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Enrollment for 2021 plans starts on November 1

Questions about our plans? Call us at 844-655-0355, Monday – Friday 8 am to 6 pm.

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Choice Silver 5000 with Spira Care

Choice Silver 5000 with Spira Care

Plan Overview

$0 copay at Spira Care
Spira Care centers combine integrated primary care and coverage in one personal, affordable place, along with the benefits of the BlueSelect EPO or BlueSelect Plus EPO network.

Key benefit

  • $0 copay 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
  • Predictable coverage with clear copays on common services in the plan network

*Select prescriptions are offered at Spira Care Centers at your regular copy level.

Blue KC Plan with Spira Care

We’re proud to offer Blue KC members health plans with exclusive access to Spira Care Centers, where we bring healthcare and coverage together to put you at the center of everything.

Explore the Spira Care Difference


Benefit Item Value
Single Deductible $5,000
Family Deductible $10,000
Coinsurance 40%
Single Out-of-Pocket Max $7,000
Family Out-of-Pocket Max $14,000
Access to Spira Care Yes
Spira Visits $0
Virtual Care5 $0
PCP Network Visits1 $0/$50
Urgent Care $75
Specialist Visits $100
Hospital Ded/Coins
Emergency Room Ded/Coins
Prescription Drugs3 RxSelect Network
Generic Drug $15
Preferred Drug $60
Non-Preferred Drug $250
Generic Specialty Drug and Preferred Specialty Drug $350
Non-Preferred Specialty Drug Ded & 50%

1 Primary Care Physicians include General Practice, Family Practice, Internal Medicine and Pediatrics.

3 Specialty medications should be filled at an Optum Specialty Pharmacy to receive the lowest member cost-sharing. You may pay more if filling a specialty prescription at a retail location.

5 Copay is $0 via Blue KC Virtual Care app; $10 copay with an in-network eligible provider.