Health Net Blue & Gold is an HMO (Health Maintenance Organization) with a custom network of providers created exclusively for UC. The Blue & Gold network includes:

  • Over 240 hospitals, 9,400 primary care physicians and 25,000 specialists
  • Coverage in 30 California counties
  • All UC Medical Centers and medical groups

How the plan works

  • You choose a doctor in the Blue & Gold HMO network to coordinate your care and refer you to a specialist when you need one.
  • You pay a copayment for prescription drugs and some services.
  • The plan covers the cost of services only if your medical group authorizes them.
  • Health Net Blue & Gold provides coverage for services outside of your medical group only in cases of emergency.
  • In-network behavioral health benefits are provided by Optum.

Best fit for you if:

  • You want low, predictable out-of-pocket costs
  • You like having one doctor manage your care
  • You are happy with the selection of providers

Monthly plan costs

Retiree plan costs chart »

Pay Band
(per annum)
Self Self +
Child(ren)
Self +
Adult
Family
$53,000 and under $37.08 $66.74 $135.29 $164.95
$53,001–$104,000 $73.13 $131.63 $217.59 $276.09
$104,001–$156,000 $110.13 $198.23 $291.35 $379.45
$156,001 and above $148.44 $267.19 $367.77 $486.52

Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.


Typical out-of-pocket costs

  • Office visit/urgent care visit: $20 (preventive care has no charge)
  • Online/telephone consult: No charge
  • Emergency room: $75
  • Hospital stay: $250
  • Prescription drugs: $5, generic; $25, brand name; $40, non-formulary

ID cards

Health Net began mailing 2017 ID cards on Dec. 27, 2016. You may also print a copy of your ID card from the Health Net website or call 800-539-4072 to request your ID number.