Blue Cross and Blue Shield of Kansas City is the medical and dental network for Mokan Sheet Metal Worker’s Welfare Fund.
*Note: On the left side of the page, you will find several more specific/advanced options to choose from to narrow down your search.
**Additional Note: You can contact Blue Cross Blue Shield of Kansas City to verify the current provider status.
*Register for a Blue Cross and Blue Shield of Kansas City Member Log-in and be able to access all your claims information, copies of your Explanation of Benefits, locate providers, and much more. For a step-by-step guide on how to create your Log-in, Click here.
**When obtaining services from a provider not contracted with Mo-Kan Sheet Metal Workers Welfare Fund, you may be responsible for charges in excess of Allowable Charges, as determined by Mo-Kan Sheet Metal Workers Welfare Fund. Additional service area restrictions may apply.
The following notice is required each year under the Women’s Health and Cancer Rights Act (WHCRA).
Under the Women’s Health and Cancer Rights Act, group health plans that provide medical and surgical benefits in connection with mastectomy, like this Plan, must provide benefits for certain reconstructive surgery. This benefit covers reconstruction of the breast on which the mastectomy was performed, surgery and reconstruction on the other breast to produce a symmetrical appearance, and prostheses and treatment of physical complications of all states of mastectomy, including lymphedemas. This coverage is subject to the plan’s deductible and coinsurance provisions which are described in Your Summary Plan Description (SPD).
Vision benefits are through Mokan Sheet Metal Worker’s Welfare Fund. Vision claims are processed at the Fund Office. As of 4/17/20, Mokan will only reimburse the member. Members must submit a paid itemized receipt to the Mokan Fund Office. The receipt must have the provider information, patient name, date of service, and itemization of the purchase with proof of payment to the provider. Submit routine vision claims to: Mokan Sheet Metal Worker’s Welfare Fund PO Box 300019 Kansas City, MO 64130.
Grand Rounds is Mokan’s Second Opinion Service:
Call Blue KC Nurse line 24 hours a day, 7 days a week, 365 days a year and you’ll have access to Care Advisors to help you with
symptoms or answer a health-related question.
If you can’t wait or do not have quick access to care, telehealth can get you the care you need for common medical concerns from your phone or the Web. Telehealth is not for emergencies. If you are experiencing severe symptoms or have a serious medical concern, go to the emergency room or call 911.
Examples of when telehealth can help:
Blue KC Care Management App is a new way that Plan participants can communicate with Blue KC’s Care Management Team when engaged with a Blue KC Nurse or Case Manager. The app was rolled out effective January 1, 2021, and is a new option for participants to use either in place of, or to supplement, traditional telephone calls or written correspondence with the nurse. Using the app is 100% optional and there is no cost to the Fund or participant to access. Download the flyer below for more information and to get the access code.