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Medical

2024 Medical Insurance Coverage Information

Medical Plan Options

Blue Cross Blue Shield of
Kansas City (Blue KC)
HMO EPO Preferred Care Blue
High Deductible
BlueSelect Plus
High Deductible
Network

Blue Care
 

Preferred Care Blue
 

Preferred Care Blue
 

BlueSelect Plus
 
Annual Deductible
Individual / Family

N/A
 

$1,000 / $2,000
 

$4,000 / $8,000
 

$4,000 / $8,000
 
Coinsurance
(Blue KC Pays) In / Out

N/A
 

80% / N/A
 

100% / 80%
 

100% / 70%
 
Out-of-Pocket Maximum
Individual / Family
(In-Network)
(Out-of-Network)



$6,500 / $13,000
No Coverage
 



$6,500 / $13,000
No Coverage
 



$4,000 / $8,000
$8,000 / $16,000
 



$4,000 / $8,000
$20,000 / $40,000
 
Physician Services
Primary Care Office Visit
Specialist Office Visit


$40 Copay
$80 Copay
 


$40 Copay
$80 Copay
 


Deductible
Deductible
 


Deductible
Deductible
 
Routine Preventive Care

Covered at 100%
 

Covered at 100%
 

Covered at 100%
 

Covered at 100%
 
Urgent Care Center

$80 Copay
 

$80 Copay
 

Deductible
 

Deductible
 
Hospital Emergency Room

$200 Copay
 
$500 Copay +
deductible + 20%
 

Deductible
 

Deductible
 
Prescription Drug Deductible
$150
($450 per family)
 
$150
($450 per family)
 

N/A
 

N/A
 
Retail Prescriptions (34-day supply)

Tier 1: Generic
Tier 2: Formulary Name Brand
Tier 3: Non-Formulary Name Brand
Rx Preferred

$15 Copay
$40 Copay
$65 Copay
 
Rx Premier

$25 Copay
$50 Copay
$75 Copay
 
Rx Preferred

$15 Copay
$40 Copay
$65 Copay
 
Rx Premier

$25 Copay
$50 Copay
$75 Copay
 



Deductible
Deductible
Deductible
 



Deductible
Deductible
Deductible
 

2024 Monthly Premium Summary

Premiums will be deducted from your paycheck one month prior to the coverage effective date. HSA and HRA contributions will be made in the month your coverage begins.

Medical Monthly Premiums~

BlueSelect Plus
High Deductible
Total Cost Paid by District Employee Cost District HSA or
HRA Contribution
Employee Only
$695
 
$695
 
$0
 
$182
 
Employee & Spouse
$1,428
 
$695
 
$733
 
$182
 
Employee & Child(ren)
$1,223
 
$695
 
$528
 
$182
 
Full Family
$2,106
 
$695
 
$1,411
 
$182
 
Special Family*
$2,106
 
$1,390
 
$716
 
$364
 
Preferred Care Blue
High Deductible
Total Cost Paid by District Employee Cost District HSA or
HRA Contribution
Employee Only
$760
 
$735
 
$25
 
$142
 
Employee & Spouse
$1,560
 
$735
 
$825
 
$142
 
Employee & Child(ren)
$1,337
 
$735
 
$602
 
$142
 
Full Family
$2,300
 
$735
 
$1,565
 
$142
 
Special Family*
$2,300
 
$1,470
 
$830
 
$284
 
HMO Total Cost Paid by District Employee Cost District HSA or
HRA Contribution
Employee Only
$1,013
 
$877
 
$136
 
Not Applicable
 
Employee & Spouse
$2,073
 
$877
 
$1,196
 
Not Applicable
 
Employee & Child(ren)
$1,781
 
$877
 
$904
 
Not Applicable
 
Full Family
$3,060
 
$877
 
$2,183
 
Not Applicable
 
EPO Total Cost Paid by District Employee Cost District HSA or
HRA Contribution
Employee Only
$1,000
 
$877
 
$123
 
Not Applicable
 
Employee & Spouse
$2,050
 
$877
 
$1,173
 
Not Applicable
 
Employee & Child(ren)
$1,760
 
$877
 
$883
 
Not Applicable
 
Full Family
$3,026
 
$877
 
$2,149
 
Not Applicable
 

~ The above premiums and contributions are for full-time staff. For part-time staff premiums, please contact the District's Business Services Department at (816) 986-1000 or by email at benefits@lsr7.net.

* Refers to families with child(ren) in which both spouses are employed by LSR7.

 

2024 Benefits & Coverage

Previous plan year benefits

Contact BlueKC

Local Phone: 816-395-2270
Out of Area Phone: 800-654-0155
Language Interpreter: 800-395-7126
Member website: Members.BlueKC.com
Prescriptions Phone: 1-844-579-7774
Prescriptions Website: Log into Members.BlueKC.com, click Plan Benefits then Pharmacy Plan Info and then View Your Pharmacy Benefits.

LSR7 Benefit Stories

I cannot say enough good things about the Complete Health and Wellness Center! Every single time I have interacted with staff they have been welcoming and kind. I had a telehealth appointment scheduled and after talking through my concerns, Shelly Lynch had me come on in to the clinic for an in person exam so that she would be able to refer me on to additional services. The staff is accommodating, understanding, and very professional. What a great benefit for our LSR7 staff!

- Ashley Brouillette, Teacher, PVE

Erin Jensen helps me with any questions I have, it does not matter what it is!!! I have her in my phone for quick dial because she seriously is my "Go To" person! And if she does not know the answer, which by the way is not often, she will find out for me and get right back with me. She is awesome!!

- Debbie Griffey, Production Staff, HHE Cafeteria

I came to the CHWC with some symptoms that were fairly severe. Not only did the provider I saw take plenty of time to consider a variety of possible causes and remedies, but also offered help with follow-up questions and emailed me several resources. They called a week later to check on how I was doing and continued to offer support weeks after my initial visit. The care I received from the provider, nurses, and other staff at CHWC was far beyond any medical care and follow-up I have ever received.

- Sarah Courtney, Teacher, LSNHS

The drive-up COVID testing was easy and fast with a friendly nurse. And, the follow-up provided helpful, practical advice. I learned things about COVID from the Center's nurse practitioner that I'd never heard before elsewhere! The Wellness Center is a gr8 benefit to employees, and this is not my first positive experience. Through the annual health assessment report (and accompanying LSR7 Inspiring Balance Employee Wellbeing Program), I have improved most all of my "stats and digits."

- David Jackson, Admin Secretary, HPE

I've received great care here for a couple years, but started using them more for my kids as well. Yesterday my daughter woke up with extremely swollen lymph nodes in her neck, fever and sore throat. There were no appointments available so I messaged her provider asking if she could be squeezed in and THEY DID! We weren't treated like an after thought; Lisa was still very thorough and took the time needed to give a proper diagnosis."

- Jennifer Holbert, Admin Secretary, Nutrition Services

Erin Jensen has been so very patient and helpful in assisting me with all the necessary details to complete the new hire beneifts packet. I know that she (as well as others in the Beneifts department) are extremely busy processing important information for many others in the district, however, she in particular has been a "jewel"...Again, Thank you Erin, YOU ROCK!!

- Michell Owens, Teacher, LSNHS

The receptionist greeted me with a smile under her mask and she worked to get me in safely to the clinic. The nurse worked patiently to verify which lab work my doctor was requesting. I appreciate them working in a safe and friendly manner.

- Susan Murphy, Paraprofessional, GBEEC


LEARN MORE 

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Your specific rights to benefits under the Plans are governed solely, and in every respect, by the official Plan documents and insurance contracts, and not by information included in this website. If there is any discrepancy between the descriptions of the Plans as described on this website and the official Plan documents, the language of the documents shall govern. Lee’s Summit School District also specifically reserves the right to revise, modify or terminate the Plans at any time.