Insurance Plans Accepted
Health Plans accepted by Kelsey-Seybold Medical Group, PLLC
As of April 27, 2018This 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.
NEW! Aetna PPO, POS, and EPO Plans
Effective July 1, 2018, Kelsey-Seybold Clinic will be an in-network provider for most Aetna PPO, POS, and EPO plans. Call our 24/7 Contact Center at 713-442-0427 to schedule an appointment for July 1 or later. We welcome new patients.
Learn More |
NEW! “Kelsey Select” Plan Option Available Through the “TRS-ActiveCare Select” Plan
Effective September 1, 2017, the “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.
Learn More |
NEW! ERS HealthSelect of Texas (Employees Retirement System of Texas)
Effective September 1, 2017, Kelsey-Seybold Clinic will be a participating provider in the HealthSelect of Texas network.
*Please direct inquiries to the Kelsey Concierge team at 713-442-5373.
Learn More |
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 ALL 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.
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Learn MoreBlue Cross Blue Shield of Texas (BCBS) – HMO PLANSEffective October 1, 2017, Kelsey-Seybold Clinic (KSC) will not be an In-network provider in the “Blue Essentials" (formerly HMO Blue Texas) Plan. Kelsey-Seybold Clinic (KSC) is
NOT a participating provider in the “
Blue Essentials Access” Plan.
Blue Cross Blue Shield of Texas (BCBS) – PPO, POS AND TRADITIONAL/PAR PLANSAs 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.
Read more.
Direct Contracts with Employer
Kelsey-Seybold directly contracts with the following employer:
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 (Effective January 1, 2018)
- KelseyCare powered by Cigna
- LocalPlus
- LocalPlus IN
Community Health Choice
Effective January 1, 2018, the Community Health Choice individual market place plans that Kelsey participates in are:
- *
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)
- KelseyCare Powered by Community Health Choice (for ERS only) More Information
* Marketplace health plans accepted by Kelsey-Seybold Clinic. Contact Community Health Choice at 713-295-6704 for questions about marketplace health plans with Kelsey-Seybold.
Coventry PPOFederal Employee Health Benefits (FEHB)Kelsey-Seybold doctors will be in network for these FEHB plans in 2018:
- APWU Health Plan Nationwide - CDHP with United Healthcare PPO
- APWU Health Plan Nationwide - High Option with Cigna PPO
- GEHA Benefit Plan Nationwide - High & Standard Options with United Healthcare Choice Plus
- NALC Nationwide with Cigna OAP
- NALC Value Option Nationwide with Cigna OAP
- SAMBA Nationwide - High & Standard with Cigna OAP
More InformationFirst Health PPO
Great West Healthcare (also known as Cigna-GWH)
HealthSmart PPO
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 administered by Boon-Chapman
KelseyCare Advantage -
More Information
- KelseyCare Advantage Essential
- KelseyCare Advantage Essential + Choice
- KelseyCare Advantage Rx
- KelseyCare Advantage Rx + Choice
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 ALL 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 SelectEffective September 1, 2017, the “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.
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
TRS
Effective September 1, 2017, Kelsey-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)
- United Healthcare Charter
- United Healthcare Choice
- United Healthcare Choice Plus
- United Healthcare Core
- United Healthcare Core Plus
- United Healthcare Navigate
- United Healthcare Navigate Plus
- United Healthcare NexusACO
- United Healthcare Options PPO
- United Healthcare Select
- United Healthcare Select Plus
Health Plans Accepted by The Ambulatory Surgery Center at Kelsey-Seybold
As of April 9, 2018 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.
NEW! ERS HealthSelect of Texas (Employees Retirement System of Texas)Effective September 1, 2017, Kelsey-Seybold Clinic will be a participating provider in the HealthSelect of Texas network. *Please direct inquiries to the Kelsey Concierge team at 713-442-5373.
NEW! “Kelsey Select” Plan Option Available Through the “TRS-ActiveCare Select” Plan
Effective September 1, 2017, the “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.
Learn More
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
Be Well @ Shell Kelsey-Seybold Health Plan
Learn More
Blue Cross Blue Shield of Texas
- Blue Choice POS (ASC agreement terms January 30, 2018)
- Blue Choice PPO (ASC agreement terms January 30, 2018)
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 (Effective January 1, 2018)
- Consumer-Driven Health Plan
- LocalPlus
- LocalPlus IN
Community Health Choice
Effective January 1, 2018, the Community Health Choice individual marketplace plans that Kelsey-Seybold participates in are:
-
* 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)
* Marketplace health plans accepted by Kelsey-Seybold Clinic. Contact Community Health Choice at 713-295-6704 for questions about marketplace health plans with Kelsey-Seybold.Great West Healthcare (also known as GWH-Cigna)
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 Powered by Cigna
Kelsey Select Effective September 1, 2017, the “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)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.
TRS Effective September 1, 2017, Kelsey-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)
- United Healthcare Charter
- United Healthcare Choice
- United Healthcare Choice Plus
- United Healthcare Core
- United Healthcare Core Plus
- United Healthcare Navigate
- United Healthcare Navigate Plus
- United Healthcare NexusACO
- United Healthcare Options PPO
- United Healthcare Select
- United Healthcare Select Plus
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 “United Healthcare Vision” and “OptumHealth Vision”).
Vision Service Plan (VSP)
- KelseyCare Advantage members only.
