Health Service System - City & County of San Francisco

PacifiCare is a Health Maintenance Organization (HMO). You are required to select a primary care physician who is contracted with PacifiCare and who is responsible for the coordination of your healthcare services. Your primary care physician will seek authorization for any referrals to a PacifiCare contracted specialist, as well as initiate any necessary hospital services. Most services are covered at 100% after you pay the applicable copayment.

The PacifiCare plan for retirees is called Secure Horizons.

To participate in the PacifiCare or Secure Horizons HMO plans, you must live in one of the zip code service areas served by this HMO.

Please refer to the applicable PacifiCare and Secure Horizons Evidence of Coverage for a detailed list of covered services, exclusions and limitations.

Active Members

• 2008-2009 HSS Benefits-at-a-Glance (pdf)
• 2008-2009 Pacificare Benefits Summary
• 2008-2009 Pacificare Evidence of Coverage (pdf)

Retired Members without Medicare

• 2008-2009 HSS Benefits-at-a-Glance (pdf)
• 2008-2009 Pacificare Benefits Summary
• 2008-2009 Pacificare Evidence of Coverage (pdf)

Retired Members with Medicare

• 2008-2009 HSS Benefits-at-a-Glance (pdf)
• 2008-2009 Secure Horizons Benefits Summary (pdf)
• 2008-2009 Secure Horizons Evidence of Coverage (pdf)

PacifiCare also offers wellness benefits to all HSS members participating in this plan. Check out these Wellness Benefit Highlights.

Visit the PacifiCare website at http://www.pacificare.com/ccsf.
Telephone PacifiCare at (800) 624-8822. The HSS Group Number is 240803.

Visit the Secure Horizons website at https://www.securehorizons.com/.
Telephone Secure Horizons at (866) 622-8055. The HSS Group Number is 240810.