Members with plans that cover out-of-network care can submit a claim for covered services they have received and paid for. Members who have met deductible and/or out-of-pocket maximum spending thresholds may be eligible to receive reimbursement from Blue KC that cover some or all of these costs. Members who receive care within Blue KC’s service area can expect their claim to process within 30 days, while those residing beyond our service area may see that process extend to 90 days.
If you’ve paid out-of-pocket for care received from an out-of-network provider, you can request reimbursement from Blue KC for those expenses. Go here to submit your claim.