Core is a high-deductible catastrophic plan.

2018 changes: Effective Jan. 1, 2018, Anthem Blue Cross will administer pharmacy benefits for Core and UC’s other preferred provider organization (PPO) medical plans.

Anthem currently administers medical and behavioral health benefits for UC’s PPO plans, and will continue in that role in 2018. Although UC and OptumRx have worked hard to improve member experience and to address problems with enrollment and authorizations, UC determined that Anthem would be a better fit as pharmacy benefits administrator for UC’s PPO plans moving forward.

More information and answers to your questions will be provided as soon as they’re available, and highlighted in Open Enrollment materials.

OptumRx will continue as the pharmacy benefits administrator for UC’s PPO plans through 2017. If you have questions about your current PPO pharmacy benefits, visit the OptumRx website or call OptumRx at 855-798-4682.

ID cards

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%