56-57 / 99
69
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169
49
Lighthouse St.
Holmes
Antioch
75thSt.
CollegeBlvd.
Rainbow Blvd.
Lee’sSummitRd.
39thSt.
S.Lone ElmRd.
Children’sMercy
Hospital
TrumanMedicalCenter ‐Hospital
Hill
22ndSt.
TrumanMedicalCenter ‐
Lakewood
Woods ChapelRd.
NorthKansasCity
Hospital
ShawneeMissionMedical
Center
OlatheMedical
Center
151stSt.
UniversityofKansas
Hospital
Children’sMercyHospital ‐
South
Liberty
Hospital
• A sustainable solution for
lower‐cost healthcare in
Kansas City supportedby
physicians committedto
makingKansas City a
healthier communitythrough
trustedandquality care.
• More than 3,300
physicians
and
specialists at more than
11,000locations.
• 100%Access: Mid‐market
and large groupmembersin
Blue KC’s five‐countymetro
area.
• Over50% local utilization
already withBlueSelect Plus
providers.
• Coverage foroutside the32‐
county Blue KC service area
under BlueCard PPOcoverage.
• Emergencyroomservices
covered atthe in‐network
benefit level.
• Children’s Mercy
Hospital
• Children’s Mercy Hospital
– South
• Liberty
Hospital
• North Kansas City
Hospital
• OlatheHealth – OlatheMedical
Center
• Truman Medical Center–
Lakewood
• Truman Medical Center –
HospitalHill
• ShawneeMission
Medical Center
• The University of Kansas
HealthSystem
• Employergroupswill
experience optimum
cost savings through
deepest network
discounts and
enhancedcare
management
outcomes.
AN EXCLUSIVE NETWORK
GROUP SAVINGS
AND BETTER
OUTCOMES
PROVIDER COST &
QUALITY INCENTIVE
STRUCTURE
SIMPLIFIED
MEMBER
EXPERIENCE
QUALITY
CARE
CONVENIENT
ACCESS
SUSTAINABLE
SAVINGS
An exclusive offering
Spira membership andcare
locations are exclusive toenrolled
51+employergroup members.*To
ensurethehighest quality careand
access, a limitednumberof
memberships will beavailable.
*ASO Level Funded Groups areeligible with25+
enrolledmembers.
A member advocate and team
All Spira memberswill haveaccess toa member
advocate– someone tohelpthemthrougheach stepof
their health journey.Amemberadvocatewill provide
comprehensive supportincluding explanations of
medical services andbenefits as well as
network/specialist navigation foroutside‐of‐clinic
supportservices.
•
Explain benefits and costs for
services outside ofSpira
•
Help schedule specialist visits
•
Follow‐up tosee how you are
doing
•
Discuss care plan
A simplified member
experience
Spira offers a newapproachto
healthcare pairedwith a support
teamthatenhances primarycare in
their lives. Everyaspect of the
patient experience has been
redeveloped tocreatesimplicity,
transparencyand access.
Spira is builtaroundtwo
designated andintegrated
primarycarelocationsin Johnson
County,Kansas. Bothlocations
provide easy access tocare in
anexclusive setting.
Foraddedconvenience,a select numberof
the mostcommonlyprescribedformulary
drugswill beavailable tobefilled atSpira.
This servicewill providememberswith
medicationswherethey areprescribedto
increasemembersatisfaction andreduce
complications from non‐adherence.
Two convenient
locations
A coordinated approach to quality care
Weareworkingwithoneof
the highest‐ratedBlue KC
Medical Homeprovider
groupstostaff these
locations and create
anenhancedmember
experience including:
proactive patient outreach,
expandedhours, chronic
conditionmanagement,
patient careplans and
transparencyfor costs
ofservices outside Spira.
Primary care and behavioral
health at no additional cost
Spira is thefirstplan inKansas Citytooffer
comprehensive primarycareandbehavioralhealth
servicesatnoadditional cost tothemember,bringing
simplicity andpeaceofmind.Spirawill offeranarrayof
freeservicesto the memberincluding:
primarycarevisits
(preventative/ non‐
preventative),routine
behavioralhealth services,
lab draws,X‐raysandmore.
Services outsideofSpira, like a
specialist visit witha doctor inthe
BlueSelect Plus network will go
towardthemember’s usual
deductible.
BlueSelect Plus– SameTrustedCoverage,VeryDifferent Price
With access totheBlueSelect Plus network,Spira membersandemployerswill benefit fromthe
network’s lower overall costs and convenient access to local providers across themetro area.
Spira – PrimaryCareReimagined
Individuals haveeasy access and support in navigating toward theirhealthiest self.
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