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 out-of-network providers.

Plan changes

Pharmacy benefits changes

Beginning Jan. 1, 2018, Anthem Blue Cross will administer pharmacy benefits for UC Care and UC’s other preferred provider organization (PPO) medical plans, and will continue to administer medical and behavioral health benefits. The administrator of your plan processes claims, creates a network of health care providers or pharmacies and sets clinical policies and guidelines.

If you are continuing your enrollment in UC Care, you and each of your family members will get a new ID card from Anthem Blue Cross that you can use to access medical care, behavioral health services and prescription medications. Your Anthem Health Guide will now be able to answer questions about all of your benefits, at the same number: 844-437-0486, Monday through Friday, 5 a.m. to 8 p.m. (PT). You’ll have a new member website for all of your benefits: ucppoplans.com.

UC and Anthem are working to minimize disruption during this transition. For the most part, open prescriptions will transfer automatically, and prior authorizations will remain in effect after the transition. Anthem will reach out with more information about changes that may affect you.

Still, to make sure you’re prepared for the change, it’s a good idea to:

  • Refill your prescriptions before the end of the year.
  • Check the Anthem formulary and prescription drug costs.

Your current covered medications will continue to be covered, but the cost of your medications may change. You may want to talk to your doctor about an alternative drug that is on the formulary to help you manage your costs.

UC Care members will have more options for prescription refills next year. You can get a 90-day supply of prescriptions at CVS and selected Anthem Retail90 pharmacies, as well as at UC Medical Center pharmacies, Walgreens, Safeway/Vons and Costco. UC Care members pay only two copayments for the 90-day supply, except at Anthem Retail90 pharmacies, where members will pay three copayments for the 90-day supply. Oral contraceptives may now be dispensed up to a 12-month supply at one time.

Live Health Online to include psychiatrists

The Live Health Online network of board-certified doctors has been expanded to include psychiatrists. Appointments are available through Live Health Online 24/7, with cost sharing of $20. See ucppoplans.com for information about cost, requirements and how to get started.

Increased urgent care options

Services at urgent care centers in the Anthem Preferred network will no longer be subject to a deductible, and will be covered with a $30 copay.

Cost sharing eliminated for some preventive care

Low- to moderate-dose statins will be covered at $0 copay for cardiovascular disease prevention, provided certain criteria are met. Screenings for preeclampsia using blood pressure measurement throughout pregnancy will also be covered at $0 copay.

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 for faculty and staff

Retiree plan costs chart »

Pay Band
(per annum)
Self Self +
Child(ren)
Self +
Adult
Family
$54,000 and under $106.27 $191.29 $282.86 $367.88
$54,001–$107,000 $142.32 $256.18 $365.16 $479.02
$107,001–$161,000 $179.32 $322.78 $438.92 $582.38
$161,001 and above $217.63 $391.74 $515.34 $689.45
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)
  • Urgent care visit: UC Select: $20; Anthem Preferred: $30 (not subject to deductible); out-of-network: 50%
  • 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)