Administered by Anthem Blue Cross (medical) and Navitus (pharmacy)

This medical plan is a complement to your existing Medicare coverage; you must receive services from Medicare providers.

How the plan works

  • You can choose any Medicare doctor or hospital you wish; providers who accept Medicare assignment cost less.
  • Medicare pays benefits first. Then this plan calculates benefits on the Medicare allowable amount, less what Medicare paid.
  • The plan covers some services that Medicare does not cover (called Benefits Beyond Medicare). The plan covers 80% of Anthem allowed charges for these services. See the plan benefits booklet for more details.
  • If your provider does not accept Medicare assignment, they can bill you for up to 15% over the Medicare allowable rate.
  • Behavioral health services are provided by Anthem Blue Cross and Medicare. Members are 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 providers to be sure they are available under this plan.
  • Call the Anthem Health Guide to learn about your benefits outside of the United States, Puerto Rico, and U.S. Virgin Islands, provided through the Blue Cross Blue Shield Global Core® Program. The Global Core service center is available 24 hours a day, seven days a week at (800) 810-BLUE (2583), or you can call them collect at (804) 673-1177. 

 

Best fit for you if:

  • You want direct access to Medicare providers without need for referrals
  • You are willing to pay variable costs per service

Plan costs

2023 retiree plan costs chart»

Moving outside California?

UC offers a Medicare Coordinator Program (administered by Via Benefits) to retirees and to families whose members are all eligible for or enrolled in Medicare and live in a state outside California.