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

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.

Our Local Experts are ready to help with all of your questions.

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Call us Monday - Friday 8 a.m. – 6 p.m


First Bronze 7000

First Bronze 7000

Plan Overview

A good fit for those who use preventive care plus a few office visits, with a higher deductible and lower premium.

Key benefit

  • 4 copays at $40 (PCP, Specialist & Urgent Care); subsequent visits go toward deductible & coinsurance
  • Higher deductible and lower premium
  • Affordable generic prescription drug coverage
  • Large provider network with $0 copay for Blue KC Virtual Care App


Benefit Item Value
Single Deductible $7,000
Family Deductible $14,000
Coinsurance 50%
Single Out-of-Pocket Max $8,550
Family Out-of-Pocket Max $17,100
Access to Spira Care No
Spira Visits N/A
Virtual Care2,5 $0
PCP Network Visits1 4 @ $404
Urgent Care 4 @ $404
Specialist Visits 4 @ $404
Hospital Ded/Coins
Emergency Room Ded/Coins
Prescription Drugs3 RxSelect Network
Generic Drug $30
Preferred Drug $150
Non-Preferred Drug $250
Generic Specialty Drug and Preferred Specialty Drug $400
Non-Preferred Specialty Drug Ded & 50%

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

2 First plans telehealth visits do not accrue toward limited copay visits.

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.

4 Copay for the first four visits combined for PCP, Specialist, and Urgent Care. Deductible and coinsurance apply after that.

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