Advanced primary care is right around the corner

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 Cross and Blue Shield of Kansas City 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 at MyBlueKC.com or see your member ID card.

This offering is crafted for members looking to simplify and personalize their healthcare experience. If you and your family’s health needs in the next year will largely fall within primary care, including preventive care, health screenings, chronic condition management, sick care, routine labs, digital x-rays and behavioral health support, you can enjoy the peace of mind that comes with choosing a Blue KC health plan with Spira Care, where you’ll have the support of a Care Team and assistance with any services needed outside the Care Center and in your plan’s network.

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-served. 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.

If you are enrolled in a Blue KC health plan with Spira Care you also have access to your plan’s network for things like a visit to a specialist or an emergency room where costs* are subject to your plan’s deductible or applicable copay. It is important for you to understand what hospitals and specialists are in-network based on your plan and costs⁴ associated with those services. Login to your member account at MyBlueKC.com to review your Summary of Coverage and Benefits. You can also talk with a Care Guide at Spira Care for help with benefit questions.

Blue KC members enrolled in plans with exclusive access to Spira Care Centers have two options for receiving primary care: visit a Spira Care Center or see a provider on your plan’s network. There are nine Spira Care Centers across the Kansas City metro area. Learn more about the care options with plans that include access to 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****.