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​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Insurance Plans Accepted​

H​ealth Plans accepted by Kelsey-Seybold Medical Group, PLLC

As of February 14, 2017​
This information is subject to change at any time. Please contact Kelsey-Seybold's Contact Center at 713-389-4736 when scheduling an appointment, to confirm that the health plan listed is currently being accepted.

​​​​​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 Li​​​ne 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


Aetna
Kelsey-Seybold participates​ exclusively in Aetna KelseyCare plans.
Kelsey-Seybold does not participate in any Aetna PPO or HMO plans.
  • 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 (BCBS) – HMO PLANS
Effective January 1, 2017, Blue Cross Blue Shield of Texas (BCBSTX) changed the name of the HMO Blue Texas Plan to Blue Essentials. Kelsey-Seybold Clinic (KSC) will continue to participate in the Blue Essentials (Formerly HMO Blue Texas) Plan until September 30, 2017.Effective October 1, 2017​, Kelsey-Seybold Clinic (KSC) will not be an In-network provider in the “Blue Essentials" (formerly HMO Blue Texas) Plan. ​

Effective January 1, 2017, Blue Cross Blue Shield of Texas is offering a new benefit plan option named “Blue Es​sentials Access”. 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 PLANS
As 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. This 40% discount will expire on July 1, 2018. Read more.​​

Direct Contracts with Employer

​​​Kelsey-Seybold directly contracts with the following employer:
  • ​Weatherford

Cigna
  • Choice Fund LocalPlus
  • Choice Fund LocalPlus IN
  • Cigna EPO
  • Cigna HMO
  • Cigna KelseyCare
  • Cigna HMO Open Access
  • Cigna HMO Open Access Plus
  • Cigna POS
  • Cigna PPO
  • Cigna Select Consumer -Driven Health Plan
  • Cigna Surefit (Effective January 1, 2018)
  • KelseyCare powered by Cigna
  • LocalPlus
  • LocalPlus IN

Community Health Choice
Effective 01/01/2018 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 Lim​ited Network Plan 006 ​(formerly KelseyCare powered by Community Health Choice 006)​​
  • KelseyCare Powered by Community Health Choice (for ERS only)  More 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 in 2017:
  • APWU Health Plan Nationwide - CDHP
  • APWU Health Plan Nationwide - High Option
  • GEHA Benefit Plan Nationwide - High & Standard Options
  • NALC Nationwide
  • NALC Value Option Nationwide
  • ​SAMBA Nationwide - High & Standard

More Information

First Health PPO 

Gerland’s Food Fair/Boon-Chapman

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

Humana

  • Humana PPO
  • Humana Preferred PPO
  • Humana Preferred POS
  • 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 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

HMO - More Information
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.

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 HealthSelect
  • United Healthcare HealthSelect  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 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.

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 PlanLearn More​

Blue Cross Blue Shield of Texas
  • Blue Essentials
  • Blue Choice POS ​(ASC agreement terms January 30, 2018)
  • Blue Edge PPO
  • Federal Employee Program (FEP)
  • Blue Choice PPO ​(ASC agreement terms January 30, 2018)
  • Blue Choice EPPO
  • Blue Card (Out-of-state Plans)
  • Traditional/Indemnity (PAR Plan)

​​Effective January 1, 2017, Blue Cross Blue Shield of Texas is offering a new benefit plan option named “Blue Essentials Access”. Kelsey-Seybold Clinic (KSC) is NOT a participating provider in the “Blue Essentials Access” Plan.​
​​
Cigna
  • Choice FundLocalPlus
  • Choice Fund LocalPlus IN
  • Cigna EPO
  • Cigna HMO
  • Cigna KelseyCare
  • Cigna HMO Open Access
  • Cigna HMO Open Access Plus
  • Cigna POS
  • Cigna PPO​
  • Cigna Select
  • Cigna Surefit (Effective January 1, 2018)​​
  • Consumer-Driven Health Plan
  • LocalPlus
  • LocalPlus IN

Community Health Choice
  • * KelseyCare powered by Community Health Choice HMO Gold Copay 006 (effective 1/1/2017)
  • * KelseyCare powered by Community Health Choice HMO Silver Copay 007 (effective 1/1/2017)
* Marketplace health plans accepted by Kelsey-Seybold Clinic.

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 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
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)

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.​

United Healthcare (UHC)
  • United Healthcare Charter
  • United Healthcare Choice
  • United Healthcare Choice Plus
  • United Healthcare Core
  • United Healthcare Core Plus
  • United Healthcare HealthSelect
  • United Healthcare HealthSelect 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 January 16, 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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