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 in to your UCRAYS account to see your actual 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 |
$70.24 | $140.48 | $210.72 | |
| UC High Option Supplement to Medicare (Anthem) |
Your Premium | $204.12 | $408.24 | $612.36 |
| Medicare Part B Reimbursement |
$0.00 | $0.00 | $0.00 | |
| UC Medicare Choice (UnitedHealthcare) | Your Premium | $0.00 | $0.00 | $0.00 |
| Medicare Part B Reimbursement |
$115.05 | $230.10 | $345.15 | |
| UC Medicare PPO (Anthem) | Your Premium | $137.68 | $275.36 | $413.04 |
| Medicare Part B Reimbursement |
$0.00 | $0.00 | $0.00 | |
| UC Medicare PPO without Prescription Drugs (Anthem) | Your Premium | $0.00 | $0.00 | $0.00 |
| Medicare Part B Reimbursement |
$148.50 | $297.00 | $445.50 |
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 $144.60 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 | $3.54 |
| Medicare Part B Reimbursement |
$148.50 | $134.14 | $148.50 | $0.00 | |
| Kaiser Permanente/ Senior Advantage |
Your Premium | $167.49 | $66.93 | $304.66 | $0.00 |
| Medicare Part B Reimbursement |
$0.00 | $0.00 | $0.00 | $3.31 | |
| UC Blue & Gold/ UC Medicare Choice |
Your Premium | $226.89 | $97.91 | $439.85 | $0.00 |
| Medicare Part B Reimbursement |
$0.00 | $0.00 | $0.00 | $17.14 | |
| UC Care/ UC Medicare PPO |
Your Premium | $531.32 | $388.24 | $781.88 | $525.92 |
| 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 $144.60 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 (Anthem) | $0.00 | $0.00 | $0.00 | $0.00 |
| Kaiser Permanente — California | $171.47 | $308.64 | $409.20 | $546.37 |
| UC Blue & Gold (Health Net) | $266.20 | $479.16 | $608.14 | $821.10 |
| UC Care (Anthem) | $313.20 | $563.76 | $706.84 | $957.40 |
| UC Health Savings Plan (Anthem) | $99.48 | $179.09 | $218.86 | $298.47 |
Non-Medicare Plans Age 65 and over, NOT Medicare eligible
| Plan | Self | Self + Child(ren) | Self + Adult | Self + Adult + Child(ren) |
|---|---|---|---|---|
| CORE (Anthem) | $0.00 | $0.00 | $0.00 | $0.00 |
| Kaiser Permanente — California | $71.91 | $129.43 | $160.27 | $217.79 |
| UC Blue & Gold (Health Net) | $97.04 | $174.68 | $278.20 | $355.84 |
| UC Care (Anthem) | $239.57 | $431.23 | $567.88 | $759.54 |
| UC Health Savings Plan | $72.56 | $130.62 | $160.61 | $218.67 |