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