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Best Medicare Advantage Plans for 2015 Rating is from U.S. News and World Report, a leading publisher of annual authoritative rankings including Best Medicare Plans. Our plan does not have a direct relationship with U.S. News. This award was not given by Medicare. Our overall rating from Medicare for 2015 is 4.5. Our plan’s official CMS Star Rating can be found at www.Medicare.gov.

Kelsey-Seybold Clinic Providers

When you join KelseyCare Advantage, you can see any Kelsey-Seybold Clinic physician without a referral or prior authorization. If you have been going to a Kelsey-Seybold Clinic physician, you are not required to continue going to that physician, even if that physician is your Primary Care Physician. You may simply schedule an appointment with any Kelsey-Seybold Clinic physician of your choice.  A referral is not required to see a Kelsey-Seybold Specialist.
 
 
Affiliate Contract Providers
When Kelsey-Seybold Clinic does not have the specialist you need at any of their locations, you can be referred to a specialist who has been selected by Kelsey-Seybold physicians. Your Kelsey-Seybold physician will submit a request to KelseyCare Advantage for a referral to a non-Kelsey-Seybold provider. Both you, and the specialist to whom you are referred, will receive written confirmation if the service is approved. All services provided by Affiliate Contract Providers require a referral or prior authorization from KelseyCare Advantage.
 
 
Outpatient Mental Health Providers
Confidential mental health/ substance abuse treatment is provided through United Behavioral Health. All mental health or chemical dependency treatment must be authorized by United Behavioral Health prior to services being rendered. You may call United Behavioral Health at 1-800-817-4808.
 
 
Vision Service Providers (VSP)
Routine vision and post-cataract care are provided by VSP. The VSP doctors in the printed directory were active at the time the directory was created. Please check with the VSP doctor of your choice when making your appointment, to ensure that he or she is currently participating with VSP and provides the services you require. You may contact VSP at 1-800-877-7195.
 

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