{"id":5939,"date":"2025-04-11T09:50:06","date_gmt":"2025-04-11T14:50:06","guid":{"rendered":"https:\/\/www.bluekc.com\/blueprint\/?p=5939"},"modified":"2025-06-09T13:26:11","modified_gmt":"2025-06-09T18:26:11","slug":"small-group-and-aca-members-now-have-an-interactive-real-time-view-of-health-plan-coverage-with-plan-navigator","status":"publish","type":"post","link":"https:\/\/www.bluekc.com\/blueprint\/agents\/client-member-resources\/small-group-and-aca-members-now-have-an-interactive-real-time-view-of-health-plan-coverage-with-plan-navigator\/","title":{"rendered":"Small group and ACA members now have a real-time view of health plan coverage"},"content":{"rendered":"\n

Blue KC members may already visit their member account at MyBlueKC.com for claims and EOBs, digital member ID card, Find Care, pharmacy, and anything else specific to their Blue KC plan. <\/p>\n\n\n\n

MyBlueKC.com now has a new<\/em> feature \u2013 Plan Navigator<\/strong> \u2013 that helps members quickly put their finger on coverage specifics.<\/p>\n\n\n\n

Where is Plan Navigator?<\/strong><\/h2>\n\n\n\n

Once logged in at MyBlueKC.com, members can click Plan Benefits in the left column, which will land them on the Plan Navigator page.<\/p>\n\n\n\n

What’s on Plan Navigator<\/strong><\/h2>\n\n\n\n

Covered services<\/strong><\/h3>\n\n\n\n

On the Plan Navigator page, members will see an array of boxes for services covered by their plans. A click on each box reveals coverage information about specific services.<\/p>\n\n\n\n

For instance, the Doctor\u2019s Office and Specialist Visits box will show services such as annual physical, sick care, and flu shots. A click into each service shows how the plan covers that service.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Real time deductible and out-of-pocket max tracker<\/strong><\/h3>\n\n\n\n

If a member has met their deductible or out-of-pocket max, the service will display coverage information based on meeting them. For instance, \u201cYour family has met their deductible, so the plan pays 80% of the cost,\u201d \u201cAfter you meet your deductible, the plan pays 80% of the cost,\u201d or \u201cJeffrey has met his out-of-pocket maximum, so the plan pays 100% of the cost.\u201d<\/p>\n\n\n\n

To the right is the Spending Tracker<\/strong> with real-time deductible and out-of-pocket max amounts.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Other helpful Plan Navigator resources<\/strong><\/h3>\n\n\n\n
    \n
  • Find Care \u2013 Most services will connect members directly to our Find Care provider directory and provide appropriate key words to use in search<\/li>\n\n\n\n
  • Virtual Care \u2013 Members can connect to a virtual care appointment directly from the virtual care service box.<\/li>\n\n\n\n
  • Additional Resources \u2013 Certain services, like Pregnancy and Family Planning, include additional resources, such as breast pump information and our guide to a health pregnancy.<\/li>\n\n\n\n
  • Prior Authorization \u2013 If a service requires prior authorization, it will be clearly indicated.<\/li>\n<\/ul>\n\n\n\n

    Plan Navigator is live!<\/strong><\/h2>\n\n\n\n

    Plan Navigator can greatly simplify life when members need health plan information, and they need it now. Its available on MyBlueKC.com. <\/p>\n\n\n\n

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