Documents & forms

UC Care

2025

UC Care 2025 Benefits Booklet [PDF] 

UC Care 2025 Medical Plan Benefits Summary—English [PDF]

UC Care 2025 Medical Plan Benefits Summary—Spanish [PDF]

UC Care 2025 Summary of Benefits & Coverage—English [PDF]

UC Care 2025 Prescription Drug Plan Benefits Booklet [PDF]

Navitus 2025 Formulary [PDF]

2024

UC Care 2024 Benefits Booklet [PDF]

UC Care 2024 Medical Plan Benefits Summary—English [PDF]

UC Care 2024 Medical Plan Benefits Summary—Spanish [PDF]

UC Care 2024 Prescription Drug Plan Benefits Booklet [PDF]

UC Care 2024 Summary of Benefits & Coverage—English [PDF]

UC Care 2024 Summary of Benefits & Coverage—Spanish [PDF]

Navitus 2024 Formulary [PDF]

2023

UC Care 2023 Benefits Booklet [PDF]

UC Care 2023 Medical Plan Benefits Summary [PDF]

UC Care 2023 Prescription Drug Plan Benefits Booklet [PDF]

UC Care 2023 Summary of Benefits & Coverage—English [PDF]

UC Care 2023 Summary of Benefits & Coverage—Spanish [PDF]

Navitus 2023 Formulary [PDF]

2022

2022 Navitus Maintenance Drug Program and UC Medical Center Pharmacies [PDF]

2022 PPO Open Enrollment Guide [PDF]

UC Care 2022 Benefits Booklet [PDF]

UC Care 2022 Medical Plan Benefits Summary [PDF]

UC Care 2022 Navitus Pharmacy Member Brochure [PDF]

UC Care 2022 Prescription Drug Summary Plan Description [PDF]

UC Care 2022 Summary of Benefits & Coverage—English [PDF]

UC Care 2022 Summary of Benefits & Coverage—Spanish [PDF]

UC Health Savings plan

2025

UC Health Savings Plan 2025 Benefits Booklet [PDF] 

UC Health Savings Plan 2025 Medical Plan Benefits Summary—English [PDF]

UC Health Savings Plan 2025 Medical Plan Benefits Summary—Spanish [PDF]

UC Health Savings Plan 2025 Summary of Benefits & Coverage—English [PDF]

UC Health Savings Plan 2025 Prescription Drug Plan Benefits Booklet [PDF]

Navitus 2025 Formulary [PDF]

2024

UC Health Savings Plan 2024 Benefits Booklet [PDF]

UC Health Savings Plan 2024 Medical Plan Benefits Summary—English [PDF]

UC Health Savings Plan 2024 Medical Plan Benefits Summary—Spanish [PDF]

UC Health Savings Plan 2024 Prescription Drug Plan Benefits Booklet [PDF]

UC Health Savings Plan 2024 Summary of Benefits & Coverage—English [PDF]

UC Health Savings Plan 2024 Summary of Benefits & Coverage—Spanish [PDF]

Navitus 2024 Formulary [PDF]

2023

UC Health Savings Plan 2023 Benefits Booklet [PDF]

UC Health Savings Plan 2023 Medical Plan Benefits Summary [PDF]

UC Health Savings Plan 2023 Prescription Drug Plan Benefits Booklet [PDF]

UC Health Savings Plan 2023 Summary of Benefits & Coverage—English [PDF]

UC Health Savings Plan 2023 Summary of Benefits & Coverage—Spanish [PDF]

Navitus 2023 Formulary [PDF]

2022

2022 Navitus Maintenance Drug Program and UC Medical Center Pharmacies [PDF]

2022 PPO Open Enrollment Guide [PDF]

UC Health Savings Plan 2022 Benefits Booklet [PDF]

UC Health Savings Plan 2022 Medical Benefits Summary—Spanish [PDF]

UC Health Savings Plan 2022 Medical Plan Benefits Summary [PDF]

UC Health Savings Plan 2022 Navitus Pharmacy Member Brochure [PDF]

UC Health Savings Plan 2022 Prescription Drug Summary Plan Description [PDF]

UC Health Savings Plan 2022 Summary of Benefits & Coverage—English [PDF]

UC Health Savings Plan 2022 Summary of Benefits & Coverage—Spanish [PDF]

CORE

2025

CORE 2025 Benefits Booklet [PDF]

CORE 2025 Medical Plan Benefits Summary—English [PDF]

CORE 2025 Medical Plan Benefits Summary—Spanish [PDF]

CORE 2025 Prescription Drug Plan Benefits Booklet [PDF]

CORE 2025 Summary of Benefits & Coverage—English [PDF]

Navitus 2025 Formulary [PDF]

2024

CORE 2024 Benefits Booklet [PDF]

CORE 2024 Medical Plan Benefits Summary—English [PDF]

CORE 2024 Medical Plan Benefits Summary—Spanish [PDF]

CORE 2024 Prescription Drug Plan Benefits Booklet [PDF]

CORE 2024 Summary of Benefits & Coverage—English [PDF]

CORE 2024 Summary of Benefits & Coverage—Spanish [PDF]

Navitus 2024 Formulary [PDF]

2023

CORE 2023 Benefits Booklet [PDF]

CORE 2023 Medical Plan Benefits Summary [PDF]

CORE 2023 Prescription Drug Plan Benefits Booklet [PDF]

CORE 2023 Summary of Benefits & Coverage—English [PDF]

CORE 2023 Summary of Benefits & Coverage—Spanish [PDF]

Navitus 2023 Formulary [PDF]

2022

2022 Navitus Maintenance Drug Program and UC Medical Center Pharmacies [PDF]

2022 PPO Open Enrollment Guide [PDF]

CORE 2022 Benefits Booklet [PDF]

CORE 2022 Medical Benefits Summary—Spanish [PDF]

CORE 2022 Medical Plan Benefits Summary [PDF]

CORE 2022 Navitus Pharmacy Member Brochure [PDF]

CORE 2022 Prescription Drug Summary Plan Description [PDF]

CORE 2022 Summary of Benefits & Coverage—English [PDF]

CORE 2022 Summary of Benefits & Coverage—Spanish [PDF]

Forms

PPO plans

Authorization of Release of Personal and Health Information [PDF]

International Medical Claim Form [PDF]

Medical Claim Form [PDF]

Prescription Drug Claim Form [PDF]