Getting Started
Finding Care
Living Healthy
Pharmacy
Wuzzles
100
TRUE or FALSE - Each covered member will receive a new ID card each year?
FALSE - Each covered member will receive their own ID card. ID cards are not automatically issued each year unless requested or there is a change.
100
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.
100
This program offers in the moment behavioral health support for Blue KC members
What is MINDFUL
100
Name Blue KCs Pharmacy Benefits Manager (PBM)
What is Optum
100
Deductible
200
What does the suitcase on the member ID card indicate?
The suitcase indicates plan access to the BlueCard program, which extends to all 50 states.
BONUS: Name the two Plan Types for Commercial plans that includes BlueCard.
200
The third-party vendor that serves as the preauthorization manager for all free-standing and outpatient high-tech radiology services
What is EviCore
200
What is AHY and as an HMO member, do I have access to this program?
Yes, A Healthier You is Blue KC's health and wellness program focused on achieving outcomes by improving the health of our members.
200
This program helps you find ways to save on prescriptions
What is RX Savings Solutions
200
Network - A group of doctors, hospitals, pharmacies, and other health care experts hired by a health plan to take care of its members.
300
TRUE or FALSE - Blue KC member ID cards include a QR code to view your EOB!
FALSE - Use the camera on your mobile device to scan this code to view your BENEFIT SUMMARY.
300
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.
300
True or False - Healthy Blue provides health and wellness discounts to Blue KC members.
FALSE - Blue365
300
True or False - I will automatically receive notifications regarding pharmacy savings opportunities through RXSS
FALSE - AFTER registering for RXSS, you will receive emails and/or texts about opportunities to save on the medications you and your family already take.
300
Open Enrollment
400
What does the alpha prefix indicate on member ID cards?
Network
400
Carmen is in Dallas for a business conference and thinks she may have pink eye. What options does she have to find care if she is on a Spira EPO plan?
She has access to our nationwide BlueCard network or she can access Blue KC Virtual Care.
400
Lolita is struggling to lose weight and feel her best. What options does she have for support without incurring a copay for an office visit?
Diabetes Prevention Program - Solera
400
Name three ways members can fill prescriptions
Retail Network, Home Delivery, Specialty Pharmacy
400
Step therapy is a type of prior authorization for drugs that begins medication for a medical condition with the most preferred drug therapy and progresses to other therapies only if necessary, promoting better clinical decisions.
500
You can quickly view, print or email a copy of your Blue KC member ID card from this site.
What is MyBlueKC.com or MyBlueKC mobile app
BONUS: Display the mobile app on your cell phone!
500
Eligible members can earn rewards for certain procedures with this program.
What is SmartShopper
500
Health support for complex care and chronic conditions at your fingertips with this app
What is Blue KC Care Management app
500
The name of Blue KCs specialty pharmacy
What is Optum Specialty Pharmacy
500
COLONOSCOPY