KelseyCare Advantage
Find your documents online!

Did you know you can view all your KelseyCare Advantage documents online? You can also download a copy to keep for your records. Simply open the PDF and print or save to your computer.

Go to KelseyCareAdvantage.com → Members → Plan Documents to view your…

  • Annual Notice of Change (ANOC)
    • Your ANOC compares your 2023 plan benefits to your new 2024 plan benefits. These changes took effect January 1, 2024.
  • Evidence of Coverage (EOC)
    • Your EOC tells you what your health plan covers and how much you might have to pay for various services.
  • Summary of Benefits
    • This is a simple list that shows you, in a short and easy-to-read format, what your health plan covers and how much you might have to pay for different medical services.
  • Provider Directory
    • This is a list of doctors and other healthcare providers that are part of your plan’s network, helping you know where to find care.
  • Dental Guides
    • Learn additional information about your dental coverage with these helpful guides.

KelseyCareAdvantage.com → Members → Member Forms has helpful forms like…

  • Appointment of Representation (AOR)
    • Fill out the AOR form if you have someone who acts on your behalf with KelseyCare Advantage.
  • Vision Reimbursement Form
    • If you received coverage or purchased glasses from a non-network provider, you may be eligible for partial reimbursement.
  • Update Your Address
    • Please let us know if you have a change of address. Even if you updated your address with Kelsey-Seybold Clinic, you still need to update with KelseyCare Advantage.

Can’t find what you are looking for?

Call the Concierge team at 713-442-4878 (TTY: 711) to have one or these documents or forms emailed to you.