Insurance Plans

KelseyCare 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 Open Access Elect Choice (EPO)
• Aetna Select
• Aetna Open Access Select
• Aetna Open Choice PPO
• Aetna Open Choice POS II
• Aetna Managed Choice (PPO)
• Aetna Open Access Managed Choice (PPO)
• Aetna Medicare Advantage Plans

First Health PPO via Aetna plans

Blue Cross Blue Shield

The specific BCBSTX PPO and HMO plans in which Kelsey-Seybold participates are:

• Anthem BCBS PPO
• Blue Access Choice PPO
• Blue Access PPO
• Blue Card PPO
• Blue Edge PPO
• Blue Essentials HMO Click here to learn more about selecting a Kelsey Primary Care Physician
• Blue Choice PPO
• Blue Cross Blue Shield of Texas
• Blue Cross Blue Shield Federal Employee Program (Basic, Standard and Blue Focus Options) 
• Coupe Health plan
• Health Select of Texas - ERS Click here to learn more about selecting a Kelsey Primary Care Physician
• TRS-ActiveCare Primary Click here to learn more about selecting a Kelsey Primary Care Physician
• TRS-ActiveCare Primary+ Click here to learn more about selecting a Kelsey Primary Care Physician
• TRS-ActiveCare HD
• TRS-ActiveCare 2
• UT Select

Kelsey-Seybold does not participate in the following BCBSTX plans: Blue Premier, Blue High-Performance network. 

BCBSTX Marketplace plans: Kelsey-Seybold does not accept BCBS Marketplace plans (My Blue Health / Blue Advantage HMO). For information on which ACA Marketplace plans are accepted, visit Marketplace Plans currently accepted plans.

BCBSTX Medicare products: Kelsey-Seybold does not accept BCBS Medicare Advantage plans. For information on which Medicare Advantage plans are accepted, visit Medicare Advantage Plans.

Cigna

• Choice Fund PPO
• Choice Fund Open Access Plus (OAP)
• Cigna EPO
• Cigna HMO
  • Note: A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact Cigna at the phone number on the back of your member ID card or go online to the Cigna member portal to select a Kelsey-Seybold PCP prior to your appointment.
• Cigna KelseyCare
• Cigna HMO Open Access (OA)
• Cigna HMO Open Access Plus (OAP)
• Cigna POS
• Cigna PPO
• Cigna Consumer Driven Health Plan (CDHP)
• KelseyCare powered by Cigna
• LocalPlus
• LocalPlus IN

Kelsey-Seybold does not accept Cigna Medicare Advantage plans. For information on which Medicare Advantage plans are accepted, visit Medicare Advantage Plans

Kelsey Plan

When you select a Kelsey Plan, you’re choosing the doctors at Kelsey-Seybold Clinic to deliver and coordinate your care.

KelseyCare Advantage

More Information

KelseyCare Aetna

Kelsey-Seybold does not participate in Aetna HMO and HNO plans, including Aetna QPOS.  

KelseyCare Powered by Cigna

HMO

Aetna Medicare

KelseyCare Advantage

Wellcare / TexanPlus

United HealthCare

UnitedHealthcare (UHC) Individual & Family Plans

• UHC Kelsey-Seybold Bronze Copay Focus
• UHC Kelsey-Seybold Bronze-A Copay Focus
• UHC Kelsey-Seybold Bronze-B Copay Focus
• UHC Kelsey-Seybold Bronze-X Copay Focus
• UHC Kelsey-Seybold Silver Copay Focus
• UHC Kelsey-Seybold Silver-E Copay Focus
• UHC Kelsey-Seybold Silver-D Copay Focus
• UHC Kelsey-Seybold Silver-C Copay Focus
• UHC Kelsey-Seybold Silver-A Copay Focus
• UHC Kelsey-Seybold Silver-B Copay Focus
• UHC Kelsey-Seybold Silver-X Copay Focus
• UHC Kelsey-Seybold Gold Copay Focus
• UHC Kelsey-Seybold Gold-A Copay Focus
• UHC Kelsey-Seybold Gold-B Copay Focus
• UHC Kelsey-Seybold Gold-X Copay Focus

UnitedHealthcare (UHC)

• UnitedHealthcare Charter
  • Note: A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact United Healthcare Charter at the phone number on the back of your member ID card or go online to the United Healthcare member portal to select a Kelsey-Seybold PCP prior to your appointment.
• UnitedHealthcare Choice
• UnitedHealthcare Choice Plus
• UnitedHealthcare Core
• UnitedHealthcare Core Plus
• UnitedHealthcare Navigate
  • Note: A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact United Healthcare Navigate at the phone number on the back of your member ID card or go online to the United Healthcare member portal to select a Kelsey-Seybold PCP prior to your appointment.
• UnitedHealthcare Navigate Plus
  • Note: A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact United Healthcare Navigate Plus at the phone number on the back of your member ID card or go online to the United Healthcare member portal to select a Kelsey-Seybold PCP prior to your appointment.
• UnitedHealthcare NexusACO-R
  • Note: A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact United Healthcare NexusACO at the phone number on the back of your member ID card or go online to the United Healthcare member portal to select a Kelsey-Seybold PCP prior to your appointment.
• UnitedHealthcare NexusACO (OAP and OA)
• UnitedHealthcare Options PPO
• UnitedHealthcare Select
• UnitedHealthcare Select Plus
• United Healthcare Surest plan

UnitedHealthcare (UHC) Medicare Advantage Plans

Allied Benefit Systems/NGBS

Federal Employee Health Benefits (FEHB)

• 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
• Blue Cross Blue Shield - Blue Focus Option

First Health PPO

Great West Healthcare (also known as Cigna-GWH)

• POS
• PPO
• Open Access

HealthSmart PPO

Medicare (Click here to visit our Medicare Advantage page)

Kelsey-Seybold Clinic accepts the following Medicare Advantage Plans: KelseyCare Advantage, Aetna Medicare Advantage, WellCare TexanPlus, and select UnitedHealthcare plans. Effective January 1, 2009, Kelsey-Seybold Clinic does not accept patients with traditional Medicare.

MultiPlan PPO

Private Healthcare Systems PPO (PHCS)

Unity Preferred Network (UPN) -

When the UPN logo appears on the ID card, UPN is the primary network and is accepted at Kelsey-Seybold Clinic.

As of January 30, 2024, Kelsey-Seybold Medical Group PLLC accepts the following vision plans.

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.

Spectera Vision Plan (also known as UnitedHealthcare Vision or OptumHealth Vision) 

United Healthcare Vision - KelseyCare Advantage members only