Visit mybluekc.com to see in-network providers for our medical plans.

	In-Network Only
Member Coinsurance	0%
Deductible (Individual/Family)	$7,000/$14,000
Out-of-Pocket Max (Individual/Family)	$7,000/$14,000
Doctors Office Visits
Preventive Care	Covered at 100%
Primary Care	Spira Center $0 BSP: Deductible
Specialist Visit	Deductible
Hospital Care: Inpatient & Outpatient	Deductible
Urgent Care	Deductible
Ambulance	Deductible
Emergency Room	Deductible

Downloads

Visit mybluekc.com to see in-network providers for our medical plans.

	In-Network Only
Member Coinsurance	0%
Deductible (Individual/Family)	$3,500/$7,000
Out-of-Pocket Max (Individual/Family)	$3,500/$7,000
Doctors Office Visit
Preventive	Covered at 100%
Primary Care	Spira Center $0 BSP: Deductible
Specialist Visit	Deductible
Hospital Care: Inpatient & Outpatient	Deductible
Urgent Care	Deductible
Ambulance	Deductible
Emergency Room	Deductible

Downloads

Visit mybluekc.com to see in-network providers for our medical plans.

	In-Network	Out-of-Network
Member Coinsurance	0%	30%
Deductible (Individual/Family)	$4,000 / $8,000	$4,000 / $8,000
Out-of-Pocket Max (Individual/Family)	$4,000 / $8,000	$20,000 / $40,000
Doctors Office Visit
Preventive Care	Covered at 100%	Deductible + 30%
Primary Care	$40 Copay	Deductible + 30%
Specialist	$40 Copay	Deductible + 30%
Hospital Care: Inpatient & Outpatient	Deductible	Deductible + 30%
Urgent Care	$40 Copay	Deductible + 30%
Ambulance	Deductible	Deductible
Emergency Room	$100 Copay	$100 Copay

Downloads

Visit mybluekc.com to see in-network providers for our medical plans.

	In-Network	Out-of-Network
Member Coinsurance	20%	40%
Deductible (Individual/Family)	$2,000 / $6,000	$2,000 / $6,000
Out-of-Pocket Max (Individual/Family)	$2,000 / $6,000	$10,000 / $20,000
Doctors Office Visit
Preventive Care	Covered at 100%	Deductible + 40%
Primary Care	$40 Copay	Deductible + 40%
Specialist	$40 Copay	Deductible + 40%
Hospital Care: Inpatient & Outpatient	Deductible + 20%	Deductible + 40%
Urgent Care	$40 Copay	Deductible + 40%
Ambulance	Deductible + 20%	Deductible + 20%
Emergency Room	$100 Copay, Deductible + 20%	$100 Copay, Deductible + 20%

Downloads

Medical Benefits