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Phone Icon 913-29-SPIRA (77472)

©2022 Spira Care. All Rights Reserved. Health plans with exclusive access to Spira Care are available through Blue Cross and Blue Shield of Kansas City, an independent licensee of the Blue Cross Blue Shield Association.




Understanding and using Spira Care Centers and plan networks

Whether you’re already enrolled in a plan that includes access to Spira Care or you’re exploring plan options, this is a great place to learn more.

How to Use Icon

Know your options

Blue KC members enrolled in plans with exclusive access to Spira Care have two options for receiving primary care: visit a Spira Care Center or see a provider on your plan’s network.

Spira Care Centers

(Low or no cost* for services performed at Spira Care Centers):

Primary Care

  • Doctor-led Care Team
  • Wellness check-ups
  • Sick care
  • Preventive care
  • Chronic medical condition management
  • Behavioral health consultations
  • Convenient services including routine lab draws and digital X-rays**

Your plan's network

(cost applies toward your annual deductible):

  • Specialist Care
  • More than 4,100 physicians & specialists
  • 11,000 access points
  • Top hospitals in and around Kansas City
  • No referrals are needed, but a Care Guide can help you choose a specialist for your need
  • Emergency Care
  • For emergency and life-threatening situations
  • You’ll be covered both in-and-out-of-network

*Blue KC members enrolled in plans (without a Health Savings Account) with exclusive access to Spira Care Centers will have no costs for any procedure provided at a Spira Care Center.

Blue KC members enrolled in plans (with a Health Savings Account or HSA Eligible) with exclusive access to Spira Care Centers will have an affordable charge for services. Preventive services are covered at 100 percent.

**Routine labs and X-rays taken at a Spira Care Center are done based on a primary care need and ordered from a Spira Care provider only. Digital X-rays are available at all Spira Care locations except Lee’s Summit and Liberty. We do not accept or facilitate orders from outside providers.

Understand your network and plan type

In order to take full advantage of your benefits, make sure you refer to your Blue KC member ID card so you know your plan and network name. If you have any questions or need help understanding your plan, you can talk to a Care Guide at 913-29-SPIRA (77472).

Blue KC Plan Options with Exclusive Access to Spira Care

When you have a Blue KC healthcare plan with exclusive access to Spira Care Centers, you have two options for receiving care: visit a Spira Care Center or see a provider in your plan's network.

Spira Care (without HSA), PPO

This offering combines care and coverage to provide advanced primary care with no deductibles, copays, or additional costs for procedures received at Spira Care Centers. For needs outside of the Care Centers, you’ll incur a cost applied to your deductible.

Plan at a Glance

Spira Care Centers:

Zero Dollars Icon

No Cost

BlueCard network:

Two Dollar Signs Icon

Costs apply to your deductible

BlueSelect Plus network:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

Four Dollar Signs Icon

Option to receive care at a higher cost

Blue KC Map

BlueSelect Plus Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City

Using your PPO plan

A Preferred Provider Organization (PPO) insurance model means you’re encouraged to receive care from in-network providers but with the option to receive care from out-of-network providers at a higher cost. Refer to the map and table to understand how to stay in-network.

Plan Network
Blue KC Service Area
Outside Service Area

Spira Care (without HSA), EPO

This offering combines care and coverage to provide advanced primary care with no deductibles, copays, or additional costs for procedures received at Spira Care Centers. For needs outside of the Care Centers, you’ll incur a cost applied to your deductible.

Plan at a Glance

Spira Care Centers:

Zero Dollars Icon

No Cost

BlueCard network:

Two Dollar Signs Icon

Costs apply to your deductible

BlueSelect Plus network:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

No out-of-network coverage Icon

No out-of-network coverage except emergency services

Blue KC Map

BlueSelect Plus Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City

Using your EPO plan

An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network.

Plan Network
Blue KC Service Area
Outside Service Area

Spira Care (HSA Eligible), PPO

This simple, predictable option pairs affordable, convenient Spira Care Center visits with a Health Savings Account (HAS). There is a charge for office visits at a Spira Care Center outside of preventive care. Once you’ve met your deductible, any future primary care needs at a Spira Care Center are at no additional cost.

Plan at a Glance

Spira Care Centers:

Two Dollar Signs Icon

Affordable charge for non-preventive services until out-of-pocket deductible is met

BlueCard network:

Two Dollar Signs Icon

Costs apply to your deductible

BlueSelect Plus network:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

Four Dollar Signs Icon

Option to receive care at a higher cost

Blue KC Map

BlueSelect Plus Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City

Using your PPO plan

A Preferred Provider Organization (PPO) insurance model means you’re encouraged to receive care from in-network providers but with the option to receive care from out-of-network providers at a higher cost. Refer to the map and table to understand how to stay in-network.

Plan Network
Blue KC Service Area
Outside Service Area

Spira Care (HSA Eligible), EPO

This simple, predictable option pairs affordable, convenient Spira Care Center visits with a Health Savings Account. There is a charge for office visits at a Spira Care Center outside of preventive care. Once you’ve met your deductible, any future primary care needs at a Spira Care Center are at no additional cost.

Plan at a Glance

Spira Care Centers:

Two Dollar Signs Icon

Affordable charge for non-preventive services until out-of-pocket deductible is met

BlueCard network:

Two Dollar Signs Icon

Costs apply to your deductible

BlueSelect Plus network:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

No out-of-network coverage Icon

No out-of-network coverage except emergency services

Blue KC Map

BlueSelect Plus Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City

Using your EPO plan

An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network.

Plan Network
Blue KC Service Area
Outside Service Area

Blue KC Choice Silver 5000 (with Spira Care), EPO

This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to either the BlueSelect or BlueSelectPlus network, depending on your plan. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.

Plan at a Glance

Spira Care Centers:

Zero Dollars Icon

No Cost

BlueSelect or BlueSelect Plus network, depending on your plan:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

No out-of-network coverage Icon

No out-of-network coverage except emergency services

Blue KC Map

BlueSelect or BlueSelect Plus Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City
  • BlueSelect network includes 8 hospitals
  • BlueSelect Plus network includes 10 hospitals (including two Children's Mercy Hospitals)

Using your EPO plan

An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.

Plan Network
Outside Service Area

Blue KC Choice Silver 6000 (with Spira Care), EPO

This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to the BlueSelect network within the Kansas City metro area. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.

Plan at a Glance

Spira Care Centers:

Zero Dollars Icon

No Cost

BlueSelect network:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

No out-of-network coverage Icon

No out-of-network coverage except emergency services

Blue KC map

BlueSelect Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City

Using your EPO plan

An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.

Plan Network
Outside Service Area

Blue KC Choice Bronze 7000 (with Spira Care), EPO

This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to either the BlueSelect or BlueSelect Plus network, depending on your plan. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.

Plan at a Glance

Spira Care Centers:

Zero Dollars Icon

No Cost

BlueSelect or BlueSelect Plus network, depending on your plan:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

No out-of-network coverage Icon

No out-of-network coverage except emergency services

Blue KC Map

BlueSelect or BlueSelect Plus Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City
  • BlueSelect network includes 8 hospitals
  • BlueSelect Plus network includes 10 hospitals (including two Children's Mercy Hospitals)

Using your EPO plan

An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.

Plan Network
Outside Service Area

Blue KC Choice Bronze 8700 (with Spira Care), EPO

This combined care and coverage option provides advanced primary care with no deductibles, copays, or additional cost for procedures received at Spira Care Centers. Needs outside of the Care Centers will incur a cost applied toward your deductible. Members have access to the BlueSelect network within the Kansas City metro area. You must receive all care from in-network providers except for emergency services. Non-emergency services received out-of-network are not covered.

Plan at a Glance

Spira Care Centers:

Zero Dollars Icon

No Cost

BlueSelect network:

Two Dollar Signs Icon

Costs apply to your deductible

Out-of-network:

No out-of-network coverage Icon

No out-of-network coverage except emergency services

Blue KC Map

BlueSelect Network

  • Spira Care Centers
  • Top Hospitals and 4,100+ Providers in and around Kansas City

Using your EPO plan

An Exclusive Provider Organization (EPO) insurance model means you must receive all care from in-network providers unless it’s an emergency. Refer to the map and table to understand how to stay in-network. Refer to the map and table to understand how to stay in-network.

Plan Network
Outside Service Area

Medicare Advantage plans

If you’re 65 or older, learn about Medicare Advantage Plans with exclusive access to Spira Care today to find the option that’s best for you. To find out more, call toll free: 877-33-SPIRA (77472) or learn more about plans here.

Plan Network

When receiving care in the BlueSelect Plus network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).

You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the BlueSelect Plus network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.

Your out-of-network benefits provide some coverage, but higher out-of-pocket costs will apply.

Blue KC Service Area

When receiving care outside the BlueSelect Plus network within the 32-county Blue KC service area.

Out-of-network coverage, meaning higher out-of-pocket costs will apply.

Outside Service Area

When receiving care outside the 32-county Blue KC service area.

No coverage except for emergency services. You will be responsible for 100% of costs.

Plan Network

When receiving care in the BlueSelect Plus network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).

You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the BlueSelect Plus network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.

You will be responsible for 100% of costs associated with any care received out of network.

Blue KC Service Area

When receiving care outside the BlueSelect Plus network within the 32-county Blue KC service area.

No coverage except for emergency services. You will be responsible for 100% of costs.

Outside Service Area

When receiving care outside the 32-county Blue KC service area.

No coverage except for emergency services. You will be responsible for 100% of costs.

Plan Network

When receiving care in the BlueSelect or BlueSelect Plus network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).

You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.

You will be responsible for 100% of costs associated with any care received out of network.

Blue KC Service Area

When receiving care outside the BlueSelect or BlueSelect Plus network.

No coverage except for emergency services. You will be responsible for 100% of costs.

Plan Network

When receiving care in the BlueSelect network (Clay, Clinton, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas).

You have in-network coverage when using any of the 4,100+ providers in the six area counties and ten hospitals in the network. Important note: All other hospitals (and their providers) in the Kansas City metro area that are not in the network are considered out-of-network. ‡ Emergency services are always covered at the in-network cost share. Cost applies toward your annual deductible.

You will be responsible for 100% of costs associated with any care received out of network.

Blue KC Service Area

When receiving care outside the BlueSelect network.

No coverage except for emergency services. You will be responsible for 100% of costs.