Caroline Marcus, MD

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 Select
• Open Access Select
• Elect Choice
• Aetna Open Access Elect Choice
• Aetna Choice POS II
• Managed Choice
• Open Choice PPO

Aetna IVL (Marketplace)

ON Exchange Effective January 1, 2022

• Aetna CVS Bronze: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Bronze: Low-Cost Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Silver 2: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Gold: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Silver 1: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO

OFF Exchange Effective January 1, 2022

• Aetna CVS Bronze: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Bronze: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston, Ped Dental HMO
• Aetna CVS Silver 2: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston, Ped Dental HMO
• Aetna CVS Bronze: Low-Cost Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Bronze: Low-Cost Walk-In Clinic Visits, Telehealth, Store Discounts, Houston, Ped Dental HMO
• Aetna CVS Silver 1: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston, Ped Dental HMO
• Aetna CVS Silver 2: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Silver 3: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston, Ped Dental HMO
• Aetna CVS Gold: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO
• Aetna CVS Gold: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston, Ped Dental HMO
• Aetna CVS Silver 1: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, Houston HMO

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

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

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 PPO and WellCare TexanPlus plans. Effective January 1, 2009, Kelsey-Seybold Clinic does not accept new patients with traditional Medicare.

MultiPlan PPO

Private Healthcare Systems PPO (PHCS)

Blue Cross Blue Shield

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

• Blue Essentials HMO Click here to learn more about selecting a Kelsey Primary Care Physician
• Anthem Blue Cross
• Blue Choice PPO
• Blue Cross Blue Shield of Texas
• Blue Cross Blue Shield Federal Employee Program (Basic and Standard Option)
• 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

Kelsey-Seybold will not participate in the following BCBSTX plans: Blue Premier, Blue High-Performance network, Marketplace plans: My Blue Health, and Blue Advantage HMO, or any BCBSTX Medicare products. View FAQ (pdf)

Kelsey Plan

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

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 - More Information

KelseyCare Humana

Humana

More Information

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

Aetna Medicare

Humana Medicare

KelseyCare Advantage

Wellcare / TexanPlus

Cigna

• Choice Fund PPO
• Choice Fund Open Access Plus (OAP)
• Cigna EPO
• Cigna HMO
• Cigna KelseyCare
• Cigna HMO Open Access (OA)
• Cigna HMO Open Access Plus (OAP)
• Cigna POS
• Cigna PPO
• Cigna Consumer Driven Health Plan (CDHP)
• Cigna Surefit
• KelseyCare powered by Cigna
• LocalPlus
• LocalPlus IN

UnitedHealthcare (UHC)

• UnitedHealthcare Charter
• UnitedHealthcare Choice
• UnitedHealthcare Choice Plus
• UnitedHealthcare Core
• UnitedHealthcare Core Plus
• UnitedHealthcare Navigate
• UnitedHealthcare Navigate Plus
• UnitedHealthcare NexusACO
• UnitedHealthcare Options PPO
• UnitedHealthcare Select
• UnitedHealthcare Select Plus