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Health Plans accepted by Kelsey-Seybold Medical Group, PLLC

As of July 21, 2016

 
Blue Cross Blue Shield of Texas (BCBS) has terminated its contract with Kelsey-Seybold and dismissed us from their network, effective Oct. 1, 2016. This means, Kelsey-Seybold will no longer be an in-network provider for any BCBS PPO, POS or Traditional/PAR health plans after Oct. 1.  Kelsey-Seybold will continue to be an in-network provider for the HMO Blue Texas health plan. Read more.
 

This information is subject to change at any time. Please contact Kelsey-Seybold's Contact Center at 713-442-0427 before scheduling an appointment to confirm that the health plan listed is currently being accepted.

Aetna
Kelsey-Seybold participates exclusively in Aetna KelseyCare plans. Kelsey-Seybold does not participate in any Aetna PPO or HMO plans.


Be Well @ Shell Kelsey-Seybold Health Plan​ - Learn More​

HMO Blue Texas

Coventry PPO

Children's Health Insurance Program (CHIP)
Kelsey-Seybold must be designated as the Primary Care Physician. To learn more about Kelsey-Seybold’s participation with CHIP through Community Health Choice, call 713-442-CHIP (2447).

Cigna

  • Choice Fund LocalPlus
  • Choice Fund LocalPlus IN
  • Cigna EPO
  • Cigna HMO
  • Cigna KelseyCare
  • Cigna HMO Open Access
  • Cigna HMO Open Access Plus
  • Cigna POS
  • Cigna PPO
  • Cigna Select Consumer -Driven Health Plan
  • LocalPlus
  • LocalPlus IN
  • Cigna Vantage Flex 6400 Bronze
  • Cigna Vantage Flex 5000 Silver
  • Cigna Vantage Flex 2750 Silver
  • Retirees of Texas Option Plus

Community Health Choice

  • * Community Health Choice HMO Gold Copay (Plan 001 - Kelsey-Seybold Marketplace)
  • * Community Health Choice HMO Silver Copay (Plan 002 - Kelsey-Seybold Marketplace)
  • Children’s Health Insurance Program (CHIP) - Kelsey-Seybold must be designated as the Primary Care Physician. To learn more about Kelsey-Seybold’s participation with CHIP through Community Health Choice, call 713-442-CHIP (2447).
  • KelseyCare Powered by Community Health Choice (for ERS only)  More Information
* Marketplace health plans accepted by Kelsey-Seybold Clinic.


First Health PPO 

Gerland’s Food Fair/Boon-Chapman

Great West Healthcare (also known as Cigna-GWH)

  • POS
  • PPO
  • Open Access

 
Healthsmart PPO

Humana

  • Humana PPO
  • Humana Preferred PPO
  • Humana Preferred POS
  • Humana ChoiceCare PPO
  • Humana National POS Open Access


KelseyCare administered by Boon-Chapman


KelseyCare Advantage - More Information

  • KelseyCare Advantage Essential
  • KelseyCare Advantage Essential + Choice
  • KelseyCare Advantage Rx
  • KelseyCare Advantage Rx + Choice


​KelseyCare NRG

KelseyCare powered by Community Health Choice (for ERS only).  More Information

KelseyCare Powered by Cigna


Medicare

Kelsey-Seybold Clinic accept the following Medicare Advantage Plans: KelseyCare Advantage and TexanPlus (see SelectCare of Texas Health plan description). EFFECTIVE January 1, 2009, Kelsey-Seybold Clinic does not accept traditional Medicare.

Private Healthcare Systems PPO (PHCS)

SelectCare of Texas (TexanPlus)
- with Kelsey-Seybold Clinic designated as the Primary Care Physician for the following only.

  • Northern Brazoria (zip codes 77430, 77444, 77511, 77546, 77578, 77581, 77583, 77584, 77588)
  • City of Houston Retirees.


United Healthcare (UHC)

  • United Healthcare Charter
  • United Healthcare Choice
  • United Healthcare Choice Plus
  • United Healthcare Core
  • United Healthcare Core Plus
  • United Healthcare HealthSelect
  • United Healthcare HealthSelect  Plus
  • United Healthcare Navigate
  • United Healthcare Navigate Plus
  • United Healthcare Options PPO
  • United Healthcare Select
  • United Healthcare Select Plus
 

Vision Plans Accepted by Kelsey-Seybold Medical Group, PLLC
As of July 21, 2016

The Health Plan information in this listing is updated periodically. This information is subject to change at any time. Please contact Kelsey-Seybold's Contact Center at 713-442-0427 before scheduling an appointment to confirm that the health plan listed is currently being accepted.

Spectera

  • Spectera Vision plan (also known as “United Healthcare Vision” and “OptumHealth Vision”).


Vision Service Plan (VSP)

  • KelseyCare Advantage members only.
 

Health Plans Accepted by The Ambulatory Surgery Center at Kelsey-Seybold
As of July 25, 2016

The Health Plan information in this listing is updated periodically. This information is subject to change at any time. Please contact Kelsey-Seybold's Contact Center at 713-442-0427 before scheduling an appointment to confirm that the health plan listed is currently being accepted.

 

Aetna

  • Choice POS
  • Choice POS II
  • Elect Choice EPO
  • HMO
  • Managed Choice POS
  • Open Access HMO
  • Open Access Managed Choice POS
  • Open Access Elect Choice
  • Open Access Select
  • Open Choice PPO
  • National Advantage Program
  • NRG employees only, please refer to the KelseyCare NRG plan name listed below.
  • Quality Point-of-Service QPOS
  • Select


Be Well @ Shell Kelsey-Seybold Health Plan
 - ​Learn More​

Blue Cross Blue Shield of Texas

  • HMO Blue Texas
  • Blue Choice POS
  • Blue Edge PPO
  • Federal Employee Program (FEP)
  • Blue Choice PPO
  • Blue Choice EPPO
  • Blue Card (Out-of-state Plans)
  • Traditional/Indemnity (PAR Plan)

Children's Health Insurance Program (CHIP) 

Kelsey-Seybold must be designated as the Primary Care Physician. To learn more about Kelsey-Seybold’s participation with CHIP through Community Health Choice, call 713-442-CHIP (2447).

Cigna

  • Choice FundLocalPlus
  • Choice Fund LocalPlus IN
  • Cigna EPO
  • Cigna HMO
  • Cigna KelseyCare
  • Cigna HMO Open Access
  • Cigna HMO Open Access Plus
  • Cigna POS
  • Cigna PPO​
  • Cigna Select
  • Consumer-Driven Health Plan
  • LocalPlus
  • LocalPlus IN
  • Cigna Vantage Flex 6400 Bronze
  • Cigna Vantage Flex 5000 Silver
  • Cigna Vantage Flex 2750 Silver
  • Retirees of Texas Option Plus

Community Health Choice

  • * Community Health Choice HMO Gold Copay (Kelsey-Seybold Marketplace)
  • * Community Health Choice HMO Silver Copay (Kelsey-Seybold Marketplace)
  • Children’s Health Insurance Program (CHIP) - Kelsey-Seybold must be designated as the Primary Care Physician. To learn more about Kelsey-Seybold’s participation with CHIP through Community Health Choice, call 713-442-CHIP (2447).

* Marketplace health plans accepted by Kelsey-Seybold Clinic. 

Great West Healthcare (also known as GWH-Cigna)

  • POS
  • PPO
  • Open Access

 
HealthSmart PPO


Humana

  • Humana PPO
  • Humana Preferred PPO​
  • Humana Preferred POS
  • Humana ChoiceCare PPO
  • Humana National POS Open Access

 

KelseyCare administered by Boon-Chapman


KelseyCare Advantage - More Information

  • KelseyCare Advantage Essential
  • KelseyCare Advantage Essential + Choice
  • KelseyCare Advantage Rx
  • KelseyCare Advantage Rx + Choice


KelseyCare NRG

KelseyCare Powered by Cigna


Medicare
Kelsey-Seybold Clinic accepts the following Medicare Advantage Plans: KelseyCare Advantage and TexanPlus (see SelectCare of Texas Health plan description). EFFECTIVE January 1, 2009, Kelsey-Seybold Clinic does not accept traditional Medicare.

Multiplan PPO

Private Healthcare Systems PPO (PHCS)

SelectCare of Texas (TexanPlus) 
- with Kelsey-Seybold Clinic designated as the Primary Care Physician for the following only.

  • Northern Brazoria (zip codes 77430, 77444, 77511, 77546, 77578, 77581, 77583, 77584, 77588)
  • City of Houston Retirees.​

    United Healthcare (UHC)

    • United Healthcare Charter
    • United Healthcare Choice
    • United Healthcare Choice Plus
    • United Healthcare Core
    • United Healthcare Core Plus
    • United Healthcare HealthSelect
    • United Healthcare HealthSelect Plus
    • United Healthcare Navigate
    • United Healthcare Navigate Plus
    • United Healthcare Options PPO
    • United Healthcare Select
    • United Healthcare Select Plus
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