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UC Medicare Choice

Insured through UnitedHealthcare

UC Medicare Choice is a Medicare Advantage PPO plan (also known as Part C) that generally replaces your Medicare coverage and includes Medicare Parts A, B and D. It also offers some extra benefits that Original Medicare does not cover. When you enroll in this plan, you agree to let UnitedHealthcare manage your Medicare benefits.

Changes for 2025:

  • The copay for office visits will change from $20 to $30.
  • Prescription drug copays will increase by $5 for a 30-day supply across all tiers and specialty drugs will be dispensed with no more than a 30-day supply at a time.
  • Inflation Reduction Act provisions for 2025 will cap the out-of-pocket prescription drug cost limit at $2,000 for Medicare Part D members, eliminate the coverage gap phase (or the “donut hole”), and introduce an option to pay for prescription costs in monthly installments. 
  • UC Medicare Choice members will receive fitness benefits through Silver Sneakers (instead of Renew Active).
  • UC Medicare Choice members will have 24/7 virtual access to medical providers through Amwell, Doctors on Demand, and Teladoc, replacing 24/7 Nurse Support. 
  • Full Full eligibility not available
  • Mid Mid eligibility not available
  • Core Core eligibility not available
  • Retirees Retirees eligibility not available

How the plan works

UC Medicare Choice delivers all the benefits of Original Medicare (Parts A and B), includes prescription drug coverage (Part D), and offers additional benefits beyond Medicare.

Because UC Medicare Choice is a Preferred Provider Organization (PPO) plan, you have access to any provider, in-network or out-of-network, at the same cost to you, as long as providers accept the plan and have not opted out of or been excluded from Medicare.

UC Medicare Choice is 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 (UBEN 121).

See updated information about coverage for COVID tests.

Best fit for you if:

  • You prefer a Medicare Advantage plan (also known as Part C) that generally replaces your Medicare coverage and includes some extra benefits that Original Medicare does not cover.
  • You would prefer to let UnitedHealthcare manage your Medicare benefits.
  • You want the flexibility to see providers both in and out-of-network.

Understanding your costs in 2025

UC Medicare Choice has no deductible and the out-of-pocket maximum is $1,500.

Typical out-of-pocket costs:

  • Office visits/Urgent care: $30
  • Emergency room visits: $65
  • Hospital stay: $250
  • Prescription drugs: $10, generic; $30, brand name; $45, non-formulary
Monthly premium costs for 2025 Monthly premium costs for retirees for 2024

Moving outside California?

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.