- Monthly premium costs for employees are increasing by about $15 (for individual coverage) up to about $47 (for family coverage).
- Flu shots for covered family members and other vaccinations for adults will be available from Health Net-contracted pharmacies at $0 copay.
- Members can obtain a 2-week supply of select high-cost medications at $0 copay, to determine medication tolerance before getting a full prescription filled.
- Monthly premium costs for employees are increasing by about $2 (for individual coverage) to about $6 (for family coverage).
- House calls (previously offered with no copay) will now have the same copay as similar office visits.
PPO plan changes
Navitus Health Solutions is the new pharmacy benefit manager for UC Health Savings Plan, UC Care and CORE. See Frequently Asked Questions about Navitus.
To learn more about your prescriptions, visit the Navitus pre-enrollment website or call the Navitus 24/7 customer care team at 855-673-6504 (closed Thanksgiving and Christmas).
When a generic drug is available and a member or their physician chooses the brand-name drug, the member must pay the applicable copay or coinsurance on the cost of the brand drug plus the difference between the cost of the brand-name drug and the generic equivalent.
With prior authorization, exceptions for medical necessity can be made. In this case, the member pays coinsurance on the cost of the brand-name drug, or (for UC Care members) the Tier 3 (non-preferred) copay.
- Monthly premium costs for employees are increasing $1 to $2 per month.
- The maximum contribution to the Health Savings Account is increasing from $3,600 to $3,650 for individual coverage and from $7,200 to $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.
Monthly premium costs for employees are not increasing for any level of coverage this year.
CORE is once again available at $0 monthly premium for eligible employees and their families.