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Explore 2025 KelseyCare Advantage Plans

Select 2 plans to compare costs and benefits or enroll now

View our 2024 Plans

Signature

Comprehensive coverage built around our coordinated care model.

Freedom

For those desiring the option for out-of-network coverage.

Core

Suits members who already have prescription drug benefits.

Must select 2 plans to compare.

KelseyCare Advantage Plan
Features

Select another plan above to compare

Select another plan above to compare

Monthly Premium

$0

$0

$0

Primary Care Doctor Copay

$0

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

$0

Specialist Copay

$20

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

$20

Inpatient Hospital

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

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

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

Emergency Care

$125

$125

$125

Prescription Drug Coverage

Yes

Yes

No

Dental (Preventive & Comprehensive)

0% coinsurance

0% coinsurance

0% coinsurance

OTC Allowances

$25 per quarter

$25 per quarter

$25 per quarter

Eligible Counties

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

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

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.
Best Insurance Companies 2024 US News

Everything's bigger (and better) in Texas

Ranked the Best Medicare Advantage Plan in Texas by USNews, KelseyCare Advantage offers comprehensive plans and personalized member service

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We're Here to Help

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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