Provided By
Blue Cross and Blue Shield of Kansas City
Provider Website
Customer Service
Medical Benefits
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
$4,000 HSA (HDHP) Plan – ACS contributes $700.00 per month toward employees’ premiums. ACS will also contribute $40 per month to employees’ HSA’s
In-Network Benefits |
$4,000 HSA (HDHP) Plan |
|---|---|
Deductible (Indiv./Fam.) |
$4,000/$8,000 |
Member Coinsurance |
20% |
Out-of-Pocket (Indiv./Fam.) |
$5,500/$11,000 |
Primary Care Visit |
Deductible + Coinsurance |
Specialist Visit |
Deductible + Coinsurance |
Preventive Care |
Covered at 100% |
Urgent Care |
Deductible + Coinsurance |
Emergency Care |
Deductible + Coinsurance |
Prescriptions |
$4,000 HSA (HDHP) Plan |
|---|---|
Retail |
Deductible + Coinsurance |
Mail Order |
Deductible + Coinsurance |
Per Pay Period Rates |
|
|---|---|
Employee Only |
$0.00 |
Employee + Spouse |
$602.43 |
Employee + Child(ren) |
$368.39 |
Employee + Family |
$737.34 |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.bluekc.com.
$5,000 PPO Plan – ACS contributes $700.00 per month toward employees’ premiums. ACS will also contribute $40 per month to employees’ HSA’s
In-Network Benefits |
$5,000 PPO Plan |
|---|---|
Deductible (Indiv./Fam.) |
$5,000/$10,000 |
Member Coinsurance |
20% |
Out-of-Pocket (Indiv./Fam.) |
$6,500/$13,000 |
Primary Care Visit |
$40 Copay |
Specialist Visit |
$40 Copay |
Preventive Care |
Covered at 100% |
Urgent Care |
$40 Copay |
Emergency Care |
$100 Copay, then Deductible, |
Prescriptions |
$5,000 PPO Plan |
|---|---|
Retail |
$15/$70/$110/$200 Copay |
Mail Order |
2.5x Retail Cost |
Per Pay Period Rates |
|
|---|---|
Employee Only |
$50.00 |
Employee + Spouse |
$668.95 |
Employee + Child(ren) |
$428.86 |
Employee + Family |
$807.71 |
Provided By
Blue Cross and Blue Shield of Kansas City
Provider Website
Customer Service