For additional information, view The 2024 Benefits Guide.

1. Kelsey ACO PCP and specialist copays do not count toward the annual deductible but do apply toward the annual out-of-pocket maximum.
2. Free if you are enrolled in an HISD medical plan
3. Pre-certification may be required
4. OBGYN specialists are tiered
5. Copay applies after the pharmacy deductible has been met
6. >Preventive services are not subject to the deductible
7. The copays in the Kelsey plans are not subject to deductible