Staying informed is key to making the most of your KelseyCare Advantage plan. This month, we’re highlighting where to find important documents and how to access care when you need it.
Important Forms & Plan Docs Online
Did you know you can view all your KelseyCare Advantage documents online? Visit our Plan Documents and Member Forms pages to browse available forms and documents. Once you find what you need, simply open the PDF to view it, then download or print a copy for your records.
Annual Notice of Change (ANOC): Your ANOC compares your 2024 plan benefits to your new 2025 plan benefits. These changes took effect January 1, 2025.
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 simple list shows you, in a short and easy-to-read format, what your health plan covers and how much you might have to pay for frequently used medical services.
Provider Directory: This directory lists doctors and other health care providers that are part of your plan’s network, helping you know where to find care.
Dental Directory: This directory lists dentists that are part of your plan’s network, making it easier than ever to find a dentist near you.
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.
Change of 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’re looking for? Call the Concierge team at 713-442-4878 (TTY: 711) to have one or these documents or forms emailed to you.
Find Care When You Need It: Urgent, Convenient, & After-Hours Options
As a new member, we want to ensure you have all the information you need for convenient access to care whenever and wherever you need it. Here’s a quick guide to our urgent and convenient care options, as well as our after-hours nurse hotline.
After-Hours Nurse Hotline
For guidance on the best type of care for your situation, call our nurse hotline at 713-442-0000 (TTY: 711)—available both during and after hours.
Urgent and Convenient Care Options
Urgent Care Centers: For urgent needs, visit a preferred urgent care center, such as CareNow or Next Level.
Convenient Care: For less urgent needs, consider the Minute Clinic for quick, accessible care.
In-Home Care with Dispatch Health: If you’re unable to visit a clinic, Dispatch Health offers same-day medical care in your home. Call our nurse hotline at 713-442-0000 (TTY: 711) to find out if Dispatch Health is right for you.
For more information, download our guide to help you find the right care when you need it. This handy resource outlines tips for selecting the best care option to meet your needs.
