2025-Retiree Open Enrollment overview + Q&A

The open enrollment period for UC retirees will run from October 31st to November 22nd. Notable plan changes for 2025 include an increase in HMO and Medicare Advantage office visit co-pays from $20 to $30, the addition of a fourth drug tier with a 30% co-pay (capped at $150) for specialty drugs, and new premium requirements for the UC Core PPO plan. The UC Medicare Choice plan will reinstate Silver Sneakers fitness benefits, while Kaiser Permanente expands coverage to northern Monterey County for non-Medicare HMO members. UC will also continue its dental coverage with Delta Dental for plan year 2025.

Presenter: Marianne McIvor (UC Santa Cruz Health Care Facilitator)

00:01:25 Agenda
00:01:35 Open Enrollment the basics
00:05:06 What action do I need to take?
00:06:25 Open Enrollment changes
00:08:02 Medicare and UC Retiree Medical coverage
00:11:38 Medicare Advantage Plans
00:13:10 Medicare and Anthem Blue Cross PPO's
00:14:29 Medicare and UC Retiree Rx coverage AKA Part D
00:16:33 Medicare and UC Retiree Medical coverage
00:18:49 UC Medicare Coordinator Program
00:21:58 Medical Plan overview and changes for 2025
00:26:00 UC HMO's-plan generalities
00:27:41 HMO Changes in 2025
00:29:53 HMO RX Co-payments changing in 2025
00:34:04 2025 Medical Plans
00:35:45 UC Medicare Choice
00:36:21 Kaiser Senior Advantage changes 2025
00:38:11 UC Medicare Choice vendor changes
00:41:58 About PPO Plans
00:49:37 PPO changes in 2025
00:57:10 Medicare Supplement Plans UC Medicare PPO w/Rx
00:59:35 Medical ID Cards
01:03:33 UCSF health Family Medicine in Santa Cruz County
01:05:49 KP HMO Medical Care in Santa Cruz & Monterey Counties
01:09:16 UC Medical plan rates and Contributions
01:14:20 Other options Non-medical plans
01:20:26 Next steps
01:22:37 FMEV re-verification
01:24:27 Resources
01:25:28 Open Enrollment Contact List
01:26:39 Q&A section