UC Blue & Gold HMO for retirees
- Full Full eligibility available
- Mid Mid eligibility available
- Core Core eligibility available
- Retirees Retirees eligibility available
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.
Changes for 2025:
- Employees with 2024 annual salaries up to $140,000 will see 9% premium increases, and employees with 2024 annual salaries over $140,000 will see 11% premium increases.
- Doula services will be covered with no copay, for up to 11 visits per pregnancy.
- Cost-sharing increases
- Office visit and urgent care copays will increase from $20 to $30.
- Prescription drug copays will increase by $5-$10 for a 30-day supply on existing tiers and there will be a new specialty drug tier with 30% coinsurance, up to $150 per prescription.
- Full Full eligibility available
- Mid Mid eligibility available
- Core Core eligibility available
- Retirees Retirees eligibility available
- 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.
- See updated information about coverage for COVID tests.
- 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