Administered by Anthem Blue Cross

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

Effective Jan. 1, 2022, Navitus Health Solutions is the new pharmacy benefit manager for UC Medicare PPO. Visit the Navitus formulary for information about covered drugs and your out-of-pocket costs for specific drugs.

Need more than a 30-day supply of medications due to the new formulary change?

If you are unable to see your provider before a prescription runs out and need authorization for more than a 30-day transition supply of a medication, contact Navitus (the new pharmacy benefit manager) to request a longer day supply. You or your pharmacy can make the request, additional copays will be applied. Navitus MedicareRx Customer Care can be reached at (866) 270-3877.

Learn more about what's new for 2022.

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. 

ID cards

All members can expect to receive a new pharmacy ID card from Navitus which you will use to obtain your prescription drugs in 2022. You should continue to use your Anthem medical plan ID card for medical services. You will not receive a new medical plan ID card from Anthem (unless you change health plans).

If you are new to UC Medicare PPO, you and each of your family members will get an ID card from Anthem Blue Cross that you can use to access medical care and behavioral health services and a pharmacy ID card from Navitus. 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.

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

2022 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.