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Episcopal Diocese of Texas
Welcome to KelseyCare Advantage’s Episcopal Diocese of Texas web portal—a web page dedicated exclusively to Episcopal Diocese of Texas Medicare-eligible retirees enrolled in KelseyCare Advantage. It is a privilege to bring you high-quality, affordable healthcare and we look forward to providing you with excellent customer service for years to come.
Click on the links below to access important benefit documents for 2020.
SilverSneakers®
KelseyCare Advantage members now have access to SilverSneakers®! Enrollment is automatic once your KelseyCare Advantage membership becomes effective. You’ll have FREE access to fitness centers all over Houston who participate in SilverSneakers®.
To find a fitness center near you, go to www.silversneakers.com then click on “Locations.” They make it easy to find a location close to you. If you would like us to help you, call us at 713-442-CARE (2273) and we can assist you.
| 2021 KelseyCare Advantage Preferred Rx+Choice |
| 2020 KelseyCare Advantage Preferred Rx+Choice |
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2020 Summary of Benefits (Coming Soon)
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Drug Search – See if your drug is covered
Click here to search the Episcopal Diocese of Texas KelseyCare Advantage Formulary.
Schedule of Copayments for Prescription Drugs
| Preferred Pharmacy | ||
| Tier | 30-Day Supply | 90-Day Supply |
| 1 | $0 | $0 |
| 2 | $20 | $60 |
| 3 | $20 | $60 |
| 4 | $50 | $150 |
| 5 | 30% | 30% |
| Network Pharmacy (Non-Preferred) | ||
| Tier | 30-Day Supply | 90-Day Supply |
| 1 | $5 | $15 |
| 2 | $30 | $90 |
| 3 | $30 | $90 |
| 4 | $60 | $180 |
| 5 | 30% | 30% |
Have questions about KelseyCare Advantage?
Call our Concierge Team at 713-442-9540 or toll-free at 1-866-534-0554, 8 a.m. to 5 p.m., Monday through Friday.
Provider Directory Request
If you would like a Provider Directory mailed to you here are your options:
- Call 1-866-535-8343 and request a paper copy be mailed to you
- Send an email to memberservices@kelseycareadvantage.com