Pacific Health Benefits - Discount Plans

Health Discount Plans...

BENEFITS	SAVINGS	Advantage	Advantage Plus	Premier Advantage Plus
Prescription Drugs	Up to 65%
24/7 Doctor	SERVICE
Dental	Up to 50%
Vision Care	Up to 50%
Walk in Doctor Visits	Up to 30%
Lab Savings	Up to 60%
Vitamins	Up to 50%
Surgical Centers	Up to 80%
Medical Bill Help	SERVICE
Chiropractic Savings Plan	Up to 50%
X-Ray, MRI & Imaging	Up to 60%
Hearing Care	Up to 60%
Diabetic Care & Supplies	52 - 70%%
PRICES PER PLAN		$29.95 a month	$39.95 a month	$49.95 a month

Benefit Descriptions...

24/7 Doctor

Improve access to healthcare by providing unparalleled access to physicians 24 hours a day 7 days a week via phone. Call MD - Ask a Doctor reduces office and ER visits by providing accurate medical support. Around the clock affordable healthcare, 24/7 on-demand access to a licensed physician anytime, anywhere. Stop wasting time and money at the doctor's office, urgent care or ER. Telemedicine consultations via phone will set your life free.

Consult with US board certified physician on-demand from any location.
Receive treatment over the phone, avoid high cost doctor office visits, urgent care or ER.
Reduce healthcare claims, out-of-pocket expenses and time wasted waiting for appointments.
Access to personalized health manager featuring interactive wellness tools, symptom checker and comprehensive resource guide for every medical condition.
Learn to manage disease and chronic illness to improve health.
Receive quality care and request refills or RX prescription* if appropriate.

How to Order Products and Services

Go to www.callmd.com or Call MD - Ask a Doctor at 1 (866) 568.6720 or
call our customer service and we will assist you in connecting to the consult a doctor service 10am to 6pm M-F.

Walk in Doctor Visits

Over 410,000 physicians and 45,000 ancillary providers in nationwide network. Our provider contracts include discounts for all services, including those typically not covered by traditional plans. All savings visible to the member with online lookup providing transparent pricing.

How to Order Products and Services

Locate a Physician/Doctor Online

Prescription Drugs

Over 59,000 local and national pharmacy locations accept the card. Cardholders save up to 65% on medications including nearly all brand and generic prescriptions. With over 60,000 drugs covered by the card, cardholders save on prescriptions not covered in other plans. Everyone in the family is included and there are no annual discount limits and no expiration date.

How to Order Products and Services

Use our Online Pharmacy Locator and Drug Pricing Tool

Dental

This dental network provides members with discounts of 15% to 50%* on dental services at over 92,500 available dental practice locations nationwide in most instances. Members simply present their card bearing the Aetna Dental Access logo, along with payment in full of the discounted fee, for immediate savings at the time services are rendered. Members can utilize their card and enjoy the savings time and time again.

Highlights

Save 15 to 50 percent* on everything from general dentistry and cleanings to root canals, crowns and orthodontia.
Over 92,500** dental practice locations.
Save on routine dental services such as x-rays and fillings.
Save on specialty care such as orthodontics and periodontics where available.

Dental benefit is not available to VT residents.
*Actual costs and savings vary by provider, service and geographical area.
**According to the Aetna Enterprise Provider Database as of November 1, 2010.

The discount program provides access to the Aetna Dental Access© network. This network is administered by Aetna Life Insurance Company (ALIC). Neither ALIC no any of its affiliates offers or administers the discount program. Neither ALIC nor any of its affiliates is an affiliate, agent, representative or employee of discount program. Dental providers are independent contractors and not employees or agents of ALIC or its affiliates. ALIC does not provide dental care or treatment and is not responsible for outcomes.

How to Order Products and Services

Locate a Dental Provider Online
or Call toll free: (866) 404.6028

Vision Care

OUTLOOK Vision Services is a discount vision program. Over 10,500 optical centers offer average discounts of 10% to 50% off the regular retail price of eyeglasses, contact lenses, sunglasses, and corrective surgery (Lasik, RPK, etc.) to members of our program. The Outlook Vision network includes major chains and independent eye care centers. In addition to local retail optical providers, Outlook Vision also has a mail-order contact lens program for the convenience of our members. Members may save substantially off retail prices by ordering replacement contact lenses from this service.

Highlights

Nationwide vision care discount network consisting of over 10,500 providers.
Average discounts from 10% to 50% on frames, prescription lenses and sunglasses.
Mail-order contact lenses replacement program.
Discounts on corrective surgery.
Purchase as often as you like.
Choose from the most popular frames, tints and lenses.
Immediate savings at point of purchase.
Discounts are applied at the point of sale.
No paperwork.
85% of the U.S. population resides within a 15-minute drive of an Outlook provider.
100% guaranteed satisfaction for 30 days.
Membership includes the entire family.
Hearing Aid discounts.

Outlook Vision Guarantess

All merchandise is covered by manufacturer’s warranty for materials and workmanship.
Once a purchase is made, if you find the identical eyewear within 30 days at a lower advertised price, the difference will be cheerfully refunded.
If an Outlook Vision member is not completely satisfied with an eyewear purchase from a participating provider for any reason, it may be returned within 30 days to the place of purchase for a complete refund.
Membership satisfaction also guaranteed within 30 days of membership card purchase.

How to Order Products and Services

Locate a Vision Provider Online
or Call toll free: (800) 342.7188

Lab Savings

Members receive discounts off usual charges for blood tests and all other lab testing. The network provides affordable laboratory testing, which leads to appropriate diagnosis and effective treatment.

Highlights

Members receive up to 60% savings.
Priority appointment scheduling.
Coast-to-Coast network** with hours of operation 8:00 a.m. to 8:30 p.m. (Eastern Time)
No limit to the number of times you may use this service.

*Savings may vary based on geographic location, provider selected and procedure performed.
**This benefit is not available in NJ, NY, and RI.

How to Order Products and Services

Locate an In-Network Lab Facility Online
or Call toll free: (888) 696.3352

Vitamins

Puritan's Pride, the #1 Direct-To-You Vitamin Manufacturer for over 50 years, mail order vitamin program provides a wide range of discounted vitamin and mineral supplements delivered directly to our member's home. Orders are shipped in 24 hours.

Quality Guarantee

Every Puritan's Pride product comes with a money back quality guarantee.
Satisfaction guaranteed for a full year from the purchase date.
Lowest Prices! Buy direct from the Manufacturer.

How to Order Products and Services

View our Puritan's Pride Program Online
or Call toll free: (800) 645.1030

Surgical Centers

Contracted rates with many surgical centers of excellence throughout the United States providing access to the best surgeons at a savings of 30-80%. Working with a professional Care Coordinator ensures understanding of reduced expenses and provides assistance with scheduling, travel and accomodations.

How to Order Products and Services

Call toll free: (800) 680.1366

Medical Bill Help

As a Pacific Health Benefits member you are entitled to take advantage of our Patient Financial Liaison and Advocacy Plan. This service is not a discount program and no guarantee of its success is made. Once you or a member of your household (a dependant living under the same roof) incurs at least $1000 of total combined charges for a particular condition, disease, or accident for which you are having difficulty paying, call 877-277-0080. Our advocate intake personnel will help you assemble the necessary information for submission to one of our trained financial advocates.

Upon review of the information and an interview with you, the Patient Financial Advocacy Liaison (PAL) will prepare a plan of action and discuss it with you. If you agree, they will contact the provider or providers on your behalf and make every effort to reach a financial solution acceptable to you and the provider(s). These actions can and may include, reducing charges, applying for payment plan eligibility, accessing public and/or private programs and may even include forgiveness of certain charges. Each situation is different and the solution to each is tailored to accommodate the needs of the patient, his or her family and their particular financial situation.

How to Order Products and Services

Call toll free: (877) 277.0080

Chiropractic Savings Plan

All chiropractic care services offered by an authorized provider in the participating network are eligible for discounts under this plan. Members receive 5% to 50% off routine charges. No chiropractic services offered by an authorized provider are excluded from the plan.

50% off Inital Exams, Consultations and Diagnostics, combined
50% off of the cost of In-House x-rays
$30 Spinal Adjustments

How to Order Products and Services

Locate a Provider Online

X-Ray, MRI and Imaging

Members receive discounts of 10% to 60% off usual charges for MRI and CT procedures while utilizing credentialed radiology providers. These radilogists deliver tests interpretations which lead to appropriate diagnosis and effective treatment.

Highlights

Largest panel of radiologists and imaging specialists.
Over 2,900 outpatient radiology facilities in all 50 states.
Multilingual customer service staff.
Priority appointment scheduling.
Scheduling with open or closed imaging equipment based on specific needs or member preference.
Coast-to-coast network* with hours of operation 8:00 a.m. to 8:30 p.m. (Eastern Time)
No limit to the number of times you may use this service.

*Savings may vary based on geographic location, provider selected and procedure performed.

How to Order Products and Services

Locate a Provider Online

Hearing Care

Enjoy access to a variety of hearing programs providing hearing aid discounts of 15% to 35% in retail locations nationwide and discounts of 40% to 60% through the mail order program.

Retail Hearing Aids
Members may select from 1,350 Beltone locations nationwide to receive a free hearing screening and 15% off over 70 models of Beltone Hearing Aids. All technologies and models are available including state of the art digital hearing aids, along with "Completely-In-the-Canal","Completely-In-the-Ear" and "Behind-the-Ear" models. The BelCare™ standardized 12 point customer service program ensures consistent delivery of professional and comfortable service, regadless of location.

Mail Order Hearing Aids

Save 40% to 60% off average National Retail Pricing on over 100 models of name brand hearing instruments.
Receive the lowest price available.
45-day in-home trial period and one full year factory warranty.

Any make/model hearing aid less than five years old may be repaired with a six month warranty for just $90.00 or with a 12-month warranty for just $115.00 (digital or analog programmable aids are slightly more, depending upon model).

How to Order Products and Services

Visit Beltone Online
or Call toll free: (800) 235.8663

Diabetic Care and Supplies

Fine Quality Diabetic Supplies At Pricess LESS THan Big Box Retailers And National Pharmacy Sale Prices. 3 to 5 day UPS Ground Residential Home Delivery - No More Pharmacy Trips High Quality ADVOCATE Products.

How to Order Products and Services

Locate a Provider Online