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. 

• 2024 Retiree Premium Estimator [Excel]
• 2024 Retiree Medical Plan Availability Tool
• Which medical plan is right for you?
• Which Medicare plan is right for you?

*Please note: you must have Excel on your device to access these tools.

 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 CMS-L564 form 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:
  • Medical Plans for Active Employees & Non-Medicare Retirees
  • Medical Plans for Medicare Retirees 

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.

Retiree and Potential Retiree Open Enrollment Highlights Presentation

The Health Care Facilitator team will be conducting Open Enrollment highlight presentations, covering plan changes, 2025 premium costs, and an overview of Medicare basics for those nearing Medicare eligibility. This presentation is designed for retirees, potential retirees, and their family members. Registration is not required to attend. See schedule below. 

Download the Open Enrollment Highlights Presentation (PDF)

Health Care Facilitator Open Enrollment Office Hours

The HCF team will be offering Open Enrollment office hours for active and retired faculty and staff, providing assistance with your UC health and welfare benefits. This is not a presentation—it's an opportunity to ask questions about your benefits via Zoom. No registration is required; simply click the Zoom link below at any time during the session you'd like to attend.

Retirement Administration Service Center (RASC) Open Enrollment Office Hours

We are excited to announce that the RASC Insurance Team will be hosting virtual Open Enrollment Office Hours to assist retirees during the Open Enrollment process. This is a great opportunity for retirees to get answers to any questions they may have about completing their enrollment.

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.

Presentation: Heath 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.

Presentations are paused for October and November due to Open Enrollment and will resume in December. In the meantime, a recording of the presentation is available for viewing.

Please see the details below.

Download presentation slides (PDF)

Watch the video recording:

Recorded 2023 Health Insurance After You Retire Presentation

• View as a PDF
• Watch the video recording:

More Information