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
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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 -
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- KelseyCare Advantage Essential
- KelseyCare Advantage Essential + Choice
- KelseyCare Advantage Rx
- KelseyCare Advantage Rx + Choice
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
