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Best Medicare Advantage Plans for 2019 Rating is from U.S. News and World Report, a leading publisher of annual authoritative rankings including Best Medicare Plans. Our plan does not have a direct relationship with U.S. News. This award was not given by Medicare. Our overall rating from Medicare for 2019 is 5.0. Our plan’s official CMS Star Rating can be found at www.Medicare.gov.

City of Houston

Welcome to KelseyCare Advantage’s City of Houston web portal—a web page dedicated exclusively to City of Houston Medicare-eligible retirees enrolled in KelseyCare Advantage. It is a privilege to bring you high quality, affordable health care 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 and we can assist you.
 
Link to the City of Houston HR Benefits http://www.houstontx.gov/hr/benefits.html
You can reach the City of Houston HR Benefits team by calling 832-393-6000.
 
Important Note About Your Pharmacy Network:
This network consists of any Kelsey-Seybold Pharmacies, Wal-Mart/Sam's pharmacies, HEB Pharmacies, and all CVS Pharmacies. If you fill your prescription at these pharmacies, you may pay lower cost sharing than at other pharmacies. 
 
Drug Search - See if your drug is covered
Click here to search the 2020 City of Houston KelseyCare Advantage Formulary.
 
Schedule of Copayments for Prescription Drugs
Your pharmacies with preferred cost-sharing include Kelsey-Seybold pharmacies, Walmart/Sam’s pharmacies, H-E-B and all CVS pharmacies. If you fill your prescription at these pharmacies, you may pay lower cost sharing than at other pharmacies. 
 
Preferred Pharmacy​
Tier
30-Day Supply
90-Day Supply
1
$10
$30
2
$30
$90
3
$30
$90
4
$45
$135
5
$75
N/A


Network Pharmacy
(No​n-preferred)​
Tier
30-Day Supply
90-Day Supply
1
$15
$45
2
$35
$105
3
$35
$105
4
$50
$150
5
$80
N/A
 
Have questions about KelseyCare Advantage?
Call our Concierge Team at 713-442-9540 or toll-free 866-535-8405, 8:00 a.m. to 5:00 p.m., Monday through Friday. Or, click on the “Request Assistance” button above to request a phone call from a KelseyCare Advantage Concierge Representative. ​

 

Provider Directory Request

If you would like a Provider Directory mailed to you here are your options: