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About Your Plans

Each of the four KelseyCare Advantage plans offers all of the benefits that the original Medicare plan offers, including doctor office visits, inpatient hospital care and outpatient services and surgery. And, as a KelseyCare Advantage member, you are still in the Medicare program.

Things to Know About KelseyCare Advantage
This introduction will assist you in deciding which plan may be right for you. Download a printable version for 2012.

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Introduction to KelseyCare Advantage

This introduction will assist you in deciding which plan may be right for you. Download a printable version for 2012.

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  Essential
(HMO)
Essential
+
Choice
(HMO POS)
Rx
(HMO)
Rx
+
Choice
(HMO POS)
Plan Summary

Essential (HMO)

Essential + Choice (HMO POS)

Rx (HMO)

Rx + Choice (HMO POS)

Monthly Plan Premium $0 $0 $0 $57
Covers Medicare Part D     Yes Yes
Point of Service Benefits   Yes   Yes
Summary of Benefits (PDF) PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
Annual Notice of Change (PDF) PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
Evidence of Coverage (PDF)

PDF PDF 2012

En Español
PDF PDF 2012

PDF PDF 2012

En Español
PDF PDF 2012

PDF PDF 2012

En Español
PDF PDF 2012
PDF PDF 2012

En Español
PDF PDF 2012
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare.

Click here to see what your premium will be if you get extra help.

Click here for more information about new preventive services covered under Medicare.
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KelseyCare Advantage Member Testimonial"At KelseyCare Advantage, I am somebody to them. It's so refreshing to be treated like a human being and not a number." 

- Carlton Duncan
KelseyCare Advantage Member
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8900 Lakes at 610 Dr., Suite 1100, Houston, TX 77054
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©2009 KelseyCare Advantage. All rights reserved.

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