The State Employee Health Plan (SEHP) offers five medical plans (Plans A, C, J, N and Q) 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 five 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 Providers accept the plan allowance as payment in full and saves 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 includes deductible, coinsurance and copays accumulate separately for Network and Non Network providers.
Click here to access the provider directory.
Plan Year 2022 Resources
- 2022 Videos
- BCBSKS Enrollment Guide
- BCBSKS Welcome Handbook
- Telemedicine
- SmartShopper
- Dependent Documentation Requirements
- Adding a Newborn
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. Click Here for more information.
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.
Click Here for More Information
- BCBSKS Plan A
- BCBSKS Plan C
- BCBSKS Plan J
- BCBSKS Plan N
- BCBSKS Plan A
- BCBSKS Plan C
- BCBSKS Plan J
- BCBSKS Plan N
Drastically reducing out-of-pocket costs for insulin
1 in 4 diabetics are currently rationing their insulin over affordability concerns.1
To make this life-saving medication affordable and accessible to all Americans, Civica will begin manufacturing and distributing insulin with a recommended purchase price of no more than $30 per vial – a savings of nearly $400 for uninsured and underinsured individuals.
Read the full announcement
CivicaScript: Bringing generic drugs to consumers at the lowest sustainable price
Blue Cross and Blue Shield (BCBS) companies believe everyone should have access to safe, effective prescription medicines when they need them and at a price they can afford.
That’s why, in 2020, Civica Rx, an initial 17 BCBS companies and the Blue Cross Blue Shield Association announced the formation of a new, yet-to-be-named subsidiary – now CivicaScript – focused on bringing lower-cost generic prescription medications directly to consumers in hospital or retail pharmacies.
Since then, Anthem, Inc. and Health Care Service Corporation have joined the other BCBS companies as members of the initiative and Catalent, Inc., a leading global drug development and manufacturing company, has entered into a long-term partnership with CivicaScript to produce essential generic prescription medicines that are widely prescribed for patients.
Read more about our partnership
Our partnership with Civica Rx on the CivicaScript initiative means savings for individuals and families. Initial generic prescription medicines are expected to be available in 2022 through retail and mail-order pharmacies, with an anticipated hundreds of millions in savings generated annually.
How our partnership works:
Working together, we can lower the cost of prescription drugs
“Making sure consumers have access to the medicines they need at a price they can afford is a top priority for BCBSA and Blue Cross and Blue Shield companies across the country,” said Kim Keck, president and CEO of BCBSA. “That is why we co-founded CivicaScript last year, so together we can help get safe, effective and affordable medicines to consumers as quickly as possible.”
— Kim Keck, President and CEO, Blue Cross Blue Shield Association
Frequently Asked Questions:
BCBS Members of the CivicaScript initiative:
If you share our passion for affordable, quality medications, we invite you to join our partnership.
We welcome all interested pharmacies, health plans, employers, wholesalers and other innovators to participate. Contact us to share your interest and we will get back to you with more information.
PARTNER WITH US
The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.