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How to Enroll
Forms & Documents
City of Houston
Coastal Water Authority
Episcopal Diocese of Texas
Welcome to KelseyCare Advantage’s Rice web portal—a web page dedicated exclusively to Rice 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.
Live Healthy with the YMCA
Click on the links below to access important benefit documents for 2015 and 2016.
Important Note About Your Pharmacy Network:
Your pharmacy benefit through KelseyCare Advantage Rice does not have a preferred/non-preferred pharmacy network. You will pay the same copay for a drug at a non-preferred pharmacy as at a preferred pharmacy. Please refer to your Abridged Formulary to find out what copay(s) you will pay for your drugs.
Getting Started Catamaran Home Delivery
Catalyst Mail Order Form
2015 - 2016 Preferred Rx
2015 Evidence of Coverage
Summary of Benefits
2016 Abridged Formulary
2016 Comprehensive Formulary
2015 Annual Notice of Change
2016 Formulary Addendum
Drug Search - See if your drug is covered
to search the Rice KelseyCare Advantage Formulary.
Schedule of Copayments for Prescription Drugs
1 & 2
4 & 5
Have questions about KelseyCare Advantage?
Call our Concierge Team at
, 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.
KelseyCare Advantage is offered by KS Plan Administrators, LLC, a Medicare Advantage HMO with a Medicare contract. Enrollment in KelseyCare Advantage depends on contract renewal. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Understand Medicare Advantage
Compliance and Fraud
How to Enroll
Cost Sharing, Copayments,and Deductibles
Appeals / Grievances
Part D Coverage Determination
©2015 KelseyCare Advantage. All rights reserved.