What to do during open enrollment

UC offers a range of health plan options to eligible UC employees and retirees under age 65 (who are not enrolled in Medicare) and their eligible family members. Visit UCnet for more information about the UC medical plan options and details about who is eligible for coverage.

know how the plan works

The UC Blue & Gold HMO provides in-network access to expertise across six world-class academic medical centers. Choosing UC Blue & Gold means in-network access to the highest-quality care at any UC Health center.

Plan Highlights

With the UC Blue & Gold HMO, you get:

  • $0 deductible on covered services
  • No-cost or fixed copayments for services
  • Low out-of-pocket maximum of $1,000 per person or $3,000 per family, including covered medical, behavioral health and prescription drug costs
  • A primary care physician (PCP) to coordinate your care, chosen from among thousands of providers within the UC Blue & Gold HMO network
  • No claims to file for in-network care
  • Coverage for after-hours care, including urgent care, walk-in medical care, and virtual care options that give you 24/7 access to doctors and therapists from home

Get the Facts

For details, see the coverage overview and the benefit summaries at healthnet.com/uc.

Check the Network

The UC Blue & Gold HMO plan requires that, except in the case of an emergency, all care be coordinated by your PCP (primary care physician) and delivered by in-network providers, which includes all UC Health centers, plus access to Health Net’s network of PCPs, specialists, urgent care facilities, hospitals and other types of health care providers near you.

For the most current list of qualified, in-network PCPs, specialists, urgent care facilities, hospitals and other types of health care providers near you, go to healthnet.com/uc:

  1. Click Find a Doctor.
  2. Enter your location (street address, city, county or state).
  3. Narrow your search by provider name/ID/license number or plan/network.
  4. Select a type of provider (doctor, hospital, medical group, etc.).
  5. Click Print Results to print your search results, if needed.

Or call the UC-dedicated Health Benefit Navigator team toll-free at (800) 539-4072, Monday through Friday, 8 a.m. to 8 p.m. PT.

more to explore

UC also offers PPO options, including the UC Care, UC Health Savings Plan and CORE plans, featuring in-network coverage for UC Health providers and hospitals. If you or a family member will become Medicare-eligible in 2022, take a look at the UC Medicare Supplement PPO options available to you.

Check the Boxes

During Open Enrollment

October 28 – November 19, 2021

  • Consider all your medical plan options. Learn more about all the plans on UCnet to help you decide which is right for you and your family.
  • Sign up for savings with the Health Flexible Spending Account.
  • If you’re joining the UC Blue & Gold HMO plan as a new member, check the provider network at Health Net or by calling the Health Benefit Navigator team at (800) 539-4072, Monday through Friday, 8 a.m. to 8 p.m. PT.

After Open Enrollment

If you changed plans for 2022:

  • Request refills of any ongoing medication through your current plan to last through early 2022.
  • Watch for new ID cards in the mail. Continue using your current ID card through December 31, 2021. If you’re enrolling in the UC Blue & Gold plan for the first time, you should receive your ID cards from Health Net by late December.

On or After January 1, 2022

  • If you’re a new Health Net member, register with Health Net for the most current benefit updates, personalized claims data (including your deductible met to date), electronic ID cards, virtual care when you need it, and quick access to free health and wellness tools. (Tip: Have your member ID card handy.)
  • Bookmark the UC Blue & Gold HMO member website for quick answers to plan questions: healthnet.com/uc.
  • Download the Babylon app for 24/7 video access to a health care provider and digital health care tools to support you in taking control of your wellness journey.
  • Check your first paycheck in January to confirm your benefit deductions are accurate. If not, contact a UC Health Facilitator.

If you changed plans for 2022:

  • If you have a new family doctor, make an appointment for an office visit to get to know each other and to review your current health and health history. Work with your former doctor or behavioral health provider to transfer your medical records to your new doctor.
  • Provide your new ID card to your provider(s) and in-network pharmacy on your first visit.
  • Discard your 2021 plan ID card and use only your new plan’s ID card.