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For Members

When you join KelseyCare Advantage, you're more than a member, you're a V.I.P. At KelseyCare Advantage, we are dedicated to providing our members with outstanding customer experience with their healthcare coverage. That’s why our members have exclusive access to the concierge team who can help answer questions and offer guidance to simplify the healthcare process.

A knowledgeable KelseyCare Advantage Concierge can help you with things like:

  • Personal assistance in scheduling appointments and finding physicians,
  • Clinic directions and guidance regarding specific services available at each clinic location,
  • Coordination of Medicare benefit inquires requiring special medical review,
  • Billing resolution,
  • Help resolving problems and answering any questions you may have about our Medicare Advantage plan or your Medicare benefits,
  • Prescription drug assistance.
The KelseyCare Advantage Concierge is your single point of contact and trusted information source through the entire healthcare experience. It's like having a personal assistant and a healthcare advocate rolled into one. We can help you look after your special healthcare needs and maximize your healthcare benefits.

Get More as a Member

We keep our Members updated on the latest plan information through Member Newsletters and Important Documents.  We also have dedicated information for our members covered by employer-sponsored plans.  
 
Request Assistance  Forms and Policies  ECommunication Opt-in

Contact Member Services

If you want to talk with a Member Service representative, call us at 713-442-CARE (2273), select option 2, or Toll-Free at 1-866-535-8343. From October 1 through February 14th, our hours of operation are 8:00 a.m. to 8:00 p.m., seven days a week. From February 15th through September 30th, we’re available Monday through Friday from 8:00 a.m. to 8:00 p.m. During after hours, Saturdays, Sundays and holidays, calls are handled by our voicemail system. (TTY 1-866-302-9336; available Monday through Friday from 8:00 a.m. to 5:00 p.m.).
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