Billy Ledesma, MSN, FNP-C

KelseyCare Aetna

Aetna PPO, POS, and EPO Plans

Kelsey-Seybold Clinic is an in-network provider for most Aetna PPO, POS, and EPO plans*, including:

• Aetna Open Access Elect Choice (EPO)
• Aetna Select
• Aetna Open Access Select
• Aetna Open Choice PPO
• Aetna Open Choice POS II
• Aetna Managed Choice (PPO)
• Aetna Open Access Managed Choice (PPO)
• Aetna Medicare Advantage Plans

First Health PPO via Aetna plans

Blue Cross Blue Shield

The specific BCBSTX PPO and HMO plans in which Kelsey-Seybold participates are:

• Anthem BCBS PPO
• Blue Access Choice PPO
• Blue Access PPO
• Blue Card PPO
• Blue Edge PPO
• Blue Essentials HMO Click here to learn more about selecting a Kelsey Primary Care Physician
• Blue Choice PPO
• Blue Cross Blue Shield of Texas
• Blue Cross Blue Shield Federal Employee Program (Basic, Standard and Blue Focus Options) 
• Coupe Health plan
• Health Select of Texas - ERS Click here to learn more about selecting a Kelsey Primary Care Physician
• TRS-ActiveCare Primary Click here to learn more about selecting a Kelsey Primary Care Physician
• TRS-ActiveCare Primary+ Click here to learn more about selecting a Kelsey Primary Care Physician
• TRS-ActiveCare HD
• TRS-ActiveCare 2
• UT Select

Kelsey-Seybold does not participate in the following BCBSTX plans: Blue Premier, Blue High-Performance network. 

BCBSTX Marketplace plans: Kelsey-Seybold does not accept BCBS Marketplace plans (My Blue Health / Blue Advantage HMO). For information on which ACA Marketplace plans are accepted, visit Marketplace Plans currently accepted plans.

BCBSTX Medicare products: Kelsey-Seybold does not accept BCBS Medicare Advantage plans. For information on which Medicare Advantage plans are accepted, visit Medicare Advantage Plans.

Cigna

• Choice Fund PPO
• Choice Fund Open Access Plus (OAP)
• Cigna EPO
• Cigna HMO
  • Note: A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact Cigna at the phone number on the back of your member ID card or go online to the Cigna member portal to select a Kelsey-Seybold PCP prior to your appointment.
• Cigna KelseyCare
• Cigna HMO Open Access (OA)
• Cigna HMO Open Access Plus (OAP)
• Cigna POS
• Cigna PPO
• Cigna Consumer Driven Health Plan (CDHP)
• KelseyCare powered by Cigna
• LocalPlus
• LocalPlus IN

Kelsey-Seybold does not accept Cigna Medicare Advantage plans. For information on which Medicare Advantage plans are accepted, visit Medicare Advantage Plans

Kelsey Plan

When you select a Kelsey Plan, you’re choosing the doctors at Kelsey-Seybold Clinic to deliver and coordinate your care.

KelseyCare Advantage

More Information

KelseyCare Aetna

Kelsey-Seybold does not participate in Aetna HMO and HNO plans, including Aetna QPOS.  

KelseyCare Powered by Cigna

HMO

Aetna Medicare

KelseyCare Advantage

Wellcare / TexanPlus

United HealthCare

Allied Benefit Systems/NGBS

Federal Employee Health Benefits (FEHB) 

• APWU Health Plan Nationwide – CDHP with UnitedHealthcare PPO
• APWU Health Plan Nationwide – High Option with Cigna PPO
• GEHA Benefit Plan Nationwide – High & Standard Options with UnitedHealthcare Choice Plus
• NALC Nationwide with Cigna OAP
• NALC Value Option Nationwide with Cigna OAP
• SAMBA Nationwide – High & Standard with Cigna OAP
• Blue Cross Blue Shield – Standard Option
• Blue Cross Blue Shield – Basic Option

First Health PPO

Great West Healthcare (also known as Cigna-GWH)

• POS
• PPO
• Open Access

HealthSmart PPO

Medicare

Kelsey-Seybold Clinic accepts the following Medicare Advantage Plans: KelseyCare Advantage, Aetna Medicare Advantage, WellCare TexanPlus, and select UnitedHealthcare plans. Effective January 1, 2009, Kelsey-Seybold Clinic does not accept patients with traditional Medicare.

MultiPlan PPO

Private Healthcare Systems PPO (PHCS) 

UnitedHealthcare (UHC) Individual & Family Plans

• UHC Kelsey-Seybold Bronze Copay Focus
• UHC Kelsey-Seybold Bronze-A Copay Focus
• UHC Kelsey-Seybold Bronze-B Copay Focus
• UHC Kelsey-Seybold Bronze-X Copay Focus
• UHC Kelsey-Seybold Silver Copay Focus
• UHC Kelsey-Seybold Silver-E Copay Focus
• UHC Kelsey-Seybold Silver-D Copay Focus
• UHC Kelsey-Seybold Silver-C Copay Focus
• UHC Kelsey-Seybold Silver-A Copay Focus
• UHC Kelsey-Seybold Silver-B Copay Focus
• UHC Kelsey-Seybold Silver-X Copay Focus
• UHC Kelsey-Seybold Gold Copay Focus
• UHC Kelsey-Seybold Gold-A Copay Focus
• UHC Kelsey-Seybold Gold-B Copay Focus
• UHC Kelsey-Seybold Gold-X Copay Focus

UnitedHealthcare (UHC)

• UnitedHealthcare Charter
  • Note: A Kelsey-Seybold PCP selection is required to access Kelsey-Seybold services. Please contact UnitedHealthcare Charter at the phone number on the back of your member ID card or visit the UnitedHealthcare member portal to select a Kelsey-Seybold PCP before scheduling an appointment.
• UnitedHealthcare Choice
• UnitedHealthcare Choice Plus
• UnitedHealthcare Core
• UnitedHealthcare Core Plus
• UnitedHealthcare Navigate
  • Note: A Kelsey-Seybold PCP selection is required to access Kelsey-Seybold services. Please contact UnitedHealthcare Charter at the phone number on the back of your member ID card or visit the UnitedHealthcare member portal to select a Kelsey-Seybold PCP before scheduling an appointment.
• UnitedHealthcare Navigate Plus
  • Note: A Kelsey-Seybold PCP selection is required to access Kelsey-Seybold services. Please contact UnitedHealthcare Charter at the phone number on the back of your member ID card or visit the UnitedHealthcare member portal to select a Kelsey-Seybold PCP before scheduling an appointment.
• UnitedHealthcare NexusACO-R
  • Note: A Kelsey-Seybold PCP selection is required to access Kelsey-Seybold services. Please contact UnitedHealthcare Charter at the phone number on the back of your member ID card or visit the UnitedHealthcare member portal to select a Kelsey-Seybold PCP before scheduling an appointment.
• UnitedHealthcare NexusACO (OAP and OA)
• UnitedHealthcare Options PPO
• UnitedHealthcare Select
• UnitedHealthcare Select Plus
• United Healthcare Surest plan

UnitedHealthcare (UHC) Medicare Advantage Plans