Core is a high-deductible catastrophic plan.

2018 Plan changes

Pharmacy benefits changes

For 2018, Anthem Blue Cross administers pharmacy benefits for Core and UC’s other preferred provider organization (PPO) medical plans, and continues to administer medical and behavioral health benefits. The administrator of your plan processes claims, creates a network of health care providers or pharmacies and sets clinical policies and guidelines.

UC and Anthem are working to minimize disruption during this transition. For the most part, open prescriptions will transfer automatically, and prior authorizations will remain in effect after the transition. Anthem will reach out with more information about changes that may affect you, and you can find answers to some commonly asked questions here.

Your current covered medications will continue to be covered, but the cost of your medications may change. You may want to talk to your doctor about an alternative drug that is on the formulary to help you manage your costs.

In 2018, Core members can now get a 90-day supply of prescriptions at CVS and selected Anthem Retail90 pharmacies, as well as continue at UC Medical Center pharmacies, Walgreens, Safeway/Vons and Costco. Oral contraceptives may now be dispensed up to a 12-month supply at one time.

Live Health Online now includes psychiatrists

Appointments are available through Live Health Online 24/7, with cost sharing of 20 percent after the deductible. See ucppoplans.com for information about cost, requirements and how to get started.

Cost sharing eliminated for some preventive care

Low- to moderate-dose statins are covered at $0 copay for cardiovascular disease prevention, provided certain criteria are met. Screenings for preeclampsia using blood pressure measurement throughout pregnancy are also covered at $0 copay.

ID cards

Whether you are new to Core or continuing your enrollment, you and each of your family members will get a new ID card from Anthem Blue Cross that you can use to access medical care, behavioral health services and prescription medications. Anthem began mailing ID cards on Dec. 18, 2017.

Need a copy of your ID card? Register and log in to the Anthem website to print a copy, or call Anthem (844-437-0486) to request your ID number.

How the plan works

  • You can choose any doctor or hospital you wish, worldwide, but Anthem Blue Cross PPO network providers cost less.
  • Preventive care from in-network providers is covered at 100% without the need to meet your deductible.
  • For all other services and prescriptions, you pay 100% of the cost until you meet the deductible ($3,000 for both in-network and out-of-network providers).
  • Once you meet the deductible, you pay 20%.
  • Annual out-of-pocket maximums ($6,350 individual/$12,700 family) limit what you pay. The calendar year deductible is included in the annual out-of-pocket maximum. If you reach the annual maximum, the plan pays 100% of your medical and prescription drug costs for the rest of the year.
  • Behavioral health services are provided by Anthem network providers.

Best fit for you if:

  • You want to pay no monthly premium
  • You want direct access to all providers without need for referrals
  • You are willing to risk incurring high out-of-pocket costs
  • You want coverage when you are traveling or living abroad

Plan costs

UC pays the entire premium for Core; there is no additional premium cost to you.

Typical out-of-pocket costs

Once you’ve met the deductible, you pay:

  • Office visit/urgent care visit: 20% (preventive care from in-network providers has no charge)
  • Emergency room: 20%
  • Hospital stay: 20%
  • Prescription drugs: 20%