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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.

​​Metropolitan Transit Authority


COVID-19 Information


•    Take precautions during this time. Utilize Kelsey-Seybold’s Virtual Health program to
      schedule video visits, E-Visits or phone visits before making an in-person appointment.
      KelseyCare Advantage members pay $0 for these services.

•    Please visit our COVID-19 page for more information about additional
      resources available to members and scams targeting individuals during this time.

•    Mental Health Virtual Visits - Members can access virtual visits for mental health by
      accessing www.liveandworkwell.com – the code you need to enter is ‘Kelsey’.
      You will then select ‘Virtual Visit’. If you do not have online access, you can call
      (800) 817-4808.

Welcome to KelseyCare Advantage’s Metropolitan Transit Authority web portal—a web page dedicated exclusively to Metropolitan Transit Authority 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.
 

 
KelseyCare Advantage
Preferred
KelseyCare Advantage
Preferred​+Choice
Retiree Individual Monthly Premium
                     $56.21
Retiree Individual Monthly Premium
                     $136.70
2020 Annual Notice of Change 2020 Annual Notice of Change
Evidence of Coverage2020 Evidence of Coverage 2020 Evidence of Coverage
2020 Summary of Benefits 2020 Summary of Benefits
2019 Comprehensive Formulary2020 Comprehensive Formulary 2019 Comprehensive Formulary2020 Comprehensive Formulary
Formulary Addendum2020 Formulary Addendum
            Spanish Version
Formulary Addendum 2020 Formulary Addendum
            Spanish Version
 
KelseyCare Advantage
Preferred Rx
Retiree Individual Monthly Premium
$103.32
2020 Annual Notice of Change
2020 Evidence of Coverage
2020 Summary of Benefits
2019 Comprehensive Formulary2020 Comprehensive Formulary
2020 Formulary Addendum
            Spanish Version

Drug Search - See if your drug is covered 
 
Click here to search the 2020 Metro Preferred and Preferred+Choice KelseyCare Advantage Formulary.
Click here to search the 2020 Metro Preferred Rx KelseyCare Advantage Formulary.
 
Schedule of Copayments for Prescription Drugs
Your pharmacies with preferred cost-sharing include Kelsey-Seybold 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
$3
$7.50
2
$30
$75
3
$30
$75
4
$60
$150
5
33%
33% 
 
Non-Preferred Pharmacy​
Tier
30-Day Supply
90-Day Supply
1
$8
$24
2
$40
$120
3
$40
$120
4
$70
$210
5
33%
33% 
 
Have questions about KelseyCare Advantage?
Call our Concierge Team at 713-442-9540 or toll-free 866-534-0554, 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: