Administered by Anthem Blue Cross

CORE is a high-deductible PPO plan.

Effective Jan. 1, 2022, Navitus Health Solutions is the new pharmacy benefit manager for CORE. Visit the Navitus formulary for information about covered drugs and your out-of-pocket costs for specific drugs, or call the Navitus 24/7 customer care team at 855-673-6504 (closed Christmas). 

Learn more about what's new for 2022.

How the plan works

  • You can choose any doctor or hospital you wish, worldwide, but Anthem Blue Cross PPO network providers cost less.
  • Preventive care from in-network providers is covered at 100% without the need to meet your deductible.
  • For all other services and prescriptions, you pay 100% of the cost until you meet the deductible ($3,000 for both in-network and out-of-network providers).
  • Once you meet the deductible, you pay 20%.
  • Annual out-of-pocket maximums ($6,350 individual/$12,700 family) limit what you pay. The calendar year deductible is included in the annual out-of-pocket maximum. If you reach the annual maximum, the plan pays 100% of your medical and prescription drug costs for the rest of the year.
  • Behavioral health services are provided by Anthem network providers.

Best fit for you if:

  • You want to pay no monthly premium
  • You want direct access to all providers without need for referrals
  • You are willing to risk incurring high out-of-pocket costs
  • You want coverage when you are traveling or living abroad

ID cards

Expect to receive new ID cards from Anthem Blue Cross for 2022 which you will use for all medical and pharmacy services.

Plan costs

UC pays the entire premium for CORE; there is no additional premium cost to you. 

Typical out-of-pocket costs

Once you’ve met the deductible, you pay:

  • Office visit/urgent care visit: 20% (preventive care from in-network providers has no charge)
  • Emergency room: 20%
  • Hospital stay: 20%
  • Prescription drugs: 20%