You are eligible for membership in our plan as long as you:

• Have both Medicare Part A and Medicare Part B
• and you live in our geographic service area (listed below)
• and you are a United States citizen or are lawfully present in the United States
• and you meet the eligibility requirements of the sponsor of the City of Houston.

Service Area

You must reside in one of the following counties to be eligible for this plan:

• Harris
• Fort Bend
• Montgomery
• Galveston
• Brazoria
• Chambers
• Liberty
• Austin
• San Jacinto
• Grimes
• Waller
• Walker
• Wharton

2023 Drug Search – See if your drug is covered

Click here to search the 2023 City of Houston KelseyCare Advantage Formulary.

2023 Schedule of Copayments for Prescription Drugs

Your pharmacies with preferred cost-sharing include Kelsey Pharmacies, H-E-B, CVS retail pharmacies and CVS Mail Service Pharmacy. If you fill your prescription at these pharmacies, you may pay lower cost sharing than at other pharmacies.

Silver Sneakers®

• Free Gym Membership access through SilverSneakers. SilverSenakers gives you a variety of ways to keep moving and connect with others.
• SilverSneakers Live. Join full-length, live classes and workshops on the SilverSneakers website via Zoom. Multiple activities led by expert trainers are available per day, and no equipment is needed.
• SilverSneakers On-Demand. Access 200+ online workout videos, plus information on topics like nutrition, fitness challenges and more. Go to SilverSneakers On-Demand to view videos.
• SilverSneakers GO mobile app. Find workout programs that can be tailored to your fitness levels, schedule activities and get notifications to stay on track. Download the app today at SilverSneakers GO.
• Memberships to thousands of participating locations. Visit as many as you want to use equipment, pools, and other amenities, and take group execise classes at select locations. Find locations here.

Vision Coverage

• $200 allowance each year towards the purchase of contacts or lenses.
• KelseyCare Advantage plans include vision benefits through Vision Services Providers (VSP) which provides coverage for routine eye exams and diagnosis and treatment of eye diseases and injuries, and some allowance for glasses and contacts.
• You can also search for a VSP provider online, or call VSP at 1-800-877-7195 for assistance finding a provider in your area.

Transportation

• 20 one-way trips each year for transportation to medical appointments. We understand that transportation to and from medical appointments is an important benefit for many members. KelseyCare Advantage offers free Medicare transportation benefits.

Virtual Health and MyKelseyOnline

• Video and E-Visits with a Kelsey PCP covered at $0 copay. Specialist virtual health visits $15. Correspond with your providers, view test results, schedule appointment through your secure patient portal. For more information visit MyKelseyOnline.

2023 Plan Documents

City of Houston Benefits website

You can reach the City of Houston HR Benefits team by calling 832-393-6000.

Newsletters

2022 Plan Documents