UC’s preferred provider organization (PPO) medical plans for retirees (UC High Option Supplement to Medicare, UC Medicare PPO and UC Medicare PPO without Prescription Drugs) and for employees (Core, UC Care and UC Health Savings Plan) have new administrators for medical, behavioral health and prescription drug benefits.
If you are a UC PPO member, you should receive a new ID card from Anthem Blue Cross. If you are a member of UC High Option Supplement to Medicare or UC Medicare PPO with Prescription Drugs, you should also receive an ID card from OptumRx for pharmacy benefits. Once you receive your new ID card(s), please provide them to your pharmacy and your medical or behavioral health providers. Your Blue Shield-branded cards are no longer effective.
Unfortunately, technical difficulties during the enrollment transition have led to problems for some members. UC Human Relations has been working with plan administrators to address the root causes of these problems and to address them as quickly as possible. All enrollment issues should be resolved in the next couple of weeks. If you do not need to access your medical, behavioral health or pharmacy benefits during this time, you do not need to take action.
If enrollment problems are interfering with your ability to access your benefits, however, please refer to the information below.
Missing ID cards
If you have not received ID cards from Anthem:
- Register online at anthem.com/ca/uc (you can use your SSN if you don’t yet have your Anthem ID number) or
- Call Anthem at 844-437-0486
If you need to access care before you receive your ID card, Anthem and OptumRx can verify your eligibility with your pharmacy or provider.
Invalid ID cards
Some UC PPO members have received ID cards for dependents who are not currently covered on the plan. Some 2016 Blue Shield members who took action to change to another plan (such as Kaiser, Health Net, or WHA) have received ID cards from both their new plan and from Anthem. These issues have been corrected, and Anthem will delete records that were added in error. Please discard any invalid ID cards and seek care (if needed) from the plan you elected for 2017.
Split Medicare families (some family members in Medicare, some not)
You may have been enrolled in a non-Medicare bridge plan instead of in the correct OptumRx Part D prescription drug plan. There is no impact to your benefits, but you will receive a new OptumRx ID card (which will replace your previous card) when you are moved to the Part D prescription drug plan next month.
We realize that these issues have been incredibly frustrating for faculty, staff and retirees. Please be assured that many people are working diligently to correct these errors. Faculty and staff who need additional help resolving a problem may contact their campus benefits office; retirees may contact the UC Retirement Administration Service Center (RASC), online or at 800-888-8267.