See 2019 retiree medical plan costs

The monthly costs for medical coverage below apply to retirees eligible for 100 percent of the UC/employer contribution toward the premium for each plan. 

If you are subject to graduated eligibility and, therefore, not eligible for the maximum UC/employer contribution, your costs may be higher than those listed below. Please sign into your UCRAYS account, beginning Oct. 31, 2019, to see your 2020 costs. 

Your plan cost appears as a deduction on your UCRP benefit direct deposit statement or check.

When all family members are in Medicare

Medicare Plan Self in
Medicare
Self + Adult
or Self + Child(ren)
Both in
Medicare
Self + Adult + Child(ren)
All in
Medicare
Kaiser Permanente/
Senior Advantage
Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$58.03 $116.06 $174.09
UC High Option
Supplement to Medicare
Your Premium $236.02 $472.04 $708.06
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
UC Medicare Choice Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$115.37 $230.74 $346.11
UC Medicare PPO Your Premium $113.11 $226.22 $339.33
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
UC Medicare PPO without Prescription Drugs Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$132.18 $264.36 $396.54

Medicare Part B reimbursement may apply if your premium cost is $0.00. Part B reimbursement is based on a Medicare Part B premium of $135.50 per person. Reimbursements vary and are added automatically to your monthly retirement payment.

When one or more family members are not Medicare eligible

Non-Medicare/
Medicare Plans
Self + Adult
1 Adult in
Medicare
Self + Child(ren)
Adult in
Medicare
Self + Adult + Child(ren)
1 Adult in
Medicare
Self + Adult + Child(ren)
2 Adults in
Medicare
CORE/
UC Medicare PPO
Your Premium $0.00 $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$135.50 $131.90 $135.50 $18.79
Kaiser Permanente/
Senior Advantage
Your Premium $154.54 $63.59 $276.16 $5.56
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $0.00
UC Blue & Gold/
UC Medicare Choice
Your Premium $180.09 $66.53 $361.99 $0.00
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $48.84
UC Care/
UC Medicare PPO
Your Premium $508.78 $367.89 $763.56 $481.00
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $0.00

Medicare Part B reimbursement may apply if your premium cost is $0.00. Part B reimbursement is based on a Medicare Part B premium of $135.50 per person. Reimbursements vary and are added automatically to your monthly retirement payment.

Non-Medicare Plans

Plan Self Self + Child(ren) Self + Adult Self + Adult + Child(ren)
CORE $0.00 $0.00 $0.00 $0.00
Kaiser Permanente — California $152.03 $273.65 $364.60 $486.22
UC Blue & Gold $227.38 $409.28 $522.84 $704.74
UC Care $318.48 $573.26 $714.15 $968.93
UC Health Savings Plan $123.83 $222.89 $305.39 $404.45

Non-Medicare Plans Age 65 and over, NOT Medicare eligible

Plan Self Self + Child(ren) Self + Adult Self + Adult + Child(ren)
CORE $0.00 $0.00 $0.00 $0.00
Kaiser Permanente — California $68.79 $123.82 $152.88 $207.91
UC Blue & Gold $92.80 $167.04 $261.40 $335.64
UC Care $229.09 $412.36 $543.05 $726.32
UC Health Savings Plan $69.38 $124.89 $153.96 $209.47