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Explore 2025 KelseyCare Advantage Plans

KelseyCare Advantage Plan
Features

Select another plan above to compare

Select another plan above to compare

Monthly Premium

Monthly Premium

$0

Monthly Premium

$0

Monthly Premium

$0

Primary Care Doctor Copay

Primary Care Doctor Copay

$0

Primary Care Doctor Copay

$0 in-network,
$10 out-of-network

Primary Care Doctor Copay

$0

Specialist Copay

Specialist Copay

$20

Specialist Copay

$35 in-network,
$60 out-of-network*

Specialist Copay

$20

Inpatient Hospital

Inpatient Hospital

$325 copay per day for days 1-5;
$0 copay per day for days 6-90

Inpatient Hospital

$375 copay per day for days 1-5;
$0 copay per day for days 6-90 in-network
40% out-of-network

Inpatient Hospital

$325 copay per day for days 1-5;
$0 copay per day for days 6-90

Emergency Care

Emergency Care

$125

Emergency Care

$125

Emergency Care

$125

Prescription Drug Coverage

Prescription Drug Coverage

Yes

Prescription Drug Coverage

Yes

Prescription Drug Coverage

No

Dental (Preventive & Comprehensive)

Dental (Preventive & Comprehensive)

0% coinsurance

Dental (Preventive & Comprehensive)

0% coinsurance

Dental (Preventive & Comprehensive)

0% coinsurance

OTC Allowances

OTC Allowances

$25 per quarter

OTC Allowances

$25 per quarter

OTC Allowances

$25 per quarter

Eligible Counties

Eligible Counties

Brazoria, Fort Bend, Galveston (excluding the island), Harris, Montgomery

Eligible Counties

Austin, Brazoria, Chambers, Fort Bend, Galveston (excluding the island), Grimes, Harris, Liberty, Montgomery, San Jacinto, Walker, Waller, Wharton

Eligible Counties

Austin, Brazoria, Chambers, Fort Bend, Galveston (excluding the island), Grimes, Harris, Liberty, Montgomery, San Jacinto, Walker, Waller, Wharton

*This is not a complete list of covered benefits. Check your Evidence of Coverage (EOC) for specific plan details.
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Please Contact a Licensed Local Agent at 713-442-5646 (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

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