Medical research continues to yield new technology for managing illness and disease. Blue KC determines coverage of new technology by verifying if the Blue Cross and Blue Shield Association has an existing policy. If so, Blue KC adopts that policy. If not, Blue KC researches the new technology by using scientific literature, technology reports and government agencies and by conferring with specialists in the greater Kansas City area. If there is sufficient information to demonstrate that the new technology is safe and effective, then the new technology will be considered medically necessary. Benefit coverage depends on your contract.
If there is inconclusive evidence regarding safety and efficacy, then the new technology is considered investigational. Blue KC will perform subsequent reviews to confirm any changes that may warrant coverage of the new technology.
If you are to receive a new medical test, procedure, equipment or surgery, we highly recommend calling Customer Service at the number listed on your Member ID card to determine if the specific service is covered.