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UC Blue & Gold HMO

What's Changing for 2021

Telehealth Transition

Telehealth services (also known as virtual health care), which let you connect with a U.S. board-certified doctor or behavioral health professional, will transition from Teladoc to Babylon. Babylon offers 24/7 video access to a health care provider and digital health care tools to support you in taking control of your wellness journey. Go to your app store and download the Babylon app. Once you download the app, follow the steps to register your account. You will be asked to enter a Membership Registration Code: HNCOM.

Emergency Room Copayment

The copayment will increase from $75 to $125 per visit.

Infertility Services

Your out-of-pocket costs for infertility services will no longer count toward the plan’s out-of-pocket maximum.

Hearing Aids

Your out-of-pocket costs for hearing aids will no longer count toward the plan’s out-of-pocket maximum.

Specialty Drug Prescription Refills
Timing for refilling prescriptions will change as follows:

  • For a 30-day prescription, you can get a refill after 25 days (currently 23 days).
  • For a 90-day home delivery prescription, you can refill after 74 days (currently 67 days).
Canopy Health Expands to Santa Cruz in 2021

Beginning January 2021, enrollment in Canopy Health will be available to UC employees in Santa Cruz county. The Dignity Health Medical Network in Santa Cruz has joined the Canopy Health Network, giving members access to the UCSF Medical Center. Current UC Blue & Gold HMO members in the area should be able to continue with their current primary provider if they enroll in Canopy Health during this year’s Open Enrollment. Learn more about Canopy Health.

New Enrollment in Sharp Rees-Stealy Medical Group Discontinued

Beginning January 1, 2021, new UC Blue & Gold members will not be able to enroll in and select a PCP within the Sharp Rees-Stealy Medical Group. However, current UC Blue & Gold HMO members can continue to use their Sharp Rees-Stealy Medical Group doctors and facilities. 

Mother and daughter swimming in a pool

Choose Quality. Choose UC Health Plans.

The UC Blue & Gold HMO was created specifically for UC faculty, staff and non-Medicare retirees. Quality care and convenience are offered through a custom Health Net provider network featuring thousands of PCPs and specialists, and hundreds of hospitals, giving you a wide choice of providers. The UC Blue & Gold HMO plan gives you in-network access at all renowned UC Health hospitals, as well as UC doctors, affiliated physician groups and other providers. UC Health hospitals are rated among the best in the nation and the state.

 

Highlights and Coverage Overview

Learn more about this plan at UC’s virtual UC Benefits Fair, October 27 – November 24.

Highlights

With the UC Blue & Gold HMO, you get:

  • No-cost testing for COVID-19 when ordered by a physician during the pandemic period
  • $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

For details, see the benefit summaries on healthnet.com/uc.

See your premiums.

Check the network.

Coverage Overview

Covered Service You Pay1

Medical/Behavioral Health Calendar-Year Deductible (combined with prescription out-of-pocket expenses)

The deductible is the amount you pay before the plan begins to share in the cost for covered services.

None

Medical/Behavioral Health Out-of-Pocket Maximum (combined with prescription out-of-pocket expenses)

Includes deductible where applicable.

The out-of-pocket maximum is the most you’ll pay for covered health care services in a calendar year.

Individual: $1,000

Family: $3,000

(Not including out-of-pocket costs for fertility treatment or hearing aids)

Preventive Care $0
Doctor and Specialist Visits $20 copayment
Prescription Drugs

Retail (30-day supply): $5 generic; $25 brand formulary; $40 non-formulary2 

Mail service or walk-up services available at UC medical centers and CVS pharmacies (90-day supply): $10 generic; $50 brand formulary; $80 non-formulary2 

Specialty drugs (up to a 30-day supply): $202

Outpatient Behavioral Health/Substance Abuse Visits

First 3 visits: $0; then $20 copayment for each visit

Other behavioral health outpatient visits: $03

Chiropractic/Acupuncture $20 copayment (24 visits combined max. per calendar year)
24/7 Virtual Care (Babylon) $0
Retail Clinic $20 copayment; ($0 if preventive) available at MinuteClinic only
Urgent Care $20 copayment
Emergency Care (medical and behavioral health) $125 copayment (waived if admitted)
Ambulance Emergency Transport (medical and behavioral health) $0
X-Ray and Lab Procedures $0
Outpatient Surgery $100 copayment when performed at a hospital or ambulatory surgical center
Hospitalization (medical and behavioral health) $250 copayment per admission
Maternity Care $20 for initial visit, then $0 for all services except hospital stays for which the hospital copayment applies
Coverage Outside the U.S. Only urgent and emergency services covered
1. This table is a summary of benefits only. All benefits are subject to the definitions, limitations and exclusions set forth in the Summary of Benefits included with Open Enrollment information. Employees and non-Medicare retirees are encouraged to review it before making their final decisions.
2. Members are required to pay the cost difference between a brand-name and a generic copayment, when the generic is available. Exceptions for medical necessity are available via prior authorization. If approved, the applicable brand copayment applies.
3. Includes psychological testing, outpatient electroconvulsive therapy, extended-length therapy sessions, biofeedback, applied behavior analysis, methadone maintenance, structured/intensive outpatient program treatment, and partial hospitalization/day treatment.

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.

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.

Sign Up for Savings

A Health Flexible Spending Account can help you save on out-of-pocket health care costs. You set aside pretax dollars from your paycheck and use the money in your account to pay for eligible health care expenses. You’ll save an amount equal to the taxes you would have paid on the money you set aside.

If you want to participate in the FSA for 2021, you must enroll during Open Enrollment. If you’re currently participating in the FSA, you must actively re-enroll during Open Enrollment or your participation will be canceled.

Explore More at the Virtual UC Benefits Fair.

Learn more about this plan at the virtual UC Benefits Fair, October 27 – November 24. The virtual UC Benefits Fair will be online and will replace the campus and medical center Open Enrollment fairs that are traditionally held in person.

My Checklist

During Open Enrollment:
October 29 – November 24, 2020

 

  • Attend UC’s virtual UC Benefits Fair October 27 – November 24 to learn more about your choices and to ask questions.
  • Consider all your medical plan options. Learn more about all the plans on UCnet and 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 Enrollment

If you changed plans for 2021:

  • Request refills of any ongoing medication through your current plan to last through early 2021.
  • Watch for new ID cards in the mail. Continue using your current ID card through December 31, 2020. ID cards from Health Net generally arrive by late December.

On or After January 1, 2021

  • 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.

If you changed plans for 2021:

  • 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 2020 plan ID card and only use your new plan’s ID card.

Get Help

If you have questions or need help during Open Enrollment, contact one of these resources.

Virtual UC Benefits Fair
Visit the Health Net UC Blue & Gold HMO booth at the virtual UC Benefits Fair.
Health Net
healthnet.com/uc
Health Benefit Navigator
(800) 539-4072
Monday through Friday, 8 a.m. to 8 p.m. PT
Email: Askblue&gold@healthnet.com for a response within 24 hours, Monday through Friday

Managed Health Network (Behavioral Health) Customer Service Team
(800) 663-9355
Monday through Friday, 8 a.m. to 8 p.m. PT

UC Health Care Facilitators
Connect with UC campus-based staff who are knowledgeable about your UC coverage options. View contact information.

UC Health Savings Plan (HSP) SECTION

What’s Changing

All changes are described here and are effective January 1, 2021. To learn more about the changes and to ask questions, visit the virtual benefits fair, October 27 – November 24.

Save more in the Health Savings Account. The maximum allowed annual Health Savings Account (HSA) contribution will increase:

  • Individual coverage: From $3,550 (current) to $3,600, including UC’s $500 contribution
  • Family coverage: From $7,100 (current) to $7,200, including UC’s $1,000 contribution
Plan Highlights

(feature) Learn more about this plan at the virtual benefits fair, October 27 – November 24. The virtual benefits fair will be online and will replace the campus and medical center Open Enrollment fairs that are traditionally held in person. (link to fair) (end feature) 

Part health plan, part savings account, the UC Health Savings Plan can add up to real value for you. The plan includes a yearly contribution from UC of either $500 or $1,000 into a Health Savings Account (HSA) for you to use for health care expenses. (tool tip icon)

For details, see the benefit summaries on ucppoplans.com.

See your premiums. (link to UCnet)

Check the network. (link to Check the Network)

(tool tip text) UC contributes to your HSA once every year you are enrolled in the UC Health Savings Plan, based on who you cover (individual or family). UC will not make additional contributions during the year, even if you add or drop family members.

By authority of the Regents, University of California Human Resources, located in Oakland, administers all benefit plans in accordance with applicable plan documents and regulations, custodial agreements, University of California Group Insurance Regulations, group insurance contracts, and state and federal laws. No person is authorized to provide benefits information not contained in these source documents, and information not contained in these source documents cannot be relied upon as having been authorized by the Regents. Source documents are available for inspection upon request at (800) 888-8267. What is written here does not constitute a guarantee of plan coverage or benefits — particular rules and eligibility requirements must be met before benefits can be received. The University of California intends to continue the benefits described here indefinitely; however, the benefits of all employees, retirees and plan beneficiaries are subject to change or termination at the time of contract renewal or at any other time by the University or other governing authorities. The University also reserves the right to determine new premiums, employer contributions, and monthly costs at any time. Health and welfare benefits are not accrued or vested benefit entitlements. UC’s contribution toward the monthly cost of the coverage is determined by UC and may change or stop altogether and may be affected by the state of California’s annual budget appropriation. If you belong to an exclusively represented bargaining unit, some of your benefits may differ from the ones described here. For more information, employees should contact their Human Resources Office, and retirees should call the UC Retirement Administration Service Center at (800) 888-8267.

In conformance with applicable law and University policy, the University is an affirmative action/equal opportunity employer. Please send inquiries for staff regarding the University’s affirmative action and equal opportunity policies for staff to Systemwide AA/EEO Policy Coordinator, University of California Office of the President, 1111 Franklin Street, 5th Floor, Oakland, CA 94607, and inquiries for faculty to the Office of Academic Personnel, University of California Office of the President, 1111 Franklin Street, Oakland, CA 94607.

In addition to the state of California nondiscrimination requirements (as described in benefit coverage documents), Health Net of California, Inc. (Health Net) complies with applicable federal civil rights laws and does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, ancestry, religion, marital status, gender, gender identity, sexual orientation, age, disability or sex.

Health Net:
In addition to the state of California nondiscrimination requirements (as described in benefit coverage documents), Health Net of California, Inc. (Health Net) complies with applicable federal civil rights laws and does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, ancestry, religion, marital status, gender, gender identity, sexual orientation, age, disability or sex.

Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).

Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact Health Net’s Customer Contact Center at (800) 539-4072 (TTY: 711).

If you believe that Health Net has failed to provide these services or has discriminated in another way based on one of the characteristics listed above, you can file a grievance by calling Health Net’s Customer Contact Center at the number above and telling them you need help filing a grievance. Health Net’s Customer Contact Center is available to help you file a grievance. You can also file a grievance by mail, fax or email at:

Health Net of California, Inc. Appeals & Grievances
P.O. Box 10348
Van Nuys, CA 91410-0348
Fax: (877) 831-6019

Email: Member.Discrimination.Complaints@healthnet.com (Members) or Non‑Member.Discrimination.Complaints@healthnet.com (Applicants)

If your health problem is urgent, if you already filed a complaint with Health Net of California, Inc., and are not satisfied with the decision, or it has been more than 30 days since you filed a complaint with Health Net of California, Inc., you may submit an Independent Medical Review/Complaint Form with the Department of Managed Health Care (DMHC). You may submit a complaint form by calling the DMHC Help Desk at (888) 466-2219 (TDD: (877) 688‑9891) or online at dmhc.ca.gov/FileaComplaint.

If you believe you have been discriminated against because of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR), electronically through the OCR Complaint Portal, or by mail or phone at U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, (800) 368-1019 (TDD: (800) 537-7697).

Complaint forms are available at hhs.gov/ocr/office/file/index.html.

English

No-Cost Language Services. You can get an interpreter. You can get documents read to you and some sent to you in your language. If you need these services, contact Health Net’s Customer Contact Center at 800-539-4072 (TTY: 711).

Arabic

ىلع†انب†لصتا†،ةدعاسملا†ىلع†لوصحلل†Æكل†ةءورقم†قئاثو†ىلع†لوصحلا†كنكميو†Æيروف†مجرتم†ىلع†لوصحلا†كنكمي†Æةيناجم†ةغللا†تامدخ 1-800-539-4072 (TTY: يراجتلا†لاصتالا†زكرم†ىلع†لصتا†وأ†،ةيوهلا†ةقاطب†ىلع†دوجوملا†مقرلا†( 711

Armenian

Անվճար լեզվական ծառայություններ: Դուք կարող եք բանավոր թարգմանիչ ստանալ: Փաստաթղթերը կարող են կարդալ ձեզ համար: Օգնության համար զանգահարեք մեզ ձեր ID քարտի վրա նշված հեռախոսահամարով կամ զանգահարեք 1-800-539-4072 (TTY: 711).

Chinese

免費語言服務。您可使用口譯員。您可請人使用您的語言將文件內容唸給您聽,並請我們將有您 語言版本的部分文件寄給您。如需協助,請致電您會員卡上所列的電

話號碼與我們聯絡,或致電 1-800-539-4072 (TTY: 711)。 

Hindi

बिना लागत की भाषा सेवाएँ। आप एक दुभाषिया प्राप्त कर सकते हैं। आपको दस्तावेज पढ़ कर सुनाए जा सकते हैं। मदद के लिए, आपके आईडी कार्ड पर दिए गए सूचीबद्ध नंबर पर हमें कॉल करें, या 1-800-539-4072 (TTY: 711).

Hmong

Kev Pab Txhais Lus Dawb. Koj xav tau neeg txhais lus los tau. Koj xav tau neeg nyeem cov ntaub ntawv kom yog koj hom lus los tau. Xav tau kev pab, hu peb tau rau tus xov tooj ntawm koj daim npav los yog hu 1-800-539-4072 (TTY: 711).

Japanese

無料の言語サービス。通訳をご利用いただけます。文書をお読みします。援助が必要な場合は、IDカードに記載されている番号までお電話いただくか、1-800-539-4072 、1-800-539-4072 (TTY: 711)。

Khmer

សេវាភាសាសោយឥតគិតថ្លៃ។ អ្នកអាចទទួលបានអ្នកបកប្បផ្ទា ល់មាត់។ អ្នកអាចសាដា ប់សគអានឯកសារឱ្យអ្នក។ េ្មាប់ជំនួយ េូម ទាក់ទងសយើងខ្ញំតាមរយៈសលខទូរេពទាបែលមាន សៅសលើកាតេមាគា ល់ ួលៃខនរបេ់អ្នក ឬ ទាក់ទងសៅមជ្ឈមណ្ឌ លទំនាក់ទំនងពាណិ ជ្ជកម្ម ថន្ករុមហញ៊ន 1-800-539-4072 (TTY: 711).។

Korean

무료 언어 서비스. 통역 서비스를 받을 수 있습니다. 귀하가 구사하는 언어로 문서의 낭독 서비스를 받으실 수 있습니다. 도움이 필요하시면 보험 ID 카드에 수록된 번호로 전화하시거나 1-800-539-4072 (TTY: 711).

Navajo

Saad Bee Áká E’eyeed T’áá Jíík’e. Ata’ halne’ígíí hólǫ T’áá hó hazaad k’ehjí naaltsoos hach’į’ wóltah. Shíká a’doowoł nínízingo naaltsoos bee néího’dólzinígíí bikáa’gi béésh bee hane’í bikáá’ áajį’ hodíílnih éí doodaii’ 1-800-539-4072 (TTY: 711).

Persian (Farsi)

ام†اب†،یيامنهار†تفايردیارب†Æدنوش†تئارق†امش†یارب†دانسا†هک†دينک†تساوخرد†ديناوت†یم†Æديريگب†یهافش†مجرتم†کي†ديناوت†یم†Æناگيار†روط†هب†نابز†تامدخ 1-800-539-4072 Æیناگرزاب†سامت†زکرم†اب†اي†ديريگب†سامت†هدش†جرد†امش†یياسانش†تراک†یور†هک†یا†هرامش†هب†(TTY: 711).

Panjabi (Punjabi)

ਬਿਨਾਂ ਕਿਸੇ ਲਾਗਤ ਤੋਂ ਭਾਸ਼ਾ ਸੇਵਾਵਾਂ। ਤੁਸੀਂ ਇੱਕ ਦੁਭਾਸ਼ਿਆ ਪ੍ਰਾਪਤ ਕਰ ਸਕਦੇ ਹੋ। ਤੁਹਾਨੂੰ ਦਸਤਾਵੇਜ਼ ਤੁਹਾਡੀ ਭਾਸ਼ਾ ਵਿੱਚ ਪੜ੍ਹ ਕੇ ਸੁਣਾਏ ਜਾ ਸਕਦੇ ਹਨ। ਮਦਦ ਲਈ, ਆਪਣੇ ਆਈਡੀ ਕਾਰਡ ਤੇ ਦਿੱਤੇ ਨੰਬਰ ਤੇ ਸਾਨੂੰ ਕਾਲ ਕਰੋ ਜਾਂ ਕਿਰਪਾ ਕਰਕ 1-800-539-4072 (TTY: 711).

Russian

Бесплатная помощь переводчиков. Вы можете получить помощь устного переводчика. Вам могут прочитать документы. За помощью обращайтесь к нам по телефону, приведенному на вашей идентификационной карточке участника плана. Кроме того, вы можете позвонить в 1-800-539-4072 (TTY: 711).

Spanish

Servicios de idiomas sin costo. Puede solicitar un int.rprete. Puede obtener el servicio de lectura de documentos y recibir algunos en su idioma. Para obtener ayuda, ll.menos al n.mero que figura en su tarjeta de identificaci.n o comun.quese con el 1-800-539-4072 (TTY: 711).

Tagalog

Walang Bayad na Mga Serbisyo sa Wika. Makakakuha kayo ng isang interpreter. Makakakuha kayo ng mga dokumento na babasahin sa inyo. Para sa tulong, tawagan kami sa nakalistang numero sa inyong ID card o tawagan ang 1-800-539-4072 (TTY: 711).

Thai

ไม่มีค่าบริการด้านภาษา คุณสามารถใช้ล่ามได้ คุณสามารถให้อ่านเอกสารให้ฟังได้ สณาหรับความช่วยเหลือ โทรหาเราตาม หมายเลขที่ให้ไว้บนบัตรประจณาตัวของคุณ หรือ โทรหา ศูนย์ติดต่อเชิงพาณิชย์ของ 1-800-539-4072 (TTY: 711).

Vietnamese

Các Dịch Vụ Ngôn Ngữ Miễn Phí. Quý vị có thể có một phiên dịch viên. Quý vị có thể yêu cầu được đọc cho nghe tài liệu. Để nhận trợ giúp, hãy gọi cho chúng tôi theo số được liệt kê trên thẻ ID của quý vị hoặc gọi 1-800-539-4072 (TTY: 711).

You have access to Decision Power, myStrength, Omada and Babylon through current enrollment with Health Net of California, Inc. (Health Net). Decision Power, myStrength, Omada and Babylon are not part of Health Net’s commercial medical benefit plans. They are not affiliated with Health Net’s provider network, and their services may be revised or withdrawn without notice. These services, including clinicians, are additional resources that Health Net makes available to enrollees. The information provided is not intended as a substitute for professional medical care. Please always follow your health care provider’s instructions.

Health Net of California, Inc., is a subsidiary of Health Net, LLC. Managed Health Network, LLC (MHN) is a subsidiary of Health Net, LLC. The MHN family of companies includes Managed Health Network (CA) and MHN Services, LLC. Managed Health Network is a registered service mark of Managed Health Network, LLC. Health Net and Decision Power are registered service marks of Health Net, Inc. All other identified trademarks/service marks remain the property of their respective companies. All rights reserved.

UC PPO SECTION

What’s Changing

Minimizing premium and out-of-pocket cost increases continues to be a priority. Although members used fewer services in 2020 because of the COVID-19 pandemic, we expect higher utilization in 2021, with many members seeking services they delayed this year, and higher medical and prescription drug costs. These expectations require adjustments to plan premiums and out-of-pocket costs, detailed below. UC has a number of alternative medical plans that might be more cost-effective for you. (link to Compare My Options)

All changes are described here and are effective January 1, 2021.

Premiums

To see your monthly paycheck contribution, go to UCnet.

Deductibles

This is the amount you pay before the plan pays benefits. (tool tip icon)

UC Select providers:

  • $0 for individual and family coverage (no change)

Anthem Preferred providers:

  • Individual coverage: Increasing from $250 to $500
  • Family coverage: Increasing from $750 to $1,000

Out-of-network providers:

  • Individual coverage: Increasing from $500 to $750
  • Family coverage: Increasing from $1,500 to $1,750

(tool tip text) In-network and out-of-network calendar-year deductibles are separate. What you pay toward one doesn’t count toward the other.

Coinsurance

This is the amount you pay for most covered services after you pay the deductible.

UC Select providers: No change

Anthem Preferred providers: Increasing from 20% to 30%, except for services received outside of the U.S. This means that after you meet your deductible, you will pay 30% of the cost of covered services. For care received outside the U.S., you will continue to be responsible for 20% of the cost.

Out-of-Pocket Maximums

This is the most you will pay for covered services (including deductibles, copayments, coinsurance and prescription drugs) during the calendar year.(tool tip icon)

UC Select providers:

  • Individual coverage: Increasing from $5,100 to $6,100
  • Family coverage: Increasing from $8,700 to $9,700

Anthem Preferred providers:

  • Individual coverage: Increasing from $6,600 to $7,600
  • Family coverage: Increasing from $13,200 to $14,200

Out-of-network providers:

  • Individual coverage: Increasing from $8,600 to $9,600
  • Family coverage: Increasing from $19,200 to $20,200
[tool tip text] Anthem Preferred and UC Select medical and prescription drug out-of-pocket maximums count toward each other. In-network and out-of-network out-of-pocket maximums are separate. What you pay toward one doesn’t count toward the other.

Urgent Care Copayment [+/-]

The copayment for Anthem Preferred providers is decreasing from $30 to $20 per visit.

Emergency Room (ER) Copayment [+/-]

The ER copayment will increase from $250 to $300 if you go to the ER but are not admitted to the hospital. (The copayment remains at $250 if you are admitted.)

Plan Highlights

(feature) Learn more about this plan at the virtual benefits fair, October 27 – November 24. The virtual benefits fair will be online and will replace the campus and medical center Open Enrollment fairs that are traditionally held in person. (link to fair) (end feature)

A medical plan designed especially for UC employees that offers low out-of-pocket costs when you get care from UC physicians and medical centers and some other select providers. UC Care gives you three networks to choose from when you need care: UC Select,[tool tip icon] Anthem Preferred and out-of-network. Your costs are lowest when you get care from UC Select providers — generally, doctors who are at or affiliated with a UC medical center. You also have the option to see any provider within the extensive Anthem Preferred network. And, you can choose an out-of-network provider, but your out-of-pocket costs will be higher.

For details, see the benefit summaries on ucppoplans.com.

See your premiums. (link to UCnet)

Check the network. (link to Check the Network)

UC CORE SECTION

What’s Changing

There are no changes to this plan for 2021, but if you have questions, visit the virtual benefits fair, October 27 – November 24.

Plan Highlights

(feature) Learn more about this plan at the virtual benefits fair, October 27 – November 24. The virtual benefits fair will be online and will replace the campus and medical center Open Enrollment fairs that are traditionally held in person. (link to fair) (end feature)

 

A medical plan with premiums paid by UC. For details, see the benefit summaries on ucppoplans.com.

See your premiums. (link to UCnet)

Check the network. (link to Check the Network)