As the new plan year begins, please share these reminders with small group clients.<\/p>\n\n\n\n
In 2026, employees pay $0 for Blue KC virtual care visits. This includes primary care and behavioral health visits. A few housekeeping details: <\/p>\n\n\n\n
Employer groups should review Blue KC premium invoices and, if they find an error or eligibility discrepancy, update their enrollment systems as soon as possible. Blue KC allows a 60-day grace period for enrollment adjustments, though we prefer enrollment updates prior to eligibility changes.<\/p>\n\n\n\n
While Blue KC takes every precaution to deliver accurate invoices, it is a best practice and customer responsibility to ensure they\u2019re not being billed for employees who may no longer be eligible for coverage.<\/p>\n\n\n\n
The SmartShopper cash incentive program, which rewarded members for shopping and choosing cost-effective sites of care, sunset December 31, 2025, for small groups.<\/p>\n\n\n\n
SmartShopper is one of several member programs and tools provided by Zelis. There is no impact to Zelis Find Care online provider search and cost estimator<\/a> tools.<\/p>\n\n\n\n For small groups moving to Blue KC from another carrier, pro-rated deductible and out-of-pocket credits are not automatically applied to their accounts. Rather, Blue KC will apply exact credits as provided by the previous carrier and will accept one file within 60 days of the new group effective date.<\/p>\n\n\n\n For new groups with effective dates of January 15 and later, please instruct the previous carrier to send the accumulator file to Small_Group_Special_Handling@BlueKC.com<\/a> and include:<\/p>\n\n\n\n Please contact your Blue KC representative if you have questions about the topics listed here.<\/p>\n\n\n\nDeductible and out-of-pocket credit guidelines for new groups<\/strong><\/h2>\n\n\n\n
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