UC High Option Supplement to Medicare

• You must use Medicare providers.
• You’ll pay less if your health care provider accepts the Medicare-allowed amount as full payment for a covered service. This is called “accepting Medicare assignment.”
• Medicare pays first for the services it covers. Then UC High Option pays a portion, or all, of the remaining cost based on the plan benefit and the Medicare-approved amount for that service. 
• You pay the deductible ($50 per member) for services that are covered by the plan but not by Medicare.
• Behavioral health benefits are provided by Medicare and Anthem Blue Cross. Members are covered for outpatient services not covered by Medicare from all in- and out-of-network licensed behavioral health providers, including psychiatrists, psychologists, MFTs and MFCCs. Please check with your provider to be sure they are available under this plan.
• See updated information about coverage for COVID tests.

• You are willing to pay higher premiums for nearly 100% coverage.
• You want direct access to Medicare providers without the need for referrals.

UC High Option Supplement has a deductible of $50 for services not covered by Medicare. The out-of-pocket maximum for medical benefits is $1,050.

UC offers a Medicare Coordinator Program (administered by Via Benefits) to retirees and to families whose members are all eligible for or enrolled in Medicare and live in a state outside California.