Original Medicare (also called Traditional Medicare) was designed to cover some of your healthcare needs, such as hospital stays and doctor visits. But your healthcare journey may require other services as well. This is where a Medicare Advantage plan can be a huge help.
Medicare Advantage plans, such as KelseyCare Advantage, combine Medicare Parts A and B, and then mix in other services, such as dental, vision, and hearing, which aren't covered by Original Medicare.
|
Medicare Part A |
Medicare Part B |
Medicare Advantage Plans |
Hospitalization
|
X
|
X
|
X
|
Doctor Visits
|
|
X
|
X
|
Emergency Visits
|
|
|
X
|
Routine Medical Visits
|
|
|
X
|
*Prescription Drugs
|
|
|
X
|
Limits to Maximum Out-of-Pocket Costs
|
|
|
X
|
Comprehensive Dental
|
|
|
X
|
Vision
|
|
|
X
|
Hearing
|
|
|
X
|
Telehealth and Virtual Care
|
|
|
X
|
OTC Allowances
|
|
|
X
|
Worldwide Emergency Care
|
|
|
X
|
*2025 KelseyCare Advantage Core (HMO) plan does not include Part D coverage.
Important Considerations
Before you set your sights on a Medicare Advantage plan, take a moment to consider a couple of additional factors so you can be sure you're making the best decision for your healthcare needs.
- Provider Networks: Most plans, like ours, have specific provider networks. This means you'll receive most of your care from in-network physicians, hospitals, and other providers (except for emergency/urgent care or essential dialysis).
- Maximum Out-of-Pocket: Medicare Advantage plans are required to set a maximum out-of-pocket amount, which means once that limit is reached, you’ll pay nothing for additional covered medical services for the rest of the year.
How Do You Qualify?
You're eligible for membership in our plan as long as:
- You have both Medicare Part A and Medicare Part B.
- You live in the geographic area we service.
- You're a United States citizen or are lawfully present in the United States.
What Makes Us Different?
As a member of KelseyCare Advantage, you have access to 940+ physicians and providers in 65+ specialties at convenient locations all across Greater Houston. Your healthcare team works seamlessly to coordinate the comprehensive, preventive care you deserve, and your healthcare experience is made even easier as PCPs, specialists, labs and even pharmacies are all under one roof at many Kelsey-Seybold locations.
Explore Our 2025 Plans