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Summary Plan Description (SPD)
Basic Information About the Plan
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.
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
Copayments
When applicable, copayments are the obligation of the member at the time services are rendered. Applicable copayments are noted in members Schedule of Benefits brochure.