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844-655-0355 Our local experts have all your questions covered.

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Enrollment for 2021 plans starts on November 1

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844-655-0355

Individual and Family ACA Plans

Need health insurance? Open Enrollment ended December 15. But you may still be able to get health coverage. Check to see if you are eligible to enroll in a health plan with a Special Enrollment Period.

Available Plans for the 00000 area.

First Bronze

Key benefit

  • 4 copays at $15 (PCP, Specialist, & Urgent Care); subsequent visits go towards deductible & coinsurance
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
  • Affordable Generic prescription coverage
Great for families icon

Great for families

Plan Overview

A good fit for those who use preventative care, plus a few office visits, balanced with an affordable deductible.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Great Coverage with Low Monthly Cost

Great Coverage with Low Monthly Cost

Review the Summary of Benefits and Coverage

First Preferred-Care Blue 7000

Doctor Visits

4 copays at $15; Telehealth copay $10

Use the link below to locate in-network doctors, hospitals, and other healthcare professionals.

Preferred-Care Blue EPO

$7,000 deductible

A good fit for those who use preventative care, plus a few office visits, balanced with an affordable deductible.

Emergencies

Deductible then coinsurance

Prescriptions

RxPremier Pharmacy network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Saver Bronze

Key benefit

  • HSA eligible plan
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
  • Lower premium

Plan Overview

HSA eligible, with a deductible level that balances affordable premium and quality coverage.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

Saver Preferred-Care Blue 6500

Doctor Visits

Deductible then Coinsurance; Telehealth copay $10

Use the link below to locate in-network doctors, hospitals, and other healthcare professionals.

Preferred-Care Blue EPO

$6,500 deductible

Health Savings Account (HSA) eligible, with a deductible level that balances affordable premium and quality coverage.

Emergencies

Deductible then coinsurance

Prescriptions

RxPremier Pharmacy network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Community Silver 6000

Key benefit

  • Our most affordable copay plan
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
  • $25 Primary Care Visits
Great for families icon

Great for families

Plan Overview

Provides predictable coverage with clear copays on the most common services, with a higher deductible and lower premium.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

Community Preferred-Care Blue 6000

Doctor Visits

$25 Primary Care copay; $60 Urgent Care copay; $60 Specialist copay; $10 Telehealth copay

Use the link below to locate in-network doctors, hospitals, and other healthcare professionals.

Preferred-Care Blue EPO

$6,000 deductible

Provides predictable coverage with clear copays on the most common services, with a higher deductible and lower premium.

Emergencies

Deductible then coinsurance

Prescriptions

RxPremier Pharmacy network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Community Silver 5750

Key benefit

  • RxPremier Pharmacy Network
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
  • Lowest costs after deductible
Great for families icon

Great for families

Plan Overview

Provides predictable coverage with clear copays on the most common services, with a mid-range deductible.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

Community Preferred-Care Blue 5750

Doctor Visits

$25 Primary Care copay; $70 Urgent Care copay; $70 Specialist copay; $10 Telehealth copay

Use the link below to locate in-network doctors, hospitals, and other healthcare professionals.

Preferred-Care Blue EPO

$5,750 deductible

Provides predictable coverage with clear copays on the most common services, with a mid-range deductible.

Emergencies

Deductible then coinsurance

Prescriptions

RxPremier Pharmacy network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Community Silver 3375

Key benefit

  • $25 Primary Care visits
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
  • Lowest deductible Silver option
Great for families icon

Great for families

Plan Overview

Provides predictable coverage with clear copays on the most common services, with a lower deductible.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

Community Preferred-Care Blue 3375

Doctor Visits

$25 Primary Care copay; $60 Urgent Care copay; $60 Specialist copay; $10 Telehealth copay

Use the link below to locate in-network doctors, hospitals, and other healthcare professionals.

Preferred-Care Blue EPO

$3,375 deductible

Provides predictable coverage with clear copays on the most common services, with a lower deductible.

Emergencies

$700 copay/visit then deductible, then coinsurance

Prescriptions

RxPremier Pharmacy network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

First Gold

Key benefit

  • Low deductible to help manage health-care costs
  • 4 copays at $15 (PCP, Specialist, & Urgent Care); subsequent visits go towards deductible & coinsurance
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
  • Predictable Prescription Coverage

Plan Overview

A good fit for those who use preventative care, plus a few office visits, balanced with an affordable deductible.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

First Preferred-Care Blue 1500

Doctor Visits

4 copays at $15; Telehealth copay $10

Use the link below to locate in-network doctors, hospitals, and other healthcare professionals.

Preferred-Care Blue EPO

$1,500 deductible

A good fit for those who use preventative care, plus a few office visits, balanced with an affordable deductible.

Coverage Details

Gold plans pay 80% of covered costs on average. Preferred-Care Blue Network. Includes initial bundle of (4) of Primary Care Provider, Specialist & Urgent Care visits at copay—subsequent visits go toward deductible & coinsurance.

Emergencies

Deductible then coinsurance

Prescriptions

RxPremier Pharmacy Network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Spira Care Bronze

Key benefit

  • $0 for services received at Spira Care centers
  • $0 copay for Spira Care Virtual Care, $0 copay for Blue KC Virtual Care App and $10 copay for in-network eligible provider offering telehealth
  • Most affordable Spira Care plan
Great Coverage with Low Monthly Cost

Great Coverage with Low Monthly Cost

Plan Overview

Spira Care combines integrated primary care and coverage in one personal, affordable place, along with the benefits of the BlueSelect or BlueSelect Plus network.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

Spira Care BlueSelect 7300

Spira Care BlueSelect 7300

Spira Care BlueSelect Plus 7300

Spira Care BlueSelect Plus 7300

Doctor Visits

$0 Primary Care at Spira Care Centers; deductible then coinsurance for in-network outside of Spira Care. $10 Telehealth copay on Blue KC Virtual Care App, or in-network; $0 copay for Virtual Care visit with a Spira Care Center provider

Use the links below to locate in-network doctors, hospitals, and other healthcare professionals.

BlueSelect EPO with Spira Care
BlueSelect Plus EPO with Spira Care

$7,300 deductible

Spira Care combines integrated primary care and coverage in one personal, affordable place, along with the benefits of the BlueSelect or BlueSelect Plus network.

Coverage Details

Bronze plans pay 60% of covered costs on average.Includes hospital, medical and prescription drug coverage. $0 copay for services received at a Spira Care Center. Visits and services received outside of Spira Care go towards deductible. BlueSelect or BlueSelect Plus Medical Network options.

Emergencies

Deductible then coinsurance

Prescriptions

RxSelect Pharmacy Network. Some prescriptions available onsite at Spira Care.

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Spira Care Silver

Key benefit

  • $0 copay for services received at Spira Care centers
  • $0 copay for Spira Care Virtual Care, $0 for Blue KC Virtual Care App and $10 copay for in-network provider
  • Affordable prescription coverage
Great for families icon

Great for families

Plan Overview

Spira Care combines integrated primary care and coverage in one personal, affordable place, along with the benefits of the BlueSelect or BlueSelect Plus network.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Great Coverage with Low Monthly Cost

Great Coverage with Low Monthly Cost

Review the Summary of Benefits and Coverage

Spira Care BlueSelect 5000

Spira Care BlueSelect 5000

Spira Care BlueSelect Plus 5000

Spira Care BlueSelect Plus 5000

Doctor Visits

$0 Primary Care at Spira Care Centers; deductible then coinsurance for in-network outside of Spira Care. $10 Telehealth copay on Blue KC Virtual Care App, or in-network; $0 copay for Virtual Care visit with a Spira Care Center provider.

Use the links below to locate in-network doctors, hospitals, and other healthcare professionals.

BlueSelect EPO with Spira Care
BlueSelect Plus EPO with Spira Care

$5,000 deductible

Spira Care combines integrated primary care and coverage in one personal, affordable place, along with the benefits of the BlueSelect or BlueSelect Plus network.

Coverage Details

Silver plans pay 70% of covered costs, on average. Includes hospital, medical and prescription drug coverage. $0 copay for services received at a Spira Care Center. Visits and services received outside of Spira Care go towards deductible.BlueSelect or BlueSelect Plus Medical Network options.

Emergencies

Deductible then coinsurance

Prescriptions

RxSelect Pharmacy Network. Some prescriptions available onsite at Spira Care Centers.

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

Community Gold

Key benefit

  • Lowest deductible
  • Most robust coverage
  • Unlimited $10 Virtual Care visits including Behavioral Health Therapy
Great for families icon

Great for families

Plan Overview

Provides predictable coverage with clear copays on the most common services, balanced with an affordable deductible.

Monthly Premium

$$$$

Out-of-Pocket

$$$$

Review the Summary of Benefits and Coverage

Community BlueSelect 1250

Community BlueSelect 1250

Community BlueSelect Plus 1250

Community BlueSelect Plus 1250

Doctor Visits

$15 Primary Care copay; $40 Urgent Care copay; $40 Specialist copay; $10 Telehealth copay.

Use the links below to locate in-network doctors, hospitals, and other healthcare professionals.

BlueSelect EPO
BlueSelect Plus EPO

$1,250 deductible

Provides predictable coverage with clear copays on the most common services, balanced with an affordable deductible.

Coverage Details

Gold plans pay 80% of covered costs on average. Traditional copays on common services:Primary, Urgent, Specialist, Telehealth, Drugs. Deductible and coinsurance reserved for less commonly used services. BlueSelect or BlueSelect Plus Medical Network options.

Emergencies

Deductible then coinsurance

Prescriptions

RxSelect Pharmacy network

Prescriptions Covered in Missouri Prescriptions Covered in Kansas

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