Medical Plans

 

All current UC medical plans will be available in 2019, with a new name for Health Net Blue & Gold. UC employees and retirees continue to have a broad choice of plan designs and providers — including UC medical center doctors, hospitals and medical groups — to fit their needs. UC continues to cover most of the cost of the premiums.

You'll find more information about your options on each plan's page. Check out Which medical plan is right for you to compare costs and benefits. 

2019 Changes

There are a few significant changes this year, including new benefits eligibility rules for domestic partners and a new name and behavioral health administrator for Blue & Gold.

Good news for domestic partners

Beginning Jan. 1, 2019, UC will offer access to health and welfare benefits based on the same eligibility criteria for all domestic partners. The current requirement for opposite-gender domestic partners that one or both be age 62 and eligible for Social Security will no longer apply.

During Open Enrollment, you may enroll your domestic partner, and your partner’s eligible dependents, in health and welfare benefits that are open for enrollment as long as the relationship meets established criteria. If you would like to enroll your newly-eligible domestic partner in Life and/or Accidental Death & Dismemberment (AD&D) insurance, or increase your own Life coverage, you will have a Period of Initial Eligibility from Jan. 1-31, 2019. See your benefits portal for details.

It is important to understand whether enrolling your partner or dependents subjects you to imputed income on your federal or state taxes. See What to do if you’re establishing a domestic partnership for full details about eligibility, establishing your partnership for UCRP benefits, and tax implications of enrolling your domestic partner in benefits.

Health Net Blue & Gold becomes UC Blue & Gold HMO

With a new name, UC Blue & Gold HMO will continue to offer medical benefits through Health Net’s network of providers tailored for UC — including many UC Health medical centers.

Managed Health Network (MHN), a Health Net company, will replace Optum Behavioral Health as administrator of UC Blue & Gold HMO’s behavioral health benefits, effective Jan. 1, 2019. MHN will continue as the administrator of behavioral health benefits for Health Net Seniority Plus. For questions about the behavioral health transition, and about support available to you if your behavioral health provider is not part of MHN’s network, call MHN at 800-663-9355.

The UC Blue & Gold HMO network is expanding to include select CVS Minute Clinic walk-in locations, with visits covered with a $20 copay for routine visits and $0 copay for preventive care.

ID Cards

Kaiser and Western Health Advantage will issue ID cards only to new members.

Members of UC Blue & Gold HMO and Health Net Seniority Plus will receive new ID cards from Health Net.

Members of Core, UC Care and UC Health Savings Plan (HSP) will receive new ID cards from Anthem Blue Cross. This one ID card may be used to access medical, behavioral health and pharmacy benefits.

New HSA debit cards will be issued by HealthEquity to all new members of the UC HSP and current members whose debit cards are expiring this year. HSA debit cards are good for three years from the issue date.

WageWorks will issue Health FSA debit cards to new members and members with expired cards.

Medical plans

Some plans have additional changes specific to the plan. Visit your medical plan's page for the details (ver en español):