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MEMBER BENEFITS

KNOW WHERE TO GO

Getting the right care, at the right place, at the right time is not only good for your health – it can save you time and money.

Primary Care Doctor

For sick or preventive care, this is your go-to place for managing your healthcare.

Severity

Moderate

Expected Wait Time

Moderate

Average Cost

Low

Typical hours call your primary care doctor’s offices*

* Note: Many primary care offices now offer extended hours on certain days of the week.

When to Make an Appointment

  • When you have an illness, injury, pain or health issue
  • When you need a prescription refill
  • For care associated with chronic conditions like high blood pressure, diabetes or asthma
  • For annual checkups, routine screenings, vaccines or flu shots

When to Use

  • Preventive Screenings and Check Ups
  • Upper Respiratory Infections
  • Urinary Tract Infections
  • Headaches
  • Back Pain
  • Sinus Pain
  • Mild Asthma
  • Rash
  • Minor Burns
  • X-rays
  • Minor Fever or Cold
  • Nausea
  • Diarrhea
  • Ear Pain
  • Cough
  • Sore Throat
  • Bumps, Cuts & Scrapes
  • Minor Allergic Reactions
  • Eye Pain or Irritation
  • Stitches

Average cost assumes in-network services.

Learn About Your Care Options

Use the care guide below to learn more about your options when it comes to getting care.

Primary Care Doctor Virtual Care Retail Health Clinic Urgent Care ER/Community Hospital

Low Cost, Moderate Severity

Your doctor manages your overall health and should coordinate all the care you receive. It’s always a good idea to consult with him or her before seeking care anywhere else.

Moderate Cost, Low Severity

Have a video visit with a doctor or behavioral health therapist right from the comfort of home. All you need is a smartphone, tablet or computer – and the Blue KC Virtual Care app or BlueKCVirtualCare.com.

Moderate Cost, Low Severity

Retail health clinics are typically staffed by certified nurse practitioners and physician’s assistants to handle minor care concerns at your convenience.

Moderate Cost, Moderate Severity

When your doctor’s office is closed, urgent care doctors and nurses can fill the gap for non life-threatening conditions. Your wait time will be shorter than going to an emergency room.

High Cost, High Severity

Always go to the ER if your health is in danger or call 911! However, for less severe injuries or illnesses, the ER can be expensive and wait times can average over 4 hours.

Where to go for care

Need Help On Where to Go For Care?

Call Blue KC Customer Service at the number on your member ID card for assistance.