You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page.
Turn on more accessible mode
Turn off more accessible mode
Skip Ribbon Commands
Skip to main content
Turn off Animations
Turn on Animations
How to Enroll
Forms & Documents
KelseyCare Advantage Plan News
Medicare Plan Compliance
Frequently Asked Questions
Compliance and Fraud
Multi Language Service
KELSEYCARE ADVANTAGE’S PRESTIGIOUS 5-STAR RATING CREATES A UNIQUE OPPORTUNITY FOR CONSUMERS
Medicare beneficiaries who choose KelseyCare Advantage through next November gain access to the highest-rated Medicare Advantage plan in Texas
HOUSTON, TX — (December 9, 2013)
— Consumers who are eligible for Medicare coverage have a rare opportunity to sign up for the only 5-star Medicare Advantage health plan in Texas. Most Medicare beneficiaries must choose the Medicare plan they want during the open enrollment period from October 15 through December 7 and remain with that plan through the following calendar year. However, the 5-star special enrollment period, underway from now through November of 2014, provides Medicare beneficiaries with a unique opportunity to enroll in a 5-star plan.
KelseyCare Advantage is one of only 11 Medicare Advantage plans offering drug coverage to receive the 5-star rating for 2014. The Centers for Medicare & Medicaid Services (CMS) created the 5-star special enrollment period to encourage enrollment in the highest quality plans. CMS rates plans on a scale of one to five stars, with five representing the maximum for performance excellence. The ratings evaluate a plan on its effectiveness at keeping members healthy, managing chronic conditions, customer service and pharmacy benefits, as well as member satisfaction. Medicare compiles information from member satisfaction surveys, plans and health care providers to issue overall performance ratings to Medicare Advantage plans.
“The Centers for Medicare & Medicaid Services created the extended 5-star enrollment period to give all Medicare beneficiaries a one-time opportunity to enroll in a plan that offers the highest level of care and service,” said Marnie Matheny, president of KelseyCare Advantage.
“Whether a Medicare beneficiary is currently enrolled in a Medicare health plan or using traditional Medicare, now is the time to learn more about their options and consider enrolling in a 5-star plan,” added Matheny. “A 5-star overall rating is Medicare’s highest rating and validation that members enrolled in these plans are receiving the highest level of quality and service.”
“With healthcare quality and cost under increasing scrutiny these days, Medicare beneficiaries have many questions about their care and their insurance,” said KelseyCare Advantage Medical Director Donnie Aga, M.D. “Members enrolled in a 5-star plan are assured of high quality medical and prescription care and exceptional customer service.”
This special enrollment period may also be used to change from your current Medicare Advantage plan to a 5-star Medicare Advantage plan. If you’re in original Medicare, you may also enroll in a 5-star Medicare Advantage plan during this period.
Medicare beneficiaries may learn more about Medicare’s 5-star special enrollment period online at medicare.gov or by calling 1-800-Medicare. Plan performance summary star ratings are assessed by CMS each year and may change from one year to the next. Beneficiaries may also learn more about KelseyCare Advantage by calling 713-442-5646 or visiting
About KelseyCare Advantage
Based in Houston, Texas, KelseyCare Advantage is a 5-star Medicare Advantage plan operated by KS Plan Administrators. The cornerstone of the KelseyCare Advantage provider network is Kelsey-Seybold Clinic. KelseyCare Advantage is available to Medicare beneficiaries who have Medicare Part A and Part B, who do not have End-Stage Renal Disease and live in the KelseyCare Advantage service area of Harris County, Fort Bend County, Montgomery County and Galveston on the Mainland. KelseyCare Advantage offers five health plans, which include Essential, Rx, Essential+Choice, Rx+Choice and Rx Premier.
KelseyCare Advantage is offered by KS Plan Administrators, LLC, a Medicare Advantage HMO with a Medicare contract. Enrollment in KelseyCare Advantage depends on contract renewal. You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Understand Medicare Advantage
Compliance and Fraud
How to Enroll
Cost Sharing, Copayments,and Deductibles
Appeals / Grievances
Part D Coverage Determination
©2015 KelseyCare Advantage. All rights reserved.