UC San Diego Health Care Facilitator Program
Learn about how this program can help you work with your health plans.
About the Health Care Facilitator Program
The Health Care Facilitator Program is a free and confidential service available to faculty, staff, retirees, survivors and eligible family members. They can help you solve complex problems with your medical, dental or vision plan. Health care facilitators are best used to handle complex problems that you can’t solve on your own.
Areas of Assistance
Health Care Facilitator Program staff are trained to handle issues such as:
- Helping with billing problems for services which are covered by the health plan.
- Providing a detailed comparison of your benefit options when you have a complex medical condition.
- Intervening on your behalf with health plan representatives.
- Explaining how Medicare benefits coordinate with UC-sponsored medical plans.
- Completing the Request for Employment Information Form (CMS-L564 (PDF)) to enroll for Medicare Part B.
Before you get in touch with your facilitator, try these other avenues first:
- Call the number on your ID card when you have questions about coverage, authorization requirements and provider networks.
- If you receive a bill, contact their office directly to verify they have your correct insurance information. Benefits plan contacts
- Review the Evidence of Coverage (EOC) booklet for detailed information of what’s covered and not covered. For more information, click here:
2025
- 2025/2026 Online Retiree Health Plan Premium Estimator
- Which medical plan is right for you? (PDF)
- Which Medicare plan is right for you? (PDF)
2026
Benefits Hub
After Open Enrollment: What Happens Next?
Open Enrollment has ended. Here’s what retirees can expect in the coming weeks:
1. New Medical ID Cards
New medical ID cards will be mailed the week of December 22 to members who changed medical plans or are newly enrolled.
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Keep an eye on your mail and replace any old ID cards with your new ones once they arrive.
2. Dependent Verification (If You Added Dependents)
If you added dependents during Open Enrollment, UnifyHR will mail you a verification packet, which you can expect to receive sometime in February or March.
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Follow the instructions in the packet and submit all requested documentation by the stated deadline.
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Important: Failure to complete the verification process on time will result in your dependents losing their UC coverage.
Watch the HCF Open Enrollment Highlights Presentation for 2026
Download OE Highlights Presentation (PDF)
Health Care Facilitator Open Enrollment Calendar
Health Care Facilitator Help Desk
The Health Care Facilitator Program Help Desk is for active and retired faculty and staff to provide help and support with your UC health and welfare benefits. This is not a presentation – it’s your opportunity to ask questions about your benefits via Zoom. Registration is not required; click the Zoom link below at the start time of the session you'd like to attend.
Occurrence: Every 2nd and 4th Thursday of the month
December Sessions: 11th
Time: 9 - 10 a.m.
Meeting URL: https://ucsd.zoom.us/j/95776112290
Meeting ID: 957 7611 2290
Call-in if you don't have a Zoom account
Phone: (669) 900-6833
Meeting ID: 957 7611 2290
Virtual Presentation: Health Insurance After You Retire
This presentation will explain UC’s retiree health and welfare benefits; which benefits can continue into retirement; eligibility for retiree health benefits; the cost of retiree health benefits and what UC requires of you when you become eligible for Medicare. The Health Care Facilitator will also provide resources for those who do not qualify for UC’s retiree health and welfare benefits.
Occurrence: Every 3rd Wednesday of the month
Next presentation:The Health Care Facilitator (HCF) monthly presentations will resume on Wednesday, January 21, 2026.
Time: 10 - 11:30 a.m.
Meeting URL: https://ucsd.zoom.us/j/98609117178
Meeting ID: 986 0911 7178
Call-in: (669) 219-2599
2025 Download Health Insurance After You Retire presentation slides (PDF)
Watch the video recording Health After You Retire presentation (2024 version):
Medicare and Your UC-Sponsored Medical Plan
Approaching Medicare eligibility can raise questions about coverage options. Whether you’re planning to retire or continue working, this session will help you understand the basics of Medicare—when to enroll, how it works with your UC-sponsored medical plans, and what to consider as you transition toward Medicare coverage.
More Information
Eligible Participants
- Faculty and family members
- Staff and family members
- Surviving spouses
- Beneficiaries
- Retirees
Cost
No charge for eligible participants.
Location
Campus Human Resource
Torrey Pines Center South
10280 N. Torrey Pines Road
Suite 230
La Jolla, CA 92037