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 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