Administered by Anthem Blue Cross

UC Care is a PPO plan created just for UC. You can get care from most UC physicians and medical centers as well as the Anthem Preferred network of providers — the choice is yours. You also have coverage for non-network providers.

Compare UC Care's costs and benefits with other plans

Plan changes for 2021

The same is true of costs. The average Blue Cross NC member will pay $62 for an urgent care visit. 4 That's more than the copayment or coinsurance you'll pay for a doctor visit under most health plans. Yet it's quite a deal compared to the emergency room, where the. Blue Care Network of Michigan A nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association Use of this card is subject to terms of applicable contracts, conditions and user agreements. Hospital and medical claims - Providers in Michigan, file claims with: Blue Care Network P.O. Box 68710 Grand Rapids, MI. All other diagnostic Services (e.g., X-rays) $450 Copay EMERGENCY AND URGENT CARE SERVICES YOU PAY Ambulance Services $350 Copay Convenient Care Center $25 Copay Emergency Room Visits (Copay waived if admitted) In-Network Facility $350 Copay Out-of-Network Facility $350 Copay Physician Services $0 Copay Urgent Care Center $65 Copay. $25 Primary Care copay; $60 Urgent Care copay; $60 Specialist copay; $10 Telehealth copay. Use the link below to locate in-network doctors, hospitals, and other healthcare professionals. Preferred-Care Blue.

Effective Jan. 1, 2021, there are changes to member cost-sharing amounts:

• The calendar year deductible remains $0 when you see UC Select providers. For other providers, deductibles are increasing to $500 (preferred)/$750 (non-preferred) for individuals and $1,000 (preferred)/$1,750 (non-preferred) for families. The deductible is the amount you pay before the plan begins to share in the cost for covered services.
• The copayment for urgent care for Anthem preferred providers has decreased from $30 to $20. The copayment for emergency care has increased to $300 if the patient is not admitted to the hospital.
• Coinsurance for Anthem preferred providers has increased from 20% to 30%.
• The out-of-pocket maximum has increased to $6,100 (UC Select)/ $7,600 (preferred)/$9,600 (non-preferred) for individuals and $9,700 (UC Select)/ $14,200 (preferred)/$20,200 (non-preferred) for family coverage.

The Engage Wellbeing mobile app will be replaced by the Sydney Health mobile app. Watch for more information about Sydney in January.

New ID Cards

All UC Care members will receive a new ID card from Anthem by the end of December 2020 to use beginning Jan. 1, 2021, for medical, prescription drug and behavioral health services.

How the plan works

• You may choose any doctor or care facility, worldwide.
• You have two options for in-network care:
  • You pay set copayments for covered services and there’s no deductible when you use providers in the UC Select network (available only in California).
  • You also can choose a medical provider in the Anthem Preferred network and pay 20% of the cost of service after the deductible has been met. The Anthem Preferred network has a $250 deductible for individual coverage and $750 deductible for a family of three or more.
• Or, you can choose a non-preferred or out-of-network provider and pay 50% of the cost. There is a $500 deductible for individual coverage and $1,500 deductible for a family of three or more.
• Behavioral health benefits are provided through Anthem Blue Cross. You can see any behavioral health provider you choose, but you’ll pay less and receive higher benefit coverage when you see an in-network provider. Some services may require prior authorization.
• Annual out-of-pocket maximums limit what you pay. If you reach the annual maximum, the plan pays 100% of your covered medical costs for the rest of the year. There is one combined out-of-pocket maximum for medical, behavioral health and pharmacy expenses.
  • UC Select: $5,100/individual; $8,700/family
  • Anthem Preferred: $6,600/individual; $13,200 family
  • Out-of-network: $8,600/individual; $19,200 family
• Anthem Blue Cross will administer claims.

Best fit for you if:

• You want direct access to most providers without a referral
• You want no deductible and fixed copay for using providers in the UC Select network
• You want coverage when you are traveling or living abroad
• You and/or your family members live outside California

Blue Cross Urgent Care Copay

Monthly plan costs for faculty and staff in 2021

Pay Band (full-time salary rate)	Self	Self + Child(ren)	Self + Adult	Family
$59,000 and under	$141.74	$255.13	$358.26	$471.65
$59,001–$118,000	$179.92	$323.85	$445.42	$589.36
$118,001–$176,000	$219.10	$394.37	$523.53	$698.81
$176,001 and above	$259.67	$467.40	$604.46	$812.19

Blue Cross Blue Shield Urgent Care Copay

Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.

Typical out-of-pocket costs

Blue Cross Urgent Care Providers

• Office visit: UC Select: $20; Anthem Preferred: 30%; out-of-network: 50%; (preventive care with in-network provider has no charge)
• Urgent care visit: UC Select or Anthem Preferred: $20 (not subject to deductible); out-of-network: 50%
• Emergency room visit not resulting in an admission: $300
• Hospital stay (facility only): UC Select: $250; Anthem Preferred: 30%; out-of-network: 50%
• Prescription drugs: $5 generic; $25 brand name; $40 non-formulary; specialty 30% for 30-day supply (up to $150 copayment maximum)