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Health Insurance Plans That Work With Kelsey-Seybold Clinic. As of November 6, 2019
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
Effective July 1, 2018, Kelsey-Seybold Clinic is also 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

* 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​

Effective January 1, 2020, Kelsey-Seybold Clinic will be an in-network provider for some BCBSTX PPO and HMO plans.
 
The specific BCBSTX PPO and HMO plans in which Kelsey-Seybold will participate are:
  • Blue Essentials HMOSM
  • Anthem Blue Cross
  • Blue Choice PPO
  • Blue Cross Blue Shield of Texas
  • Blue Cross Blue Shield Federal Employee Program (Basic and Standard Option)
 
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.
 
Note: BCBSTX health plan members that will be in-network with Kelsey-Seybold next year can schedule appointments now for January 1, 2020 or later by calling 713-442-0000 or scheduling online (some specialty restrictions may apply). 
 
View FAQ

Cigna Plans

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

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)

Coventry PPO


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

First Health PPO 

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

Humana Plans

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 Plans

KelseyCare Advantage - More Information
  • KelseyCare Advantage Essential
  • KelseyCare Advantage Essential + Choice
  • KelseyCare Advantage Rx
  • KelseyCare Advantage Rx + Choice
  • Essential Select
  • Rx Select


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 new patients with traditional Medicare.

Private Healthcare Systems PPO (PHCS)

​TRS
Kelsey-Seybold accepts the "Kelsey Select" Plan through the "TRS-ActiveCare Select" Plan.

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 Sele​ct
  • 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 October 10, 2019
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

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 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

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.


  • POS PPO Open Access

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
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)

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

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 “United​Healthcare Vision” and “OptumHealth Vision”).

Vision Service Plan (VSP)
  • KelseyCare Advantage members only.
​​​​​

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​​​​​By Phone

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