Spira Care
$0 or about $60.
What are the cost for office visits?
A statement from Blue KC showing how claims were processed including member responsibility
What is an EOB or Explanation of Benefits.
True or False - Spira Care plans are only available as an EPO Plan Type
False - Spira Care plans can be offered as EPO or PPO Plan Types
BlueCard is available for HMO members?
HMO members have access to the local Blue Care network. Non-emergency services received from out-of-network providers will not be covered
January 2, 2018
What is the date the first Spira Care Center opened Olathe, Kansas.
Liberty and Lee's Summit Spira Care
What are locations that do not have X-rays?
They are the third-party vendor that serves as the preauthorization manager for all free-standing and outpatient high-tech radiology services
What is EviCore?
Blue KC's health and wellness program focused on achieving outcomes by improving the health of our members.
What is A Healthier You program?
What does the suitcase displayed on an ID card represent?
The suitcase represents access to the BlueCard national network.
Name the various professionals that make up a Care Team at Spira Care
Physicians, PAs, NPs
Behavioral health consultants
Diabetic educators and health coaches
Care Guides
This person helps you with goals set by you and your provider.
Who is a Health Coach?
True or False. New members can register online at MyBlueKC.com, but must have their member ID card.
False
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.
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?
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
This person handles all your care dilema's.
What is a Care Guide?
This amount is the members first dollar responsibilty.
What is deductible?
I have access to the BlueCard network if enrolled on a Blue High Performance plan
BlueHPN members must receive services from in-network, BlueHPN providers
Which two hospital systems are excluded from the Blue Select Plus network?
What are HCA and St Luke's Health Systems
Steve is enrolled on a Spira EPO plan and is at a business conference in Miami, FL. He unknowingly ate shellfish at dinner and needs to go to the ER. What steps should he take to find an in network hospital?
He should go to the nearest ER to seek care. Emergency services are covered at the in network benefit level
Routine, x-rays, labs
What are services you can receives at Spira Care?
This is the most favorable type of deductible and out of pocket maximum.
What is Embedded?
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
Mary Jean, Fetish, and D'Orsay
What are types of women pumps?