Coastal Water Authority

Welcome to KelseyCare Advantage’s Coastal Water Authority web portal—a web page dedicated exclusively to Coastal Water Authority retirees enrolled in KelseyCare Advantage. It is a privilege to bring you high quality, affordable health care and we look forward to providing you with excellent customer service for years to come.

Click on the links below to access important benefit documents for 2011 and 2012.

2011 - 2012 KelseyCare Advantage Preferred Rx+Choice Evidence of Coverage
2010 - 2011 KelseyCare Advantage Preferred Rx+Choice Evidence of Coverage

2011 - 2012 KelseyCare Advantage Preferred Rx Summary of Benefits
2011 - 2012 KelseyCare Advantage Preferred Rx+Choice Summary of Benefits

2012 KelseyCare Advantage Abridged Formulary
2011 KelseyCare Advantage Abridged Formulary

2012 KelseyCare Advantage Comprehensive Formulary
2011 KelseyCare Advantage Comprehensive Formulary

2012 KelseyCare Advantage Formulary Addendum
2011 KelseyCare Advantage Formulary Addendum

Drug Search - See if your drug is covered

Click here to search the 2012 Coastal Water Authority KelseyCare Advantage Formulary.

Schedule of Copayments for Prescription Drugs

Preferred Pharmacy
Tier	30-Day Supply	90-Day Supply
1	$0	$0
2	$20	$60
3	$20	$60
4	$50	$150
5	30%	30%

Non-Preferred Pharmacy
Tier	30-Day Supply	90-Day Supply
1	$5	$15
2	$30	$90
3	$30	$90
4	$60	$180
5	30%	30%

We are committed to helping you get the most out of your Medicare benefits. If you have a question about your KelseyCare Advantage membership, please contact KelseyCare Advantage Concierge – your single point of contact and trusted information source throughout the entire health care experience.

Contact KelseyCare Advantage Concierge anytime between 8:00 a.m. and 5:00 p.m., Monday through Friday.

Local: 713-442-9540
Toll-Free: 1-866-535-8405
TTY/TDD: 1-866-302-9336

Helpful Links

H0332_WB12001_CMSDateApproved_10/18/2011
Last Updated: 10/1/11

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Coastal Water Authority

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