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 2021 costs. 

Your plan cost appears as a deduction on your UCRP benefit direct deposit statement or check.

When all family members are in Medicare

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
$60.35 $120.70 $181.05
UC High Option
Supplement to Medicare
Your Premium $272.43 $544.86 $817.29
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
UC Medicare Choice Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$139.15 $278.30 $417.45
UC Medicare PPO Your Premium $140.43 $280.86 $421.29
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00
UC Medicare PPO without Prescription Drugs Your Premium $0.00 $0.00 $0.00
Medicare Part B
Reimbursement
$122.99 $245.98 $368.97

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 $144.60 per person. Reimbursements vary and are added automatically to your monthly retirement payment.

When one or more family members are not Medicare-eligible

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 $21.18
Medicare Part B
Reimbursement
$144.60 $119.25 $144.60 $0.00
Kaiser Permanente/
Senior Advantage
Your Premium $172.96 $75.20 $308.51 $14.85
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $0.00
UC Blue & Gold/
UC Medicare Choice
Your Premium $173.66 $54.22 $367.03 $0.00
Medicare Part B
Reimbursement
$0.00 $0.00 $0.00 $84.93
UC Care/
UC Medicare PPO
Your Premium $529.64 $389.36 $778.57 $529.79
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 $144.60 per person. Reimbursements vary and are added automatically to your monthly retirement payment.

Non-Medicare Plans

Plan Self Self + Child(ren) Self + Adult Self + Adult + Child(ren)
CORE $0.00 $0.00 $0.00 $0.00
Kaiser Permanente — California $169.44 $304.99 $402.75 $538.30
UC Blue & Gold $241.72 $435.09 $554.53 $747.90
UC Care $311.17 $560.10 $700.38 $949.31
UC Health Savings Plan $95.87 $172.56 $248.25 $324.94

Non-Medicare Plans Age 65 and over, NOT Medicare eligible

Plan Self Self + Child(ren) Self + Adult Self + Adult + Child(ren)
CORE $0.00 $0.00 $0.00 $0.00
Kaiser Permanente — California $74.38 $133.88 $165.04 $224.54
UC Blue & Gold $100.34 $180.61 $279.76 $360.03
UC Care $247.71 $445.87 $581.39 $779.55
UC Health Savings Plan $75.02 $135.04 $165.58 $225.60