KelseyCare Advantage Transportation Benefits

Getting to your medical appointments shouldn't be a challenge. KelseyCare Advantage provides transportation benefits to help eligible members travel to and from covered healthcare visits.

• Routine Transportation provides rides to and from medical appointments for members who are able to enter and exit a vehicle independently. Transportation is provided through Lyft.
• Non-Emergency Medical Transportation (NEMT) provides rides for members whose transportation needs cannot be met through routine transportation. NEMT services are available for covered medical appointments and healthcare facilities within the service area.

Signature (HMO) and Core (HMO) Plans:

• Unlimited rides to approved medical appointment locations

• 10 one-way rides to approved medical appointments for all members

• For members with qualifying chronic conditions - Unlimited rides to approved medical appointment locations

SSBCI (Special Supplemental Benefits for the Chronically Ill) Transportation is for KelseyCare Advantage plan members with the following chronic health conditions and visits related to those conditions. Not all members qualify.

Wheelchair-accessible vehicles must be requested at least 24 hours in advance. Transportation by stretcher van or ambulance is not included in this benefit.

Schedule a Ride

To schedule transportation to a covered medical appointment, call 713-KCA-RIDE or 855-931-7433. Please have the following information available:

• Member's first and last name
• Member's KelseyCare Advantage ID number and date of birth
• A phone number where you can be reached
• Appointment date and time
• Pickup and destination locations
• Type of medical appointment
• Whether additional passengers will be riding with you
• Whether the appointment is recurring (such as dialysis or physical therapy)
• Whether you are hearing impaired or visually impaired

Once your ride is scheduled, you'll receive a call or text confirming your reservation. You'll receive another notification when your driver is on the way. While drivers make every effort to arrive on time, delays may occasionally occur because of traffic, weather, or other circumstances beyond their control.

When you're ready for your return trip, call 713-KCA-RIDE or 855-931-7433. Representatives are available Monday through Friday from 6 a.m. to 7 p.m. to help arrange your ride home.

Please remember to take all personal belongings with you when leaving the vehicle. Drivers are not responsible for items left behind. Transportation benefits vary by plan. Please refer to your Evidence of Coverage (EOC) for details about your specific transportation benefit.