Administered by Anthem Blue Cross

The UC Health Savings Plan (HSP) is a high-deductible PPO (preferred provider organization) paired with a health savings account (HSA), a federal tax-free account maintained by HealthEquity, to help pay your out-of-pocket costs.

The HSA has a “use-it-or-keep-it” feature, so your account balance rolls over annually and continues to grow tax-free. You own your account, so money you don’t use toward eligible health care expenses goes with you when you leave the HSP, when you end your employment with UC or when you retire.

Effective Jan. 1, 2022, Navitus Health Solutions is the new pharmacy benefit manager for UC Health Savings Plan. Visit the Navitus formulary for information about covered drugs and your out-of-pocket costs for specific drugs, or call the Navitus 24/7 customer care team at 855-673-6504 (closed Christmas day). 

Learn more about what's new for 2022.

Best fit for you if:

  • You want direct access to all providers without need for referrals
  • You want federal tax-free savings for current and future health care costs
  • You are able to risk incurring greater out-of-pocket costs
  • You want to build retirement savings for future health care costs for you and your eligible family members
  • You and/or your family members live outside California

Monthly plan costs — 2022

2022 retiree plan costs chart »

Faculty and staff

Pay Band
(full-time salary rate)
Self Self +
Self +
$61,000 and under $23.69 $42.65 $51.89 $70.81
$61,001–$120,000 $61.87 $111.37 $139.05 $188.52
$120,001–$180,000 $101.05 $181.89 $217.16 $297.97
$180,001 and above $141.62 $254.92 $298.09 $411.35

Typical out-of-pocket costs

Once you've met the deductible, you pay:

  • Office visit/urgent care visit: preferred provider: 20%; non-preferred provider: 40%; (in-network preventive care has no charge)
  • Emergency room: 20%
  • Hospital stay: 20% in-network; 40% out-of-network
  • Prescription drugs: 20% if purchased from in-network pharmacy; 40% from out-of-network pharmacy

Understanding UC Health Savings Plan and the Health Savings Account

The IRS and UC have rules in place that limit who can enroll in this plan. You are not eligible to enroll in UC HSP if you:

  • Are already enrolled in Medicare. Medicare eligibility usually begins at age 65 and you can be retroactively enrolled in Medicare Part A, unless you can postpone your Medicare enrollment. Medicare Part A is mandatory for those who receive Social Security income. Check with Social Security to determine your eligibility to postpone Medicare enrollment.
  • Are a retiree who was not enrolled in UC HSP while you were employed by UC. If you are enrolled in UC HSP when you retire, you may continue your enrollment in the plan as long as you are not enrolled in Medicare. Please note: If you or a covered family member ages into Medicare while enrolled in UC HSP, you'll have a Period of Initial Eligibility to enroll in another medical plan.
  • Are covering a family member who is enrolled in Medicare, unless you disenroll your Medicare-enrolled family member from your coverage. 
  • Plan to enroll in UC’s Health Flexible Spending Account (FSA), or have any balance as of December 31 of the previous plan year in UC's Health FSA. You may forfeit any unused Health FSA funds for the 2021 plan year, including carryover funds, by faxing your signed, completed Health FSA Carryover Waiver Form to WageWorks by Dec. 31 at 888-866-3312.  
  • You can choose any doctor, hospital or behavioral health provider you wish, but services obtained from providers in the Anthem Blue Cross PPO network cost less.
  • Preventive care from in-network providers is covered at 100% without the need to meet your deductible.
  • For all other services and prescriptions, you pay 100% of the cost, until you meet the deductible. The in-network deductible is $1,400 for individual coverage and $2,800 for family coverage; the out-of-network deductible is $2,550 for individual coverage and $5,100 for family coverage. For family coverage, the family deductible must be met before the plan pays benefits for any family member.
  • Once you meet the deductible, you pay 20% for Anthem Blue Cross PPO network providers and 40% for out-of-network providers.
  • Annual out-of-pocket maximums limit what you pay for covered services. If you reach the annual maximum, the plan pays 100% of your covered medical and prescription drug costs for the rest of the year. The maximums for in-network services are $4,000 for individual coverage and $6,400 for family coverage. Out-of-network maximums are $8,000 for individual coverage and $16,000 for family coverage. For family coverage, the family out-of-pocket maximum must be met before the plan pays 100% of covered expenses for any family member.
  • As an HSP member, you can use your HSA funds to pay for your plan’s deductible and/or out-of-pocket maximum for all eligible health care expenses, or you can save your HSA funds until you turn 65. For a complete list of eligible expenses, read IRS Publication 502 on the IRS website.
  • For your convenience, all your claims from UC plans under Anthem, VSP and Delta Dental will be sent to HealthEquity. Make sure you only request reimbursement for those claims that are incurred after you have established your HSA.
  • After you receive services, your provider will bill your plan (Anthem Blue Cross, VSP or Delta Dental). Your plan will send you an Explanation of Benefits explaining what’s covered, and your provider will send you an invoice for what you owe. If you choose to pay your invoice using HSA funds, you can: 
    • Pay your bill with your HSA debit card
    • Pay your provider directly through the HealthEquity portal
    • Use another method of payment and request reimbursement through the HealthEquity portal
  • When you fill or refill a prescription, the pharmacy will verify your coverage and prescription costs. You can choose to pay with your HSA debit card, pay for the prescription through the HealthEquity portal or use another method of payment and request reimbursement through the HealthEquity portal.
  • You and UC contribute to the HSA, up to the limits set each year by the IRS — for 2022, this is increasing to $3,650 for individual coverage and $7,300 for family coverage. People age 55 and over can make an additional “catch-up” contribution of $1,000, using the HSA, Life Insurance Voluntary Disability and AD&D Change Form.
  • If you are covering your domestic partner under this plan, both you and your partner can establish an HSA and in 2022 you may both contribute up to $3,650 (for an individual HSA) or $7,300 (if you also enroll an additional family member) for the year.
  • If you are an employee, your pretax contributions are taken from your paycheck, lowering your tax bill. HSA contributions taken from your paycheck are attributed to the year in which they are actually made. You may change your contribution level for the current year through payroll any time during the year subject to payroll deadlines. To confirm your payroll deadlines, contact the UCPath Center by signing into your UCPath account, selecting “Ask UCPath Center” and then “Submit An Inquiry.”
  • Employees may also make after-tax contributions to your HSA by working directly with HealthEquity. Contributions for the current plan year may be made until your tax-filing deadline, usually April 15 of the following year. Retirees make after-tax contributions directly to HealthEquity and take the tax benefit when filing federal income taxes.
  • UC contributes up to $500 per year for individual coverage and up to $1,000 for family coverage. This one-time UC contribution to your HSA is based on your coverage level as of January 1, and will not be adjusted mid-year if your coverage level, employment status or medical plan changes. Remember to reduce your total contribution by the amount UC contributes to your HSA to comply with the IRS limits above. Please note that UC’s contributions are currently subject to California income tax. 
  • If your coverage through UC Health Savings Plan begins any time after January, your HSA will be prorated for the calendar year based on this schedule. However, the plan deductible is not prorated. If you continue the plan the following year, you will receive the full HSA beginning January 1.
  • When you’re ready to use your funds, you can take them out of your HSA without paying any federal taxes. Contributions from you and UC, and your HSA earnings, are currently subject to California income tax.
  • You earn interest on your account, and can invest any funds in excess of your $1,000 balance — the same way you invest funds in retirement savings accounts, except interest accrues federal tax-free.
  • You must have a valid Social Security number and U.S. address to establish your HSA.
  • You cannot enroll or have any balance as of December 31 in UC's Health Flexible Spending Account (FSA) if you enroll in the UC Health Savings Plan effective January 1 of the following year.
  • Here are a few things to keep in mind if you decide to become an HSP member. You are responsible in administering your Health Savings Account (HSA). As an HSA owner, you decide: 
    • Whether you are eligible to make contributions to an HSA
    • The amount of the eligible contribution to the HSA for any calendar year
    • The withdrawal of any excess contributions
    • How funds in your HSA will be spent, and
    • Whether the distributions from your HSA are taxable or non-taxable.
  • You cannot delegate these responsibilities to either the University or to HealthEquity. Since as HSA owner you are in control of the HSA, you are responsible for reporting all contributions and distributions to the IRS on your Form 1040. If you make any errors and do not correct them timely, you must pay additional tax and/or penalties to the IRS.