713-442-0427
Which plans are accepted at Kelsey-Seybold?
Kelsey-Seybold Clinic is contracted with several Medicare Advantage plans in the Houston area. Please see the full list of plans below. If a plan is not listed, Kelsey-Seybold Clinic does not accept that plan (even on an out-of-network basis). However, if you are interested in gaining access to Kelsey-Seybold Clinic, depending on the time of year and your situation, you may be able to change your plan to a plan that is accepted at Kelsey.
- The Annual Enrollment Period begins October 15 of each year and ends on December 7
- The Medicare Advantage Open Enrollment period begins January 1 and ends March 31 (this period allows you to change from one Medicare Advantage plan to another)
- Special Enrollment Periods - Visit Medicare's website to see if you qualify for Special Enrollment Periods
(Kelsey-Seybold does not accept traditional Medicare (with or without a supplement).
| KelseyCare Advantage | Plan Name | Questions About Enrolling | Provider Access |
|---|---|---|---|
| KelseyCare Advantage | Freedom | 713-442-5646 | All KelseyCare Advantage plan members have open access to all Kelsey-Seybold locations and providers. |
| Signature | 713-442-5646 | ||
| Core | 713-442-5646 |
| UnitedHealthcare Medicare (UHC) | Plan Name | Questions About Enrolling | Provider Access |
|---|---|---|---|
| United Healthcare Medicare Advantage (UHC) | AARP Medicare Advantage UHC TX-001P (HMO-POS) (H4514-014) | 877-271-8592 | UHC HMO plan members need to select a Kelsey "location" as their PCP through UHC Member Services. Once assigned to Kelsey, you have open access within Kelsey-Seybold. |
| NEW in 2025! AARP Medicare Advantage from UHC TX-4P (HMO POS) (H4514-022) | 877-271-8592 | UHC HMO plan members need to select a Kelsey "location" as their PCP through UHC Member Services. Once assigned to Kelsey, you have open access within Kelsey-Seybold. | |
| AARP Medicare Advantage UHC TX-0009 (HMO-POS) (H4514-007) | 877-271-8592 | UHC HMO plan members need to select a Kelsey "location" as their PCP through UHC Member Services. Once assigned to Kelsey, you have open access within Kelsey-Seybold. | |
| AARP Medicare Advantage UHC TX-0015 (HMO-POS) (H4527-037) | 877-271-8592 | UHC HMO plan members need to select a Kelsey "location" as their PCP through UHC Member Services. Once you are assigned to Kelsey, you have open-access within Kelsey-Seybold. |
|
| AARP® Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) (H4527-024) | 877-271-8592 | UHC HMO plan members need to select a Kelsey "location" as their PCP through UHC Member Services. Once assigned to Kelsey, you have open access within Kelsey-Seybold. |
|
| UHC Dual Complete TX-D01P (HMO-POS D-SNP) (H4514-016) | 877-271-8592 | UHC HMO D-SNP plan members are not required to select a PCP. |
|
| UHC Dual Complete TX-V01P (HMO-POS D-SNP) (H4514-018) | 877-271-8592 | UHC HMO D-SNP plan members are not required to select a PCP. |
|
| UHC Complete Care TX002P (HMO-POS C-SNP) (H4514-015) |
877-271-8592 | UHC HMO C-SNP plan members are not required to select a PCP. |
|
| *At this time, we do not accept UnitedHealthcare PPO plans |
| Aetna Medicare Advantage | Plan Name | Questions About Enrolling | Provider Access |
|---|---|---|---|
| Aetna Medicare Advantage Plans | Prime (HMO) (H4523_024) | 833-570-6670 | Aetna HMO plan members need to select a Kelsey provider as their PCP and have open access once they are assigned to Kelsey |
| Premier (HMO) (H4523_015) | 833-570-6670 | Aetna HMO plan members need to select a Kelsey provider as their PCP and have open access once they are assigned to Kelsey. |
|
| NEW in 2025! Premier II (H4523_031) | 833-570-6670 | Aetna HMO plan members need to select a Kelsey provider as their PCP and have open access once they are assigned to Kelsey. |
|
| Dual Preferred (D-SNP) (H4523_029) | 833-570-6670 | Aetna D-SNP plan members need to select a Kelsey provider as their PCP and have open access once they are assigned to Kelsey. |
|
| Dual Complete (D-SNP) (H8597_003) | 833-570-6670 | Aetna D-SNP plan members need to select a Kelsey provider as their PCP and have open access once they are assigned to Kelsey. |
|
| Aetna PPO plans (ALL Aetna PPO plans are accepted) | 833-570-6670 | Aetna PPO plan members are not required to have a PCP assigned. |
|
| PPO Plans through a former employer (example; City of Houston) (ALL Aetna PPO plans are accepted) | 833-570-6670 | Aetna PPO plan members are not required to have a PCP assigned. |
| WellCare Medicare Advantage | Plan Name | Questions About Enrolling | Provider Access |
|---|---|---|---|
| WellCare Medicare Advantage | Texan Plus Classic Simple (HMO) (H4506-003) | 877-823-8267 | WellCare Texan Plus plan members are required to select a Kelsey provider by contacting Wellcare at the number on the back of their ID card. Once assigned to Kelsey, members have open access within Kelsey-Seybold. |
| TexanPlus Patriot Giveback (HMO) (H4506-010) | 877-823-8267 | WellCare Texan Plus plan members are required to select a Kelsey provider by contacting Wellcare at the number on the back of their ID card. Once assigned to Kelsey, members have open access within Kelsey-Seybold. | |
| TexanPlus Simple (HMO-POS) (H4506-029) | 877-823-8267 | WellCare Texan Plus plan members are required to select a Kelsey provider by contacting Wellcare at the number on the back of their ID card. Once assigned to Kelsey, members have open access within Kelsey-Seybold. | |
| Dual Access (HMO-DSNP) (H0174-004) | 877-823-8267 | WellCare members attempting to access Primary Care Services at Kelsey need to have a Kelsey provider assigned as their PCP within the WellCare system. Please contact WellCare at the number on the back of the ID Card. If a Kelsey PCP is not assigned, members will only have access to specialty care. | |
| Dual Liberty (HMO D-SNP) (H0174-006) | 877-823-8267 | WellCare members attempting to access Primary Care Services at Kelsey need to have a Kelsey provider assigned as their PCP within the WellCare system. Please contact WellCare at the number on the back of the ID Card. If a Kelsey PCP is not assigned, members will only have access to specialty care. | |
| Dual Reserve (HMO D-SNP) (H0174-022) | 877-823-8267 | WellCare members attempting to access Primary Care Services at Kelsey need to have a Kelsey provider assigned as their PCP within the WellCare system. Please contact WellCare at the number on the back of the ID Card. If a Kelsey PCP is not assigned, members will only have access to specialty care. | |
| Assist (HMO) (H0174-009) | 877-823-8267 | WellCare members attempting to access Primary Care Services at Kelsey need to have a Kelsey provider assigned as their PCP within the WellCare system. Please contact WellCare at the number on the back of the ID Card. If a Kelsey PCP is not assigned, members will only have access to specialty care. |
|
| Simple (HMO) (H0174-010) |
877-823-8267 |
WellCare members attempting to access Primary Care Services at Kelsey need to have a Kelsey provider assigned as their PCP within the WellCare system. Please contact WellCare at the number on the back of the ID Card. If a Kelsey PCP is not assigned, members will only have access to specialty care. |
|
| Giveback (HMO) (H0174-019) |
877-823-8267 |
WellCare members attempting to access Primary Care Services at Kelsey need to have a Kelsey provider assigned as their PCP within the WellCare system. Please contact WellCare at the number on the back of the ID Card. If a Kelsey PCP is not assigned, members will only have access to specialty care. |
|
| Dual Access Open (PPO D-SNP) (H7323-005) |
877-823-8267 |
WellCare PPO plan members are not required to select a PCP. |
|
| Simple Rx Plus (PPO) (H7323-006) | 877-823-8267 |
WellCare PPO plan members are not required to select a PCP. |
|
| Mutual of Omaha Simple Secure Open (PPO) (H7323-012) |
877-823-8267 |
WellCare PPO plan members are not required to select a PCP. |
We make scheduling easy for you
You can schedule appointments through our secure patient portal, MyKelseyOnline, or call our 24/7 Contact Center at 713-442-0427. Virtual Visit options are also available to all new and current patients.