What are the PPO benefits under the PacifiCare SignatureFreedom plan?
PacifiCare PPO benefits work just like those of any other PPO plan. The covered person can see any physician or specialist, but he or she may enjoy greater benefits when seeing participating providers who have contracted with PacifiCare to provide services at prenegotiated rates. What will the covered person have to pay for? Here are a few scenarios where a covered person will pay for services: • The covered person has used all the funds available in the SDA (the balance of the SDA is zero) and the covered person hasnt met the plan year deductible. In this scenario, the covered person would be responsible for paying the difference between the amount of the annual deductible and the amount already satisfied by the SDA. The annual deductible must be met before the covered person can use PPO benefits. • The SDA balance is zero and the covered person has met the plan year deductible. In this scenario, the covered person would be responsible for paying his/her share of the coinsurance as sp
