913-29-SPIRA (77472)
© 2021 Spira Care. All Rights Reserved. Health plans with exclusive access to Spira Care are available through Blue Cross and Blue Shield of Kansas City, an independent licensee of the Blue Cross Blue Shield Association.
Whether you’re already enrolled in a plan that includes access to Spira Care or you’re exploring plan options, this is a great place to learn more.
Blue KC members enrolled in plans with exclusive access to Spira Care have two options for receiving primary care: visit a Spira Care Center or see a provider on your plan’s network.
(Low or no cost* for services performed at Spira Care Centers):
(cost applies toward your annual deductible):
*Blue KC members enrolled in plans (without a Health Savings Account) with exclusive access to Spira Care Centers will have no costs for any procedure provided at a Spira Care Center.
Blue KC members enrolled in plans (with a Health Savings Account or HSA Eligible) with exclusive access to Spira Care Centers will have an affordable charge for services. Preventive services are covered at 100 percent.
**Routine labs and X-rays taken at a Spira Care Center are done based on a primary care need and ordered from a Spira Care provider only. Digital X-rays are available at all Spira Care locations except Lee’s Summit and Liberty. We do not accept or facilitate orders from outside providers.
In order to take full advantage of your benefits, make sure you refer to your Blue KC member ID card so you know your plan and network name. If you have any questions or need help understanding your plan, you can talk to a Care Guide at 913-29-SPIRA (77472).
When you have a Blue KC healthcare plan with exclusive access to Spira Care Centers, you have two options for receiving care: visit a Spira Care Center or see a provider in your plan's network.
This offering combines care and coverage to provide advanced primary care with no deductibles, copays, or additional costs for procedures received at Spira Care Centers. For needs outside of the Care Centers, you’ll incur a cost applied to your deductible.
Spira Care Centers:
No Cost
BlueCard network:
Costs apply to your deductible
BlueSelect Plus network:
Costs apply to your deductible
Out-of-network:
Option to receive care at a higher cost
A Preferred Provider Organization (PPO) insurance model means you’re encouraged to receive care from in-network providers but with the option to receive care from out-of-network providers at a higher cost. Refer to the map and table to understand how to stay in-network.
This offering combines care and coverage to provide advanced primary care with no deductibles, copays, or additional costs for procedures received at Spira Care Centers. For needs outside of the Care Centers, you’ll incur a cost applied to your deductible.
Spira Care Centers:
No Cost
BlueCard network:
Costs apply to your deductible
BlueSelect Plus network:
Costs apply to your deductible
Out-of-network:
No out-of-network coverage except emergency services
An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network.
This simple, predictable option pairs affordable, convenient Spira Care Center visits with a Health Savings Account (HAS). There is a charge for office visits at a Spira Care Center outside of preventive care. Once you’ve met your deductible, any future primary care needs at a Spira Care Center are at no additional cost.
Spira Care Centers:
Affordable charge for non-preventive services until out-of-pocket deductible is met
BlueCard network:
Costs apply to your deductible
BlueSelect Plus network:
Costs apply to your deductible
Out-of-network:
Option to receive care at a higher cost
A Preferred Provider Organization (PPO) insurance model means you’re encouraged to receive care from in-network providers but with the option to receive care from out-of-network providers at a higher cost. Refer to the map and table to understand how to stay in-network.
This simple, predictable option pairs affordable, convenient Spira Care Center visits with a Health Savings Account. There is a charge for office visits at a Spira Care Center outside of preventive care. Once you’ve met your deductible, any future primary care needs at a Spira Care Center are at no additional cost.
Spira Care Centers:
Affordable charge for non-preventive services until out-of-pocket deductible is met
BlueCard network:
Costs apply to your deductible
BlueSelect Plus network:
Costs apply to your deductible
Out-of-network:
No out-of-network coverage except emergency services
An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network.
This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to either the BlueSelect or BlueSelectPlus network, depending on your plan. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.
Spira Care Centers:
No Cost
BlueSelect or BlueSelect Plus network, depending on your plan:
Costs apply to your deductible
Out-of-network:
No out-of-network coverage except emergency services
An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.
This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to the BlueSelect network within the Kansas City metro area. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.
Spira Care Centers:
No Cost
BlueSelect network:
Costs apply to your deductible
Out-of-network:
No out-of-network coverage except emergency services
An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.
This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to either the BlueSelect or BlueSelect Plus network, depending on your plan. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.
Spira Care Centers:
No Cost
BlueSelect or BlueSelect Plus network, depending on your plan:
Costs apply to your deductible
Out-of-network:
No out-of-network coverage except emergency services
An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.
This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to the BlueSelect network within the Kansas City metro area. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.
Spira Care Centers:
No Cost
BlueSelect network:
Costs apply to your deductible
Out-of-network:
No out-of-network coverage except emergency services
An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.
If you’re 65 or older, learn about Medicare Advantage Plans with exclusive access to Spira Care today to find the option that’s best for you. To find out more, call toll free: 877-33-SPIRA (77472) or learn more about plans here.
When receiving care in the BlueSelect Plus network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).
You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the BlueSelect Plus network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.
Your out-of-network benefits provide some coverage, but higher out-of-pocket costs will apply.
When receiving care outside the BlueSelect Plus network within the 32-county Blue KC service area.
Out-of-network coverage, meaning higher out-of-pocket costs will apply.
When receiving care outside the 32-county Blue KC service area.
No coverage except for emergency services. You will be responsible for 100% of costs.
When receiving care in the BlueSelect Plus network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).
You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the BlueSelect Plus network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.
You will be responsible for 100% of costs associated with any care received out of network.
When receiving care outside the BlueSelect Plus network within the 32-county Blue KC service area.
No coverage except for emergency services. You will be responsible for 100% of costs.
When receiving care outside the 32-county Blue KC service area.
No coverage except for emergency services. You will be responsible for 100% of costs.
When receiving care in the BlueSelect or BlueSelect Plus network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).
You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.
You will be responsible for 100% of costs associated with any care received out of network.
When receiving care outside the BlueSelect or BlueSelect Plus network.
No coverage except for emergency services. You will be responsible for 100% of costs.
When receiving care in the BlueSelect network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).
You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.
You will be responsible for 100% of costs associated with any care received out of network.
When receiving care outside the BlueSelect network.
No coverage except for emergency services. You will be responsible for 100% of costs.
