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 |