Questions about our ACA plans and benefits
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Blue KC is offering plans with exclusive access to Spira Care. These plans give you access to Spira Care Centers for primary care services, behavioral health consultations, routine lab draws, and more. They provide members with Care Guides, real people with nursing and benefit backgrounds (a member’s single point of contact) to help coordinate care, answer benefit questions, and more.

This is not your typical doctor’s office. A visit to one of our Care Centers is unlike anything you’ve experienced before. The look, the experience, the primary care services offered – everything has been rethought and redesigned with one thing in mind. You.

There are currently eight Care Centers – Crossroads, Lee’s Summit, Overland Park, Liberty, Olathe, Shawnee, Tiffany Springs, and Wyandotte.

Our Care Centers offer primary care, routine preventative care, chronic condition management, sick care, behavioral health consultations, health coaching session, a select number of generic prescriptions filled on site, routine lab draws^*, and digital x-rays^*.

^*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. We do not accept or facilitate orders from providers outside a Spira Care Center.

Spira Care offers the convenience of on-site service for a limited number of select generic prescriptions. This service is intended to get you started on your medication as soon as possible based on a primary care need discussed in your visit. These prescriptions are offered at your regular copay or deductible level and can be paid for using a credit card and picked up during your appointment. Any refills will be set up through mail order or at your preferred pharmacy.

If you are written a prescription by a Spira Care physician that cannot 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 providers.

Care Guides are personal guides, with nursing and benefit backgrounds, to support you on your health journey. They can help you schedule specialty care needs outside your Care Center and explain benefits. Now you have a single point of contact for both care and coverage questions to help you find the right place, right time and right people to help you on your health journey.

This is primary care integrated with coverage. Members are covered for any procedure performed at a Spira Care Center at low or no cost. That’s how we simplify healthcare at a place that connects members to experts in care. Check your plan benefits or call a Care Guide for more information specific to the plan you are enrolled in.

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

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

Visit SpiraCare.com to learn more.

Behavioral health consultations are offered. We provide brief and focused interventions for members as well as consultation sessions where both a medical provider and behavioral health clinician work with you to help you address your behavioral healthcare need. If you have an ongoing or long-term behavioral health need (such as therapy), we can work with you to identify a provider in your plan's network.