UC Medicare PPO without prescription drugs is administered by Anthem Blue Cross. This medical plan is a complement to your Medicare Parts A and B, and you must receive services from Medicare providers.

It is offered to those who have Medicare-coordinated health insurance that covers prescription drugs through a non-UC plan (another employer or former employer). You may enroll in this plan if:

  • All covered members are enrolled in Medicare, and
  • Documentation of enrollment in a group health insurance plan that covers prescription drugs is provided. (Coverage cannot be a Medicare Advantage or Medicare Advantage Prescription Drug plan.)

For enrollment information, contact the UC Retirement Administration Service Center (1-800-888-8267).

Plan changes

Medicare costs

Copayments for certain services will increase slightly for low-income subsidy-eligible Medicare enrollees.

How the plan works

  • You can choose any Medicare doctor or hospital you wish; providers who accept Medicare assignment cost less.
  • Medicare pays benefits first. Then this plan calculates benefits on the Medicare allowable amount, less what Medicare paid.
  • Benefits not covered by Medicare but covered by the plan are reimbursed at 80% of customary and reasonable charges. See your plan booklet for details.
  • If your provider does not accept Medicare assignment, they can bill you for up to 15% over the Medicare allowable rate.
  • Behavioral health benefits are provided by Anthem Blue Shield and Medicare. Please check with your providers to be sure they are available under this plan.

Best fit for you if:

  • You have Medicare Part D prescription drug coverage through another employer’s retiree medical plan
  • You want direct access to Medicare providers without need for referrals
  • You are willing to pay variable costs per service

Plan costs

Retiree plan costs chart »