[UCRDBR] Blue Shield - HealthSavings+ 2026 Individual Out-of-Pocket Limit Update

[Departmental Benefits Representatives]

[A blue text on a black background  AI-generated content may be incorrect.]

August 18, 2026

To:
Department Benefits Representatives (DBRs)
From:
Central HR Benefits Office on behalf of UC Office of the President
Re:
Blue Shield - HealthSavings+ 2026 Individual Out-of-Pocket Limit Update



DBRs, please share this information via your internal listserv.  Please do not reply to this email.  Please send a separate email with questions to benefits at ucr.edu<mailto:benefits at ucr.edu>.



This information is for Blue Shield HealthSavings+ plan members only.
UCOP recently discovered a Blue Shield system configuration issue for HealthSavings+ family coverage and is collaborating with Blue Shield to fix it. This update ensures the 2026 federal individual out-of-pocket limit of $10,600 is applied correctly to each family member.
While the overall family out-of-pocket maximum remains unchanged, no individual family member will pay more than $10,600 for in-network medical services and prescription drugs. The individual-only plan limit remains $6,700. All Blue Shield HealthSavings+ members should review the essential information below:

  *   System Updates — UCOP, Blue Shield, and Navitus are actively updating system coding and reviewing affected 2026 claims.
  *   Member Refunds — Providers will automatically issue refunds for any over-collected amounts after claims are adjusted.
  *   Member Communications — Affected members will be contacted directly with details regarding their adjustments and refunds.
  *   Member Support — Members with questions should contact Accolade using the number on their member ID card at 1‑866‑406‑1182, Monday through Friday, 5:00 AM to 8:00 PM Pacific Time.
Additional Details on Member Refunds
Any adjustment will be based on eligible cost-sharing that counts toward the plan’s out-of-pocket maximum. If a member paid a provider more than the corrected member responsibility, the provider will generally issue the resulting refund automatically after receiving the adjusted claim. Refund timing is determined by the provider.
Provider refunds will occur after the system corrections are completed and the member’s accumulations have been updated, which means the timing may vary and cannot be estimated at this stage.
If a provider refund is not received automatically, Accolade can assist the member with contacting the provider. Accolade may also assist with earlier provider outreach if requested, although outreach does not guarantee an expedited refund.
Member Support Reminder
For member questions, please contact the Accolade Health Care Advocate team at 1‑866‑406‑1182, Monday through Friday, 5:00 AM to 8:00 PM Pacific Time. Also reach Accolade by visiting www.accolade.com<https://www.accolade.com/> and selecting the Visit Member Portal button.







-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://lists.ucr.edu/pipermail/ucrdbr/attachments/20260818/f49c399e/attachment.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 11254 bytes
Desc: image001.png
URL: <https://lists.ucr.edu/pipermail/ucrdbr/attachments/20260818/f49c399e/attachment.png>