UC Medicare PPO is administered by Anthem Blue Cross. This medical plan is a complement to your existing Medicare coverage, and you must receive services from Medicare providers.

Plan changes

  • Prescription Drug Part D TrOOP (True Out-Of-Pocket) costs will increase from$6,350 to $6,550.
  • 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 when you use an Anthem Preferred provider. 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 services are provided by Anthem Blue Cross and Medicare. Please check with your providers to be sure they are available under this plan.

Best fit for you if:

  • 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 »