Skip to Main Content
Navigation Menu


Open Enrollment for 2025 is Oct. 31 – Nov. 22, 2024 

Open Enrollment is your opportunity to review your current medical plan and decide if it will continue to meet your needs for the upcoming year. Thinking about your future needs is especially important this year, as there will be changes beginning Jan. 1, 2025. Get the details about all the 2025 benefit changes and your monthly premiums on UCnet.

UC Blue & Gold HMO1 changes

Your copays for office visits. Copayments for office visits will change from $20 to $30 per visit.

Prescription drug copays. The table below shows a comparison of current and 2025 copays. This includes a new category for specialty drugs — certain medications used to treat complex and/or chronic conditions — with a maximum (a "cap") on your cost for these often very expensive drugs. 

 2024 Copayment2025 Copayment
Generic30-day supply: $5
90-day supply: $10		30-day supply: $10
90-day supply: $20*
Brand name30-day supply: $25
90-day supply: $50		30-day supply: $30
90-day supply: $60*
Non-formulary30-day supply: $40
90-day supply: $8		30-day supply: $50
90-day supply: $100*
Specialty drugs$2030% coinsurance up to
a maximum of $150
per prescription,
including oral and
self-injectable
medications
Office-based
injectable drugs		$20$30

*90-day supply is available at CVS Caremark retail pharmacies, through CVS Caremark mail order, and at UC Health pharmacies.

New no-cost doula program

Doulas provide essential health education, advocacy and physical, emotional and nonclinical support for pregnant and postpartum individuals throughout their journey. This includes care before, during and after childbirth, as well as during challenging experiences like miscarriage or stillbirth. A doula can assist you in understanding your medical plan benefits, developing a personalized birth plan, offering lactation support, and connecting you to community-based resources.

Program services include:

  • One initial visit, plus up to eight additional prenatal and/or postpartum visits.
  • Support during labor and delivery, including miscarriages and terminations.
  • Up to two extended three-hour postpartum visits after the end of a pregnancy.

All services can be provided in person, virtually or in combination of the two.

What now?

  • Visit UCnet for details about 2025 plan changes, including your employee contributions.
  • Talk to ALEX, UC’s personalized benefits counselor, to help you decide which plan is best for you. ALEX will show your 2025 health plan premium based on your specific circumstances.
  • Make your elections for 2025 and confirm that your contact and beneficiary information is up to date in UCPath (employees) or UCRAYS (retirees).
  • Explore UCnet to learn more about all your UC benefits.

Open Enrollment ends Friday, Nov. 22, at 5 p.m. Pacific Time.

2024 Articles