2021 Medical Plans


  • KelseyCare is an ACO that provides a team approach to health care. This team of doctors helps to coordinates services, provides quality care, and shares information so they can easily identify gaps in care and address them quickly. You may see a specialist in the Kelsey ACO at any time as referrals are not necessary.To find a Kelsey provider, click here.

    There are three Kelsey-Seybold ACO plan options

    The Basic plan
    offers lower premiums than Plus options but has higher deductible and coinsurance amounts. This means you will pay more when you need health care. If you don’t visit the doctor often and use the plan mostly for preventive care, the Basic option may be right for you.

    The Plus plan has higher premiums than the Basic plan, and the deductible and coinsurance amounts are lower. This means more of your expenses will be covered when you need care. If you think you will visit the doctor often and need more care, the Plus option may be right for you.

    The Select plan has the lowest deductible and out-of-pocket maximum, but this option is only available to employees who make $29,120 or less in annual base salary. 

    Download The Kelsey-Seybold's Guide to Clinics and Providers

    Memorial Hermann’s ACO is also a network of doctors and medical providers that share information across the Memorial Hermann system to provide care to covered members and their covered family members. This means everyone you see in the Memorial Hermann system is familiar with your treatment, needs, and goals, as well as your medical history. You may see a specialist in the Memorial Hermann ACO at any time as referrals are not necessary. To find a Memorial Herman ACO provider, click here.

    There are two Memorial Hermann plan options

    The Basic plan offers lower premiums each month but has higher deductible and co–insurance amounts. This means you will pay more when you need health care. If you don’t visit the doctor often and use the plan mostly for preventive care, the Basic option may be right for you.

    The Plus plan has higher premiums than the Basic plan, but the deductible and coinsurance amounts are lower. This means more of your expenses will be covered when you need care. If you think you will visit the doctor often and need more care, the Plus option may be right for you.

    These are some of Aetna’s broad networks that provide more flexibility to members. You will need to elect a Primary Care Physician (PCP) or one in your zip code will be selected for you. You may see a specialist in the Texas Medical Neighborhood plans without a referral but selecting a PCP will allow a medical professional to coordinator your care. To find a Texas Medical Neoghborhood provider, click here.

    The Basic plan offers lower premiums than the Plus option but has higher deductible and coinsurance amounts. This means you will pay more when you need health care. If you do not visit the doctor often and use the plan mostly for preventive care, the Basic option may be right for you. 

    The Plus plan has higher premiums than the Basic plan, and the deductible and coinsurance amounts are lower. This means more of your expenses will be covered when you need care. If you think you will visit the doctor often and need more care, the Plus option may be right for you.

    This plan is the same as the Kelsey ACO described above, but it is designed for employees who earn $29,120 or less in annual base salary.