{"id":4593,"date":"2025-01-01T18:35:48","date_gmt":"2025-01-01T23:35:48","guid":{"rendered":"https:\/\/www.bluekc.com\/blueprint\/?p=4593"},"modified":"2025-05-07T15:33:47","modified_gmt":"2025-05-07T20:33:47","slug":"2025-aca-individual-family-plans-member-guide","status":"publish","type":"post","link":"https:\/\/www.bluekc.com\/blueprint\/member-benefits\/2025-aca-individual-family-plans-member-guide\/","title":{"rendered":"2025 ACA Individual &amp; Family Plans Member Guide"},"content":{"rendered":"\n<p><strong>Welcome to Blue KC<\/strong>!<\/p>\n\n\n\n<p>For over 85 years, Blue Cross and Blue Shield of Kansas City (Blue KC) members have been at the heart of everything we do. We\u2019re grateful you trust us as a partner in your health and well-being. That\u2019s the Benefit of Blue\u00ae.<\/p>\n\n\n\n<p>Your Blue KC coverage brings you healthcare choices that fit the way you live, and we\u2019re here to help you navigate your healthcare experience and show you how to get the greatest benefits from your plan.<\/p>\n\n\n\n<p><strong>TIP<\/strong>: Bookmark this page for future reference.<\/p>\n\n\n\n<p>Please verify your coverage and benefit details in your Member Portal by visiting MyBlueKC.com.<\/p>\n\n\n\n<p><strong>GETTING STARTED<\/strong><br>Understanding Health Insurance Terms \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Health-Insurance-Terms.pdf\">View and Download<\/a><br>Your Member Portal On MyBlueKC.com \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Member-Portal.pdf\">View and Download<\/a><br>Your Blue KC Member ID Card \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Member-ID-Card.pdf\">View and Download<\/a><br>What to Expect on Your Explanation Of Benefits (EOB) \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Explanation-of-Benefits.pdf\">View and Download<\/a><br>MyBlueKC Mobile App \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/MyBlueKC-Mobile-App.pdf\">View and Download<\/a> <br>Opt-In To Text Messaging \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/Opt-In-to-Text-Messaging.pdf\">View and Download<\/a> <\/p>\n\n\n\n<p><strong>FINDING CARE<\/strong><br>Knowing Where To Go For Care Starts Here \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Where-to-Go-for-Care.pdf\">View and Download<\/a><br>Find A Doctor Or Hospital \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Find-a-Doctor-or-Hospital.pdf\">View and Download<\/a><br>Blue KC Community Support Tool \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/Community-Resources-Tool.pdf\">View and Download<\/a> <br>Virtual Care \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Virtual-Care-Mobile-Visits.pdf\">View and Download<\/a><br>How Prior Authorization Works \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/Prior-Authorization.pdf\">View and Download<\/a> <\/p>\n\n\n\n<p><strong>BENEFITS<\/strong><br>Blue365\u00ae \u2013\u00a0<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Blue365.pdf\">View and Download<\/a><br>Rewards Program &#8211; <a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2025\/05\/Rewards-Program.pdf\">View and Download<\/a> <br>Save and Earn with SmartShopper \u2013\u00a0<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/SmartShopper.pdf\">View and Download<\/a><\/p>\n\n\n\n<p><strong>PHARMACY<\/strong><br>Making the Most of Your Pharmacy Benefits \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Pharmacy-Benefits.pdf\">View and Download<\/a><br>Use Rx Savings Solutions to Save on Prescriptions \u2013&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2024\/10\/ACA-Rx-Savings-Solutions.pdf\">View and Download<\/a><\/p>\n\n\n\n<p><strong>Individual &amp; Family Plans with Spira Care<\/strong> &#8211; <a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2025\/01\/BlueKC_Spira_brochure_ACAIFP_nopersona_web.pdf\">View and Download<\/a><\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<p>Download a full version of the <a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2025\/05\/2025-ACA-IFP-Member-Guide-Final.pdf\">ACA IFP Member Guide here<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><em><sup>For details about your coverage, please review your Blue KC certificate, which outlines the benefits, exclusions, responsibilities, rights and other important information related to your health insurance plan. To view your current Blue KC contract\/certificate, or to print a copy of your Summary of Benefits and Coverage, visit MyBlueKC.com and click on Plan Benefits.<\/sup><\/em><\/p>\n\n\n    <div class=\"cta-form cta-click-to-call cta-explore-plans theme-dark bg-shield bg-shield-right-positioned\">\n        <div class=\"col cta-section\">\n            <h3>Go to MyBlueKC.com or download the MyBlueKC app to access your account plus more tools and information.<\/h3>        <\/div>\n        <div class=\"col\">\n            \n                        <a class=\"btn btn-light\" href=\"https:\/\/member.bluekc.com\/\" target=\"_self\">MyBlueKC portal <\/a>\n            \n                        <a class=\"btn btn-light\" href=\"https:\/\/www.bluekc.com\/consumer\/member-benefits\/apps\/mybluekc-mobile-app\/\" target=\"_blank\">MyBlueKC app <\/a>\n            \n                        <\/div>\n        <\/div>\n    <\/div>\n\n\n<p><\/p>\n\r\n\t\t\t<div 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d=\"m30.57,38.94l-.49.1c-.81.17-1.61-.35-1.78-1.16l-5.3-11.74c-.17-.81,3.16-1.61,3.97-1.78l1.96-.41c.81-.17,1.61.35,1.78,1.16l2.18,10.27c.34,1.61-.7,3.21-2.31,3.56Z\" \/>\r\n                            <path class=\"thumb-down-cls-1 daexthefu-icon-primary-color\" d=\"m38.17,28h-18.67c-.83,0-1.5-.67-1.5-1.5v-12c0-.83.67-1.5,1.5-1.5h16.27c.71,0,1.33.5,1.47,1.21l2.4,12c.19.93-.53,1.8-1.47,1.8Z\" \/>\r\n                        <\/g>\r\n                    <\/g>\r\n                <\/svg>\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-comment\">\r\n\t\t\t\t\t<div class=\"daexthefu-comment-top-container\">\r\n\t\t\t\t\t\t<label id=\"daexthefu-comment-label\" class=\"daexthefu-comment-label\"><\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-container\">\r\n\t\t\t\t\t\t\t\t<div id=\"daexthefu-comment-character-counter-number\"\r\n\t\t\t\t\t\t\t\t\tclass=\"daexthefu-comment-character-counter-number\"><\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-text\"><\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<textarea id=\"daexthefu-comment-textarea\" class=\"daexthefu-comment-textarea\"\r\n\t\t\t\t\t\t\t\tplaceholder=\"Type your message\"\r\n\t\t\t\t\t\t\t\tmaxlength=\"\r\n\t\t\t\t\t\t\t\t400\t\t\t\t\t\t\t\t\t\"><\/textarea>\r\n\t\t\t\t\t<div class=\"daexthefu-comment-buttons-container\">\r\n\t\t\t\t\t\t<button class=\"daexthefu-comment-submit daexthefu-button\">Submit<\/button>\r\n\t\t\t\t\t\t<button class=\"daexthefu-comment-cancel daexthefu-button\">Cancel<\/button>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-successful-submission-text\">Thanks for your feedback!<\/div>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t\t","protected":false},"excerpt":{"rendered":"<p>Welcome to Blue KC! For over 85 years, Blue Cross and Blue Shield of Kansas City (Blue KC) members have been at the heart of everything we do. We\u2019re grateful you trust us as a partner in your health and&#8230;<\/p>\n","protected":false},"author":37,"featured_media":4555,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_helpful_status":1,"_analytify_skip_tracking":false,"footnotes":""},"categories":[21,31],"tags":[62],"post-on-community-impact":[],"class_list":["post-4593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-member-benefits","category-using-your-benefits","tag-members-ifp-aca"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>2025 ACA Individual &amp; Family Plans Member Guide - The Blueprint<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bluekc.com\/blueprint\/member-benefits\/2025-aca-individual-family-plans-member-guide\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"2025 ACA Individual &amp; Family Plans Member Guide - The Blueprint\" \/>\n<meta property=\"og:description\" content=\"Welcome to Blue KC! 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