace on the enrollment form when applying for enrollment in this health plan.

For up-to-date information, you can access the PacifiCare provider network on-line at www.pacificare.com.

Failure to designate a provider group will result in PacifiCare selecting a provider on the member's behalf. Members may contact our Customer Service department to change provider at anytime.

Service Area

PacifiCare of California service area currently incorporates 46 counties in California. Each member must select a provider located within a 30-mile radius of the member's primary residence or primary workplace

Co-payments

When applicable, co-payments are the obligation of the member at the time services are rendered. Applicable co-payments are noted in members Schedule of Benefits brochure.

Definition of Dependents

Dependent is a Spouse only.  Dependent children are not covered under this Plan.