Medical Benefits
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
Preferred Care Blue Network |
In-Network |
---|---|
Deductible |
$3,300/$6,600 |
Out-of-Pocket Max |
$3,300/$6,600 |
Member Coinsurance |
100% |
Primary Care Visit |
Deductible, then No Charge |
Specialist Visit |
Deductible, then No Charge |
Blue KC Virtual Care |
Applicable fee applied to Deductible |
Urgent Care |
Deductible, then No Charge |
Emergency Room |
Deductible, then No Charge |
Prescription Drugs |
|
---|---|
Retail |
Deductible, then No Charge |
Mail Order |
Deductible, then No Charge |
Per Pay Period Cost |
|
---|---|
Employee Only |
$98.41 |
Employee + Spouse |
$332.19 |
Employee + Child(ren) |
$252.77 |
Employee + Family |
$363.28 |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
Preferred Care Blue Network |
In-Network |
---|---|
Deductible |
$5,000/ $10,000 |
Out-of-Pocket Max |
$6,450/ $12,900 |
Member Coinsurance |
10% |
Primary Care Visit |
Deductible then 10% |
Specialist Visit |
Deductible then 10% |
Blue KC Virtual Care |
Applicable applied to Deductible |
Urgent Care |
Deductible then 10% |
Emergency Room |
Deductible then 10% |
Prescription Drugs |
|
---|---|
Retail |
Deductible then 10% |
Mail Order |
Deductible then 10% |
Per Pay Period Cost |
|
---|---|
Employee Only |
$69.34 |
Employee + Spouse |
$259.03 |
Employee + Child(ren) |
$196.57 |
Employee + Family |
$280.19 |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
Preferred Care Blue Network |
In-Network |
---|---|
Deductible |
$2,000/$4,000 |
Out-of-Pocket Max |
$3,500/$7,000 |
Member Coinsurance |
20% |
Primary Care Visit |
$35 Copay |
Specialist Visit |
$70 Copay |
Blue KC Virtual Care |
Applicable fee applied to Deductible |
Urgent Care |
$70 Copay |
Emergency Room |
$300 Copay |
Prescription Drugs |
|
---|---|
Retail |
Tier 1: $15/Tier 2: $35/Tier 3: $70 |
Mail Order |
Tier 1: $30/Tier 2: $70/Tier 3: $140 |
Per Pay Period Cost |
|
---|---|
Employee Only |
$110.58 |
Employee + Spouse |
$362.85 |
Employee + Child(ren) |
$276.26 |
Employee + Family |
$398.08 |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
Blue Select Plus Network |
In-Network |
---|---|
Deductible |
$3,300/$6,600 |
Out-of-Pocket Max |
$3,300/$6,600 |
Member Coinsurance |
100% |
Primary Care Visit |
Deductible, then No Charge |
Specialist Visit |
Deductible, then No Charge |
Blue KC Virtual Care |
Applicable fee applied to Deductible |
Urgent Care |
Deductible, then No Charge |
Emergency Room |
Deductible, then No Charge |
Prescription Drug |
|
---|---|
Retail |
Deductible, then No Charge |
Mail Order |
Deductible, then No Charge |
Per Pay Period Cost |
|
---|---|
Employee Only |
$77.92 |
Employee + Spouse |
$280.55 |
Employee + Child(ren) |
$213.22 |
Employee + Family |
$304.66 |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
Blue Select Plus Network |
Blue Select Plus In-Network |
Blue Select Plus with Spira Care In-Network |
---|---|---|
Deductible |
$5,000/ $10,000 |
$5,000/ $10,000 |
Out-of-Pocket Max |
$6,450/ $12,900 |
$6,450/ $12,900 |
Member Coinsurance |
10% |
10% |
Primary Care Visit |
Deductible then 10% |
Spira Care: $60 Copay |
Specialist Visit |
Deductible then 10% |
Deductible then 10% |
Blue KC Virtual Care |
Applicable fee applied to Deductible |
Applicable fee applied to Deductible |
Urgent Care |
Deductible then 10% |
Deductible then 10% |
Emergency Room |
Deductible then 10% |
Deductible then 10% |
Prescription Drugs |
Blue Select Plus |
Blue Select Plus with Spira Care |
---|---|---|
Retail |
Deductible then 10% |
Deductible then 10% |
Mail Order |
Deductible then 10% |
Deductible then 10% |
Per Pay Period Cost |
Blue Select Plus |
Blue Select Plus with Spira Care |
---|---|---|
Employee Only |
$51.71 |
$47.67 |
Employee + Spouse |
$214.59 |
$204.42 |
Employee + Child(ren) |
$162.54 |
$154.75 |
Employee + Family |
$229.75 |
$218.19 |
Group Number
44401000
Provided By
Blue Cross Blue Shield of Kansas City
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