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Call 713-442-2ERS (2377)
ERS Benefits
Important Notice:
The KelseyCare Advantage Medicare health maintenance organization is no longer available through the Texas Employees Group Benefits Program (GBP), as of January 1, 2021. Employees Retirement System of Texas (ERS) retirees, surviving dependents and other participants can visit the ERS website for more information about their health insurance options through the GBP. Recent KelseyCare Advantage participants should continue to contact KelseyCare Advantage for questions about claims with dates of service through December 31, 2020.
KelseyCare Advantage is pleased to be a retiree benefit choice for Employees Retirement System of Texas. Our plan covers benefits that are important to you, such as doctor office visits, inpatient hospital care, outpatient surgery and more! Please see below for a detailed listing of the benefits covered by KelseyCare Advantage.
Download a complete benefit description:
| Benefit Description |
Member Pays PY 2020 |
| Physicians and Lab Services |
|
| Physician office visit | $0 copayment |
| Specialist office visit | $0 copayment |
| Routine physical exams | $0 copayment |
| Diagnostic x-rays, mammography, and lab test | $0 copayment |
| High Tech Radiology | $0 copayment |
| Immunizations | $0 copayment |
| Well woman exam |
$0 copayment |
| Vision and Hearing screen |
$0 copayment |
| Hearing Testing | $0 copayment |
| Rehabilitative Therapy | $0 copayment |
| Allergy Testing | $0 copayment |
| Allergy serum | $0 copayment |
| Allergy serum administration | $0 copayment |
| Routine eye exam | $0 copayment |
| Office Surgery | $0 copayment |
| Hospital Services | |
| Impatient Hospital Care | $0 copayment |
| Outpatient/Services surgery | $0 copayment |
| Emergency Care | $0 copayment |
| Urgent Care | $0 copayment |
| Extended Care Services | |
| Skilled nursing facility | Days 1-100 $0 copayment |
| Home Health | $0 copayment |
| Other Medical Services | |
| Durable Medical Equipment | covered 100% |
| Prosthesis | covered 100% |
| Ambulance | $0 copayment |
| Wellness | |
| SilverSneakers | $0 copayment |
| Behavioral Health | |
| Impatient mental health | $0 copayment |
| Outpatient mental health | $0 copayment for individual $0 copayment for group |
| Outpatient substance abuse care | $0 copayment for individual $0 copayment for group |
| Plan year out-of-pocket (per person) | $3,400 |
Logon to your personal MyKelseyOnline account and schedule your appointment yourself. It’s fast and easy.
Visit MyKelseyOnlineHave questions about KelseyCare Advantage?
Call us at:
713-442-2ERS (2377)
Toll-Free: 1-877-853-9075
TTY/TDD: 711
8 a.m. to 5 p.m., Monday through Friday
Extended hours may be available during specific enrollment periods.