View 2017 costs »

The monthly costs for medical coverage below apply to retirees eligible for 100 percent of the UC/employer contribution toward the premium for each plan. If you are subject to graduated eligibility and, therefore, not eligible for the maximum UC/employer contribution, your costs may be higher than those listed below. Your plan cost appears as a deduction on your UCRP benefit direct deposit statement or check.

When all family members are in Medicare

Medicare Plan Self in
Medicare
Self + Adult
or Self + Child(ren)
Both in
Medicare
Self + Adult + Child(ren)
All in
Medicare
Health Net Seniority Plus Your Premium $76.66 $153.32 $229.98
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
Kaiser Permanente/
Senior Advantage
Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$92.58 $185.16 $277.74
UC High Option
Supplement to Medicare
Your Premium $126.66 $253.32 $379.98
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
UC Medicare PPO Your Premium $39.66 $79.32 $118.98
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
UC Medicare PPO without Prescription Drugs Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$134.00 $268.00 $402.00

Medicare Part B reimbursement may apply if your premium cost is $0.00. Part B reimbursement is based on a Medicare Part B premium of $134.00 per person. Reimbursements vary and are added automatically to your monthly retirement payment.

When one or more family members are not Medicare eligible

Non-Medicare/
Medicare Plans
Self + Adult
1 Adult in
Medicare
Self + Child(ren)
Adult in
Medicare
Self + Adult + Child(ren)
1 Adult in
Medicare
Self + Adult + Child(ren)
2 Adults in
Medicare
Core/
UC Medicare PPO
Your Premium $0.00 $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$134.00 $134.00 $134.00 $164.22
Health Net Blue & Gold/
Seniority Plus
Your Premium $384.53 $269.83 $577.71 $346.50
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $0.00
Kaiser Permanente/
Senior Advantage
Your Premium $74.91 $0 $166.00 $0.00
Medicare Part B
Reimbursement
$0.00 $1.50 $0.00 $94.07
UC Care/
UC Medicare PPO
Your Premium $420.91 $286.20 $667.45 $325.86
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $0.00

Medicare Part B reimbursement may apply if your premium cost is $0.00. Part B reimbursement is based on a Medicare Part B premium of $134.00 per person. Reimbursements vary and are added automatically to your monthly retirement payment.

Non-Medicare Plans

Plan Self Self + Child(ren) Self + Adult Self + Adult + Child(ren)
Core $0.00 $0.00 $0.00 $0.00
Health Net Blue & Gold $241.47 $434.64 $549.34 $742.52
Kaiser Permanente — California $113.85 $204.93 $281.34 $372.43
UC Care $308.17 $554.71 $689.42 $935.96
UC Health Savings Plan $141.34 $254.41 $339.07 $452.14
Western Health Advantage $128.92 $232.06 $312.99 $416.15

Non-Medicare Plans Age 65 and over, NOT Medicare eligible

Plan Self Self + Child(ren) Self + Adult Self + Adult + Child(ren)
Core $0.00 $0.00 $0.00 $0.00
Health Net Blue & Gold $75.62 $136.11 $225.08 $285.58
Kaiser Permanente — California $55.02 $99.04 $123.85 $167.85
UC Care $142.32 $256.18 $365.16 $479.02
UC Health Savings Plan $55.88 $100.59 $125.74 $170.43
Western Health Advantage $55.83 $100.49 $125.62 $170.26