Spira Care
Dave is enrolled in a Spira Care plan (without a Health Savings Account). What is the cost for a visit with his PCP to manage his diabetes?
Spira Care Centers - No Cost for primary care services at Spira Care Centers.
His plan's network: Costs apply towards his annual deductible.
What is an EOB and what information will be included?
Explanation of Benefits is the statement from Blue KC showing how claims were processed including member responsibility.
When was the first Spira Care Center opened?
The first Spira Care Center opened in January 2018 in Olathe, Kansas.
Randy is a partner at the law firm Cheatem, Dewey and Howell. He is enrolled on the HMO plan and wants to schedule an appointment for an executive physical at the Mayo Clinic. Will this be covered on his plan?
HMO members are required to see Blue Care providers in the metro KC area unless an emergency.
Non-emergency services received from out-of-network providers will not be covered.
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Dr. Evil
Dave's PCP recommends that he see an endocrinologist to better manage his diabetes. What cost can Dave expect?
Spira Care members who need to see a specialist have the support of the plan network where costs are applied toward an annual deductible.
Tabitha hurt her back lifting a box at work. She works across the street from Spira Care Crossroads. Can she go to Spira for a work related injury?
Your health coverage through any of the Blue KC plans, including Spira Care can NOT be used for an on-the-job or work-related injury or illness. Members may have access to workers’ compensation, insurance paid for by their employer, which may provide monetary benefits and/or medical care coverage for a work-related injury or illness.
Name the various professionals that make up the Care Team at Spira Care
Physicians, PAs, NPs
Behavioral health consultants
Diabetic educators and health coaches
Care Guides
What does the suitcase displayed on an ID card represent?
The suitcase represents access to the BlueCard national network.
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Dr. Leonard McCoy
Dave's Endocrinologist prescribes metformin to treat his diabetes. Can Dave fill his prescription at Spira Care?
No. Spira Care offers on-site prescription services for a limited number of generic medications. Spira Care can only fill prescriptions ordered by Spira Care physicians.
Help! I am new to the Blue KC plan and need to register online. I have not received my ID card yet. Can I still register?
YES! You can register at MyBlueKC.com even if you don't have your member ID card.
The amount of the affordable charge for an office visit at a Spira Care Center for members enrolled on a Spira Care HSA plan
$60 - Affordable charge for a visit to a Spira Care Center, which includes follow-up services like routine lab draws and digital x-rays as ordered by a Spira Care physician
What are the two hospital systems locally that make up the Blue High Performance Network?
What are St. Luke's Health System and CHildren 's Mercy?
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Dr. Hannibal Lecter
Dave's son Caleb thinks he may have fractured his foot after falling hard from the game winning slam dunk at his high school basketball game in Liberty. He would like an x-ray but wants to avoid the cost of the ER. Can he go to the closest Spira Care center in Liberty for an x-ray?
Digital x-rays are available at all Care Centers EXCEPT Lee's Summit and Liberty.
Tammy's coverage is effective 1/1/22. She presents her new ID card at her Dermatologists office but they are unsure of her copay. How can Tammy help verify her copay amount?
Use the camera on her mobile device to scan the QR code to view her benefit summary
I have access to the BlueCard network if enrolled on a Spira plan
Spira members have access to the BlueCard network providing in-network national and international medical care when outside Blue KC’s 32-county service area
Which two hospital systems are excluded from the Blue Select Plus network?
What are HCA and St Luke's Health Systems
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Dr. Dre
Fortunately Caleb only bruised his foot so he is able to recover in time for the next basketball game in St Louis, MO. Unfortunately, he had a reoccurring injury during the game and needs to seek treatment at an urgent care center. 1) How can he find an in network provider in STL and 2) what is the cost?
Spira members have access to the BlueCard network which offers coverage nationwide. Visit MyBlueKC.com to find in network providers.
What is the phone number to reach the Spira Care Wyandotte location?
(913)29-SPIRA :)
Carter is enrolled on the Spira HSA plan and needs help finding an in network specialist. It is after hours so he cannot call Spira Care to speak with a Care Guide. Can he search online at SpiraCare.com?
No, he will need to go to MyBlueKC.com to find an in network provider.
Name the 10 hospitals that make up the Blue Select Plus network
Advent Health, Cameron Regional Medical Ctr, Childrens Mercy (Hospital Hill and South), Liberty Hospital, North KC Hospital, Olathe Medical Ctr, University Health (Hospital Hill and Lakewood), UKHS
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Dr. Peter Venkman