Using Spira Care

Blue KC is proud to offer health plans with exclusive access to Spira Care Centers located across the Kansas City metro area.

Using Spira Care

Blue KC is proud to offer health plans with exclusive access to Spira Care Centers located across the Kansas City metro area.

Using Spira Care

Your employer may offer health plans with exclusive access to Spira Care Centers located across the Kansas City Metro Area.

Using Spira Care

Blue KC is proud to offer several ACA Individual and Family health plans with exclusive access to Spira Care Centers located across the Kansas City Metro Area.

Tip: The easiest way to know if your plan includes access to Spira Care is by looking at your Blue KC member ID card. You can also log into your Blue KC member account and Spira Care will be included in the menu of options.

Helpful links about using Spira Care

Want to dive a little deeper? We’ve rounded up these educational resources to help you learn the ins and outs of your coverage and put your benefits to work.

Healthcare for the whole you

For eligible members, Spira Care delivers advanced primary care services that are as unique as you. Whether you’re bringing your newborn for their first checkup or you’re an adult managing a chronic condition, Spira Care’s approach treats the whole person at no or low additional cost.1

Spira Care Centers are designed around what matters most—you!

The doctor-led Care Teams make healthcare more personal, customizing your Care Team to your needs and health goals. Your unique Care Team may include: 

  • A physician 
  • An advanced practice provider like a nurse practitioner or physician assistant 
  • Nurses and medical assistants 
  • A diabetes care specialist 
  • A behavioral health consultant 
  • An ambulatory care pharmacist 
  • Care Guides

Here for all your primary care needs

Spira Care serves as your primary care practice  and first point of contact for health questions, coordinating care with in-network specialists and helping you decide where to go for the care you need when you need it. This may include: 

  • Sick care
  • Treatment of minor injuries2
  • Preventive care, health screenings, and chronic condition management
  • Immunizations 
  • Behavioral health support
  • Diabetes care management
  • Comprehensive medication management
  • Digital x-rays and lab draws3
  • And more!

Meet your Care Guide

Ever wish you had someone to help you navigate the healthcare maze? That’s exactly what your Care Guide is here for. With a background in nursing and benefits, the team of Care Guides are here to serve as a hands-on point of contact, coordinating your care and being your advocate. Ask your provider about meeting with a Care Guide during your appointment.

Understanding Spira Care

Whether you’re already enrolled in a plan that includes access to Spira Care or you’re exploring plan options, let’s cover a few frequently asked questions:

Spira Care

Eligible members enrolled in a Blue KC health plan without a Health Savings Account with exclusive access to Spira Care Centers will have no additional cost* for any appointment or service provided at Spira Care Centers.

Eligible members enrolled in a Blue KC health plan with a Health Savings Account or HSA eligible with exclusive access to Spira Care Centers will incur a $60 charge* for appointments or services at Spira Care Centers. Once you meet your deductible, any future primary care needs at a Spira Care Center are at no additional cost*. You will receive a bill from Spira Care after receiving service. Preventive services are covered at no additional cost**.

*Blue KC members enrolled in plans (without a Health Savings Account) with exclusive access to Spira Care Centers will have no additional cost for any appointment or service provided at a Spira Care Center. Blue KC members enrolled in a plan with a Health Savings Account or HSA eligible with exclusive access to Spira Care Centers will incur a charge for an office visit at a Spira Care Center. Once a member has met their deductible, any future primary care needs at a Spira Care Center are at no additional cost. Preventive services are covered at 100 percent.

**For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, see your insurance producer or write Blue KC.

To be eligible to use Spira Care for your primary care needs you must be enrolled in either an employer sponsored health plan or an Individual and Family plan that includes access to Spira Care Centers. Spira Care is exclusive to Blue KC and many, but not all, plans include Spira Care. When enrollment time comes around take into consideration which plans do or do not include Spira Care. To see if your plan includes Spira Care, review your Summary of Coverage and Benefits by logging into your member account or see your member ID card.

While plans with Spira Care are ideal for members who utilize the Care Centers, members still have access to all providers in their plan’s network (depending on your plan costs may be subject to your deductible or applicable copay). Many patients enjoy the convenient benefits and advanced primary care services offered at Spira Care including care for newborns, infants, children, teens, and adults. Patients also have access to a team of Care Guides for care and coverage questions. Find out more about the providers at Spira Care Centers.

Yes, Spira Care offers behavioral health support for children, teens, and adults that is integrated with your primary care. In partnership with your medical provider and a behavioral health consultant, members have access to brief and focused interventions. If you have an ongoing or long-term behavioral health need (such as therapy), Spira Care can work with you to identify a provider in your plan’s network.

You have access to your plan’s network within the Kansas City metro area. For emergency situations, you are covered both in and out of your plan’s network. Services beyond Spira Care (for example, a visit to a specialist or an emergency room) are subject to a person’s plan deductible.

Spira Care Centers offer advanced primary care services for the whole family including:

  • Treatment of common medical conditions and minor injuries
  • Wellness appointments, also known as annual physicals or checkups, for infants, children, teens, and adults.
  • Health screenings to help identify potential health problems early or prevent them all together
  • Sick care
  • Behavioral health support
  • Routine labs, x-rays* and more!

*X-rays are available at select locations only, must be ordered by a Spira Care provider, and are at no additional cost to members.

There are currently nine Care Centers – Crossroads, Lee’s Summit, Overland Park, Liberty, Olathe, Shawnee, Independence, Tiffany Springs, and Wyandotte.

There are nine Spira Care Centers across the Kansas City metro area. Each of these Care Centers offers a variety of primary care services under one roof, including multidisciplinary Care Teams working together to take exceptional care of you. Spira Care was designed with you and your family at the heart of everything they do. Their goal is to eliminate stress, confusion and the feeling of being rushed in and out of your doctor’s office.

For Individual & Family plans that include access to Spira Care, Blue KC Choice Plans give members exclusive access to nine Spira Care Centers across the Kansas City metropolitan area. Members enrolled in a Blue KC Choice Plan will have no additional cost* for any appointment or service provided at a Spira Care Center. Spira Care offers advanced primary care for newborns, infants, children, adolescents, and adults that gives you easy, convenient access to advanced primary care services, behavioral health support, lab draws, preventive care, immunizations, sick care and more.

*Blue KC members enrolled in plans with exclusive access to Spira Care Centers and no Health Savings Account (HSA) will have no costs. For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, see your insurance producer or write Blue KC.

To ensure the best member experience, always schedule an appointment for wellness check-ups, physicals, sick care, chronic medical condition management, immunizations, chronic medical condition management, and refills. If a Care Center is at capacity, we’ll work with you on an alternative solution such as availability at another Care Center, virtual care, or finding an option in your plan’s network (subject to your deductible). Convenient telehealth visits are also available with an affordable copay. Schedules vary by Care Center.

Spira Care is designed for individuals looking to simplify and personalize their healthcare experience. If you think you and your family’s health needs in the next year will mostly fall within primary care—including routine labs, digital X-rays*, and routine behavioral health consultations—you can enjoy the peace of mind that comes with having the support of a Care Team and help with any services you need outside the Care Center that are in your plan’s network.

*X-rays are available at select locations only, must be ordered by a Spira Care provider, and are at no additional cost to members.

Spira Care is not an urgent care center. The difference between primary care and urgent care is primarily timing. Urgent care is usually walk-in, first-come-first-serve. Primary care practices like Spira Care usually recommend making an appointment. It is important to call Spira Care at 913-29-SPIRA (77472) to speak with a triage nurse or on call provider. They can help schedule a same-day, next-day, Saturday, or virtual appointment with a Spira Care provider, or help you find another in-network option that best meets your needs.

Spira Care Centers can serve your advanced primary care needs, and you will also have access to your plan’s network for things like specialty care. Services beyond Spira Care (for example a visit to a specialist or an emergency room) are subject to your plan’s deductible. It is important for you to understand what hospitals and specialists are in-network based on your plan and costs associated with those services. Please refer to your Summary of Coverage and Benefits in your member account. You can also talk with a Care Guide at Spira Care for help with benefit questions.

Eligible members enrolled in a Blue KC health plan without a Health Savings Account with exclusive access to Spira Care Centers will have no additional cost* for any appointment or service provided at Spira Care Centers.

Eligible members enrolled in a Blue KC health plan with a Health Savings Account or HSA eligible with exclusive access to Spira Care Centers will incur a $60 charge* for appointments or services at Spira Care Centers. Once you meet your deductible, any future primary care needs at a Spira Care Center are at no additional cost*. You will receive a bill from Spira Care after receiving service. Preventive services are covered at no additional cost**.

*Blue KC members enrolled in plans (without a Health Savings Account) with exclusive access to Spira Care Centers will have no additional cost for any appointment or service provided at a Spira Care Center. Blue KC members enrolled in a plan with a Health Savings Account or HSA eligible with exclusive access to Spira Care Centers will incur a charge for an office visit at a Spira Care Center. Once a member has met their deductible, any future primary care needs at a Spira Care Center are at no additional cost. Preventive services are covered at 100 percent.

**For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, see your insurance producer or write Blue KC.

To be eligible to use Spira Care for your primary care needs you must be enrolled in either an employer sponsored health plan or an Individual and Family plan that includes access to Spira Care Centers. Spira Care is exclusive to Blue KC and many, but not all, plans include Spira Care. When enrollment time comes around take into consideration which plans do or do not include Spira Care. To see if your plan includes Spira Care, review your Summary of Coverage and Benefits by logging into your member account or see your member ID card.

While plans with Spira Care are ideal for members who utilize the Care Centers, members still have access to all providers in their plan’s network (depending on your plan costs may be subject to your deductible or applicable copay). Many patients enjoy the convenient benefits and advanced primary care services offered at Spira Care including care for newborns, infants, children, teens, and adults. Patients also have access to a team of Care Guides for care and coverage questions. Find out more about the providers at Spira Care Centers.

Yes, Spira Care offers behavioral health support for children, teens, and adults that is integrated with your primary care. In partnership with your medical provider and a behavioral health consultant, members have access to brief and focused interventions. If you have an ongoing or long-term behavioral health need (such as therapy), Spira Care can work with you to identify a provider in your plan’s network.

You have access to your plan’s network within the Kansas City metro area. For emergency situations, you are covered both in and out of your plan’s network. Services beyond Spira Care (for example, a visit to a specialist or an emergency room) are subject to a person’s plan deductible.

Spira Care Centers offer advanced primary care services for the whole family including:

  • Treatment of common medical conditions and minor injuries
  • Wellness appointments, also known as annual physicals or checkups, for infants, children, teens, and adults.
  • Health screenings to help identify potential health problems early or prevent them all together
  • Sick care
  • Behavioral health support
  • Routine labs, x-rays* and more!

*X-rays are available at select locations only, must be ordered by a Spira Care provider, and are at no additional cost to members.

There are currently nine Care Centers – Crossroads, Lee’s Summit, Overland Park, Liberty, Olathe, Shawnee, Independence, Tiffany Springs, and Wyandotte.

There are nine Spira Care Centers across the Kansas City metro area. Each of these Care Centers offers a variety of primary care services under one roof, including multidisciplinary Care Teams working together to take exceptional care of you. Spira Care was designed with you and your family at the heart of everything they do. Their goal is to eliminate stress, confusion and the feeling of being rushed in and out of your doctor’s office.

For Individual & Family plans that include access to Spira Care, Blue KC Choice Plans give members exclusive access to nine Spira Care Centers across the Kansas City metropolitan area. Members enrolled in a Blue KC Choice Plan will have no additional cost* for any appointment or service provided at a Spira Care Center. Spira Care offers advanced primary care for newborns, infants, children, adolescents, and adults that gives you easy, convenient access to advanced primary care services, behavioral health support, lab draws, preventive care, immunizations, sick care and more.

*Blue KC members enrolled in plans with exclusive access to Spira Care Centers and no Health Savings Account (HSA) will have no costs. For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, see your insurance producer or write Blue KC.

To ensure the best member experience, always schedule an appointment for wellness check-ups, physicals, sick care, chronic medical condition management, immunizations, chronic medical condition management, and refills. If a Care Center is at capacity, we’ll work with you on an alternative solution such as availability at another Care Center, virtual care, or finding an option in your plan’s network (subject to your deductible). Convenient telehealth visits are also available with an affordable copay. Schedules vary by Care Center.

Spira Care is designed for individuals looking to simplify and personalize their healthcare experience. If you think you and your family’s health needs in the next year will mostly fall within primary care—including routine labs, digital X-rays*, and routine behavioral health consultations—you can enjoy the peace of mind that comes with having the support of a Care Team and help with any services you need outside the Care Center that are in your plan’s network.

*X-rays are available at select locations only, must be ordered by a Spira Care provider, and are at no additional cost to members.

Spira Care is not an urgent care center. The difference between primary care and urgent care is primarily timing. Urgent care is usually walk-in, first-come-first-serve. Primary care practices like Spira Care usually recommend making an appointment. It is important to call Spira Care at 913-29-SPIRA (77472) to speak with a triage nurse or on call provider. They can help schedule a same-day, next-day, Saturday, or virtual appointment with a Spira Care provider, or help you find another in-network option that best meets your needs.

Spira Care Centers can serve your advanced primary care needs, and you will also have access to your plan’s network for things like specialty care. Services beyond Spira Care (for example a visit to a specialist or an emergency room) are subject to your plan’s deductible. It is important for you to understand what hospitals and specialists are in-network based on your plan and costs associated with those services. Please refer to your Summary of Coverage and Benefits in your member account. You can also talk with a Care Guide at Spira Care for help with benefit questions.

If you have questions, Blue KC’s award-winning customer support is here to help

Monday – Friday
8 a.m. – 5 p.m. CST

If you have questions, Blue KC’s award-winning customer support is here to help

Monday – Friday
8 a.m. – 5 p.m. CST

If you have questions, Blue KC’s award-winning customer support is here to help

Monday – Friday
8 a.m. – 5 p.m. CST

If you are experiencing a medical emergency, call 911 immediately. For mental health support, call 988.

1Blue KC members enrolled in plans (without a Health Savings Account) with exclusive access to Spira Care Centers will have no additional cost for any appointment or service provided at a Spira Care Center. Blue KC members enrolled in a plan with a Health Savings Account or HSA eligible with exclusive access to Spira Care Centers will incur a charge for an office visit at a Spira Care Center. Once a member has met their deductible, any future primary care needs at a Spira Care Center are at no additional cost. Preventive services are covered at 100 percent. For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, see your insurance producer or write Blue KC.

2 Your health coverage through any of the Blue KC plans cannot be used for an on-the-job or work-related injury or illness.

3 All services provided at Spira Care Centers are based on your primary care needs only and must be ordered by a member of the Spira Care Team. This includes digital x-rays, routine labs and immunizations. Orders by a specialist or someone outside of the Care Center cannot be completed or fulfilled at Spira Care Centers.
Blue KC customers can refer to their coverage details within their Blue KC certificate, which outlines the benefits, exclusions, responsibilities, rights and other important information related to Blue KC plans. To view your current Blue KC contract/certificate, or to print a copy of your Summary of Benefits and Coverage, log in to MyBlueKC.com and click on Plan Benefits. For costs and further details of the coverage, please contact Blue KC.