Medical Plans

 

All current UC medical plans will be available in 2018. UC employees and retirees continue to have a broad choice of plan designs and providers — including UC medical center doctors, hospitals and medical groups — to fit their needs. UC continues to cover most of the cost of the premiums.

If you're considering changing to a different plan, view the Medical Plan comparison video above to help you find the plan that best meets your needs. You'll also find details on each plan's web page.

2018 Changes

There are a few significant changes this year, including a new pharmacy benefits administrator for UC’s preferred provider organization (PPO) plans and network changes for members of Western Health Advantage (WHA). 

Changes to UC’s PPO pharmacy benefits

For 2018, Anthem Blue Cross will replace OptumRx in administering pharmacy benefits for all of UC’s 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. This change will affect faculty, staff and retirees enrolled in the following PPO plans:

  • Core
  • UC Care
  • UC Health Savings Plan
  • UC High Option Supplement to Medicare
  • UC Medicare PPO with Rx

UC is working to minimize disruption for members, but you should expect changes to the formulary, to processes and to pharmacy, mail order and specialty networks. There are a few steps you should take to make sure you’re prepared for the change. Please look for further details on your plan's page.

Changes for Western Health Advantage members

Although UC Davis Health has ended its ownership and commercial network participation in Western Health Advantage (WHA), UC and WHA have come to a special arrangement for UC employees. Through this arrangement, UC WHA members and their families may continue to see their current UC Davis Medical Group primary care provider (PCP) or select a UC Davis Medical Group PCP in the future. WHA members will not have access to the Advantage Referral program, which allowed you to self-refer to specialists within WHA’s network. Instead, starting in 2018, your PCP will refer you to an appropriate provider if you require specialty care. 

ID Cards

Health Net Blue & Gold, Kaiser and Western Health Advantage issue ID cards only to new members.

Members of Core, UC Care and UC Health Savings Plan (HSP) will receive new ID cards from Anthem Blue Cross. This one ID card may be used to access medical, behavioral health and pharmacy benefits.

New HSA debit cards will be issued by HealthEquity to all new members of the UC HSP and current members whose debit cards are expiring this year. HSA debit cards are good for three years from the issue date.

WageWorks will issue Health FSA debit cards to new members and members with expired cards.

Members of UC's Medicare plans will receive a new ID card from Anthem to access their medical and behavioral health benefits. Members of High Option Supplement to Medicare and UC Medicare PPO will receive an additional card for their Part D pharmacy benefit.

Medical plans

Some plans have additional changes specific to the plan. Visit your medical plan's page for the details (ver en español):