to main content

Prescription Drug Benefits

Your drug benefits provide even more choices for cost-effective medications.

If you have questions about your plan coverage or want to review your prescription drug benefit, KelseyCare Advantage Representatives are here to help.

Find a Pharmacy

KelseyCare Advantage gives you access to more than 65,000 network pharmacies, including more than 1,200 pharmacies in the Greater Houston area.

Find a 2024 Pharmacy near you

Find a 2025 Pharmacy near you

Find a Covered Drug

KelseyCare Advantage gives you access to more than 3,100 medications which include brand name and generic medications.

2024 Plans Search Here

2025 Plans Search Here

Transition Supply

Under certain circumstances, the plan can offer a temporary supply of a drug when your drug is not on the Drug List or when it is restricted in some way.

Learn more

2025 OptumRx Member Portal

The Optum Rx Member Portal allows members to get drug pricing information, locate a pharmacy, order prescriptions, pay your bill, manage your health information, review financial summaries, receive and view Part D Explanation of Benefits (EOB) electronically, and more.

Learn more

2024 CVS Member Portal

The CVS Caremark Member Portal allows members to access all prescriptions at CVS retail, mail, and specialty pharmacies; review financial summaries; receive and view Part D Explanation of Benefits (EOB) electronically; and more.

Access the CVS Caremark Member Portal

Medication Therapy Management Program

If you’re a member of a Medicare drug plan and take medications for different medical conditions, you may be eligible to get services, at no cost to you, through our MTM program.

Learn about the MTM services and benefits

Low Income Subsidy Information

Financial hardship shouldn’t get in the way of getting the healthcare you need. If you receive extra assistance from Medicare to help pay for your prescription drug costs, your monthly KelseyCare Advantage premiums will also be lower.

Learn more about the Low-Income Subsidy

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

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