Split or mixed Medicare families

If you have some family members with Medicare coverage and others not currently eligible for Medicare, you’re considered a split-Medicare family. You and the family members you cover must enroll in plans that work together.

On this page:

Enrolling in Medicare
The components of Medicare
How Medicare Advantage and Medicare Supplement plans work with Medicare
Retirees with family members who aren’t eligible for Medicare
Your premium costs for Medicare and your UC plan

Understanding your options

Some UC non-Medicare medical plans have a Medicare version of the plan; for example, Kaiser Permanente Senior Advantage is the Medicare version of Kaiser HMO. Other UC non-Medicare plans have “partner” plans; for example, UC Medicare PPO is the partner to UC Care and CORE. A split family is not eligible for the UC Health Savings Plan.

With both types of plans, you enroll in the non-Medicare version of the plan and your Medicare-enrolled family members need to take the appropriate steps to enroll in the partner Medicare plan.

View the monthly premiums for split-Medicare families.

Non-Medicare family members	Medicare-enrolled family members
CORE PPO	UC Medicare PPO
UC Blue & Gold HMO	UC Medicare Choice PPO
Kaiser HMO	Kaiser Permanente Senior Advantage
UC Care	UC Medicare PPO
UC Health Savings Plan	No partner plan; non-Medicare family members will need to enroll in another plan

Enrolling in a Medicare plan

If you or a family member enrolls in a new Medicare plan, you will need to complete an additional form:

Kaiser Senior Advantage — Complete the Medicare Advantage Enrollment/Election form for Kaiser (UBEN 127 PDF) and mail to the plan and the UC Retirement Administration Service Center.
UC Medicare Choice — Complete the enrollment form for UC Medicare Choice (UBEN 121 PDF) and mail to the UC Retirement Administration Service Center.
UC Medicare PPO — Fill out the Navitus (PDP) Enrollment Form For UC Medicare PPO or UC High Option Supplement to Medicare (UBEN 123 PDF) and send it to the UC Retirement Administration Service Center.