Erika DeSimone, MSN, RN, FNP-C

Blue Cross Blue Shield

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

• 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 and Standard Option)
• Health Select of Texas - ERS 
• 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 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)

Cigna

• KelseyCare powered by Cigna (learn more)
• 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
• LocalPlus
• LocalPlus IN

Humana

• KelseyCare Humana (learn more)
• Humana Choice POS
• Humana COT National POS Open Access
• Humana EPO PPO Open Access
• Humana National EPO
• Humana HMO Premier (Open Access)
• Humana PPO
• Humana Preferred PPO
• Humana Preferred POS (Open Access)
• Humana/ ChoiceCare Network PPO
• Humana/ChoiceCare+ Network PPO
• Humana National POS- Open Access
• Humana National POS-Open Access Plus

UnitedHealthcare (UHC)

• United Charter Kelsey-Seybold (learn more)
• 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

Aetna KelseyCare (learn more)

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.

Aetna Medicare

Humana Medicare

KelseyCare Advantage

Wellcare / TexanPlus

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

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)

Local employers can add a KelseyCare plan alongside current plan offerings. Over 400 Houston-area employers offer the choice of a KelseyCare plan to their employees.

KelseyCare plans include:

• Aetna KelseyCare (learn more)
• KelseyCare powered by Cigna (learn more)
• KelseyCare Humana (learn more)
• United Charter Kelsey-Seybold (learn more)

  Why choose a KelseyCare Plan with Kelsey-Seybold Doctors?