High Option is a Medicare supplement plan, covering costs Medicare does not cover.

Plan changes

Pharmacy benefits changes

Beginning Jan. 1, 2018, Anthem Blue Cross will administer pharmacy benefits for UC High Option Supplement to Medicare 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 High Option, 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 and behavioral health services. You will also receive an additional card for your Part D pharmacy benefit. 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. 

Medicare costs

The UC High Option Supplement to Medicare maximum out-of-pocket for prescription drugs remains $1,000 for 2018. Copayments for certain services will change for low income subsidy eligible Medicare enrollees.

How the plan works

  • You must use Medicare providers; providers who accept Medicare assignment cost less.
  • For services covered by Medicare, Medicare benefits are primary and then the benefits of this plan are calculated to coordinate up to the Medicare allowed amount.
  • You pay the deductible ($50 per member) for the non-Medicare-covered services that the plan covers.
  • Behavioral health benefits are provided by Medicare and Anthem Blue Cross. Please check with your provider to be sure they are available under this plan.

Best fit for you if:

  • You are willing to pay higher premiums for nearly 100% coverage
  • You want direct access to Medicare providers without need for referrals

Plan costs

Retiree plan costs chart »