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WHAT TO DO DURING OPEN ENROLLMENT

What You Need to Know

UC offers a range of health plan options to UC employees and non-Medicare retirees and their family members. Visit UCnet for more information about the UC medical plan options and details about who is eligible for coverage.

If you or a family member will become Medicare-eligible in 2023, take a look at the UC Medicare Choice plan available to you.

Consider UC Blue & Gold HMO

The UC Blue & Gold HMO provides in-network access to physicians and hospitals across California, including the six world-class UC Health academic health centers. Explore UC Health providers.

UC Blue & Gold HMO Plan Highlights

With the UC Blue & Gold HMO, you get:

  • $0 deductible on covered services
  • Fixed copayments or no cost 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 at MinuteClinics, and virtual care options that give you 24/71 access to doctors and therapists from home, at work or while traveling

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

BENEFITS OVERVIEW

View your coverage for common services.

Monthly Costs for Enrollment

What you pay for coverage depends on the plan you choose, your salary band and the family members you cover.

See paycheck contributions for all plans.

Explore Providers

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

For the most current list of in-network PCPs, specialists, urgent care facilities, hospitals and other types of health care providers near you, go to healthnet.com/uc or call the UC-dedicated Health Benefit Navigator team at (800) 539-4072, Monday through Friday, 8 a.m. to 8 p.m. PT.

Check the Boxes

During Open Enrollment:
Oct. 27 – Nov. 18, 2022

  • Re-register in the Health Net member portal to make sure you receive 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.
  • Consider all your medical plan options. Learn more about all plans that UC offers (HMO and PPO) on UCnet to help you decide which is right for you and your family.
  • Consider the Health Flexible Spending Account.
  • If you’re joining the UC Blue & Gold HMO plan as a new member, check the provider network on the Health Net website or call the UC-dedicated Health Benefit Navigator team at (800) 539-4072, Monday through Friday, 8 a.m. to 8 p.m. PT.

AFTER OPEN ENROLLMENT

  • In December, watch for new ID cards in the mail from Health Net for you and each covered family member. Remember to use the new ID card beginning Jan. 1, 2023.

On or After Jan. 1, 2023

  • Connect With the Health Net Member Portal
    Bookmark the UC Blue & Gold HMO member website for quick answers to plan questions: healthnet.com/uc. If you haven’t re-registered or you’re a new Health Net member, register with the Health Net member portal 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 to access information about Health Net’s health and wellness programs. (Tip: Have your Health Net member ID card handy.)
  • Prepare for Virtual Care (Babylon)
    Get the care you need from home, at work or while traveling with Babylon, which offers 24/71 medical appointments with U.S. board-certified doctors through the convenience of your cellphone.2 Babylon visits have no copay for UC members. Therapy and counseling appointments are available Monday through Friday, 7 a.m. to 7 p.m. PT.
  • Confirm Your Benefit Deductions
    Check your first paycheck in January to confirm your benefit deductions are accurate. For questions or issues with your plan enrollment or premiums, contact UCPath online (by logging into your account) or by calling the UCPath Center at (855) 982-7284, Monday through Friday, 8 a.m. to 5 p.m. PT.

1. Behavioral health services are available Monday through Friday, 7:00 a.m.–7:00 p.m. PT.
2. You may receive services on an in-person basis or via telehealth, if available, from your primary care provider, from a treating specialist, or from another contracting individual health professional, contracting clinic, or contracting health facility consistent with the service and existing timeliness and geographic access standards required under California law. Any cost share for services received through Babylon will accrue toward your out‐of‐pocket maximum and deductible (if your plan has a deductible). By scheduling through Babylon, you consent to receive services via telehealth through Babylon. See your health plan coverage document for coverage information and for the definition of telehealth services. You have a right to access your medical records for services received through Babylon. Unless you choose otherwise, any services provided through Babylon shall be shared with your primary care provider.

Health Net of California, Inc., is a subsidiary of Health Net, LLC. Health Net is a registered service mark of Health Net, LLC. All other identified trademarks/service marks remain the property of their respective companies. All rights reserved.

New Members
  • Before the end of 2022, request refills of any ongoing medication through your current plan to last through early 2023.
  • Register with the Health Net member portal.
  • 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.