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KelseyCare Advantage Awarded 5 Stars in 2023

KelseyCare Advantage Once Again Earns Highest-Quality Plan Recognition of 5 Stars by Medicare for 2023

KelseyCare Advantage is one of 57 Medicare Advantage plans in the nation to have achieved a 5-star rating by Medicare for seven consecutive years or more.

HOUSTON (Oct. 11, 2022) – The Centers for Medicare and Medicaid Services (CMS) has again rated KelseyCare Advantage as one of the nation’s highest-quality Medicare Advantage plans. For the seventh consecutive year, KelseyCare Advantage has achieved an overall rating of 5-out-of-5 stars as part of CMS’ annual assessment of 507 eligible Medicare Advantage plans measured across the nation.

KelseyCare Advantage is one of only 57 Medicare Advantage plans in the United States with the distinction of achieving the CMS 5-star rating for at least seven years in a row. In addition, KelseyCare Advantage is the only plan in the state of Texas to earn “5 stars for seven consecutive years.” Of all eligible plans across the United States, only 11 percent rated by CMS were rated as 5-star plans for 2023.

"Maintaining a 5-star rating for seven years demonstrates our commitment to invest in new ways to improve on the high-quality care our members receive when they select a KelseyCare Advantage plan," said Denise Jonathan, vice president of Health Plan Services, KelseyCare Advantage. "Our members see this evolution of constant improvement as another reason to choose a KelseyCare Advantage plan, year-after-year."

Superior Quality and Member Satisfaction Earn 5-Star Ratings

“Each and every day, we strive to provide exceptional member experience and high-quality care to keep our members happy and healthy. Earning a 5-star rating simply for holding ourselves to this higher standard is incredibly rewarding,” said Paul O’Leary, M.D., M.S., medical director, KelseyCare Advantage.

Each year, CMS evaluates Medicare Advantage plans based on member satisfaction surveys, health outcomes, and quality of the healthcare provided to give overall performance ratings to Medicare Advantage health and prescription drug plans. These ratings help Medicare beneficiaries choose a plan based on quality and performance. A plan can earn from one to five stars. A 5-star rating is considered excellent.

“By ensuring members receive consistently high-quality, coordinated care, we’re also ensuring that KelseyCare Advantage offers a unique and superior member experience. This is made possible by directly connecting our Medicare plan with Kelsey-Seybold Clinic’s Accountable Care Organization and medical group to deliver convenience, access, and excellence in care,” said Tony Lin, M.D., chairman and CEO, Kelsey-Seybold Clinic.

Enrolling in KelseyCare Advantage 5-Star-Rated Medicare Advantage Plan

KelseyCare Advantage is offered in 13 counties: Fort Bend, Harris, Montgomery, portions of Galveston, Austin, Brazoria, Chambers, Grimes, Liberty, San Jacinto, Walker, Waller, and Wharton. The plan is affiliated with Kelsey-Seybold Clinic, a Houston-based, multispecialty medical group practice that has been caring for families in the greater Houston area for more than 73 years.

Medicare-eligible residents in these areas can enroll in a KelseyCare Advantage plan during the Medicare annual enrollment period between Oct. 15, 2022, and Dec. 7, 2022, with an effective date of Jan. 1, 2023. In addition to receiving high-quality care and exceptional customer service, 5-star excellence means that Medicare beneficiaries may enroll in a KelseyCare Advantage plan year-round.

KelseyCare Advantage plans provide all Medicare Part A and B coverage, with some plans that also include Part D prescription drug coverage, to Medicare beneficiaries who want more coverage than traditional Medicare provides. KelseyCare Advantage offers “Freedom” plans with a point-of-service (POS) benefit and no monthly premium, allowing members the flexibility to see any provider in the Greater Houston area.

Every year, Medicare evaluates plans based on a 5-star rating system. To learn more about KelseyCare Advantage or about the Medicare Star Quality Ratings, visit www.kelseycareadvantage.com or www.medicare.gov, or call 1-800-MEDICARE (1-800-633-4227). KelseyCare Advantage is offered by KS Plan Administrators, LLC, a Medicare Advantage HMO with a Medicare contract. Enrollment in KelseyCare Advantage depends on contract renewal. Other providers are available in the KelseyCare Advantage network.

About Kelsey-Seybold

Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's renowned Texas Medical Center. More than 650 physicians and allied health professionals practice at 35 locations in the Greater Houston area. Kelsey-Seybold offers quality medical care in 65 medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in the state of Texas and offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. An accredited Sleep Center, comprehensive laboratory services, advanced imaging and diagnostics, 23 onsite Kelsey pharmacies and one specialty pharmacy, and MyKelseyOnline, a secure web portal, are part of its comprehensive offerings. Kelsey-Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for seven consecutive years.

Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and a Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for excellence in diabetes and heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center and Endoscopy Center.

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