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UC Blue & Gold HMO

Administered by Health Net

UC Blue & Gold is an HMO (Health Maintenance Organization) with a custom network of providers created exclusively for UC. The Blue & Gold network includes all UC medical centers and medical groups, along with coverage in 30 California counties.

  • Full Full eligibility available
  • Mid Mid eligibility available
  • Core Core eligibility available
  • Retirees Retirees eligibility available

How the plan works

  • You choose a primary care doctor (PCP) and participating provider group (PPG) or medical group in the UC Blue & Gold HMO network to coordinate your care and refer you to a specialist when you need one.
  • You choose a doctor in the Blue & Gold HMO network to coordinate your care and refer you to a specialist when you need one.
  • You pay a copayment for prescription drugs and some services.
  • The plan covers the cost of services only if your medical group authorizes them.
  • The UC Blue & Gold HMO provides coverage for services outside of your medical group only in cases of emergency and urgently needed services.
  • In-network behavioral health benefits are provided by Health Net Behavioral Health.
  • See updated information about coverage for COVID tests.

Best fit for you if:

  • You and the family members you cover live in California
  • You want low, predictable out-of-pocket costs
  • You like having one doctor manage your care
  • You are happy with the selection of providers

Understanding your costs

When choosing a plan, make sure to consider all your costs — including your monthly premiums and what you can expect to pay out-of-pocket for care. ALEX will ask you a few questions to help you estimate how much you may need to spend.

Monthly premiums for retirees

Enrolling in Medicare

UC Medicare is considered the “partner plan” of UC Blue & Gold HMO. That means that if you are a retiree enrolled in UC Blue & Gold HMO, you’ll be transferred into UC Medicare Choice when you turn 65, once Medicare has approved your enrollment form.

To learn more about UC Medicare Choice, visit retiree.uhc.com/uc to watch a prerecorded presentation on enrolling in the plan.