UNIVERSITY of CALIFORNIA

Blue Cross PLUS

Evidence of Coverage (For both Medicare and non Medicare members)

UBH Evidence of Coverage (Behavioral Health benefits)

Blue Cross PPO

In California without Medicare Evidence of Coverage

Out of California without Medicare Evidence of Coverage

Retiree with Medicare Evidence of Coverage

UBH Evidence of Coverage (Behavioral Health benefits)

Core California

In California without Medicare Evidence of Coverage

Out of California without Medicare Evidence of Coverage

Retiree with Medicare Evidence of Coverage

Core New Mexico

In California without Medicare Evidence of Coverage

Out of California without Medicare Evidence of Coverage

Retiree with Medicare Evidence of Coverage

High Option

In California without Medicare Evidence of Coverage

Out of California without Medicare Evidence of Coverage

Retiree with Medicare Evidence of Coverage