This medical plan is a complement to your Medicare Parts A and B coverage and you must receive services from Medicare providers.

It is offered to those who have Medicare-coordinated medical insurance through UC and Part D prescription drug coverage through a non-UC plan (another group health plan, former employer or individual Part D plan). You may enroll in this plan if:

  1. All covered members are enrolled in Medicare, and
  2. Documentation of enrollment in a creditable* insurance plan that covers prescription drugs is provided. (Coverage cannot be a Medicare Advantage or Medicare Advantage Prescription Drug plan.)

*A creditable plan is one that the coverage is expected to pay on average as much as the standard Medicare prescription drug coverage.

For enrollment information, contact the UC Retirement Administration Service Center (800-888-8267).

2018 plan changes

Copayments for certain services have increased slightly for low-income subsidy-eligible Medicare enrollees.

ID cards

Anthem began mailing ID cards on Dec. 18, 2017. If you need another copy of your ID card, you may print one from the Anthem website (under Resources) or call Anthem (844-437-0486) to request your ID number.

How the plan works

  • You can choose any Medicare doctor or hospital you wish; providers who accept Medicare assignment cost less.
  • Medicare pays benefits first. Then this plan calculates benefits on the Medicare allowable amount, less what Medicare paid.
  • Benefits not covered by Medicare but covered by the plan are reimbursed at 80% of customary and reasonable charges. See your plan booklet for details.
  • If you see a provider that does not accept Medicare assignment, they can bill you for up to 15% over the Medicare allowable rate.
  • Behavioral health benefits are provided by Anthem Blue Cross and Medicare. Members are covered for outpatient services not covered by Medicare from all in-network and out-of-network licensed behavioral health providers, including psychiatrists, psychologists, MFTs and MFCCs. Please check with your providers to be sure they are available under this plan.

Best fit for you if:

  • You have creditable*, non-UC Medicare Part D prescription drug coverage through another group health plan or an individual Part D plan that you purchased
  • You want direct access to Medicare providers without need for referrals
  • You are willing to pay variable costs per service

Plan costs

Click for retiree plan costs chart