Blue Cross and Blue Shield of Kansas City’s Blue Medicare Advantage includes both HMO and PPO plans with Medicare contracts. Enrollment in Blue Medicare Advantage depends on contract renewal.
Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross and Blue Shield Association. The HMO products are offered by Blue-Advantage Plus of Kansas City, Inc. and the PPO products are offered by Missouri Valley Life and Health Insurance Company, both wholly-owned subsidiaries of Blue Cross and Blue Shield of Kansas City.
You must continue to pay your Medicare Part B premium. Please note that enrollment in a Blue Medicare Advantage plan is limited to specific times of the year. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year.
Medicare evaluates plans on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.
The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Medicare beneficiaries may also enroll in Blue Medicare Advantage through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
For Blue Medicare Advantage (HMO) products only, members must use plan providers except in emergency or urgent care situations. If a member with an HMO product obtains routine care from an out-of-network provider without prior approval from Blue KC, neither Medicare nor Blue KC will be responsible for the costs.
For Blue Medicare Advantage (PPO) products only, out-of-network/non-contracted providers are under no obligation to treat Blue Medicare Advantage (PPO) members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
You may receive a messaging service on weekends and holidays from February 15 to September 30. Please leave a message and your call will be returned the next business day.
Please note that our main customer service number presented above is the designated number for submitting oral requests for expedited appeals.Customer Service Email:
Please click here to view or download the Multi-Language insert.
Mailing address and fax number for written Customer Service, Claims, Appeals and Grievances requests:PO Box 8494