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Best Medicare Advantage Plans for 2019 Rating is from U.S. News and World Report, a leading publisher of annual authoritative rankings including Best Medicare Plans. Our plan does not have a direct relationship with U.S. News. This award was not given by Medicare. Our overall rating from Medicare for 2019 is 5.0. Our plan’s official CMS Star Rating can be found at www.Medicare.gov.

You must live in the following counties to enroll into one of these two plans:

Liberty, San Jacinto, Waller, Walker, Austin, Wharton, Grimes and Chambers 

 

Our Plans

Coverage that offers peace of mind

Shopping for a Medicare plan can be challenging and confusing, but it doesn’t have to be.  With KelseyCare Advantage, you’ll have care delivered by the doctors of Kelsey-Seybold Clinic, Houston’s largest and most renowned private multi-specialty physician group.   KelseyCare Advantage was designed by the doctors of Kelsey-Seybold Clinic to provide Medicare beneficiaries with benefit plans that offer high quality care, financial protection and highly-rated customer service.  
 

KelseyCare Advantage Plans

KelseyCare Advantage offers 2 Medicare Advantage plans, each offering all of the benefits of Medicare without all of the cost.  You’ll have low copayments or coinsurance, worldwide emergency coverage, $0 copayment for Primary Care vists, routine vision exams, transportation to medical appointments and the protection of out-of-pocket maximums for in-network and out-of-network services.   An out-of-pocket maximum is the most you will have to pay for Medicare-covered services during a year for health care services you receive. Once you have reached your out-of-pocket maximum, KelseyCare Advantage begins to pay 100 percent of your Medicare-covered benefits.
 
 
Please refer to the Summary of Benefits for a list of copayments and cost-sharing.  
Monthly PremiumIncludes Part D Drug Coverage
Includes
Point-of-Service Coverage
Summary of Benefits (PDF)Evidence of Coverage (PDF)
Rx Select
(HMO-POS)
Learn-RX.png 
$15   English 
Español

English
Esp​añol

Essential Select
(HMO-POS)
Learn-RXChoice.png 
$0                English 
Español
 

 

 
Our Service Area
Our service area includes the following counties in Texas:
Our Service Area Liberty, San Jacinto, Waller, Walker, Austin, Wharton, Chamber and Grimes                
If you are unsure if your residential address falls into one of these four counties, please contact our Sales department for more information.
    
Document Request
If you would like an Evidence of Coverage, Abridged Formulary or Provider/Pharmacy Directory mailed to you here are your options: We can also give you information in Braille, in large print, other languages or other alternate formats, upon request.
 

Find the plan that’s right for you

Often when potential KelseyCare Advantage members contact us, they are worried about all of their choices. We look out for them with a local team that is happy to take the time to explain exactly what they can expect from us AND how much it’s going to cost.  That’s where the KelseyCare Advantage plan really shines.  We treat potential members the way we would want our own loved ones to be treated.  And if we’re not a good fit, we’ll tell you.  To learn more about KelseyCare Advantage, call one of our knowledgeable Health Plan Specialists at 713-442-JOIN (5646). 

We’re available:

From October 1 through March 31, seven days a week from 8:00 a.m. to 8:00 p.m.
From April 1 through September 30, Monday through Friday from 8:00 a.m. to 8:00 p.m. 
Medicare & You Handbook
Medicare & You Medicare's Official Medicare & You Handbook

Learn as much as possible about the coverage available to you through Medicare.

Medicare & You

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