Insurance Plans Accepted
Health Insurance Plans That Work With Kelsey-Seybold Clinic.
As of February 5, 2019
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 Plans
Aetna HMO Plans
Kelsey-Seybold participates in the KelseyCare Aetna plans listed below.
- TX Silver KelseyCare HMO $2500 Copay
- TX Silver KelseyCare HMO $5000 70% IRX
- TX17 KelseyCare HMO $0 50
- TX17 KelseyCare HMO $2500 Copay
- TX17 KelseyCare HMO $5000 70% IRX
Effective July 1, 2018, Kelsey-Seybold Clinic is also an in-network provider for most Aetna PPO, POS, and EPO plans.
Learn MoreKelsey-Seybold does not participate in Aetna HMO and HNO plans, including Aetna QPOS. Additionally, Kelsey-Seybold will not participate in any of the Medicare products offered by Aetna.
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
* Please note: Some employers offer customized plan designs that require the use of specific physician and/or hospital networks in order for benefits to be paid at in-network levels. All members should refer to their plan materials to determine if their employer is offering a customized network for physician or hospital services.
Blue Cross Blue Shield Plans
The specific BCBSTX PPO and HMO plans in which Kelsey-Seybold participates are:
- Blue Essentials HMO
- Blue Essentials Access
- Anthem Blue Cross
- Blue Choice PPO
- Blue Cross Blue Shield of Texas
- Blue Cross Blue Shield Federal Employee Program (Basic and Standard Option)
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
- 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
Community Health Choice
Effective January 1, 2020, Kelsey-Seybold Clinic (KSC) will no longer be a participating provider in Community Health Choice (CHC) Marketplace plan – Silver Limited Network Plan 007 , Gold Limited Network Plan 006 and CHIP plans. CHC Limited Network and CHIP plan members should contact CHC Member Services at (713) 295-6704 or (855) 315-5386 with any inquiries regarding their CHC Marketplace and CHIP plan options for the 2020 plan year.
- Community Health Choice CHIP
- Community Health Choice – Silver Limited Network Plan 007 (formerly KelseyCare powered by Community Health Choice 007)
- Community Health Choice – Gold Limited Network Plan 006 (formerly KelseyCare powered by Community Health Choice 006)
Federal Employee Health Benefits (FEHB)Kelsey-Seybold doctors will be in network for these FEHB plans:
- 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
First Health PPO
Great West Healthcare (also known as Cigna-GWH)
HealthSmart PPO
Humana Plans
Humana
- Humana PPO
- Humana Preferred PPO
- Humana Preferred POS (Open Access)
- Humana ChoiceCare PPO
- Humana National POS Open Access
Kelsey PlanWhen you select a Kelsey Plan, you’re choosing the doctors at Kelsey-Seybold Clinic to deliver and coordinate your care.
Learn more here.
KelseyCare Plans
KelseyCare Advantage -
More Information
- KelseyCare Advantage Essential
- KelseyCare Advantage Essential + Choice
- KelseyCare Advantage Rx
- KelseyCare Advantage Rx + Choice
- Essential Select
- Rx Select
KelseyCare AetnaKelsey-Seybold participates in the KelseyCare Aetna plans listed below.
- TX Silver KelseyCare HMO $2500 Copay
- TX Silver KelseyCare HMO $5000 70% IRX
- TX17 KelseyCare HMO $0 50
- TX17 KelseyCare HMO $2500 Copay
- TX17 KelseyCare HMO $5000 70% IRX
Effective July 1, 2018, Kelsey-Seybold Clinic will also be an in-network provider for most Aetna PPO, POS, and EPO plans.
Learn MoreKelsey-Seybold does not participate in Aetna HMO and HNO plans, including Aetna QPOS. Additionally, Kelsey-Seybold will not participate in any of the Medicare products offered by Aetna.
KelseyCare Powered by CignaHMO -
More Information
Kelsey SelectThe “Kelsey Select” Plan Option will be available through the “TRS-ActiveCare Select” Plan. To find out more about Kelsey-Seybold doctors, services and care coordination, call the
Patient Information Line at
713-442-1233.
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 new patients with traditional Medicare.
Private Healthcare Systems PPO (PHCS)
TRS
Kelsey-Seybold accepts the "Kelsey Select" Plan through the "TRS-ActiveCare Select" Plan.
UnitedHealthcare Plans
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
WellCare TexanPlus - with Kelsey-Seybold Clinic designated as the Primary Care Physician for the following counties and City of Houston Retirees:
- Fort Bend
- Harris
- Montgomery
- Northern Brazoria (zip codes 77430, 77444, 77511, 77546, 77578, 77581, 77583, 77584, 77588)
- Northern Galveston (zip codes 77546, 77549, 77565)
- City of Houston Retirees
Health Plans Accepted by The Ambulatory Surgery Center at Kelsey-Seybold
As of October 10, 2019The 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
- Quality Point-of-Service QPOS
- TX Silver KelseyCare HMO $2500 Copay
- TX Silver KelseyCare HMO $5000 70% IRX
- TX17 KelseyCare HMO $0 50
- TX17 KelseyCare HMO $2500 Copay
- TX17 KelseyCare HMO $5000 70% IRX
Some employers offer customized plan designs that require the use of specific physician and/or hospital networks in order for benefits to be paid at in-network levels. All members should refer to their plan materials to determine if their employer is offering a customized network for physician or hospital services.
Be Well @ Shell Kelsey-Seybold Health Plan
Learn More
Blue Cross Blue Shield of Texas
Kelsey-Seybold Clinic (KSC) is NOT a participating provider in the
“Blue Essentials Access” Plan.
Cigna
- Choice Fund PPO
- Choice Fund Open Access Plus (OAP)
- Cigna EPO
- Cigna HMO
- Cigna KelseyCare
- Cigna HMO Open Access
- Cigna HMO Open Access Plus
- Cigna POS
- Cigna PPO
- Cigna Consumer Driven Health Plan (CDHP)
- Cigna Surefit
- Consumer-Driven Health Plan
- LocalPlus
- LocalPlus IN
Community Health Choice
Effective January 1, 2020, Kelsey-Seybold Clinic (KSC) will no longer be a participating provider in Community Health Choice (CHC) Marketplace plan – Silver Limited Network Plan 007 , Gold Limited Network Plan 006 and CHIP plans. CHC Limited Network and CHIP plan members should contact CHC Member Services at (713) 295-6704 or (855) 315-5386 with any inquiries regarding their CHC Marketplace and CHIP plan options for the 2020 plan year.
- Community Health Choice CHIP
- Community Health Choice – Silver Limited Network Plan 007 (formerly KelseyCare powered by Community Health Choice 007)
- Community Health Choice – Gold Limited Network Plan 006 (formerly KelseyCare powered by Community Health Choice 006)
Kelsey-Seybold Clinic will not be participating in any Community Health Choice marketplace or CHIP plans.
HealthSmart PPO
Humana
- Humana PPO
- Humana Preferred PPO
- Humana Preferred POS
- Humana ChoiceCare PPO
- Humana National POS Open Access
KelseyCare Advantage -
More Information
- KelseyCare Advantage Essential
- KelseyCare Advantage Essential + Choice
- KelseyCare Advantage Rx
- KelseyCare Advantage Rx + Choice
- Essential Select
- Rx Select
KelseyCare Powered by Cigna
Kelsey SelectThe “Kelsey Select” Plan Option will be available through the “TRS-ActiveCare Select” Plan. To find out more about Kelsey-Seybold doctors, services and care coordination, call the
Patient Information Line at 713-442-1233.
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 PPOPrivate Healthcare Systems PPO (PHCS)TRSKelsey-Seybold accepts the "Kelsey Select" Plan through the "TRS-ActiveCare Select" Plan. For personalized assistance in finding a Kelsey-Seybold doctor or location, call the
Kelsey Select Plan Concierge at
713-442-8977. This service is available Monday – Friday, 8 a.m. to 5 p.m. You may also call our 24/7 Contact Center at
713-442-0427.
United Healthcare (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
WellCare TexanPlus - with Kelsey-Seybold Clinic designated as the Primary Care Physician for the following counties and City of Houston Retirees:
- Fort Bend
- Harris
- Montgomery
- Northern Brazoria (zip codes 77430, 77444, 77511, 77546, 77578, 77581, 77583, 77584, 77588)
- Northern Galveston (zip codes 77546, 77549, 77565)
- City of Houston Retirees
Vision Plans Accepted by Kelsey-Seybold Medical Group, PLLC
As of December 12, 2017 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 713-389-4736 before scheduling an appointment to confirm that the health plan listed is currently being accepted.
Spectera
- Spectera Vision plan (also known as “UnitedHealthcare Vision” and “OptumHealth Vision”).
Vision Service Plan (VSP)
- KelseyCare Advantage members only.
