If you or a family member become eligible for Medicare in 2018

If you are currently enrolled in UC retiree health insurance and become eligible to enroll in Medicare in 2018 with Part A premium-free, consider whether the Medicare version of your current medical plan offers the benefits you want and your primary care physician (PCP) or primary medical group (PMG) accepts Medicare. If not, Open Enrollment is the time to change plans. Most plans do not allow you to change plans mid-year simply because you have become eligible for Medicare or have elected to retire.

The Medicare version of your medical plan may have different benefits, medical groups, specialists and behavioral health providers. Medicare plan service areas may differ from non-Medicare plan service areas. To learn more, call the plan directly or visit its website. For Medicare information, read the UC Medicare Fact Sheet or Enrolling in Medicare. The fact sheet and other Medicare assignment forms needed to continue your UC insurance can also be obtained by calling the Retirement Administration Service Center at 800-888-8267, Monday-Friday, 8:30 a.m. to 4:30 p.m.

Some of UC’s retiree medical plans have Medicare versions (Kaiser Permanente CA, Health Net Blue & Gold) and some have corresponding partner plans (UC Care, Core). If your existing retiree plan has a Medicare version or partner plan, you’ll be transferred into that when you turn 65, once Medicare has approved your enrollment form.

Non-Medicare plan Medicare plan
Core UC Medicare PPO
Health Net Blue & Gold HMO Health Net Seniority Plus
Kaiser Permanente Kaiser Permanente Senior Advantage
UC Care PPO UC Medicare PPO

If you’re a current retiree (or will retire before the next Open Enrollment) and are enrolled in UC Health Savings Plan or Western Health Advantage, which don’t have a corresponding Medicare plan, you have a 31-day Period of Initial Eligibility (PIE) when you turn 65 to enroll in any of the UC-sponsored Medicare plans in your service area:

  • Kaiser Permanente Senior Advantage
  • Health Net Seniority Plus
  • UC Medicare PPO
  • UC Medicare PPO without Prescription Drugs (you are eligible to enroll in this plan if you have a creditable prescription drug plan outside of UC; you may be asked for proof of enrollment)
  • UC High Option Supplement to Medicare (you are eligible to enroll in this plan if you and all your covered family members are enrolled in Medicare)

If you did not pay into Social Security or paid less than 40 quarters (10 years of full-time employment), you may not be eligible for Medicare and will remain in your non-Medicare plan as a retiree. You must send UC a Medicare denial letter before you turn 65 to continue your UC coverage and to avoid any penalties (currently $419.60/month). Contact Social Security to request this letter and to see if you may be eligible for Medicare under a spouse, former spouse or deceased spouse.

Read the Medicare Factsheet for more information.

UC’s Medicare-coordinated plans

Select from the links below to view plan information, plan documents and plan websites for UC’s Medicare-coordinated plans.