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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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Community Gold 1500

Community Gold 1500

Plan Overview

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

Key benefit

  • Lowest deductible for peace of mind
  • Predictable coverage with clear copays on common services
  • Large provider network with $0 copay for Blue KC Virtual Care App


Benefit Item Value
Single Deductible $1,500
Family Deductible $3,000
Coinsurance 20%
Single Out-of-Pocket Max $5,000
Family Out-of-Pocket Max $10,000
Access to Spira Care No
Spira Visits N/A
Virtual Care5 $0
PCP Network Visits1 $30
Urgent Care $60
Specialist Visits $60
Hospital Ded/Coins
Emergency Room Ded/Coins
Prescription Drugs3 RxSelect Network
Generic Drug $10
Preferred Drug $55
Non-Preferred Drug $250
Generic Specialty Drug and Preferred Specialty Drug $250
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.