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Health Insurance Plans That Work With Kelsey-Seybold Clinic. As of August 15, 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 More
Kelsey-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.
       
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

* 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.

Be Well @ Shell Kelsey-Seybold Health Plan​ - Learn More​

Blue Cross Blue Shield of Texas (BCBS) – HMO PLANS
Kelsey-Seybold Clinic (KSC) is not an in-network provider in the “Blue Essentials” (formerly HMO Blue Texas) and is not a participating provider in the “Blue Essentials Access” Plan.​


Blue Cross Blue Shield of Texas (BCBS) – PPO, POS AND TRADITIONAL/PAR PLANS
Kelsey-Seybold Clinic (KSC) is not an in-network provider in the PPO, POS and Traditional/PAR plans.  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.  Read more.

Direct Contracts with Employer

​​​Kelsey-Seybold directly contracts with the following employer:
  • ​Weatherford - NOTE: Effective Jan. 1, 2019, Kelsey-Seybold Clinic will no longer be an in-network provider for your health benefits plan through Weatherford. Read more here.

Cigna Plans

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

Community Health Choice

  • Community Health Choice​ CHIP
  • * Community Health Choice – Silver Limited Network Plan 007 (formerly KelseyCare powered by Community Health Choice 007)
  • * Community Health Choice – Gold Lim​ited Network Plan 006 ​(formerly KelseyCare powered by Community Health Choice 006)​​
  • KelseyCare Powered by Community Health Choice (for ERS only)  More Information
    Effective September 1, 2019, KelseyCare powered by Community Health Choice (CHC) – ERS will no longer be offered to ERS members. ERS members currently enrolled in the KelseyCare powered by Community Health Choice ERS plan will be automatically enrolled in BCBSTX HealthSelect of Texas for the 2019-2020 benefit plan year. (CHC) ERS members will continue to have access to their Kelsey-Seybold providers and receive a new medical ID card with the new health plan information.

* Marketplace health plan​s accepted by Kelsey-Seybold Clinic. Contact Community Health Choice at 713-295-6704 for questions about marketplace health plans with Kelsey-Seybold.​​​

Coventry PPO


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

More Information

First Health PPO 

Great West Healthcare (also known as Cigna-GWH)
  • POS
  • PPO​
  • Open Access​
 
HealthSmart PPO

Humana Plans

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

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 Plans

KelseyCare Advantage - More Information
  • KelseyCare Advantage Essential
  • KelseyCare Advantage Essential + Choice
  • KelseyCare Advantage Rx
  • KelseyCare Advantage Rx + Choice

KelseyCare Aetna

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 will also be an in-network provider for most​ Aetna PPO, POS, and EPO plans. Learn More
Kelsey-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 Cigna

HMO - More Information

Kelsey Select
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 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 Sele​ct
  • 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 ​S​urgery Center at Kelsey-Seybold
As of January 3, 2019
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.

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 PlanLearn More​

Blue Cross Blue Shield of Texas
  • Blue Essentials

​​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
  • 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)

* 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)
  • POS PPO Open Access

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

KelseyCare Powered by Cigna
Kelsey Select
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 PPO

Private Healthcare Systems PPO (PHCS)

TRS
​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)
  • 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 “United​Healthcare Vision” and “OptumHealth Vision”).

Vision Service Plan (VSP)
  • KelseyCare Advantage members only.
​​​​​

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