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Health Plans accepted by Kelsey-Seybold Medical Group, PLLC

As of November 15, 2016

This information is subject to change at any time. Please contact Kelsey-Seybold's Contact Center at 713-442-0427 when 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.

  • ​For NRG employees only, Kelsey-Seybold participates in the Aetna K​elseyCare NRG plan.

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

Blue Cross Blue Shield of Texas (BCBS) – HMO PLANS
Kelsey-Seybold is an in-network provider for the HMO Blue/Blue Essentials plan.

Blue Cross Blue Shield of Texas (BCBS) – PPO, POS AND TRADITIONAL/PAR PLANS
As of Oct. 1, 2016, BCBS terminated its contract with Kelsey-Seybold and dismissed us from their network. This means, Kelsey-Seybold is no longer an in-network provider for any BCBS PPO, POS or Traditional/PAR health plans after Oct. 1. You can use your out-of-network benefits or other coverage to continue care at Kelsey-Seybold Clinic, and we are offering a 40% discount to our patients who use their out-of-network benefits after Oct. 1. This 40% discount will expire on Dec. 31, 2017. Read more.​

Direct Contracts with Employers​
​​​Kelsey-Seybold directly contracts with the following employers:

  • ​Weatherford
  • Hess

Federal Employees with BCBS Insurance
If you are a federal employee you can continue to see your Kelsey-Seybold doctors in-network until January 4, 2017.  However, if yo​u want to continue to see your Kelsey-Seybold doctors in 2017 you MUST select another plan that includes Kelsey-Seybold in-network coverage during your Open Season, which runs Nov. 14 – Dec. 12. Read more about the health plans that are in-network with Kelsey-Seybold. More information

Kelsey-Seybold continues to be an in-network provider for employers with direct contracts. This includes Weatherford and Hess.

Kelsey-Seybold continues to be an in-network provider for the HMO Blue/Blue Essentials plan.

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
  • KelseyCare powered by Cigna
  • LocalPlus
  • LocalPlus IN
  • Cigna LocalPlus IN 6700 – Bronze plan

Community Health Choice

  • * KelseyCare powered by Community Health Choice HMO Gold (Plan 006 - Kelsey-Seybold Marketplace)
  • * KelseyCare powered by Community Health Choice HMO Silver (Plan 007 - Kelsey-Seybold Marketplace)
  • Children’s Health Insurance Program (CHIP) - Kelsey-Seybold must be designated as the Primary Care Physician. To lear​n 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.

Federal Employee Health Benefits (FEHB) URGENT REMINDER: Kelsey-Seybold will not be offered in any Blue Cross Blue Shield plan in 2017. In order to continue your access to Kelsey-Seybold doctors, you will need to select a new plan during “Open Season,” Nov. 14 through Dec. 12, 2016.

Your Kelsey-Seybold doctors will be in network for these FEHB plans in 2017:

  • APWU Health Plan
  • GEHA Benefit Plan
  • GEHA High Deductible Health Plan
  • NALC
  • NALC Value Option
  • SAMBA


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

  • KelseyCare for ERS employees -   More Information
  • * KelseyCare powered by Community Health Choice HMO Gold Copay 006 (effective 1/1/2017)
  • * KelseyCare powered by Community Health Choice HMO Silver Copay 007 (effective 1/1/2017)

* Marketplace health plans accepted by Kelsey-Seybold Clinic. 


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 November 15, 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 LocalPlus IN 6700 – Bronze plan
​​
Community Health Choice

  • * KelseyCare powered by Community Health Choice HMO Gold Copay 006 (effective 1/1/2017)
  • * KelseyCare powered by Community Health Choice HMO Silver Copay 007 (effective 1/1/2017)
  • 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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