Universal Health Plan Rates

Health Plan Highlights

  • Low deductible
  • Maximum out-of-pocket expense $2,000 per person/$4,000 for a family
  • No charge for preventive care services
  • $10 copay for primary care visits
  • Receive a full body scan every three years
  • No referrals needed for specialists and only a $35 copay
  • Special programs for members with chronic health conditions
  • Non-emergency coverage when you are traveling within the United States
  • Access to doctors 24/7 from the comfort of your own home through LiveHealth Online for only a $10 copay
  • Exclusive customer service line dedicated to PORAC members
  • Out-of-State Plans and a Supplement to Medicare Plan that covers your Medicare cost shares

Prescription Drugs

Retail

Generic $10.00
Brand Formulary $25.00
Brand Non-Formulary $45.00

Mail Order

Generic $20.00
Brand Formulary $45.00
Brand Non-Formulary $75.00

Universal Health Plan Application

Required documents for Universal Health Plan Application:

  • California Driver’s License/Government Issued Photo ID
  • If Married: Marriage Certificate
  • If Domestic Partnership: Domestic Partnership Certificate
  • If Children: Birth Certificate
  • If Overaged Dependent: Doctor’s certification note

If emailing your Universal Health Plan Application
to the IBT it MUST be sent as a PDF.

2027 Universal Health Plan Rates

2027 Universal Health Plan

  EmployeeOnly Employee+1 Dependent Employee2+ Dependents
Universal Health Plan $980.00 $1,975.00 $2,570.00
Out of State $1,300.00 $2,600.00 $3,200.00
Non-Medicare Retiree $1,900.00 $3,800.00 $4,395.00
Medicare Retiree $640.00 $1,410.00

Maximum Out-of-Pocket Expense is $2,000 per person / $4,000 per a family.

Body Scans are subject to one scan every 36 months for the primary subscriber.

Universal Health Plan rates older than five years are available upon written request from the IBT Executive Director.

HIPAA Privacy Practices