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 |
$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 |