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

2018 plan changes

Pharmacy benefits changes

For 2018, Anthem Blue Cross administers pharmacy benefits for UC High Option Supplement to Medicare and UC’s other preferred provider organization (PPO) medical plans, and continues 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.

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, and you can find answers to some commonly asked questions here.

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 have changed for low income subsidy eligible Medicare enrollees.

ID cards

Whether you are new to UC High Option or continuing your enrollment, 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. Anthem began mailing ID cards on Dec. 18, 2017. An additional card for your Part D pharmacy benefit was mailed the week of Dec. 4, 2017. 

You may also print a copy of your ID card from the Anthem website or call Anthem (844-437-0486) to request your ID number.

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. Beginning in 2017, members will be covered for outpatient services not covered by Medicare from all in- and out-of-network licensed behavioral health providers, including psychiatrists, psychologists, MFTs and MFCCs. 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

Click for retiree plan costs chart