- Retirees
- Benefits for retirees
- Retiree health & home benefits
- Medical plans for retirees
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UC Blue & Gold for retirees
UC Blue & Gold for retirees
Administered by Health Net
UC Blue & Gold is an HMO (Health Maintenance Organization) with a custom network of providers created exclusively for UC. The Blue & Gold network includes all UC medical centers and medical groups, along with coverage in 30 California counties.
The information below is a summary. See plan documents for details.
- Full Full eligibility available
- Mid Mid eligibility available
- Core Core eligibility available
- Retirees Retirees eligibility available
How the plan works
- You choose a primary care doctor (PCP) and participating provider group (PPG) or medical group in the UC Blue & Gold HMO network to coordinate your care and refer you to a specialist when you need one.
- You choose a doctor in the Blue & Gold HMO network to coordinate your care and refer you to a specialist when you need one.
- You pay a copayment for prescription drugs and some services.
- The plan covers the cost of services only if your medical group authorizes them.
- The UC Blue & Gold HMO provides coverage for services outside of your medical group only in cases of emergency and urgently needed services.
- In-network behavioral health benefits are provided by Health Net Behavioral Health.
- Review updated information about coverage for COVID tests.
Best fit for you if:
- You and the family members you cover live in California
- You want low, predictable out-of-pocket costs
- You like having one doctor manage your care
- You are happy with the selection of providers
Understanding your costs
When choosing a plan, make sure to consider all your costs — including your monthly premiums and what you can expect to pay out-of-pocket for care. ALEX will ask you a few questions to help you estimate how much you may need to spend.
| Pay Band (full-time salary rate) | Self | Self + Child(ren) | Self + Adult | Family |
|---|---|---|---|---|
| $73,000 and under | $97.97 | $176.35 | $334.04 | $412.42 |
| $73,001–$145,000 | $156.29 | $281.33 | $456.51 | $581.55 |
| $145,001–$217,000 | $214.61 | $386.30 | $578.98 | $750.67 |
| $217,001 and above | $272.92 | $491.27 | $701.44 | $919.79 |
The UC Blue & Gold HMO offers in-network coverage only, with no deductible. The annual out-of-pocket maximum is $1,000 for individual coverage and $3,000 for coverage of a family of three or more.
- Office visit, urgent care or MinuteClinic: $30 (preventive care has no charge)
- Emergency room: $125
- Hospital stay: $250
- Prescription drugs:
- Generic: $10
- Brand name: $30
- Non-formulary: $50
- Specialty: 30% up to $150 maximum per prescription
Enrolling in Medicare
UC Medicare is considered the “partner plan” of UC Blue & Gold HMO. That means that if you are a retiree enrolled in UC Blue & Gold HMO, you’ll be transferred into UC Medicare Choice when you turn 65, once Medicare has approved your enrollment form.
To learn more about UC Medicare Choice, visit retiree.uhc.com/uc to watch a prerecorded presentation on enrolling in the plan.
Plan documents
Plan contacts
- Health Net website
- Health Net: 800-539-4072
- Health Net Behavioral Health: 800-663-9355