KelseyCare powered by Community Health Choice for Retirees

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

  • Brazoira
  • Fort Bend
  • Galveston
  • Harris
  • Montgomery

Eligibility

  • The plan is available to GBP eligible employees 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. 
  • You can enroll during Summer Enrollment and coverage will begin on September 1 of that year

Resources