Great coverage at a low price. Texas HealthSpring is a great savings opportunity for those who live in Houston, southeast and east Texas, and parts of the Valley.

The plus is the low-cost of this quality plan. TexanPlus is a great savings opportunity for retirees who live in Houston, southeast Texas and Tarrant, Dallas and Rockwall counties.

KelseyCare is the lowest-cost health-insurance option available from the city. But, you have to stay in the Kelsey-Seybold network for services, and Kelsey-Seybold clinics are only in four counties. You can travel from anywhere in Texas to a Kelsey-Seybold clinic for services.

Established physician networks in 25 Texas counties.

Established physician networks in 15 Texas counties.

A network of quality, accessible Kelsey-Seybold physicians in four counties.

You must have a primary-care physician, and your PCP must refer you to network specialists.

PCP visits cost $10.

You must have a primary-care physician, and your PCP must refer you to network specialists.

PCP visits cost $10.

You don’t need a primary-care physician, and you don’t need a referral to see a specialist.

Zero copayment for PCP visits.

Worldwide emergency care is available.

Nationwide emergency care is available.

Worldwide emergency care is available.

Access to 50 hospitals.

Access to nearly 50 hospitals.

Access to 20 hospitals.

Medicare Part B drugs are covered with a 15 percent coinsurance, to $1,000. After you have paid $1,000, Texas HealthSpring will pay for Part B drugs at 100 percent.

Medicare Part B drugs are covered with a 10 percent coinsurance, to $1,500. After you have paid $1,500, TexanPlus will pay for Part B drugs at 100 percent.

Medicare Part B drugs covered with a 15 percent coinsurance, to $1,500. After you have paid $1,500, KelseyCare will pay for Part B drugs at 100 percent.

Extra benefits include free health-club membership for Silver Sneakers, discounts for hearing aids and dental services.

Up to 30 free rides (15 round trips) to the doctor, pharmacy or hospital per year.

Extra benefits include discounts on fitness memberships, hearing exams, dental services, eye exams and lenses.

There is a one-time $500 reimbursement on a hearing aid.

Extra benefits include free case management, health education, wellness programs and nutrition therapy, and discounts for eyewear and hearing aids.

Up to 20 free rides (10 round trips) to the doctor or hospital per year.

BCBS HMO*** under age 65

$171.82

$153.64

$507.04

$307.36

$299.64

$790.72

$522.48

$476.38

BCBS HMO*** over age 65

$492.54

$153.64

$1,034.34

$307.36

$299.64

$1,773.16

$522.48

$476.38

TexanPlus

N/A

$32

N/A

$32 each member

N/A

$32 each member

Texas HealthSpring

N/A

$26.24

N/A

$26.24 each member

N/A

$26.24 each member

KelseyCare Advantage HMO

N/A

$3.50

N/A

$3.50 each member

N/A

$3.50 each member

HMO plan features and costs comparison

Plan feature

What you pay

KelseyCare Advantage HMO

TexanPlus

Texas HealthSpring

BCBS HMO

Deductible (Individual/Family)

N/A

N/A

N/A

N/A

PCP office visit copayment

$0

$10

$10

$20

Specialist office visit copayment

$15

$25

$25

$45

Routine physical copayment

$0

$0

$0

$0

Well woman/man exam

$0

$0

$0

$0

Inpatient copayment/coinsurance

$300

$300

$275

$500

Emergency room

$50

$50

$50

$150

Ambulance

$100

$50

$100

$100

Outpatient surgery

$150/$175

$125 / $175

$200

$200

Prescriptions

participating pharmacy

31-day supply

90-day supply

31-day supply

90-day supply

30-day supply

90-day supply

30-day supply

90-day supply

Generic

$10

$20

$10

$20*

$10

$20

$10

$20

Preferred brand

$30

$60

$30

$60*

$30

$60

$30

$60

Non-preferred brand

$45

$90

$45

$90*

N/A

N/A

$45

$90

Specialty drugs

$45

N/A

$45

$90*

$45**

$90**

$45 ***

N/A

Physician Group

KelseyCare Advantage HMO

TexanPlus

Texas

HealthSpring

BCBS HMO

Brazosport Regional Health System

Clear Creek Clinic

X

CyFair IPA

X

Family Practice Associates

X

Heritage

X

North Central LPO

X

Independent Physicians

X

X

Integranet

X

Katy IPA

X

Kelsey-Seybold Clinic

X

X

X

X

Memorial Clinical Associates

X

X

Northwest Diagnostic Clinic

X

Pasadena LPO

X

Physicians of East Texas

X

Renaissance

X

X

Sr. SelectCare Clinic

X

Sadler Clinic

X

X

Southeast Regional LPO

X

Village Family Practice

X

X

Total PCPs

129

478

1,080

1,324

Total Specialists

1,734

1,668

1,476

8,412

Total Physicians

1,863

2,146

2,556

9,736

Hospital

KelseyCare Advantage HMO

TexanPlus

Texas

HealthSpring

BCBS HMO

Angleton Danbury Medical Center

X

X

Bayshore Medical Center

X

X

Brazosport Regional Health System

X

CHRISTUS St. John

X

X

X

X

CHRISTUS St. Catherines

X

Clear Lake Regional Medical Center

X

X

X

East Houston Medical Center

X

X

Houston Northwest Medical Center

X

X

X

Kingwood Medical Center

X

X

X

Mainland Medical Center

X

X

M.D. Anderson Cancer Center

X**

X**

Memorial Hermann Hospital Syst.

X (12 facilities)

X (12 facilities)

X (12 facilities)

X

Methodist Hospital

X

X

X

Park Plaza

X

X

X

St. Joseph Medical Center

X

X

X

St. Luke’s - Woodlands

X

X (Kelsey only)

X (Kelsey only)

X

St. Luke’s Episcopal Hospital

X

X (Kelsey only)

X (Kelsey only)

X

Spring Branch Medical Center

X

X

X

West Houston Medical Center

X

X

X

Women’s Hospital of TX

X (Kelsey only)

X

X