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Health Plans accepted by Kelsey-Seybold Medical Group, PLLC

As of November 18, 2014


Kelsey-Seybold accepts 50 health insurance plans, including Blue Cross Blue Shield of Texas, Cigna and United Healthcare. View our complete list of accepted health plans below. Kelsey-Seybold is also participating in Market Place Insurance Plans as part of the Affordable Care Act. View the list of
Marketplace Insurance Plans here.

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 no longer participates in any products offered by Aetna Health Plans.

  • For NRG employees only, please refer to the KelseyCare NRG plan name listed below.


Blue Cross Blue Shield of Texas

  • HMO Blue Texas
  • Blue Choice POS
  • * Blue Choice Gold PPO 001
  • * Blue Choice Gold PPO 002
  • * Blue Choice Silver PPO 003
  • * Blue Choice Silver PPO 004
  • * Blue Choice Bronze PPO 005
  • * Blue Choice Bronze PPO 006
  • * Blue Cross Blue Shield Premier, a Multi-State Plan
  • * Blue Cross Blue Shield Premier 2, a Multi-State Plan
  • * Blue Cross Blue Shield Solution 3, a Multi-State Plan
  • * Blue Cross Blue Shield Solution 4, a Multi-State Plan
  • * Blue Cross Blue Shield Basic 5, a Multi-State Plan
  • * Blue Security Choice PPO 010
  • Blue Edge PPO
  • Federal Employee Program (FEP)
  • Blue Choice PPO
  • UT Select PPO
  • TRS Active Care
  • PPO Blue Choice EPPO
  • Blue Card (Out-of-state Plans)
  • Traditional/Indemnity (PAR Plan)
  • Anthem Blue Cross Blue Shield

* Marketplace Insurance Plans accepted by Kelsey-Seybold Clinic. Kelsey-Seybold Clinic does not accept BlueAdvantage HMO.

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
  • * mycigna Copay Assure Gold PPO
  • * mycigna Copay Assure Silver PPO
  • * mycigna HealthFlex 1250 PPO
  • * mycigna HealthFlex 2750 PPO
  • * mycigna HealthFlex 5000 PPO
  • * mycigna HealthFlex 5100 PPO
  • Retirees of Texas Option Plus

* Marketplace Insurance Plans accepted by Kelsey-Seybold Clinic.

Community Health Choice
 
  • 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).
  • * Community Health Choice HMO Gold Copay (Kelsey-Seybold Marketplace)
  • * Community Health Choice Silver Copay (Kelsey-Seybold Market place )
* Marketplace health plans accepted by Kelsey-Seybold Clinic.


First Health PPO

Great West Healthcare

  • POS
  • PPO
  • Open Access

Healthsmart PPO


Humana

  • Humana PPO
  • Humana Preferred PPO
  • Humana Preferred POS
  • Humana ChoiceCare PPO


KelseyCare administered by Boon-Chapman


KelseyCare Advantage - More Information

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


KelseyCare NRG

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)

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

  • Harris
  • Northern Brazoria (zip codes 77581, 77584, 77588)
  • Fort Bend Northern Galveston (zip codes 77546, 77549, 77565)
  • Montgomery


United Healthcare (UHC)

  • United Healthcare
  • United Healthcare Charter effective January 1, 2015
  • United Healthcare Choice
  • United Healthcare Choice Plus
  • United Healthcare HealthSelect
  • United Healthcare Options PPO
  • United Healthcare Select
  • United Healthcare Select Plus
 

Vision Plans Accepted by Kelsey-Seybold Medical Group, PLLC
As of May 20, 2014

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 November 18, 2014

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


Blue Cross Blue Shield of Texas

  • HMO Blue Texas
  • Blue Choice POS
  • * Blue Choice Gold PPO 001
  • * Blue Choice Gold PPO 002
  • * Blue Choice Silver PPO 003
  • * Blue Choice Silver PPO 004
  • * Blue Choice Bronze PPO 005
  • * Blue Choice Bronze PPO 006
  • * Blue Cross Blue Shield Premier, a Multi-State Plan
  • * Blue Cross Blue Shield Premier 2, a Multi-State Plan
  • * Blue Cross Blue Shield Solution 3, a Multi-State Plan
  • * Blue Cross Blue Shield Solution 4, a Multi-State Plan
  • * Blue Cross Blue Shield Basic 5, a Multi-State Plan
  • * Blue Security Choice PPO 010
  • Blue Edge PPO
  • Federal Employee Program (FEP)
  • Blue Choice PPO
  • UT Select PPO
  • TRS Active Care PPO
  • Blue Choice EPPO
  • Blue Card (Out-of-state Plans)
  • Traditional/Indemnity (PAR Plan)

* Marketplace Insurance Plans accepted by Kelsey-Seybold Clinic.

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
  • * mycigna Copay Assure Gold PPO
  • * mycigna Copay Assure Silver PPO
  • * mycigna HealthFlex 1250 PPO
  • * mycigna HealthFlex 2750 PPO
  • * mycigna HealthFlex 5000 PPO
  • * mycigna HealthFlex 5100 PPO
  • Retirees of Texas Option Plus

* Marketplace Insurance Plans accepted by Kelsey-Seybold Clinic.

Community Health Choice
 
  • 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).
  • * Community Health Choice HMO Gold Copay (Kelsey-Seybold Marketplace)
  • * Community Health Choice Silver Copay (Kelsey-Seybold Market place )

* Marketplace health plans accepted by Kelsey-Seybold Clinic. 

Great West Healthcare

  • POS
  • PPO
  • Open Access

Healthsmart PPO


Humana

  • Humana PPO
  • Humana Preferred PPO
  • Humana Preferred POS
  • Humana ChoiceCare PPO


KelseyCare administered by Boon-Chapman


KelseyCare Advantage - More Information

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


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)

PPO Next

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

United Healthcare

  • United Healthcare
  • United Healthcare Charter effective January 1, 2015
  • United Healthcare Choice
  • United Healthcare Choice Plus
  • United Healthcare HealthSelect
  • United Healthcare Options PPO
  • United Healthcare Select
  • United Healthcare Select Plus