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. PFMC also prohibits payers from re-leasing the PFMC network to third parties.

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

PFMC Payers

Affordable Benefit Administrators

American National Insurance Co.

AR2000

Basic Plus             

Business Health Services*             

Cypress Benefit Administrators              Diversified Health Care Services*               Focus*             

Frank Gates Acclaim*             

Hazelrigg Risk Management*             

Medical Resource             

PacMed Insurance Administrators*              Pegasus Risk Management *              Peregrine Medical Review, Inc*              PIA/Renaissance             

Principal Mutual Life             

Redwood Health Services              Retrospect, Inc.             

Retrospect, Inc.*             

RHS             

Safeco Life Insurance Co.              StrataCare*                           

*  Workers' Compensation

Am

CFMC Payers

Affordable Benefit Administrators

AIG Life

American National Insurance              Benefit Plus Administrators              Benefit Risk Management

Care Solutions

CBCA 

Claredon Insurance

Coastal TPA

Combined Benefit Administrators/

        Signature Prop

Comparative Insurance Services, Inc

CompPartners*

EASC

Focus* 

Great West Life Insurance

Group Marketing Services              HealthComp, Inc

Humboldt FMC

Innovative Administrative Services

Kern FMC

Managed Benefit Administrators              Mennonite Mutual Aid

NAHGA Claim Service

National Choice Care Inc.              Pacific Maritime Association              PacificSource

Physicians Care of California              Select Benefit Administrators of America

Sierra Administration, Inc

Sierra Health & Life Insurance 

True Choice USA 

Trustmark Life 

United Administrative Services              Welfare and Pension Admin              Zenith Administrators

*  Workers' Compensation

C