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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 (HMO)

KelseyCare Advantage Rx provides Part D prescription drug coverage in addition to the medical benefits of Medicare Parts A and B.
Who can join?​The KelseyCare Advantage Rx 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.​
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).
How much does it cost?​
There is no monthly plan premium to enroll in the Rx plan. However, 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 doctors can I use with this plan?KelseyCare Advantage Rx 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 reffered 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 nor the Original Medicare plan will pay for these services.
Important Documents for KelseyCare Advantage Rx
  • 2020 Rx Summary of BenefitsPDF  
    SpanishPDF (Coming Soon)
  • 2020 Rx Evidence of CoveragePDF 
    Spanish PDF
  • 2020 Rx 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  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 March 31, KelseyCare Advantage’s Health Plan Specialists are available from 8:00 a.m. to 8:00 p.m., seven days a week. From April 1 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.