2022 Monthly 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 to see your 2022 costs.
Your plan cost appears as a deduction on your UCRP benefit direct deposit statement or check.
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 $148.50 per person. Reimbursements vary and are added automatically to your monthly retirement payment.
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 $148.50 per person. Reimbursements vary and are added automatically to your monthly retirement payment.