to main content

Member Resources

ID Card Request Form

Please click here to request a KelseyCare Advantage ID card.

Request an ID Card

Member Newsletters

Check out our newsletters for health and wellness information, Virtual Health how-to’s, prescription drug and other benefits information and updates, and some of the exciting things happening at KelseyCare Advantage and Kelsey-Seybold Clinic!

Read our Member Newsletters

Pay My Bill

We offer three convenient methods to pay your monthly premium. Simply download the form that best suits your needs, then send the completed form to us by mail, email, or fax.

Set Up Your Premium Payments


A grievance (complaint) is a process used to address certain types of problems related to quality of care, waiting times, and the customer service you receive.

File a Grievance

Organizational Determination, Appeals & Payment Request (Medical Part C)

An organization determination is a decision your health plan makes regarding a request by you, your authorized representative or a physician for the Plan to cover health services, a payment request of a claims for services you have already received or increased coverage for services you are already receiving.

Learn More

Coverage Determination, Appeals & Payment Request (Prescription Part D)

A drug coverage determination is a decision our plan makes about the coverage of a Part D drug or the amount our plan will pay for your Part D prescription drugs. This includes asking our plan to make an exception to the way a drug is covered.

Learn More

Member Rights & Responsibilities

As a member of KelseyCare Advantage, you have certain rights and responsibilities. These are discussed in detail in the link below.

Learn More

Quality Assurance

KelseyCare Advantage’s Quality Assurance Processes are designed to help ensure the safety and effectiveness of care related to prescription drugs.

Learn More

Search Tools

Find a provider, pharmacy or prescription drug.


Member Videos

Educational videos on a variety of health and wellness topics to help you navigate not only your Medicare Advantage plan, but healthy living!

Learn More

Member Brochures & Handouts

You'll find helpful information on Hurricane Preparedness, questions to ask your primary care physician at your next visit, and more!

Learn More

Wellbeing Resources

Live and Work Well provides mental health resources at no additional cost. Visit our page to learn more.

Learn More

phone with talk bubble

Need Answers?

Call our Concierge team at 713-442-CARE (2273) or toll-free at 1-866-535-8343 (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

Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.