UC Care PPO

Administered by Anthem Blue Cross (medical) and Navitus (pharmacy); supported by Accolade Health Care Advocate

UC Care is a PPO plan created just for UC to ensure the best possible access to world-class UC hospitals and physicians. For convenience and flexibility, you also have access to the Anthem Preferred network of providers and coverage for non-network providers.

Changes for 2025:

Copays for outpatient visits have increased from $20 to $30 for UC Select/Tier 1 and urgent care in Anthem Preferred/Tier 2.
Prescription drug copays have increased by $5-$15 for Tiers 1-3.

Full Full eligibility available
Mid Mid eligibility available
Core Core eligibility available
Retirees Retirees eligibility available

On this page:

How the plan works
Best fit for you?
Understanding your costs
Enrolling in Medicare

How the plan works

Accolade helps you navigate your medical plan and is your first stop for questions about your benefits. You can reach Accolade at (866) 406-1182 (Monday–Friday, 5 a.m.–8 p.m. PT). Find all your plan details at uchealthplans.com.

You may choose any doctor or care facility, worldwide. You pay less for care within the UC Select or Anthem Preferred networks.
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.
Behavioral health benefits are provided through Anthem Blue Cross.
See updated information about coverage for COVID tests.

Typical out-of-pocket costs*

UC Select network (available only in California): You pay set copayments for covered services and there’s no deductible. The annual out-of-pocket maximum is $6,100 for individual coverage and $9,700 for family coverage.
- Office visits/urgent care: $30
- Emergency room visits: $300
- Hospital stay: $250
- Navitus network pharmacies:
  - Tier 1: $10
  - Tier 2: $30
  - Tier 3: $50
Anthem Preferred network: You pay 30% of the cost of service after the deductible has been met.
- Individual coverage: $500 deductible; $7,600 out-of-pocket maximum
- Coverage for a family of three or more: $1,000 deductible; $14,200 out-of-pocket maximum
Non-preferred or out-of-network: You pay 50% of the cost of service after the deductible has been met.
- Individual coverage: $750 deductible; $9,600 out-of-pocket maximum
- Coverage for a family of three or more: $1,750 deductible; $20,200 out-of-pocket maximum

*UC Care deductible and out-of-pocket maximums do not cross-accumulate for in-network and out-of-network services. The UC Select and Anthem Preferred out-of-pocket maximum do cross-accumulate.

Monthly premium costs for faculty and staff

Pay Band (full-time salary rate)	Self	Self + Child(ren)	Self + Adult	Family
$71,000 and under	$232.12	$414.73	$561.18	$744.42
$71,001–$140,000	$284.54	$508.41	$676.92	$901.51
$140,001–$210,000	$344.68	$615.86	$795.26	$1,067.18
$210,001 and above	$401.43	$717.27	$904.74	$1,221.33

UC Care PPO

How the plan works

Best fit for you if:

Understanding your costs

Enrolling in Medicare

Plan documents

Plan contacts

More information