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Health Insurance Plans That Work With Kelsey-Seybold Clinic. As of October 19, 2020
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

KelseyCare Aetna
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​

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

 
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.

 
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

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
  • Blue Cross Blue Shield – Standard Option
  • Blue Cross Blue Shield – Basic Option

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

Humana Plans

Humana - More Information
  • 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 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 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

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
Effective 9/1/2020, Kelsey-Seybold accepts the following TRS-ActiveCare plans that administered through the Blue Essentials HMO or Blue Choice PPO networks.

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 19, 2020
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

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 Plan Learn More​

Blue Cross Blue Shield of Texas
  • Blue Essentials
  • Blue Essentials Access

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

HealthSmart PPO

Humana - More Information
  • 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 Aetna

KelseyCare Powered by Cigna
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
Effective 9/1/2020, Kelsey-Seybold accepts the following TRS-ActiveCare plans that administered through the Blue Essentials HMO or Blue Choice PPO networks.
  • TRS-ActiveCare Primary
  • TRS-ActiveCare Primary+
  • TRS-ActiveCare HD
  • TRS-ActiveCare 2

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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