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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

Rx Premier

KelseyCare Advantage Rx Premier provides Part D precription drug coverage in addition to the medical benefits of Medicare Parts A and B.
Who should join this plan?​ The KelseyCare Advantage Rx Premier 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. Paying a monthly premium enables members to receive their KelseyCare Advantage benefits for a much lower out-of-pocket cost per benefit (copay).​
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 Premier plan is $221.00. You must maintain your Medicare Part B coverage to be a member of the Rx Premier 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.  KelseyCare Advantage Rx Premier members will pay low or no copayments or coinsurance for medical services, except for Part B drug coinsurance. 
What doctors can I use with his plan? KelseyCare Advantage Rx Premier 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 referred at Kelsey-Seybold.  You can only use doctors who are part of our network. The health providers in our network can change at any time. A referral may be required to access some network doctors. If you choose to go to a doctor outside of our network, you must pay for these services yourself. Neither KelseyCare Advantage Rx Premier nor the Original Medicare plan will pay for these services.
Important Documents for KelseyCare Advantage Rx Premier
  • 2015 Rx Premier Summary of BenefitsPDF  
  • 2015 Rx Premier Evidence of CoveragePDF  
  • 2015 Rx Premier Annual Notice of ChangesPDF  

Need more information?

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