See 2021 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 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
(Anthem)
Your Premium $236.02 $472.04 $708.06
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
$115.37 $230.74 $346.11
UC Medicare PPO
(Anthem)
Your Premium $113.11 $226.22 $339.33
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
$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
(Anthem)
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 (Health Net)/
UC Medicare Choice
(UnitedHealthcare)
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
(Anthem)
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 (Anthem) $0.00 $0.00 $0.00 $0.00
Kaiser Permanente — California $152.03 $273.65 $364.60 $486.22
UC Blue & Gold (Health Net) $227.38 $409.28 $522.84 $704.74
UC Care (Anthem) $318.48 $573.26 $714.15 $968.93
UC Health Savings Plan (Anthem) $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 (Anthem) $0.00 $0.00 $0.00 $0.00
Kaiser Permanente — California $68.79 $123.82 $152.88 $207.91
UC Blue & Gold (Health Net) $92.80 $167.04 $261.40 $335.64
UC Care (Anthem) $229.09 $412.36 $543.05 $726.32
UC Health Savings Plan (Anthem) $69.38 $124.89 $153.96 $209.47