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 30,000 physicians, hospitals and other health care providers 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. PFMC also prohibits payers from re-leasing the PFMC network to third parties.

The following lists show the payers who currently lease the PFMC/CFMC networks.

PFMC/CFMC Payers

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*

Diversified Health Care Services*

ECOM

Focus*

Foundation for Medical Care           

Frank Gates Acclaim*  

Great West Life Insurance

Group Marketing Services            

Hazelrigg Risk Management*

HealthComp, Inc.

Humboldt FMC

Kern FMC

Managed Benefit Administrators              

Medical Resource 

National Choice Care Inc.             

National Healthcare Solutions

Newlife Agency

Nova Healthcare

Pacific Maritime Association

PacMed Insurance Administrators*  

Pegasus Risk Management*

Peregrine Medical Review, Inc.*            

Physicians Care of California             

Physicians Choice

PIA/Renaissance

Principal Mutual Life

Redwood Health Services

Retrospect, Inc.

Retrospect, Inc.*

RHS

Rockport*

Safeco Insurance Co.*

Select Benefit Administrators of America

Southern California Risk Management/SCRMA*

StrataCare*

The Loomis Co. - True Blue

True Choice 

Trustmark Life 

United Administrative Services             

Welfare and Pension Admin            

*  Workers' Compensation

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