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EMPLOYEE MEDICAL PLANS

Health Net Blue and Gold HMO

This plan is an HMO (Health Maintenance Organization), which gives you a list of doctors from which to choose a primary care physician (PCP).  The PCP coordinates your care and refers you to specialists within your designated medical group.  The plan covers only the cost of services authorized by your PCP.  HMOs provide coverage for services outside of your medical group only in cases of emergency.

Plan Highlights

• Works just like the regular Health Net HMO
• Has a custom network of providers created exclusively for UC, including
• All UC Medical Centers and medical groups
• 13 of the 20 largest provider groups serving current UC Health Net members
• Lower premiums than the standard Health Net HMO

Plan changes for 2012:

The following medical groups and hospitals have been added to the Health Net Blue & Gold network:

• Alta Bates Medical Group and Medical Center – Alameda County
• Pacific IPA – Los Angeles County
• PAMF-MDP/Mills Peninsula Medical Group – San Mateo County
• Sutter Tracy Hospital – San Joaquin County

Review plan choices, available doctors and bust myths in the interactive video below:

2012 Health Net Blue & Gold HMO Plan Costs
Pay Band (per annum)		Self	Self + Child	Self + Adult	Family
Under $48,000	Employee Cost	$23.08	$41.55	$95.10	$113.56
	UC Contribution	539.99	971.98	1,087.35	1,519.34
$48,001 - $96,000	Employee Cost	$59.13	$106.44	$177.40	$224.70
	UC Contribution	503.94	907.09	1,005.05	1,408.20
$96,001 to $144,000	Employee Cost	$96.13	$173.04	$251.16	$328.06
	UC Contribution	466.94	840.49	931.29	1,304.84
$144,001 and above	Employee Cost	$134.44	$242.00	$327.58	$435.13
	UC Contribution	428.63	771.53	854.87	1,197.77