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Eligibility

Learn about the health insurance eligibility requirements for you and your dependents and information on enrollment.

When can I change from individual to family enrollment or from family to an individual?
There are two times you can make a change to your enrollment options. The first time is during the open enrollment period. Your employer schedules an open enrollment period once a calendar year when all employees may make changes to their health insurance plan. You may also make a change during a special enrollment period if you acquire a new dependent or if your coverage is terminated under another health insurance plan. If you have health insurance through an employer, your group benefits administrator, typically someone in your Human Resources department, can help you make changes to your health insurance plan. If you do not have health insurance through an employer and instead pay your monthly premiums directly to Blue KC, call the Customer Service number listed on your member ID card.

Am I eligible for health insurance through my employer if I have a pre-existing condition?
Yes, you are eligible for health insurance through an employer if you have a pre-existing condition. However, you may not have coverage for your pre-existing condition for a certain period of time.

How do I add a dependent to my health insurance plan?
If you have health insurance through your employer, check with your group benefits administrator to have a dependent added to your plan. He or she has the information and/or forms you need to add your dependent to your health insurance plan. If you do not have health insurance through an employer and instead pay your monthly premiums directly to Blue KC, call the Customer Service number listed on your member ID card.

Are my children covered when they are away from home and at school?
Your children’s coverage while they are away from home depends on the type of health insurance plan you have. If you have health insurance through your employer, check with your group benefits administrator for more information. If you do not have health insurance through an employer and instead pay your monthly premiums directly to Blue KC, call the Customer Service number listed on your member ID card.

I noticed my membership information was wrong during enrollment. How do I have it corrected?
Log in and click on “Contact Us.” Please make sure your e-mail includes your member ID number, the current date and the correct information.