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

As of August​ 31, 2018
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.

​​​​​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​

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 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.
       
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

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
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. ​Read more.​​

Direct Contracts with Employer

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

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

* 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 2018:
  • 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

  • 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 administered by Boon-Chapman

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 traditional Medicare.

Private Healthcare Systems PPO (PHCS)

SelectCare of Texas (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

​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.​

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​ ​​
​Health Plans Accepted by The Ambulatory ​S​urgery Center at Kelsey-Seybold
As of August 31​, 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.

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

​​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 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
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)

SelectCare of Texas (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



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
​​
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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