Rosylyn James | OB/GYN | Kelsey-Seybold (2024)

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• Aetna 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 Select
  • Open Access Select
  • Elect Choice
  • Aetna Open Access Elect Choice
  • Aetna Choice POS II
  • Managed Choice
  • Open Choice PPO
  • Aetna Medicare Advantage Plans

  

  Aetna CVS Health Marketplace Plans

  A Kelsey-Seybold PCP is required to schedule a primary care appointment. Please contact Aetna at the phone number on the back of your member ID card, or go online to the Aetna CVS member portal to change to a Kelsey-Seybold PCP prior to your appointment.

  Effective January 1, 2024

  • Silver 1
  • Silver 2
  • Silver 5
  • Silver 6
  • Silver 7
  • Silver S
  • Gold 3
  • Gold 4
  • Gold S

  *All Houston area Aetna CVS Health plans are accepted at Kelsey-Seybold Clinic*

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

• Blue Cross Blue Shield 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 and Standard Option)
  • Health Select of Texas - ERSClick 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 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 (pdf)

• Cigna 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)
  • Cigna Surefit
    • 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.
  • KelseyCare powered by Cigna
  • LocalPlus
  • LocalPlus IN

• Humana Plans

  Humana

  Non-Medicare Advantage

  • Humana PPO
  • Humana Preferred PPO
  • Humana Preferred POS (Open Access)
  • Humana ChoiceCare PPO
  • Humana National POS Open Access

• Kelsey Plans

  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 Aetna

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

  KelseyCare Powered by Cigna

  HMO - More Information

• Medicare Advantage Plans

  Aetna Medicare

  KelseyCare Advantage

  Wellcare / TexanPlus

  United HealthCare

• Other 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

  First Health PPO

  Great West Healthcare (also known as Cigna-GWH)

  • POS
  • PPO
  • Open Access

  HealthSmart PPO

  Medicare

  Kelsey-Seybold Clinic accepts the following Medicare Advantage Plans: KelseyCare Advantage, Aetna Medicare Advantage, WellCare TexanPlus, Humana Medicare 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)

• UnitedHealthcare Plans

  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

  UnitedHealthcare (UHC) Medicare Advantage Plans