About the Plans

UC’s group supplemental health plans—Accident, Critical Illness, and Hospital Indemnity—work alongside UC’s medical and disability coverage to supplement your UC benefit. The plans are custom-designed specifically for UC and administered by Prudential, which processes and pays claims. Coverage is available for you and your eligible dependents.

UC is partnering with Prudential to offer group coverage designed specifically for UC employees at prices lower than those offered to the general public. You pay the full cost of premiums through convenient after-tax payroll deductions. Total costs vary depending on who you cover. Because premiums are paid with after-tax dollars, you don’t pay taxes on benefit payments you receive from the plan.

If you want to add financial protection for an unexpected medical emergency, then you might want to consider the added value that one or more of the supplemental health plans can provide. If you need help understanding how your UC medical plan options work, review the medical plan information on UCnet.

Cash to Use However You Choose

If you receive services for a covered accident, illness or hospital stay, you will get a cash benefit from Prudential paid directly to you—over and above what any other insurance plan pays. You decide how to use the funds.

Medical expenses not covered by your health insurance

Home

Help covering your rent or mortgage

Baby, Elder, Pet

Home health care, child and elder care, pet care

Housekeeping

Housekeeping

Meals

Meal preparation and/or delivery

transportation

Transportation



Accident

Your Subtitle Goes Here
3
You’re painting the kitchen and slip off the ladder. Your child gets hurt playing soccer. You get rear-ended on your way home from work. Accidents and injuries happen when you least expect them, and most people don’t budget for these unexpected events.

Accident insurance adds an extra layer of financial support to supplement your UC medical and disability benefit plans. If you receive services for a covered accident, such as an ER or urgent care visit, surgery, X-rays or physical therapy, you will get a cash benefit from Prudential paid directly to you—over and above what any other insurance plan pays. You decide how to use the funds.

Benefits for testing, treatment and hospitalization are available through the Critical Illness and Hospital Indemnity plans.

What’s Covered

The following are common services that will trigger a benefit payment, when received as the result of a covered accident. The benefit you receive is based on the specific medical care received.

Benefits Include
Emergency room and urgent care visit with X-ray
Ground ambulance
Physical therapy
Accident visit with physician
Accident physician follow-up visit
Leg brace, crutches, etc.
Inpatient surgery
Treatment for fractures
Treatment for dislocations
Treatment for burns
Hospital admission and confinement
Benefit Amount
$350 per accident
$400 per trip
$50 per visit
$100 per visit
$75 per visit
$50-$100 per appliance
$1,500
Up to $9,500
Up to $8,000
$100 to $20,000
$1,200 per confinement + $200 per day*

*$200 per day confinement benefit begins on day two after admission.

This listing does not reflect each and every benefit, exclusion or limitation which may apply. For complete information, refer to the Accident Certificate of Insurance [PDF].

Cost of Coverage

Coverage For
You only
You and your spouse
You and dependent children
Your family
Monthly Accident Insurance Premium
$9.67
$15.86
$19.85
$26.04


Critical Illness

Your Subtitle Goes Here
3
If you or someone you know has been diagnosed with a critical illness, you’ve seen the toll it takes on the individual and their family—physically, emotionally and financially. The UC Plus Critical Illness plan provides a cash benefit for covered critical illnesses, such as a heart attack or stroke, providing financial support you can count on when you need it most.

Critical Illness insurance adds an extra layer of financial support to supplement your UC medical and disability benefit plans. If you experience a covered critical illness, you will get a cash benefit from Prudential paid directly to you—over and above what any other insurance plan pays. You decide how to use the funds.

The Critical Illness plan provides coverage for a limited number of pre-determined illnesses, including cancer, heart attack, stroke, and severe burns. A complete list of qualifying illnesses is available for review in the Critical Illness plan Certificate of Insurance [PDF].

What’s Covered

The following are examples of covered critical illnesses.

Benefits Include
• Invasive cancer
• Heart attack
• Stroke
• Kidney failure
• Severe burn
• Benign brain tumor
• Major organ failure (includes bone marrow/stem cell transplant)
• Severe Coronary Artery Disease
• Non-invasive cancer
• Advanced Alzheimer’s or Parkinson’s disease
Coronavirus-related hospitalization of five or more days
Mammography screening
Annual preventive health screening exam
Benefit Amount
100% of coverage amount
50% of coverage amount
25% of coverage amount
$200 per calendar year
$100 per calendar year

This listing does not reflect each and every benefit, exclusion or limitation which may apply. For complete information, refer to the Critical Illness Certificate of Insurance [PDF].

Cost of Coverage

Rates are based on level of coverage and age. Coverage for eligible dependent children is free when you cover yourself. Just add your dependent children after you enroll yourself.

The monthly premiums shown below are for each covered adult. Spouses must be enrolled separately. You and your spouse must enroll in the same coverage option (either both in the $10,000 option or both in the $30,000 option). Because rates are based on age, you and your spouse (if enrolled) may have different monthly premiums.

Monthly Premium by Age

Age
18–25
26–30
31–35
36–40
41–45
46–50
51–55
56–60
61–65
66+
$10,000 Coverage Option
$4.87
$5.84
$6.51
$8.01
$9.66
$10.19
$16.86
$15.91
$26.17
$54.36
$30,000 Coverage Option
$9.46
$12.35
$14.37
$18.86
$23.81
$25.41
$45.43
$42.57
$73.34
$157.93


Hospital Indemnity

Your Subtitle Goes Here
3
Even a minor trip to the hospital can result in unexpected expenses. When you have a hospital stay, the UC Plus Hospital Indemnity plan pays a predetermined dollar amount directly to you when you’re admitted to the hospital for a covered accident or sickness, including maternity care and COVID-19. It continues to pay a cash benefit for every day you’re in the hospital, up to 31 days.

Hospital Indemnity insurance adds an extra layer of financial support to supplement your UC medical and disability benefit plans. If you are admitted to the hospital or have an inpatient hospital stay, you will get a cash benefit from Prudential paid directly to you—over and above what any other insurance plan pays. You decide how to use the funds.

What’s Covered

This plan provides coverage for hospital admissions and daily confinement benefits. No coverage is available for medical treatment or services provided at a hospital.

Coverage For
You only
You and your spouse
You and dependent children
Your family
Monthly Hospital Indemnity Premium
$16.19
$32.52
$26.17
$42.49

This plan does not cover visits to the emergency room when you are not admitted to the hospital.

This listing does not reflect each and every benefit, exclusion or limitation which may apply. For complete information, refer to the Hospital Indemnity Certificate of Insurance [PDF].

*$200 per day confinement benefit begins on day two after admission.

Cost of Coverage

Benefits Include
Hospital admission
Intensive care unit (ICU) admission
Hospital confinement
Hospital intensive care
Benefit Amount
$1,200
$1,200
+ $200 per day*
+ $400 per day*

How You Pay for Coverage

You pay the full cost of premiums through convenient after-tax payroll deductions. Total costs vary depending on who you cover. Because premiums are paid with after-tax dollars, you don’t pay taxes on benefit payments you receive from the plan.

Coverage described on this website is subject to plan limitations, exclusions, definitions, and provisions. For detailed information, please see the plan certificates of insurance, as this information is intended to provide a general summary of the coverage.

There’s more to choosing a medical plan than just the costs. Before choosing coverage, review the medical plan information on UCnet to understand how the plans work.

The University of California intends to continue the benefits described here indefinitely; however, the benefits of all employees, retirees, and plan beneficiaries are subject to change or termination at the time of contract renewal or at any other time by the University or other governing authorities. If you belong to an exclusively represented bargaining unit, some of your benefits may differ from those described here. If there is any conflict between the information provided on this website and the governing plan booklets or agreements, then the governing plan documents will control.

Cookie Settings