Benefits

Kelsey-Seybold agrees to participate in HealthSelect network under BCBSTX

On September 1, 2017, Blue Cross and Blue Shield of Texas (BCBSTX) will be the new medical plan administrator for HealthSelectSM of Texas and Consumer Directed HealthSelectSM. Kelsey-Seybold has agreed to participate in the HealthSelect of Texas plan network under BCBSTX.

HealthSelect of Texas Participants with Kelsey-Seybold PCPs

If you are enrolled in or plan to enroll in HealthSelect of Texas and have a Kelsey-Seybold physician as your PCP, you will have open access to all Kelsey-Seybold providers and locations. That means you will not need to get a referral from your Kelsey-Seybold PCP to see another Kelsey-Seybold provider. If you need medical services that Kelsey-Seybold does not provide, your PCP will refer you to an affiliate provider of Kelsey-Seybold.

If you have a Kelsey-Seybold PCP and see any provider who is not associated with Kelsey-Seybold without your PCP’s direction, you will receive out-of-network benefits even if the provider is in the BCBSTX HealthSelect network.

If you have a Kelsey-Seybold PCP and want to see a doctor or other provider in the HealthSelect network who is not affiliated with Kelsey-Seybold, you can change your PCP selection with BCBSTX and it will be effective immediately. You can change your PCP anytime by calling a BCBSTX Personal Health Assistant toll-free at (800)252-8039. Personal Health Assistants are available Monday-Friday 7 a.m. to 7 p.m. CT and Saturday from7 a.m. to 3 p.m. CT.

HealthSelect of Texas Participants with Other PCPs

If you are enrolled in HealthSelect of Texas and do not chose a Kelsey-Seybold PCP, you will not be able to see any Kelsey-Seybold provider. Kelsey-Seybold providers do not take referrals from doctors outside Kelsey-Seybold.

Kelsey-Seybold Benefits

Kelsey-Seybold offers many benefits, including:

  • no referrals required to see Kelsey-Seybold specialists
  • 24/7 appointment scheduling
  • a 24-hour Nurse Hotline,·online
  • orders for pharmacy refills
  • MyKelseyOnline – free personalized online portal
  • online self-scheduling appointments
  • video visits for 50 different medical conditions
  • Kelsey Concierge dedicated to ERS members at (713) 442-5373
  • Saturday hours for pediatric care at Fort Bend, Clear Lake, Spring and Tanglewood Clinics

Source: ERS

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