PFMC - Pacific Foundation for Medical Care

Health plans and self-insured employers have one thing in common: they both need large, economical provider networks that can supply medical care to their members or employees. For their part, members and employees want unrestricted access to physicians and medical facilities.

PFMC can satisfy all these demands. We offer one of the most extensive provider networks in our service area. We are also part of one of the largest networks in California, the California Foundation for Medical Care, with more than 35,000 doctors and hospitals throughout the state. But that's not all. Because of our favorable contracts, we can offer high-quality services at reduced rates.

We lease three types of networks. The most popular is our preferred provider organization, or PPO. This network, which includes all PFMC members, gives consumers a maximum choice of providers. We also have a money-saving exclusive provider organization (EPO). Consumers in this network receive a greater benefit by using EPO providers. Finally, we maintain a worker's compensation organization (WCO) for employees with work-related injuries.

To help protect its provider lists and rates, PFMC requires any payer who leases the network to include the PFMC logo or the California Foundation for Medical Care (CFMC) logo on its card. The logos are shown below. PFMC also prohibits payers from re-leasing the PFMC network to third parties.

To arrange a lease, contact Kathy Pass at kpass@rhs.org or 800-548-7677, Ext. 115. Current payers who lease the PFMC and CFMC networks are shown below.

Affordable Benefit Administrators
American National Insurance Co.
Arizona FMC
Assurant
Basic Plus
Benefit Plus Administrators
Business Health Services*
Care Solutions*
Clarendon Insurance
Coastal TPA
Combined Benefit Administrators
Comparative Insurance Services, Inc.
CompPartners*
Contracts Analysis Systems/Triveris
Diversified Health Care Services*
ECOM
Focus Healthcare*
Foundation for Medical Care
Frank Gates Acclaim*
Great West Life Insurance
Group Marketing Services
Hazelrigg Risk Management*
HealthComp, Inc
Humboldt FMC
Kern FMC
Loomis Benefits West/True Blue
Managed Benefit Administrators
Medical Resource
National Choice Care Inc.*
Newlife Agency
Nova Healthcare
Pacific Maritime Association
PacMed Insurance Administrators*
Pegasus Risk Management*
Peregrine Medical Review, Inc.*
Personal Insurance Admin
Physicians Care of California
Physicians Choice
PIA/Renaissance
Principal Mutual Life
Redwood Health Services
Retrospect, Inc.
Retrospect, Inc.*
RHS
Rockport Comm Network*
Safeco Insurance Co.*
Select Benefit Administrators of America
SISC/Self Insured Schools of California*
SISCO Enterprises
Southern California Risk Management/SCRMA*
StrataCare*
True Choice
Trustmark Life
United Administrative Services
US Access
Welfare and Pension Admin

* Workers Compensation

You can also view a provider client list at www.cfmcnet.org.