UT CARE Medicare Plan

UT CARE Medicare PPO (UT CARE) covers Medicare-eligible retirees and retiree dependents.

For additional information, including Frequently Asked Questions (FAQs), please visit the Blue Cross Blue Shield UT CARE Medicare PPO website.

Information in Other Languages | Información en Español | Thông tin bằng tiếng Việt

If you need personalized help, call 1-877-842-7562 TTY 711. Help is available 24 hours per day, 7 days per week.

Enrollees in the UT CARE Medicare Advantage plan will not receive a 1095 form from Blue Cross or UT. Medicare will send you a Form 1095. If you need a replacement form, please contact Medicare at 1-800-MEDICARE (1-800-633-4227).

For more information, visit the Medicare website.

See below for monthly premium rates. 

How to Log In to My UT Benefits for Retirees (.pdf)

UT CARE Medicare PPO Plan Overview

UT CARE Medicare PPO Monthly Premium Rates

RETIREES*
2023 PLAN YEAR Total 
Monthly Premium
State/Institution 
Contribution
Member 
Out-of-Pocket Cost
Retiree Only $725.80 $725.80 $0
Retiree and Spouse $1,396.94 $1,106.24 $290.70
Retiree and Child(ren) $1,273.26 $969.22 $304.04
Retiree and Family $1,924.40 $1,351.94 $572.46
2024 PLAN YEAR Total 
Monthly Premium
State/Institution 
Contribution
Member 
Out-of-Pocket Cost
Retiree Only $725.80 $725.80 $0
Retiree and Spouse $1,418.74 $1,106.24 $312.50
Retiree and Child(ren) $1,296.06 $969.22 $326.84
Retiree and Family $1,967.34 $1,351.94 $615.40

*Retiree Basic Coverage includes medical and prescription (at the applicable monthly premium rates) plus $10,000 Basic Life at no additional out-of-pocket cost. Retiree must be enrolled in a UT System medical plan to be covered by Basic Life coverage.
 

SURVIVING SPOUSES AND DEPENDENTS**
2023 PLAN YEAR Member Out-of-Pocket Cost
Surviving Spouse Only $316.87
Surviving Child(ren) Only $316.87
Surviving Spouse and Child(ren) $633.74
2024 PLAN YEAR Member Out-of-Pocket Cost
Surviving Spouse Only $343.26
Surviving Child(ren) Only $343.26
Surviving Spouse and Child(ren) $686.53

**For surviving dependent families who also have a family member enrolled in UT SELECT, the monthly premium may be different than what is listed above. If you are in this situation, please contact UT Benefits Billing to confirm the applicable monthly premium rate.


Info in Other Languages | Información en Español | Thông tin bằng tiếng Việt

UT CARE Medicare Plan in Other Languages (.pdf)

Blue Cross Blue Shield of Texas provides free language services to people whose primary language is not English, such as:

  • Qualified interpreters
  • Information written in other languages

We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at​ 1-877-842-7562 (TTY/TDD: 1-877-842-7562). Someone who speaks English/Language can help you. This is a free service.

¿Necesita información en Español?

Tenemos servicios de intérprete sin costo alguno para responder cualquier pregunta que pueda tener sobre nuestro plan de salud o medicamentos. Para hablar con un intérprete, por favor llame al 1-877-842-7562 (TTY/TDD: 1-877-842-7562). Alguien que hable español le podrá​ ayudar. Este es un servicio gratuito.