Coverage and care in 13 Texas counties
No matter where you are in our 13-county coverage area, our extensive provider network means you receive the expert, compassionate care you deserve.
- Access to one of the largest provider networks in the region with over 7,200 local affiliate doctors Δ
- Up to $2,500◊ in preventive and comprehensive dental
- Low copays for primary care, specialist visits, and urgent care
- New vision network with the nation's top eyewear retailers
Compare KelseyCare Advantage plans in your area◊
|Part D Coverage||Yes||No|
|Out-of-Network Coverage With No Referrals Needed||Yes||No|
|Primary Care Physician Visit Copay||$0 in network
$10 out of network
|Specialist Visit Copay||$25 in network
$35 out of network
|Urgent Care Copay||$25||$5|
|Dental ($ Amount for preventive & comprehensive)||0% coinsurance
|Vision (Eyewear allowance is annual)||$0 copay for eye exam
$125 for eyewear annually
|$0 copay for eye exam
$125 for eyewear annually
|Flex Card (Can be used for dental, vision, and hearing costs)||$750 annually||None|
Need more reasons to consider a KelseyCare Advantage plan?
Top rated Medicare coverage doesn’t have to cost more. Contact KelseyCare Advantage today to compare our highly rated Medicare Advantage plans.
Connected, coordinated care
Whether you visit a Kelsey-Seybold Clinic, are treated at a hospital, or see one of our affiliate doctors or specialists, our team of providers works closely together to coordinate your care with a focus on prevention and your overall well-being.
We're here to help
Please contact a health plan specialist at 713-442-2233 (TTY: 711)
From October 1 to March 31 | 8 a.m. - 8 p.m. | 7 days a week
From April 1 to September 30 | 8 a.m. - 8 p.m. | Monday - Friday
KelseyCare Advantage, a product of KS Plan Administrators, LLC, is an HMO and POS Medicare Advantage plan with a Medicare contract. Enrollment in KelseyCare Advantage depends on contract renewal. This information is not a complete description of benefits. Call for more information: prospective members, call 713-442-5646 (TTY: 711), October 1 – March 31, 8 a.m. - 8 p.m. CT, seven days a week; or April 1 – September 30, 8 a.m. - 8 p.m. CT, Monday through Friday. Medicare beneficiaries may also enroll in KelseyCare Advantage online at https://www.kelseycareadvantage.com/enroll or through the CMS Medicare Online Enrollment Center located at http://medicare.gov. Limitations, copayments, and restrictions may apply. **You must continue to pay your Medicare Part B premium. †$0 deductible applies to tiers 1, 2, and 6, formulary insulins, and formulary vaccines only. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. ◊All benefits are not available on all plans. ΔBased on publicly disclosed provider directories of competitor contracts. Every year, Medicare evaluates plans based on a 5-Star rating system. Out-of-network/non-contracted providers are under no obligation to treat KelseyCare Advantage members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. The One Pass™ program varies by plan/area and includes a standard fitness membership. Access to gym and fitness location network may vary by location and plan.
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