Appeals to employees who expect to use preventive care plus a few office visits, but also provides peace of mind that coverage will be there in the event of unexpected accidents or illnesses.

Your employees' first four office visits include a copay, and are not subject to the deductible.

Available only on the Preferred-Care Blue network.

First Plan Variations

First PCB Gold
Preferred-Care Blue with BlueCard
(Available for purchase directly from Blue KC and on the Marketplace)1
First PCB Gold
Preferred-Care Blue with BlueCard
(Available for purchase directly from Blue KC)1
First PCB Silver
Preferred-Care Blue with BlueCard
(Available for purchase directly from Blue KC and on the Marketplace)1
First PCB Silver
Preferred-Care Blue with BlueCard
(Available for purchase directly from Blue KC)1
First Value PCB Silver
Preferred-Care Blue with BlueCard
(Available for purchase directly from Blue KC)1
First PCB Bronze
Preferred-Care Blue with BlueCard
(Available for purchase directly from Blue KC)1
Network IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT
DEDUCTIBLE
SINGLE $1,000 $1,000 $2,500 $2,500 $2,500 $2,500 $5,000 $5,000 $5,000 $10,000 $6,500 $6,500
FAMILY $2,000 $2,000 $5,000 $5,000 $5,000 $5,000 $10,000 $10,000 $10,000 $20,000 $13,000 $13,000
OUT OF POCKET MAX
SINGLE $4,000 $8,000 $3,000 $6,000 $6,500 $13,000 $6,500 $13,000 $7,000 $14,000 $7,150 $14,300
FAMILY $8,000 $16,000 $6,000 $12,000 $13,000 $26,000 $13,000 $26,000 $14,000 $28,000 $14,300 $28,600
COST SHARING
COINSURANCE 15% 35% 0% 20% 30% 50% 0% 20% 20% 40% 20% 30%
PCP2 $5 copay first 4 visits, Ded/Coins 5+ visits $5 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $25 copay first 4 visits, Ded/Coins 5+ visits
SPECIALIST $5 copay first 4 visits, Ded/Coins 5+ visits $5 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $25 copay first 4 visits, Ded/Coins 5+ visits
URGENT CARE $5 copay first 4 visits, Ded/Coins 5+ visits $5 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $10 copay first 4 visits, Ded/Coins 5+ visits $25 copay first 4 visits, Ded/Coins 5+ visits
ER Ded then 15% Deductible Ded then 30% Deductible Ded then 20% Ded then 20%
PHARMACY3 Tier 1: $10
Tier 2: $55
Tier 3: 20% (MAX $250)
Tier 44: DED THEN 30%
Tier 1: $10
Tier 2: $55
Tier 3: 20% (MAX $250)
Tier 44: DED THEN 30%
Tier 1: $10
Tier 2: $55
Tier 3: 20% (MAX $250)
Tier 44: DED THEN 30%
Tier 1: $10
Tier 2: $55
Tier 3: 20% (MAX $250)
Tier 44: DED THEN 30%
Tier 1: $10
Tier 2: $55
Tier 3: 20% (MAX $250)
Tier 44: DED THEN 30%
Tier 1: Ded then 20%
Tier 2: Ded then 20%
Tier 3: Ded then 20%
Tier 44: Ded then 20%
DEDUCTIBLE TYPE5 EMBEDDED EMBEDDED EMBEDDED EMBEDDED EMBEDDED EMBEDDED

Summary of Benefits and Coverage

View a complete list of Summary of Benefits and Coverage Documents.

  • 1 Blue KC is a Qualified Health Plan issuer on the Individual Health Insurance Marketplace. With the exception of Short-Term Security plans, all Blue KC products qualify as Minimum Essential Coverage under the Affordable Care Act (ACA), meaning you will not be subject to the individual mandate penalty for any months you are enrolled in the product.
  • 2 Primary Care Physicians include General Practice, Family Practice, Internal Medicine, and Pediatrics.
  • 3 Maintenance medications must be filled through the mail-order pharmacy to receive the lowest copay. Individuals will be charged two times the applicable copay for a maintenance medication at retail pharmacies after the second prescription is filled.
  • 4 Tier 4 specialty medications should be filled through the mail-order pharmacy to receive the lowest copay. Members will be charged up to two times the applicable copay for a specialty medication at retail pharmacies. Some specialty medications are only available through the mail order pharmacy. A list of those medications for Missouri members is available in the 2017 Missouri Prescription Drug List and for Kansas members in the 2017 Kansas Prescription Drug List.
  • 5 Embedded—An individual deductible you must satisfy each calendar year before benefits will be paid. Aggregate – The entire family deductible must be satisfied each calendar year before benefits for any covered person will be paid.

More Blue Plans & Products

When life calls for more than health insurance, Blue KC answers. With dental plans, vision plans, short-term security plans and even travel medical insurance. That's how you cover all of life's plans.

Dental, Vision, & More

Blue KC Member Health Programs

Good health starts with good support. That's why every Blue KC member has access to the resources they need to live healthy. From Health Risk Assessments to health and wellness programs. From prenatal programs to preventive care. We're committed to improving the health of our members and our community.

Member Health Programs

Health Insurance Matters

We'll help you, and your employees, understand the lay of the healthcare landscape. Navigate through all the twists and turns. And make decisions that benefit the bottomline. After all, the smarter we are, the healthier we can be.

Learn More About Employer Insurance