Questions about our ACA plans and benefits
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Yes. The Affordable Care Act provides mental health and substance use disorder coverage. This means that most individual insurance plans, including all plans offered through the ACA, cover mental health and substance use disorder services. This law also requires coverage for rehabilitative and habilitative services that support people with behavioral health conditions.

Mindful by Blue KC is a set of new and enhanced behavioral health services to address stress, depression, anxiety, substance use and more. This ensures that Blue KC members can access and afford behavioral healthcare when needed. To learn more, members can log in at MyBlueKC.com and click on behavioral health. Not a member yet? Learn more at MindfulBlueKC.com.

The following behavioral health services are available through Mindful by Blue KC – well-being resources, online therapy, online self-guided tools, managed behavioral health, expedited access network for members in crisis, and virtual care appointments.

Yes, Blue KC offers our members a number of virtual care services – our mobile app, MyBlueKC, allows members to choose from either 24/7 urgent care visits and the convenience of scheduling behavioral therapy when it works for you. In addition, many of our Blue KC in-network providers have embraced virtual visits. Talk with your doctor to schedule your next appointment.

Yes! While it’s up to your doctor to determine how they deliver care, Blue KC offers the coverage. Additionally, the MyBlueKC mobile app can connect you to our network of virtual care providers so you can get care when you need it, using the same app you use to access your benefit information, view claims, download digital ID cards, and more.

Virtual visits give you the convenience of seeing a doctor privately and securely over your smartphone, tablet, or computer – no matter if it’s from the comfort of your home or when you’re travelling.

You can also benefit from a more diverse group of providers and the ability to learn more about your doctor by reading their bio in the MyBlueKC app.

Virtual visits allow you the flexibility to receive care easily and conveniently within your busy schedule. With a virtual visit, there is no time spent driving to and from an office, taking hours off work, or being confined to regular office hours.

Our wellness programs include Livongo for help managing diabetes, Mindful by Blue KC for behavioral health, Healthy Companion Programs for proving support for chronic health conditions and a diabetes prevention program.

There is no additional cost to members to participate in these programs.

Health coaches are available for members enrolled in Spira Care plans.

Preventive care for ACA members is covered at no cost based on CMS guidelines (details available via our preventive care publication).

Individual dental plans are available. We do not have vision plans available through the ACA.

You can shop for and enroll in an ACA health plan during the annual Open Enrollment Period which runs from November 1, 2021 to January 15, 2022.

For health coverage needs outside of the Open Enrollment Period, you may still sign up for an ACA health plan throughout the year if you qualify for a Special Enrollment Period. A Special Enrollment Period allows you to sign up for, or change, an ACA health plan for you and your family outside of the annual Open Enrollment Period. To qualify for a Special Enrollment Period, you must experience a qualifying life event such as having or adopting a baby, getting married or divorced, moving, or losing your health coverage to name a few.

The Open Enrollment Period has ended but you can enroll in or change your plan because of a life event during the Special Enrollment Period. The effective date of your plan can vary based on your life event. Contact one of our local experts to help with all your questions.

The Open Enrollment Period has ended. You can enroll in or change your plan because of life changes during a Special Enrollment Period. You may qualify if, during the past 60 days, you’ve gotten married, had a child, moved, lost coverage due to divorce or job change, or if someone on your plan has died.

For more details on specific Blue KC ACA plans available in your area, explore plans here. If you’re ready to enroll, get a quote and complete the enrollment process.