Medical Benefits

Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.

Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.mybluekc.com.

Blue KC Pharmacy Information:
• RX BIN Number: 021825
• PCN: IRX
• GROUP: BlueKC

Click the link below to view the Rx Savings Solutions and Rx Rewards webinar CLICK HERE

Preferred Care Blue Network	In-Network	Out-of-Network
Deductible (Individual/Family)	$3,300/$6,600	$6,600/$13,200
Out-of-Pocket Max (Individual/Family)	$3,300/$6,600	$6,600/$13,200
Shared Coinsurance	0%	0%
Physician Visits
Preventive Care	Covered at 100%0%	Covered at 100%
Physician Office Visit	100% after deductible	100% after deductible
Specialist Visit	100% after deductible	100% after deductible
Telehealth/Virtual Visits	100% after deductible	100% after deductible
Hospital Services
Inpatient Hospitalization	100% after deductible	100% after deductible
Physician Services	100% after deductible	100% after deductible
Outpatient Surgery	100% after deductible	100% after deductible
Outpatient Diagnostics	100% after deductible	100% after deductible
Urgent Care	100% after deductible	100% after deductible
Emergency Room	100% after deductible	100% after deductible

Prescription Drugs	In-Network	Out-of-Network
Retail/Specialty (30 day supply)	100% After deductible	100% after deductible
Mail Order Drugs (90 Day Supply)	100% After deductible	100% after deductible

Employee Semi-Monthly Rates	Tier 1 Salary under $49,999	Tier 2 Salary $50,000- $89,999	Tier 3 Salary $90,000+	Tier 4 Part-Time Employees
Employee Only	$46.01	$52.38	$57.51	$287.54
Employee + Spouse	$142.03	$153.81	$164.46	$635.43
Employee + Child(ren)	$123.82	$127.82	$143.38	$553.96
Employee + Family	$253.95	$270.31	$285.69	$952.29