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) 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 Online Retiree Health Plan Premium Estimator
- 2025 Retiree Medical Plan Availability Tool (Excel)
- Which medical plan is right for you?
- Which Medicare plan is right for you?
2024
*Please note: you must have Excel on your device to access these tools.
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
June Sessions: 12th and 26th
Time: 9:00 a.m. - 10:00 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
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: Wednesday, June 18, 2025
Time: 10:00 a.m. - 11:30 a.m.
Meeting URL: https://ucsd.zoom.us/j/92651140824
Meeting ID: 926 5114 0824
Call-in: (669) 219-2599
2025 Download presentation slides (PDF)
2024 Download presentation slides (PDF)
Watch the video recording (2024 version):
Presentation: Medicare and Your UC-Sponsored Medical Plan
Many employees or their family members need help understanding their coverage options available to them when they approach Medicare eligibility. If you are planning to retire or if you decide to continue to work, you may find this informational session helpful. This workshop will cover the basics of Medicare, including when to enroll and how it works together with your UC-sponsored medical plans.
Time: 1:30 p.m. - 3:00 p.m.
Dates:
- Thursday, May 8, 2025
- Thursday, June 12, 2025
- Thursday, September 25, 2025
Register: UC Learning Center
Download a copy of the presentation: Medicare and Your UC-Sponsored Medical Plan
Watch the recording:
2024 Open Enrollment
Open Enrollment is a window during which employees and retirees may change their coverage or add eligible dependents onto their health insurance. This year's open enrollment opens on Thursday, October 31, 2024 at 8 a.m. (PST) and ends on Friday, November 22, 2024 at 5 p.m. (PST). All changes are effective January 1, 2025.
The UC San Diego (UCSD) Human Resources, Campus Benefits Office invites you to our annual open enrollment virtual fair on November 15th & 18th. The fair is for all UCSD active and retired faculty, staff and their family members. Representatives will be available to answer all of your questions and provide coverage options to guide you with making changes to your medical and dental plans for 2025. You may also add eligible family members to your health plans during this time.
For more information on other plan benefits that may be offered, we encourage you to visit our Open Enrollment blink webpage.
| Open Enrollment Resources | Description |
|---|---|
| UCnet Open Enrollment (website) | Systemwide Open Enrollment (OE) website – Everything you need to know about OE, including information on plan changes for 2025, benefit choices, plan comparisons, and costs. |
| Retiree Open Enrollment Brochure | PDF version of the Open Enrollment brochure for eligible Retiree benefits. |
| Retiree Open Enrollment Notice Booklet | This booklet contains valuable information on how to get assistance, verify your family members' eligibility, things to consider, and important notices about this year's Open Enrollment. |
|
Which medical plan is right for you? (Booklet) Which Medicare plan is right for you? (Booklet) |
Use these booklets as a resource to compare the different UC medical & Medicare plans. It provides an overview of each plan's features, benefits, and coverage options, helping you make an informed decision about which plan best meets your healthcare needs. |
|
2025 Retiree Premium Estimator (Webpage) |
If you aren't eligible for the full UC/employer contribution due to graduated eligibility, your costs may be higher than those listed on UCnet. Use the 2025 premium estimator to see your share of the 2025 retiree medical premium. For your exact costs, please sign in to your UCRAYS account. |
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For retirees living outside of California, this booklet provides important information on enrollment dates for making changes through Via Benefits and UC, as well as details about available benefits. |
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To ensure you make the most of UC's Open Enrollment period, here’s a checklist to help guide you through the process. |
Retiree and Potential Retiree Open Enrollment Highlights Presentation
Download the Open Enrollment Highlights Presentation (PDF)
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