KelseyCare powered by Community Health Choice

Starting September 1, 2019, KelseyCare powered by Community Health Choice will no longer be available to employees and retirees of State of Texas agencies and institutions. Learn how this will affect the plan’s current participants.

KelseyCare powered by Community Health Choice for former employees

KelseyCare powered by Community Health Choice is a Health Maintenance Organization (HMO) located in Houston that offers a wide range of health care benefits under the Texas Employees Group Benefits Program (GBP). If you live or work in a county within the plan’s service area, you can enroll in KelseyCare powered by Community Health Choice.

Plan Benefits          

  • You do not have to choose a primary care physician (PCP).
  • You do not need referrals to specialists.
  • There is no annual medical deductible.
  • Preventive services provided by a network doctor – like annual check-ups and vaccinations – are covered at 100 percent.
  • You are responsible for copayments and/or coinsurance for some doctor and hospital visits and other medical services, such as outpatient surgery and high-tech radiology.

Service Area

  • Brazoria
  • Fort Bend
  • Galveston
  • Harris
  • Montgomery

Eligibility

  • The plan is available to GBP eligible employees, retirees and dependents who live or work in the service area. Evidence of Insurability is never required to enroll in this plan.
  • You can enroll in this plan during your first 60 days of employment and coverage will begin the first of the month following your 60th day of employment.  
  • You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage and coverage will begin on the date of birth or the first of the month following the event. 
  • If you are not Medicare-eligible, you can enroll during Summer Enrollment and coverage will begin on September 1 of that year. If you are a Medicare-eligible retiree, you can enroll during Fall Enrollment and coverage will begin on January 1. 

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