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Insurance Plans Accepted
Health Insurance Plans That Work With Kelsey-Seybold Clinic.
As of August 24, 2020
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
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.
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)
- TRS-ActiveCare Primary
- TRS-ActiveCare Primary+
- TRS-ActiveCare HD
- TRS-ActiveCare 2
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.
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- 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
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
- Blue Cross Blue Shield – Standard Option
- Blue Cross Blue Shield – Basic Option
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 Advantage -
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- 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
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 CignaHMO -
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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
Effective 9/1/2020, Kelsey-Seybold accepts the following TRS-ActiveCare plans that administered through the Blue Essentials HMO or Blue Choice PPO networks.
- TRS-ActiveCare Primary
- TRS-ActiveCare Primary+
- TRS-ActiveCare HD
- TRS-ActiveCare 2
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 August 24, 2020The 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
- Blue Essentials
- Blue Essentials Access
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
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
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)TRSEffective 9/1/2020, Kelsey-Seybold accepts the following TRS-ActiveCare plans that administered through the Blue Essentials HMO or Blue Choice PPO networks.
- TRS-ActiveCare Primary
- TRS-ActiveCare Primary+
- TRS-ActiveCare HD
- TRS-ActiveCare 2
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.
