-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 NUH7NtQ85GsBFtc3B2jNe1lS/qVnWE0RTerigEEm60AmXFodHLtnt5miWxZxi6Eu
 432EqxHXx0oK+aRxS2uSJA==

<SEC-DOCUMENT>0001249013-03-000035.txt : 20031103
<SEC-HEADER>0001249013-03-000035.hdr.sgml : 20031103
<ACCEPTANCE-DATETIME>20031103195445
ACCESSION NUMBER:		0001249013-03-000035
CONFORMED SUBMISSION TYPE:	3
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20031030
FILED AS OF DATE:		20031103

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			ALVAREZ AIDA
		CENTRAL INDEX KEY:			0001268885

	FILING VALUES:
		FORM TYPE:		3
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-31700
		FILM NUMBER:		03974168

	MAIL ADDRESS:	
		STREET 1:		5995 PLAZA DRIVE MAIL ST CY20-103
		CITY:			CYPRESS
		STATE:			CA
		ZIP:			90630

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			PACIFICARE HEALTH SYSTEMS INC /DE/
		CENTRAL INDEX KEY:			0001027974
		STANDARD INDUSTRIAL CLASSIFICATION:	HOSPITAL & MEDICAL SERVICE PLANS [6324]
		IRS NUMBER:				954591529
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			0930

	BUSINESS ADDRESS:	
		STREET 1:		3120 LAKE CENTER DRIVE
		CITY:			SANTA ANA
		STATE:			CA
		ZIP:			92704
		BUSINESS PHONE:		7148255200

	MAIL ADDRESS:	
		STREET 1:		3120 LAKE CENTER DRIVE
		CITY:			SANTA ANA
		STATE:			CA
		ZIP:			92704

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	N T HOLDINGS INC
		DATE OF NAME CHANGE:	19961204
</SEC-HEADER>
<DOCUMENT>
<TYPE>3
<SEQUENCE>1
<FILENAME>edgardoc.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0201</schemaVersion>

    <documentType>3</documentType>

    <periodOfReport>2003-10-30</periodOfReport>

    <noSecuritiesOwned>0</noSecuritiesOwned>

    <issuer>
        <issuerCik>0001027974</issuerCik>
        <issuerName>PACIFICARE HEALTH SYSTEMS INC /DE/</issuerName>
        <issuerTradingSymbol>PHS</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001268885</rptOwnerCik>
            <rptOwnerName>ALVAREZ AIDA</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>5995 PLAZA DRIVE</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>CYPRESS</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>90630</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <derivativeTable>

        <derivativeHolding>
            <securityTitle>
                <value>Non-Qualified Stock Option (right to buy)</value>
                <footnoteId id="F1"/>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>56.25</value>
            </conversionOrExercisePrice>
            <exerciseDate>
                <footnoteId id="F2"/>
            </exerciseDate>
            <expirationDate>
                <value>2013-10-30</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>15000</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeHolding>

    </derivativeTable>

    <footnotes>
        <footnote id="F1">Grant of non-qualified stock option to the Reporting Person under the Issuer's Amended and Restated 2000 Non-Employee Directors Stock Plan in a transaction exempt under Rule 16b-3.</footnote>
        <footnote id="F2">The option becomes exercisable in 33 1/3% increments on each of the date of grant and the first and second anniversaries of the date of grant.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>Aida Alvarez</signatureName>
        <signatureDate>2003-11-03</signatureDate>
    </ownerSignature>

</ownershipDocument>

</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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