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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.  

Four KelseyCare Advantage Plans

KelseyCare Advantage offers 4 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 routine vision exams, transportation to medical appointments and the protection of a $3,400 out-of-pocket maximum for in-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)Annual Notice of Change (PDF)Evidence of Coverage (PDF)
Rx
(HMO)
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$0   English 
Español

English
Español

English
Esp​añol 

Rx+Choice
(HMO-POS)
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$77 English 
Español

English
Español

Essential
(HMO) Learn-Essential.png
$0 

English 
Español

English
Español
English 
Español
Essential
+Choice
(HMO-POS)
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$0  English 
Español
English
Español
English 
Español 
 

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 February 14th, seven days a week from 8:00 a.m. to 8:00 p.m.
From February 15th through September 30th, 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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