See 2020 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 in to your UCRAYS account beginning Oct. 29, 2020, to see your 2021 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 |
$60.35 | $120.70 | $181.05 | |
| UC High Option Supplement to Medicare (Anthem) |
Your Premium | $272.43 | $544.86 | $817.29 |
| 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 |
$139.15 | $278.30 | $417.45 | |
| UC Medicare PPO (Anthem) | Your Premium | $140.43 | $280.86 | $421.29 |
| 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 |
$122.99 | $245.98 | $368.97 |
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 | $21.18 |
| Medicare Part B Reimbursement |
$144.60 | $119.25 | $144.60 | $0.00 | |
| Kaiser Permanente/ Senior Advantage |
Your Premium | $172.96 | $75.20 | $308.51 | $14.85 |
| Medicare Part B Reimbursement |
$0.00 | $0.00 | $0.00 | $0.00 | |
| UC Blue & Gold/ UC Medicare Choice |
Your Premium | $173.66 | $54.22 | $367.03 | $0.00 |
| Medicare Part B Reimbursement |
$0.00 | $0.00 | $0.00 | $84.93 | |
| UC Care/ UC Medicare PPO |
Your Premium | $529.64 | $389.36 | $778.57 | $529.79 |
| 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 | $169.44 | $304.99 | $402.75 | $538.30 |
| UC Blue & Gold (Health Net) | $241.72 | $435.09 | $554.53 | $747.90 |
| UC Care (Anthem) | $311.17 | $560.10 | $700.38 | $949.31 |
| UC Health Savings Plan (Anthem) | $95.87 | $172.56 | $248.25 | $324.94 |
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 | $74.38 | $133.88 | $165.04 | $224.54 |
| UC Blue & Gold (Health Net) | $100.34 | $180.61 | $279.76 | $360.03 |
| UC Care (Anthem) | $247.71 | $445.87 | $581.39 | $779.55 |
| UC Health Savings Plan | $75.02 | $135.04 | $165.58 | $225.60 |