UC Care is a PPO plan created just for UC. You can get care from most UC physicians and medical centers as well as the Anthem Preferred network of providers — the choice is yours. You also have coverage for non-network providers.

2018 changes: Effective Jan. 1, 2018, Anthem Blue Cross will administer pharmacy benefits for UC Care 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 may choose any doctor or care facility, worldwide.
  • You have two options for in-network care: 
    • You pay set copayments for covered services and there’s no deductible when you use providers in the UC Select network (available only in California).
    • You also can choose a medical provider in the Anthem Preferred network and pay 20% of the cost of service after the deductible has been met. The Anthem Preferred network has a $250 deductible for individual coverage and $750 deductible for a family of three or more.
  • Or, you can choose a non-preferred or out-of-network provider and pay 50% of the cost. There is a $500 deductible for individual coverage and $1,500 deductible for a family of three or more.
  • Behavioral health benefits are provided through Anthem Blue Cross. You can see any behavioral health provider you choose, but you’ll pay less and receive higher benefit coverage when you see an in-network provider. Some services may require prior authorization.
  • Annual out-of-pocket maximums limit what you pay. If you reach the annual maximum, the plan pays 100% of your covered medical costs for the rest of the year. There is one combined out-of-pocket maximum for medical, behavioral health and pharmacy expenses. 
    • UC Select: $5,100/individual; $8,700/family
    • Anthem Preferred: $6,600/individual; $13,200 family
    • Out-of-network: $8,600/individual; $19,200 family
  • Anthem Blue Cross will administer claims.

Best fit for you if:

  • You want direct access to most providers without a referral
  • You want no deductible and fixed copay for using providers in the UC Select network
  • You want coverage when you are traveling or living abroad
  • You and/or your family members live outside California

Monthly plan costs

Retiree plan costs chart »

Pay Band
(per annum)
Self Self +
Child(ren)
Self +
Adult
Family
$53,000 and under $88.75 $159.75 $243.81 $314.82
$53,001–$104,000 $124.80 $224.64 $326.11 $425.96
$104,001–$156,000 $161.80 $291.24 $399.87 $529.32
$156,001 and above $200.11 $360.20 $476.29 $636.39

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

Typical out-of-pocket costs

  • Office visit/urgent care visit: UC Select: $20; Anthem Preferred: 20%; out-of-network: 50%; (preventive care with in-network provider has no charge)
  • Emergency room visit not resulting in an admission: $200
  • Hospital stay (facility only): UC Select: $250; Anthem Preferred: 20%; out-of-network: 50%
  • Prescription drugs: $5, generic; $25, brand name; $40, non-formulary; specialty, 30% for 30-day supply (up to $150 copayment maximum)