About Us
The UCLA Health Care Facilitator (HCF) Program began in 2002. Our program is here to help faculty, staff, retirees, survivors and eligible family members with complicated issues that you have not been able to resolve on your own. For assistance, contact us.
Whom does the HCF Program Serve?
The HCF Program serves active and retired UCLA Health System and UCLA Campus faculty and staff and their eligible dependents and survivors.
The two-person UCLA HCF Program serves:
More than 54,000 active employees and their covered dependents
More than 18,000 retirees and their covered dependents
When should you call the HCF Program?
The health care facilitator program can assist you with:
Escalating billing problems which you have been unable to resolve yourself
Understanding your insurance plan Evidence of Coverage booklet
Medicare coordination of benefits
Intervening to resolve problems of coverage, access and administrative processes
Before you contact your HCF Program
Take time to understand your benefits - Log onto UCnet: https://ucnet.universityofcalifornia.edu/ and review your Evidence of Coverage (EOC) booklet. Check if there are any plan limitations or exclusions to your health plan.
Call your medical plan - Your plan can answer questions about your coverage, authorization requirements, provider networks and help you change your primary care physician (PCP).
Contact your medical provider’s office or the billing office if you receive a bill, call the provider to make sure they billed your insurance.
The lead article in the Council of UC Emeriti Associations April 2014 Newsletter is an excellent primer on the HCF Program, including its history and role, its relationship with Benefits offices and UCOP, as well as its funding and future. Check it out in Related Links below.
ADDITIONAL RESOURCES
Retirees Tools and Resources
- 2026 UCLA Retiree Open Enrollment Presentation
https://ucla.app.box.com/v/2026-OE-presentation
https://www.youtube.com/watch?v=97wjyYK7jq0
- 2026 UCLA Retiree Open Enrollment Slide Deck - https://ucla.app.box.com/v/2026-OE-presentation
- 2026 UC Retiree Premium Estimator - https://ucla.app.box.com/v/2026-premium-estimator
- 2026 UC Medical Plan Availability - https://ucla.app.box.com/v/uc-medical-plan-2026
- Plan Availability - https://ucla.app.box.com/v/uc-medical-plan-2026
- UCDavis Medical Availability Excel SS for 2024
What TO DO WHEN YOU’RE
Enrolling in Medicare - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/
If you’re like most people, when you turn 65 you will become eligible to enroll in Medicare, the federal program to provide older adults and those with disabilities or permanent kidney failure with secure access to medical care. To make sure you have the right coverage and to avoid Medicare premium penalties, it’s important to understand the rules and enroll properly.
Active UC employees who are covered by medical insurance through their UC employment are typically not required to enroll in Medicare. If you’re employed by UC and not planning to retire in the next year or so, this roadmap is probably not for you. For important considerations for employees and their dependents who turn 65 or otherwise become eligible for Medicare prior to retirement, please see Understanding Medicare.
Please note: You may receive offers to enroll in non-UC Medicare plans, even from insurance carriers like Kaiser that work with UC. These offers are for individual Medicare plans, which may not cover all the benefits offered by your UC group plan, so consider carefully before making any plan changes. You may only be enrolled in one Medicare plan at any one time. If you have any questions, please contact the Retirement Administration Service Center (RASC).
Understanding Medicare
For retirees: UC coverage and Medicare - UC retiree health benefits - https://ucnet.universityofcalifornia.edu/benefits/retirement/retiree-health-home-benefits/
Retirement Administration Service Center (RASC) - https://www.myucretirement.com/rasc/about-rasc
WHAT TO DO IF YOU'RE
Enrolling in Medicare - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/
Understanding Medicare. - https://ucnet.universityofcalifornia.edu/retirees/retiree-benefits/retiree-health/medical-plans-for-retirees/for-retirees-uc-coverage-and-medicare/
UC retiree health benefits - https://ucnet.universityofcalifornia.edu/benefits/retirement/retiree-health-home-benefits/
The components of Medicare – https://ucnet.universityofcalifornia.edu/retirees/retiree-benefits/retiree-health/medical-plans-for-retirees/for-retirees-uc-coverage-and-medicare/#components
How Medicare Advantage and Medicare Supplement plans work with Medicare - https://ucnet.universityofcalifornia.edu/retirees/retiree-benefits/retiree-health/medical-plans-for-retirees/for-retirees-uc-coverage-and-medicare/#types
Retirees with family members who aren’t eligible for Medicare - https://ucnet.universityofcalifornia.edu/retirees/retiree-benefits/retiree-health/medical-plans-for-retirees/for-retirees-uc-coverage-and-medicare/#family
Your premium costs for Medicare and your UC plan - https://ucnet.universityofcalifornia.edu/retirees/retiree-benefits/retiree-health/medical-plans.pdffor-retirees/for-retirees-uc-coverage-and-medicare/#cost –
Medicare Fact Sheet – https://ucnet.universityofcalifornia.edu/wp-content/uploads/forms/pdf/medicare-factsheet.pdf
Medicare costs – - https://www.medicare.gov/basics/costs
Medicare.gov - https://www.medicare.gov/
Social Security – https://www.ssa.gov
https://www.medicare.gov/basics/costs
premium for UC medical coverage
Retiree Health Plan Premium Estimator - https://uc.jellyvisioncustom.com/retiree-graduated-eligibility-premium
Graduated eligibility - https://ucnet.universityofcalifornia.edu/benefits/retirement/retiree-health-home-benefits/#contributions
Retiree medical plan premium costs - https://ucnet.universityofcalifornia.edu/retirees/retiree-benefits/retiree-health/medical-plans-for-retirees/retiree-medical-plan-costs/
Retiree Health Plan Premium Estimator
Retirement Administration Service Center (RASC) - https://www.myucretirement.com/rasc/about-rasc
Learn the basics. - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/#step-1
Figure out when you need to enroll. – https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/#step-2
Decide which UC Medicare plan is right for you. - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/#step-3
When it’s time, enroll in Medicare. - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/#step-4
Request for Employment CMS L564 form - https://www.cms.gov/medicare/cms-forms/cms-forms/cms-forms-items/cms009718
Lifelong penalties by Medicare - https://www.medicare.gov/basics/costs/medicare-costs/avoid-penalties
My Social Security – https://www.ssa.gov/
Assign your Medicare benefits to your UC-sponsored retiree medical plan. - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/#step-5
Whether you’re enrolled in a UC-sponsored retiree medical plan with a Medicare version or partner plan or enrolling in a Medicare plan during a Period of Initial Eligibility (PIE), you’ll need to fill out the appropriate form to assign your Medicare benefits to your Medicare plan. As a retiree this occurs when you turn 65; as a UC employee who is 65 or older, this occurs when you retire.
Non-Medicare Plans Retiree Medicare Plans Required Forms
UC Care UC Medicare PPO with Prescription Drugs
Navitus (PDP) Enrollment Form for UC Medicare PPO or UC High Option Supplement to Medicare (UBEN 123) PDF (R11/25)
UC Blue & Gold HMO UC Medicare Choice Enrollment Form for UC Medicare Choice (UBEN 121) (R11/25) PDF
Kaiser Permanente CA Kaiser Permanente Senior Advantage Medicare Advantage Enrollment/Election Form for Kaiser (UBEN 127) PDF – (R10/25)
UC Health Savings
31-day PIE to enroll in a new plan and assign your Medicare benefits
Retiree Continuation, Enrollment, or Change – Medical, Dental, &/or Legal Plan (UBEN 100) PDF
Remember, if you are enrolled in UC Health Savings Plan, you have a 31-day PIE to enroll in a new plan and complete the required UC form (see above) to assign your Medicare benefits when you turn 65.
In most cases, once you complete the required form and Medicare approves your enrollment, you will transfer to your medical plan’s Medicare plan. There may be differences between your current non-Medicare plan and your new Medicare plan: your doctor, specialists, behavioral health provider, prescription drug formulary and how you pay for these drugs may change.
Understand your UC and Medicare premium costs. - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/roadmaps/enrolling-in-medicare/#step-4
When you’re enrolled in a UC Medicare plan, you’ll be responsible for premiums from UC and from Medicare.
The retiree medical plan costs on UCnet apply to retirees eligible for 100 percent of the UC/employer contribution toward the premium for each plan. If you are subject to graduated eligibility and, therefore, not eligible for the maximum UC/employer contribution, your costs may be higher than those listed. The UC Davis Health Care Facilitator page includes a premium estimator to help you understand what your share of your retiree medical premium might be. Please sign in to your UCRAYS account to see your actual costs.
Decide which UC Medicare plan is right for you.
Health Care Facilitator - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/personalized-support/health-care-facilitators/
Understanding your Health Care Facilitator’s services
How your health care facilitator (HCF) can (and can’t) help - https://ucnet.universityofcalifornia.edu/benefits/understanding-your-benefits/personalized-support/health-care-facilitators/#understanding
Medical Plan Carrier Phone Numbers and Links - https://ucnet.universityofcalifornia.edu/resources/benefits-resources/plan-contacts/
Benefits Plan Contacts
Medical - https://ucnet.universityofcalifornia.edu/resources/benefits-resources/plan-contacts/#medical
Other health, welfare, home and family - https://ucnet.universityofcalifornia.edu/resources/benefits-resources/plan-contacts/#other-benefits
Retirement - https://ucnet.universityofcalifornia.edu/resources/benefits-resources/plan-contacts/#retirement
UCLA Health Care Facilitators
| Serving employees and retirees with last names A - K in ALL departments | Erika Castillo |
| ||
| Serving employees and retirees with last names L - Z in ALL departments | Debra Wells | HCFHelp@chr.UCLA.edu |
