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Find Doctors that Accept Medicare

Medicare is your primary insurance. Your UC coverage is secondary. For the highest level of coverage, always see providers that accept Medicare.

Medicare-Covered Services

Go to medicare.gov to find providers near you that accept Medicare.

Learn How Different Providers Work With Medicare

There may be times when you use what Medicare calls a “non-participating provider.” Because these providers are not bound by Medicare, they can charge you up to 115% of the Medicare-approved amount (called a limiting charge) for their services. The limiting charge, however, applies only to certain services. It does not apply to supplies or equipment. If a non-participating provider bills you for services (called balance billing), the plan will determine what it pays based on the higher of the Medicare-approved amount or the limiting charge.

For the lowest costs, use Medicare participating providers whenever possible. To find a provider participating in Medicare, go to medicare.gov. If you choose a provider who has opted out of Medicare, you will pay the full cost of the services you receive.

Medicare Participating Provider — Accepts Medicare

Service	Medicare PPO Plan	High Option Supplement to Medicare
Medicare Covered Service	First Medicare pays its share. Then the plan covers 80% of the expenses not covered by Medicare.	First Medicare pays its share. Then the plan covers 100% of the expenses not covered by Medicare.
Medicare Covered Behavioral Health	First Medicare pays its share. Then the plan covers 80% of the expenses not covered by Medicare.	First Medicare pays its share. Then the plan covers 100% of the expenses not covered by Medicare.
Medicare covered services after Medicare maximums are reached (See Benefits Beyond Medicare.)	80% coverage (after deductible)	80% coverage (after deductible)

Medicare Non-Participating Provider — Not Contracted With Medicare but Will Accept Medicare Payment

Service	Medicare PPO Plan	High Supplement to Medicare
Medicare Covered Service	First Medicare pays its share. Then the plan covers 80% of the expenses not covered by Medicare.	First Medicare pays its share. Then the plan covers 100% of the expenses not covered by Medicare.
Medicare Covered Behavioral Health	First Medicare pays its share. Then the plan covers 80% of the expenses not covered by Medicare.	First Medicare pays its share. Then the plan covers 100% of the expenses not covered by Medicare.
Medicare covered services after Medicare maximums are reached (See Benefits Beyond Medicare.)	80% coverage (after deductible)	80% coverage (after deductible)

Opt-Out Providers

For information about coverage from providers who opt-out of Medicare and services that are not covered by Medicare, see Benefits Beyond Medicare.

Services Not Covered by Medicare

For information about services that are not covered by Medicare, see Benefits Beyond Medicare.

Your UC Benefits Go Beyond Medicare

The UC Medicare Supplement plans also include Benefits Beyond Medicare that covers certain services that Medicare does not cover at all, and pays for services after Medicare limits are reached (e.g., inpatient hospital). For these services, choose UC Health or Anthem network providers to minimize out-of-pocket costs.

Benefits Beyond Medicare Services

University of California (UC) Health Providers

Anthem Blue Cross Providers

Other Care Options

Telehealth & Video Visit

Retail Clinics

Urgent Care

Anthem 24/7 NurseLine

Services Outside CA or the US

Your PPO coverage offers additional treatment options that cover you at home and around the world.