Medical

2008-2009
UnitedHealthcare/PacifiCare

PacifiCare - www.pacificare.com

• Health Maintenance Organization (HMO)
Group Number EA600 - PacifiCare Signature Value® Direct
HMO Customer Service: 800-347-8600; TDHI: 800-360-1797
HMO Behavioral Health: 800-579-5222
   HMO Plan Benefits
   HMO Pharmacy (Rx) Benefits - Rx Custom Plan Code: 12P18
   HMO Vision Benefits
   HMO Behavioral Health Benefits
   HMO Evidence of Coverage

   HMO Behavioral Health website

• Preferred Provider Organization (PPO)
Group Number 00014745 - PacifiCare Signature Elite SM
PPO Customer Service: 866-316-9776; TDHI: 866-816-2018
PPO Behavioral Health: 888-591-7795
   PPO Plan Benefits    
   PPO Pharmacy (Rx) Benefits - Rx Custom Plan Code: 4P1
   PPO Vision Benefits
   PPO Behavioral Health Benefits
   PPO Certificate of Coverage

   PPO Behavioral Health website

UnitedHealthcare - www.myuhc.com

• High Deductible Health Plan (HDHP) – Health Savings Account (HSA) qualified
Group Number 714530 - Definity
HDHP Customer Service: 866-633-2446
HDHP Behavioral Health: 800-553-8664
   HDHP Plan Benefits
   HDHP Pharmacy (Rx) Benefits - Rx Custom Plan Code: 99
   HDHP TMJ and Wig Coverage Rider
   HDHP Certificate of Coverage

   HDHP Behavioral Health website

Preventive Care Services Listing and Guidelines

Medicare “Part D” important information: If any of your dependents are or will be Medicare eligible during the next year, please review information regarding Medicare “Part D” and the potential for future penalties before enrolling in the HDHP/HSA.

Important Notice About Your Prescription Drug Coverage and Medicare:

HMO and PPO

HDHP

If you enroll in the HDHP, in order for you to take full advantage of the HSA tax savings there are certain requirements that must be met. Please review HSA requirements to ensure eligibility. Basic HSA information.

 

Brief Medical Comparison Summary 2008-2009

Medical Rates 2008-2009

www.pacificareandyou.com/pima

COBRA General Notice

 

Claims

PacifiCare

PacifiCare PPO Claim Form

PO Box 6099
Cypress, CA 90630

PacifiCare RX Reimbursement Claim Form - RX Solutions

Prescription Solutions
Mail Stop LC07-190
ATTN: Claims Department
P.O. Box 6037
Cypress, CA 90630-0037

UnitedHealthcare

UnitedHealthcare Claim Form

PO Box 30555
Salt Lake City, UT 84130

UnitedHealthcare RX Reimbursement Claim Form - Medco RX

Medco Health
P.O. Box 2096
Lee's Summit, MO 64063-7096

 

 

AZ Hospital Choice

Do you want hospital-specific information on services and charges? AZ Hospital Choice allows you to:

• Find the average price of a selected service at an Arizona hospital.

• Compare average prices to other hospitals in the county and state.

• Learn about hospital financial assistance policies through links to Arizona hospital websites (when applicable).

• Discover hospital community benefit and quality information links (when applicable).

• Find healthcare definitions and explanations.

http://www.azhospitalchoice.org/