The offices of KelseyCare Advantage, located at the Pearland Administrative Office Building at 11511 Shadow Creek Parkway, Pearland, Texas 77584 are open and fully operational.

Disaster Declaration

Counties in our Service Area are included in Disaster Declaration:
Harris, Brazoria, Chambers, Fort Bend, Galveston, Grimes, Liberty, Montgomery, San Jacinto, Waller, Walker, and Wharton

HOUSTON (08/23/2020) – On August 23, 2020 the Governor of Texas declared several counties in the KelseyCare Advantage service area Disaster Areas. A proclamation certifying that Hurricane Marco and Tropical Storm Laura pose a threat of imminent disaster, including widespread and severe property damage, injury, and loss of life due to widespread flooding, storm surge, and damaging winds, in Brazoria, Chambers, Galveston, Harris, Liberty counties, and declaring a state of disaster.

HOUSTON (08/25/2020) – On August, 25, 2020 the Governor of Texas amended the disaster declaration to include 36 more counties.

The KelseyCare Advantage administrative office is operating normally. If you reside in one of the affected counties and need assistance please contact us by calling 713-442-CARE (2273), TTY users can call 711 for more information.

Additional counties certified in the proclamation: Aransas, Bexar, Calhoun, Cameron, Hardin, Jackson, Jasper, Jefferson, Kenedy, Kleberg, Liberty, Matagorda, Newton, Nueces, Orange, Refugio, San Patricio, Victoria, Williacy, Anderson, Angelina, Bowie, Cass, Cherokee, Dallas, Franklin, Gregg, Harrison, Houston, Leon, Madison, Marion, Morris, Nacogdoches, Panola, Polk, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Travis, Trinity, Tyler, Upshur, and Wood counties.

       

Contact Us

You may contact us at the following numbers:

Member Services
1-713-442-CARE (2273), Option 2
1-866-535-8343

Prospective Members
713-442-JOIN (5646)
1-800-663-7146

Providers
1-713-442-CARE (2273)
Option 3
TTY/TDD 711 

Kelsey-Seybold Clinic Locations

Click here for Kelsey-Seybold location updates.

Links to Important Resources

Houston Area Agency on Aging

Medicare

Social Security

Texas Division of Emergency Management

Texas Department of Public Safety

Houston Office of Emergency Management

Galveston County Office of Emergency Management

Harris County Office of Emergency Management

Mandatory Notice for MA Plans – Disaster-Emergency

There are special requirements during a declared disaster or emergency related to. MA organizations who offer an MA plan. KelseyCare Advantage must adhere to 42CFR 422.100(m).

In accordance with 42CFR 422.100(m):

• Special requirements during a disaster or emergency. (1) When a state of disaster is declared as described in paragraph (m)(2) of this section, an MA organization offering an MA plan must, until one of the conditions described in paragraph (m)(3) of this section occurs, ensure access to benefits in the following manner:
  • Cover Medicare Parts A and B services and supplemental Part C plan benefits furnished at non-contracted facilities subject to § 422.204(b)(3).
  • Waive, in full, requirements for gatekeeper referrals where applicable.
  • Provide the same cost-sharing for the enrollee as if the service or benefit had been furnished at a plan-contracted facility.
  • Make changes that benefit the enrollee effective immediately without the 30-day notification requirement at § 422.111(d)(3).

• Declarations of disasters. A declaration of disaster will identify the geographic area affected by the event and may be made as one of the following:
  • Presidential declaration of a disaster or emergency under the either of the following:
    • Stafford Act.
    • National Emergencies Act.
      • (A) Secretarial declaration of a public health emergency under section 319 of the Public Health Service Act.
      • (B) If the President has declared a disaster as described in paragraph (m)(2)(i) or (ii) of this section, then the Secretary may also authorize waivers or modifications under section 1135 of the Act.
    • Declaration by the Governor of a State or Protectorate.
• End of the disaster. The public health emergency or state of disaster ends when any of the following occur:
  • The source that declared the public health emergency or state of disaster declares an end.
  • The CMS declares an end of the public health emergency or state of disaster.
  • Thirty days have elapsed since the declaration of the public health emergency or state of disaster and no end date was identified in paragraph (m)(3)(i) or (ii) of this section.
• MA plans unable to operate. An MA plan that cannot resume normal operations by the end of the public health emergency or state of disaster must notify CMS.
  
  Follow CMS directives with regard to terms and conditions of payment during the public health emergency or disaster for non-contracted providers furnishing benefits to plan enrollees residing in the state-of-disaster area.