Provider networks for the medical plans
There are three network categories for both health plans offered by the health system – the HSA Advantage Plan and the Signature Plan.
Health system network
Our own network of providers is always your lowest-cost option. It includes facilities and providers for covered services within The University of Kansas Health System in the Kansas City metro and Great Bend areas as well as the St. Francis campus in Topeka.
In-network
Both medical plans offer access to a variety of providers and facilities for covered services through the Blue Cross and Blue Shield network.
- Kansas City metro area: Through the Blue Select Plus network, both medical plans give you access to more than 4,100 providers at facilities including:
- Advent Health (3 locations)
- Cameron Regional Medical Center
- Children’s Mercy (Hospital Hill and South)
- Liberty Hospital
- North Kansas City Hospital
- Olathe Medical Center
- University Health (Truman and Lakewood)
- Western Missouri Medical Center
- Greater Kansas and nationwide: Both medical plans offer in-network coverage via the BlueCard PPO network in greater Kansas and nationwide (excluding a designated 20-county area in Missouri, east of Kansas City designated in the light blue on the map).
Out-of-network
Any provider or facility not included in the categories listed above (such as HCA and Saint Luke’s) is considered out-of-network and will mean higher cost to you. To be sure your provider is in-network, visit MyHealthToolkitKC.com.
Provider lists
For the most current information and to find an in-network provider, go to MyHealthToolkitKC.com.
Deductibles, coinsurance and copays with the medical plan network
This chart shows the deductibles (ded), coinsurance (coins) or copays for different services under each plan. Preventive care is free in both plans. For more information about how you and the health system share the cost for your healthcare expenses on either plan, read Understanding deductibles, copays and coinsurance.
HSA Advantage Plan | Signature Plan | |||||
Single | $1,500 | $3,000 | $6,000 | $400 | $1,500 | $2,000 |
Family | $3,000 | $6,000 | $12,000 | $800 | $3,000 | $4,000 |
Out-of-Pocket Maximum | ||||||
Single | $4,000 | $4,000 | $19,800 | $4,000 | $4,000 | $10,500 |
Family | $8,000 | $8,000 | $39,600 | $8,000 | $8,000 | $21,000 |
Member coinsurance | 10% | 30% | 40% | 10% | 30% | 40% |
Office Visit | ||||||
Primary care (in-office or virtual visit) | Ded+10% coins | Ded+30% coins | Ded+40% coins | $20 copay | $30 copay | Ded+40% coins |
Specialist (in-office or virtual visit) | Ded+10% coins | Ded+30% coins | $40 copay | $60 copay | ||
Routine preventive care | Covered at 100% | Covered at 100% | Covered at 100% | Covered at 100% | ||
Outpatient therapy (speech, hearing, physical, occupational) | Ded+10% coins | Ded+30% coins | $40 copay | Ded+30% coins | ||
Urgent care | Ded+10% coins | Ded+30% coins | $40 copay | $60 copay | ||
Inpatient/Outpatient Services | ||||||
Emergency Department | Ded+10% coins | Ded+30% coins | Ded+30% coins* | Ded+10% coins | Ded+30% coins* | Ded+30% coins* |
Inpatient hospital services | Ded+40% coins | Ded+40% coins | ||||
Outpatient hospital services | ||||||
High-tech radiology services (MRI, CT, PET scan) | ||||||
*To ensure access to emergency care, coinsurance will be applied after the member meets the deductible for in-network care.
