You have questions, we have answers.

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.

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

While the plan is ideal for members who use Care Centers, members still have access to all providers in their plan’s network. Many members enjoy the convenient benefits and advanced services offered at Spira Care, including adult and pediatric primary care, plus access to a team of Care Guides for questions about care and coverage.

Spira Care offers convenient on-site service for a limited number of select generic prescriptions to get you started on your medication as soon as possible based on a primary care need discussed at your appointment. You can pay for these prescriptions, offered at your regular copay, using a credit card and pick them up during your appointment. This is for your first fill only. Any refills will be set up through convenient mail order or at your preferred pharmacy.

If a Spira Care physician writes you a prescription that can’t be filled at a Spira Care Center, the Care Team will facilitate prescription services through convenient mail order or at your preferred pharmacy at your regular cost-sharing level. We only fill prescriptions ordered by Spira Care physicians.

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. Go to SpiraCare.com for Care Center hours of operation.

Your health coverage through any of the Blue Cross and Blue Shield of Kansas City plans, including Spira Care and Spira Care (HSA Eligible), can’t be used for an on-the-job or work-related injury or illness. But you may have access to workers’ compensation, insurance paid for by your employer, which may provide monetary benefits and/or medical care coverage for a work-related injury or illness. Your human resource representative can tell you more.

X-rays are available at the following Spira Care Center locations: Crossroads, Olathe, Overland Park, Shawnee, Tiffany Springs, and Wyandotte. If your Spira Care provider orders X-rays for you and your Care Center does not offer this service, your Care Team will schedule a time at a Care Center that does.

X-rays at a Spira Care Center must be ordered by a Spira Care provider. We do not accept or facilitate orders from providers outside of a Spira Care Center.

We plan to expand Spira Care as our membership grows, adding more convenient locations throughout the metro area in both Kansas and Missouri.

Visit BlueKCForYou.com to shop for Individual plans for you and your family. We have plans that give you access to the care you want - including Spira Care - depending on where you live. Open Enrollment for ACA individual health insurance is November 1 to December 15 for coverage beginning January 1, 2022.

You can shop for Blue KC Medicare plans at MedicareBlueKC.com. Open enrollment for Medicare is October 15 to December 15, 2022.

Yes, we are open.  We have implemented many procedures and follow CDC guidelines in an effort to help reduce the spread of COVID-19.