Blue Medicare Advantage
Blue Medicare Advantage is a regional Medicare Advantage plan underwritten by Blue Cross and Blue Shield of Kansas City, serving Medicare recipients, individuals/families, and employer groups across 32 counties in Missouri and Kansas, with integrated primary care delivery via nine Spira Care locations.
- Company typePrivate
- Founded-
- HeadquartersKansas City, United States
- Headcount—
- GTM typeB2C
- OfferingServices
What Blue Medicare Advantage does
Blue Medicare Advantage is a Medicare Advantage product line underwritten by Blue Cross and Blue Shield of Kansas City (Blue KC), an independent licensee of the Blue Cross Blue Shield Association headquartered at 1400 Baltimore Avenue, Kansas City, MO. The company operates as a regional health insurer serving 32 counties across Missouri and Kansas, with core product lines spanning Medicare Advantage plans, Medicare Supplement plans, ACA-compliant individual and family plans, and employer-sponsored group health coverage. Beyond traditional insurance underwriting, Blue KC operates Spira Care, a vertically integrated primary care network with nine Kansas City metro locations offering patient-centered care with same/next-day appointment access to eligible members.\n\nRevenue is generated primarily through recurring health insurance premiums collected monthly or annually from members and employer groups, supplemented by referral-style affiliate economics from the Blue365 wellness discount program. Member-facing technology centers on the MyBlueKC mobile application and member.bluekc.com portal, which enable digital ID cards, in-network provider search, claims status, deductible tracking, and coverage access. The company also offers add-on modules including Care Management programs, Blue365 lifestyle discounts, and a third-party Rx Savings Solutions integration for prescription cost discovery.\n\nDistribution is multi-channel and segmented: dedicated inside-sales phone lines for employer plans (833-467-2145), individual and family plans (888-890-6912), and Medicare supplement plans (888-587-7472); direct-to-consumer enrollment via the website and member portal; a licensed insurance agent/broker channel earning commissions on enrollment; and field sales for employer groups. Marketing leverages content on bluekc.com, paid and organic social media (Facebook, LinkedIn, Instagram), and community partnerships such as Sporting Samaritans and KC Current to reinforce regional brand affinity in the Kansas City market.
Blue Medicare Advantage firmographics
Firmographics- Name
- Blue Medicare Advantage
- Legal name
- Blue Cross and Blue Shield of Kansas City
- Website
- https://medicarebluekc.com
- Company type
- Private
- Operating status
- Operating
- Short description
- Blue Medicare Advantage is a regional Medicare Advantage plan underwritten by Blue Cross and Blue Shield of Kansas City, serving Medicare recipients, individuals/families, and employer groups across 32 counties in Missouri and Kansas, with integrated primary care delivery via nine Spira Care locations.
- Ownership category
- akta.pro rank
Blue Medicare Advantage industry classification
Industry- Product category
- Medicare Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI), Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
Where Blue Medicare Advantage is headquartered
LocationHeadquarters
- HQ city
- Kansas City
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Blue Medicare Advantage business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Marketing or Sales, Technology or R&D, Others
Revenue model
- Health Insurance Premiums: Blue KC generates revenue primarily through health insurance premiums paid by members. This includes employer-sponsored plans, individual and family ACA marketplace plans, and Medicare Advantage/Supplement plans. Premiums are collected on a recurring basis (monthly or annual billing cycles).
- Blue365 Wellness Program: Blue365 brings curated discounts on fitness, travel, nutrition and lifestyle brands to members, potentially generating referral or affiliate revenue from partner brands.
Go-to-market motion3 records
Distribution channels5 records
Marketing channels6 records
Blue Medicare Advantage product offering
Product offeringCore offering
Blue Medicare Advantage is a DBA of Blue Cross and Blue Shield of Kansas City (Blue KC) that sells Medicare Advantage health insurance plans, including HMO and PPO options, to individuals eligible for Medicare in the Kansas City service area. The company bundles medical, hospital, and prescription drug coverage with supplemental benefits such as dental, vision, hearing, fitness, and over-the-counter allowances, supported by in-network care through its affiliated Spira Care centers.
Product overview
Blue Medicare Advantage operates as a health insurance provider under Blue Cross and Blue Shield of Kansas City, offering a multi-product portfolio. The core offerings include Medicare Advantage Plans, Individual & Family Plans, Employer-Sponsored Plans, and Medicare Supplement Plans serving 32 surrounding counties in Missouri and Kansas. The product ecosystem includes Spira Care, a patient-centered primary care sub-brand operating nine metro locations, and supplementary programs such as Care Management, Blue365 wellness discounts, and Rx Savings Solutions. Members can access services through the MyBlueKC mobile application, providing integrated digital tools for coverage management.
Differentiator
Problem solved
Functional benefit
Brands
- Spira Care: Patient-centered primary care program offering advanced primary care at nine KC metro locations for eligible Blue KC members with integrated services under one roof.
- MyBlueKC
- Blue365
Products and services
- Medicare Advantage HMO Plans Health Maintenance Organization Medicare Advantage plans offered to Medicare-eligible individuals in the Kansas City service area, providing coordinated in-network care, hospital coverage, and prescription drug benefits through Blue KC's provider network.
- Medicare Advantage PPO Plans Preferred Provider Organization Medicare Advantage plans that give Medicare beneficiaries greater flexibility to use out-of-network providers while still receiving medical, hospital, and Part D prescription drug coverage.
- Medicare Supplement Insurance Plans Medigap supplemental insurance products sold by Blue KC to Medicare beneficiaries to cover gaps such as coinsurance, copayments, and deductibles left by Original Medicare.
- Individual & Family Health Plans Individual and family under-65 health insurance plans offered by Blue KC through the Blue Medicare Advantage brand in the Kansas City market.
- Employer-Sponsored Group Health Plans Group health insurance plans provided by Blue KC to employers in the Kansas City region, accessed through the Blue Medicare Advantage brand portfolio.
Quantifiable outcome
- Award-winning customer service - top honors from Service Quality Management in 2025
- +2 more outcomes
Companies that use Blue Medicare Advantage
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles1 record
Blue Medicare Advantage technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Blue Medicare Advantage partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core and minor.
- Spira CarecoreSpira Care is a partnership offering patient-centered primary care at nine KC metro locations for eligible Blue KC members. Spira Care provides integrated services under one roof with flexible scheduling including same or next-day appointments. Members with eligible Blue KC plans can schedule appointments by calling 913-29-SPIRA.
- Sporting SamaritansminorCommunity partnership supporting Sporting Samaritans, a Kansas City organization that provides care services for community members during local sporting events and ongoing community support programs.
- KC CurrentminorCommunity investment partnership with KC Current, Kansas City's professional women's soccer team. Blue KC invests in the community alongside KC Current through the Gamechanger partnership supporting local initiatives.
- Blue365 Partner BrandsminorBlue365 wellness program brings curated discounts on fitness, travel, nutrition and lifestyle brands. Partner brands provide exclusive member discounts as part of the Blue KC member benefits program.
- 200+ Community OrganizationsminorBlue KC supports over 200 organizations in the Kansas City region through various community impact initiatives, donations, and partnership programs including the Blue KC Cares Campaign.
Scale indicators5 records
Recent moves5 records
Expansion highlights4 records
Blue Medicare Advantage competitors and assessment
Company assessmentRegional players
- Medica: Medica is a regional health plan serving the Midwest with Medicare Advantage, individual, and employer group products. Comparable in regional positioning and product portfolio breadth to Blue KC.
- Blue Cross and Blue Shield of Kansas: BCBS of Kansas is the statewide BCBS licensee in Kansas offering Medicare Advantage, individual, and employer plans. It is an adjacent regional peer competing in overlapping Kansas counties within Blue KC's 32-county service area.
Direct peers
- Cigna Group: Cigna offers Medicare Advantage plans, Medicare Supplement, and individual ACA products through its Evernorth health services arm. It competes with Blue KC in the Kansas City MA and individual markets.
- Blue Cross Blue Shield of Michigan: BCBS of Michigan is a similarly sized independent BCBS licensee operating as a regional mutual-style health plan with Medicare Advantage, individual, and large-group commercial products. It is a strong structural and operational comparable to Blue KC.
- UnitedHealthcare: UnitedHealthcare is the largest US health insurer with an extensive Medicare Advantage, Medicare Supplement, and ACA footprint, including the Kansas City market. It directly competes for MA, individual, and employer group members against Blue KC.
- Aetna (CVS Health): Aetna, part of CVS Health, offers Medicare Advantage HMO/PPO plans, Medicare Supplement, and individual ACA plans nationally. It competes directly with Blue KC in the KC metro across MA and individual market segments.
- Humana: Humana is the largest US Medicare Advantage-focused carrier, offering HMO/PPO MA plans, Medicare Supplement, and Part D across all 50 states. It directly competes with Blue KC for MA members in the Kansas City metro and is the most comparable MA-led peer.
- Highmark: Highmark is a regional Blue Cross Blue Shield licensee serving Pennsylvania, West Virginia, Delaware, and New York with Medicare Advantage, ACA, and employer plans. It is comparable in scale, product mix, and BCBS licensee structure.
Broad incumbents
- Elevance Health (Anthem Blue Cross Blue Shield): Elevance Health operates Anthem Blue Cross Blue Shield plans across 14 states with substantial Medicare Advantage and ACA marketplace footprints. It is a much larger BCBS-licensed incumbent competing for both MA and individual members in adjacent geographies.
- Centene Corporation: Centene is a major government-sponsored health plan operator with Medicare Advantage, ACA marketplace, and Medicaid offerings across the US. It competes with Blue KC in the ACA and MA markets within Missouri and Kansas.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Blue Medicare Advantage social profiles
Digital presenceBlue Medicare Advantage financial estimates
Financial estimateRevenue estimate
Valuation estimate
Blue Medicare Advantage leadership team
Management profileNumber of profiles
Blue Medicare Advantage funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Blue Medicare Advantage M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Blue Medicare Advantage
What does Blue Medicare Advantage do?
Blue Medicare Advantage is a DBA of Blue Cross and Blue Shield of Kansas City (Blue KC) that sells Medicare Advantage health insurance plans, including HMO and PPO options, to individuals eligible for Medicare in the Kansas City service area. The company bundles medical, hospital, and prescription drug coverage with supplemental benefits such as dental, vision, hearing, fitness, and over-the-counter allowances, supported by in-network care through its affiliated Spira Care centers.
Is Blue Medicare Advantage a public or private company?
Blue Medicare Advantage is a private company. It is classified as unknown and is currently operating.
When was Blue Medicare Advantage founded?
Blue Medicare Advantage was founded in -1.
Where is Blue Medicare Advantage based?
Blue Medicare Advantage is headquartered in Kansas City, United States, in the North America region.
How does Blue Medicare Advantage make money?
Two revenue lines are on record. Health Insurance Premiums are the primary driver. The others are blue365 Wellness Program.
Who are Blue Medicare Advantage's main competitors?
Regional players on record are Medica and Blue Cross and Blue Shield of Kansas. Direct peers are Cigna Group, Blue Cross Blue Shield of Michigan, UnitedHealthcare, Aetna (CVS Health), Humana and Highmark. Broad incumbents are Elevance Health (Anthem Blue Cross Blue Shield) and Centene Corporation.
Does Blue Medicare Advantage have an API?
No public API is recorded for Blue Medicare Advantage.
What industry is Blue Medicare Advantage in?
Blue Medicare Advantage's product category is Medicare Health Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of HLAEACAI, MA Chronic Condition Management & Supplemental Benefits (SSBCI). Its NAICS code is 524114 and its SIC code is 6321.