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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.

Rx+Choice (HMO-POS)

KelseyCare Advantage Rx+Choice provides Part D prescription drug coverage in addition to the medical benefits of Medicare Parts A and B. This plan also offers a point-of-service benefit.
 
With this plan, you have the option of accessing certain specialists who are in or out of the KelseyCare Advantage provider network.
 
Description 
Who should join this plan?The KelseyCare Advantage Rx+Choice plan works well for Medicare beneficiaries that need comprehensive coverage and low out-of-pocket expenses for their hospital, medical and prescription drug benefits. This plan also offers worldwide emergency coverage as well as coverage for routine vision, hearing and medical transportation. The Rx+Choice plan offers members the option to access certain specialists who are outside of the KelseyCare Advantage provider network.​
You must:
  • Be eligible for Medicare Part A and enrolled in Part B,
  • Continue to pay Part B premiums,
  • Live in the plan service area, and
  • Not have End-Stage Renal Disease (permanent kidney failure).
You'll pay:​
The monthly plan premium to enroll in the Rx+Choice plan is $77.00. Additionally, you must maintain your Medicare Part B coverage to be a member of any Medicare Advantage plan. Most people will pay the standard Part B premium amount.  Please call Social Security at 1-800-772-1213 for information about your Part B premium.​
What doctor can I use with this plan?KelseyCare Advantage Rx+Choice members will receive most of their medical care from the doctors at Kelsey-Seybold Clinic.  KelseyCare Advantage also contracts with an affiliate network of doctors to provide care that is not offered at Kelsey-Seybold.  You can use specialists who are in or out of the KelseyCare Advantage provider network. The health providers in our network can change at any time. Members can elect to have their Kelsey-Seybold Clinic physician "coordinate" their care or they can choose to "self-refer" for care from certain specialists outside of Kelsey-Seybold Clinic. Members receive a higher level of benefits and pay lower out-of-pocket costs when they use in-network providers.
 
Important Documents for KelseyCare Advantage Rx+Choice
  • 2019 Rx+Choice Summary of BenefitsPDF 
    SpanishPDF
  • 2019 Rx+Choice Evidence of CoveragePDF 
    Spanish (Coming Soon)PDF
  • 2019 Rx+Choice Annual Notice of ChangesPDF  
    SpanishPDF

Need more information?
Call us at 713-442-JOIN (5646) or toll-free 1-800-663-7146. Or, chat with a Health Plan Specialist  online! It would be our pleasure to answer any questions you might have. TTY/TDD users may call 1-866-302-9336.

From October 1 through February 14, KelseyCare Advantage’s Health Plan Specialists are available from 8:00 a.m. to 8:00 p.m., seven days a week. From February 15 through September 30, KelseyCare Advantage’s Health Plan Specialists are available from 8:00 a.m. to 8:00 p.m., Monday through Friday. During this time on weekends and holidays, calls are handled by our voicemail system.
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