Bear Stearns 15 th Annual Healthcare Conference Waldorf Astoria, New York City

1. Bear Stearns 15th Annual Healthcare Conference Waldorf Astoria, New York City September 19, 2002 Gregory W. Scott Executive Vice President, Chief Financial Officer Pacificare Health Systems

2. Safe Harbor Statement The statements made during this presentation that are not historical facts are forward-looking statements within the meaning of the Federal securities laws, and may involve a number of risks and uncertainties. Factors that could cause actual results to differ materially from expectations include, but are not limited to, the risks discussed in the company’s most recent filings with the SEC, including Form 10Q as of June 30, 2002, and Form 10K as of December 31, 2001.

3. Pacificare = largest purchaser of health care services in the western U.S. A Fortune 200 company with • ~$11 billion in revenue • 2.4 million commercial lives • 800 thousand Medicare+Choice lives • ~9 million specialty lives

4. Critical Success Factors Executive Leadership Capital Structure Business Model/Mix Operations Regulatory Relations Network Stability Litigation Technology Upgrades

5. Leadership • Strategically focused • Shareholder-aligned • Committed • Capital Structure • Issues largely resolved • Diversified access to working capital “Brand New Day”at PacifiCare in 2002 Progress Report

6. “Brand New Day”at PacifiCare in 2002 Progress Report • Business Model & Mix • Reduced M+C dependency • Enhanced commercial profitability -Margin up > 30% • Improved retention • Offering total Health Benefit Solutions supported by superior quality and service platforms • Operations • Rapidly meeting/exceeding industry standards • Full service systems platform supports all funding solutions

7. “Brand New Day”at PacifiCare in 2002 Progress Report • Networks • More stable • Require vigilant monitoring • Legal/Regulatory • Suits/settlements going our way • Positive & collaborative regulatory relationships • TX AG suit remains to be resolved

8. “Brand New Day”at PacifiCare in 2002 Progress Report • Technology • Investments in “Future State” underway • Outsourcing generates operational savings & significant flexibility

9. “Brand New Day”at PacifiCare in 2002 Progress Report • Brand • Advertising/repositioning campaign launched • Quality • Tiered network emphasizes quality • Physician Quality Index™ : Market leader • Introduction of Hospital Quality Index™ : Will be market leader • Earnings • Visibility improved • Increased diversification • Rebuilding investor/creditor confidence

10. Top-Level Strategy Fix the Core • Operational Control • Profit Margin MCO Product/Segment Extensions • PPO • Med Supp • ASO • Defined Contribution • 3rd Party Specialty Business HMO Consumer-Aligned Organization • Drug Discount Program • Debit Card • Women’s Health Initiative • Stand Alone Rx Plan • Tight Network Operations • Quality Measurement • Rx POS Connectivity • Extended Service Hours • Customer Welcome Calls Full Service MCO Consumer Health Organization (CHO)

11. Earnings Improvement- Pro Forma

12. Operating Profit* vs. Investment Income Year-over-year Investment Income: (65)% Operating Profit: 81% Investment Income: (91)% Operating Profit: 102% *Adjusted for SFAS 142 change in accounting for goodwill as if adopted January 1, 2001 and excludes impairment, disposition, restructuring, OPM and other charges/credits

13. Specialty company net income 19% • Increased gross profit margin PMPM 30% • Commercial 33% • M+C 35% • Commercial premiums PMPM 15% • cost trends = 12-14% • M+C premiums PMPM 7% • cost trends = 4% 2nd Quarter 2002 Results- Drivers of Operating Profit Improvement

14. Earnings Guidance in 2002 • FY ‘02 EPS Guidance =$3.37-$3.47 (w/ FAS 142) • EOY Membership • Commercial = 2.4 million • M+C = < 800 thousand • Specialty = 11 million • Commercial premium • Increase high teens before buydowns, mid teens after buydowns

15. Earnings Guidance in 2002 • Consolidated MLR = 87-88% • Commercial = 86-87% • Medicare = 89-90% • SG&A ratio = 11.5%-12% • Medical cost trends: • Commercial- low to mid teens • Medicare- high single digits • Pharmacy (after buydowns)- • Commercial: mid teens • Medicare: negative

16. Q2 ’02 Pre-tax loss of $43 million • Extensive provider recontracting • interpretation issues • unaddressed provisions • delayed notice by providers • Results not indicative of run rate • increase in paid claims from prior 2 quarters • increase in claims run rate for Q2 ’02 • increase in claims reserves Texas

17. Recent Events • Keystone Health Plan partners with PacifiCare Behavioral Health • Effective 11/1/02 • Covers > 200,000 Keystone enrollees in PA • Reader’s Digest agreement with Senior Solutions • Exclusive endorsement of Secure Horizons’ Medicare Supplement products • Access to customer database with > 100 million households • Working with Reader’s Digest to offer additional products • Significant new commercial case wins

18. Recent Events • WebMD agreement with Prescription Solutions • Agreement is with WebMD sub, MedE America, which has 4 million lives • Prescription Solutions to provide mail order prescriptions & OTC medications • 300K members initially; additional mbrs. over next year

19. Changes to Medicare+Choice in 2003 • Discontinuing service in 7 counties in 2 states • Affects > 47,300 mbrs.; > 6% of YE ’02 mbrs. • 3 counties in TX > 25K members • 4 counties in CA > 22.3K members • Premium and benefits change for majority of members

20. Thank You