CHAMBERCHOICE PLANS
For businesses with 5-99 employees
ChamberCHOICE is a suite of health insurance products designed for small businesses. Open to ALL area small businesses (area Chamber membership is not required).
DOWNLOAD 2024 SMALL GROUP PRODUCT GUIDE DOWNLOAD CHAMBERCHOICE BROCHURE DOWNLOAD CHAMBERCHOICE FLYERChamberCHOICE at work.
ChamberCHOICE is based on a health insurance model called defined contribution. Employers provide employees with a health insurance allowance, or “contribution,” to spend on their healthcare. It’s a win-win because employees get to choose the plan that fits their needs. And employers get to control their annual costs.
ChamberCHOICE Level Funding Administrative Services Only (ASO) plans provide a great alternative to traditional, fully insured small group health plans. The plans have been designed to be fully funded. Blue KC will help you evaluate your maximum claims risk and then blend specific and aggregate stop-loss insurance to create level funding you can budget for each month.
CHAMBERCHOICE AT A GLANCE:
- Employees choose from six unique level funding ASO medical plans that include Spira Care, BlueSelect Plus and the Preferred-Care Blue networks
- Employers may choose to offer one of three dental/vision coverage options
THE MONTHLY LEVEL-FUNDED MONEY REMITTED TO BLUE KC WILL INCLUDE:
- Administrative costs and stop-loss insurance
- Claims funding
YOUR MAXIMUM ANNUAL CLAIMS, INCLUDING CLAIMS RUN-OUT LIABILITY, ARE PREDETERMINED TO CREATE LEVEL FUNDING THAT IS EASY TO ADMINISTER. EMPLOYEES CAN ELECT THE FOLLOWING COVERAGE LEVELS:
- Employee Only
- Employee and Spouse
- Employee and Children
- Employee and Family
Level Funding 101.
Your level funding arrangement has been carefully designed to ensure you neither over nor under fund your plan. However, in the event your claims experience is lower than expected, you will receive back two-thirds of your unused claims dollars. Blue KC will retain one-third as a deferred administrative fee.
Advantages of ChamberCHOICE Level Funding ASO Options:
PREDICTABLE
Gain control over your health benefits budget and have an opportunity to get back a portion of your unused claims dollars.
AFFORDABLE
Self-funded medical plans may be less costly than similar fully insured coverage options subject to modified community rating guidelines and may be exempt from some taxes and fees.
COMPREHENSIVE COVERAGE
Plans include tailored networks, comprehensive medical and pharmacy benefits, plus Blue KC’s award-winning Customer Service and comprehensive population health management programs.
FLEXIBLE
Open to all area small businesses (local Chamber membership is not required).
Networks for Small Group Plans
Blue KC understands the importance of access to high-quality healthcare services. Our provider contracting team ensures our networks deliver by negotiating rates that help keep care affordable, while also ensuring each provider meets Blue KC’s standards for high-quality care.
Network Coverage
Network Coverage with BlueCard
Preferred-Care Blue®
Preferred–Care Blue (PPO) offers your employees the largest selection of providers within the Blue KC 32-county service area. When your employees want more doctors, more hospitals, and more health care choices, our Preferred-Care Blue network will more than meet their expectations. Employees can also travel with confidence because BlueCard® gives them access to benefits while on the go.
BlueSelect Plus
The BlueSelect Plus network is specially designed for sustainable savings and easy access to quality healthcare in and around the Kansas City metro area. BlueSelect Plus offers affordability by using a strong hospital and provider network of more than 4,100 providers and 16 hospitals. When traveling outside the 32 county Blue KC service area, BlueSelect Plus members are covered under the BlueCard PPO network. To choose a BlueSelect Plus plan, companies must be headquartered in the 12-county region listed below, and members must:
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Live in one of these 12 counties:
Missouri: Clay, Jackson, Platte, Cass, Clinton, DeKalb, Johnson, Lafayette, Ray, Caldwell
Kansas: Johnson and Wyandotte -
Seek Care from any of the 4,100+ providers and 16 hospitals primarily located in these seven counties:
Missouri: Clay, Jackson, Platte, Clinton, Johnson
Kansas: Johnson, Wyandotte
BlueSelect Plus also includes specialty hospitals Ascentist Healthcare, Kansas City Orthopedic Institute and over 50 Ambulatory Surgical Centers (ASC). ASCs are modern care facilities focused on providing same-day surgical care, including diagnostic and preventive procedures, and may be more cost effective. To learn more about all providers in the BlueSelect Plus network visit MyBlueKC.com or call the customer service number on your member ID card.
Spira Care + BlueSelect Plus
Spira Care is a combined care and insurance offering developed by Blue KC. Spira Care members enjoy access to comprehensive, personal primary care at convenient Care Centers, as well as access to all the benefits of the BlueSelect Plus network in and around the Kansas City metro area.
Spira Care is built on an Exclusive Provider Organization (EPO) insurance model. Members must receive all care from in network providers (12 county BlueSelect Plus network or BlueCard network outside the 32 county service area) except for emergency services. Non emergency services received out of network are not covered.
BlueCard®
Most Blue KC plans allow you to take your healthcare benefits with you – across the country and around the world – with the BlueCard program. BlueCard gives you access to doctors and hospitals almost everywhere. Outside of the U.S., you have access to doctors and hospitals in nearly 200 countries and territories through the BlueCard Worldwide® program.
