New for 2020

UC Medicare Choice is a new Medicare Advantage PPO plan administered by UnitedHealthcare. This plan generally replaces your Medicare coverage. When you enroll in this plan, you agree to let UnitedHealthcare manage your Medicare benefits.

UC Medicare Choice will replace the Health Net Seniority Plus Medicare Advantage HMO. If you are currently enrolled in Health Net Seniority Plus and you do not take action during Open Enrollment, you will be enrolled automatically into UC Medicare Choice for 2020. If you have family members who are not Medicare-eligible, they will remain in UC Blue & Gold HMO, the “partner plan” for UC Medicare Choice in 2020.

See a comparison of benefits offered by UC Medicare Choice and Health Net Seniority Plus.

Medicare changes 

  • Prescription Drug Part D TrOOP (True Out-Of-Pocket) costs will increase from $5,100 to $6,350.
  • Copayments for certain services will increase slightly for low-income subsidy-eligible Medicare enrollees.

How the plan works

UC Medicare Choice delivers all the benefits of Original Medicare (Parts A and B),  includes prescription drug coverage (Part D), and offers additional benefits beyond Medicare.

Because UC Medicare Choice is a Preferred Provider Organization (PPO) plan, you have access to any provider, in-network or out-of-network, at the same cost to you, as long as providers accept the plan and have not opted out of or been excluded from Medicare. Please note: Kaiser providers are not covered outside of the Kaiser plan.

UC Medicare Choice also offers additional benefits and features, including:

  • Ability to seek necessary care from specialists without prior authorization from your primary care provider
  • Gym memberships through Silver Sneakers
  • Annual in-home preventive care visit at no cost to member
  • Benefits after a hospital stay, including transportation and meals

Best fit for you if:

  • You want lower premium and out-of-pocket costs
  • You want the flexibility to see providers both in and out-of-network

Plan costs

Retiree plan costs chart »

Typical out-of-pocket costs

  • Office visit/urgent care visit: $20 (preventive care has no charge)
  • Emergency room: $65
  • Hospital stay: $250
  • Prescription drugs: $5 generic; $25 brand name; $40 non-formulary