Medical - Blue Cross and Blue Shield of Kansas
About Your Benefits
The State Employee Health Plan (SEHP) offers four medical plans (Plans A, C, J, and N) for Active State Employees, Non State Employer Group, and NON-MEDICARE Eligible Retiree/Direct Bill Members.
The Deductible, Coinsurance, and Out-of-Pocket (OOP) maximums differ among the plans and your medical benefits have no lifetime maximum.
Your medical and pharmacy Out-of-Pocket maximums are combined. Prescription benefits for all four plans are provided by CVS Caremark.
All Plans include 100% coverage for preventive services when using a Network provider, including services like annual preventive exams, age-appropriate immunizations, mammograms, colonoscopies, etc.
Network vs. Non Network Providers
Network Providers accept the plan allowance as payment in full and save you money. Non Network Providers have not agreed to accept the plan allowance. This means that in addition to your required Out-of-Pocket cost, any amount above the plan allowance will be your responsibility. Out-of-Pocket maximums which include deductibles, coinsurance, and copays accumulate separately for Network and Non Network providers.
Plan Year 2022
Telemedicine is a fast, easy way to see a doctor. State of Kansas employees with BCBSKS can have live visits over their computer, tablet, or phone with a doctor anytime through telemedicine visits.
Blue Cross provides telemedicine services through Amwell®, the industry’s leading telemedicine solution. With Amwell, you can register for free, and the cost per visit is less than emergency room, urgent care, or even in-office doctor visits. It's easy to use, affordable, private, and secure. Amwell Information
SEHP members also have access to telemedicine through the HealthQuest Health Center.
You Have SmartShopper
Prices for the same in-network, high-quality procedure can vary dramatically. You can shop for medical care, compare costs and save money with SmartShopper. And you can earn a cash reward as a share of the savings.