Prescription Drug Benefits
KelseyCare Advantage gives you access to more than 65,000 network pharmacies, including more than 1,200 pharmacies in the Greater Houston area.
KelseyCare Advantage gives you access to more than 2,800 medications which include brand name and generic medications.
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.
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.
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.
Financial hardships shouldn’t get in the way of getting the healthcare you need. If you receive “Extra Help” from Medicare, your prescription drug costs may be less, depending on your specific Subsidy Level.
The Medicare Prescription Payment Plan is a new payment option that works with your current drug coverage, and it can help you manage your drug costs by spreading them across monthly payments that vary throughout the year (January – December).
Call Member Services 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