Limited Provider Networks
If you live in the Houston area and select a primary care physician (PCP) in a Limited Provider Network such as Kelsey-Seybold Clinic, you have open access to all physicians and locations within that respective network.
Important: Beginning September 1, 2017, if your PCP on file is in the Kelsey-Seybold Clinic provider network and you see a provider who is not associated with the same provider network without your PCP's direction, you will receive non-network benefits even if the provider you see is part of the BCBSTX HealthSelect network.
If you live in the Houston area and select a Kelsey-Seybold physician as your PCP, you will have open access to all Kelsey-Seybold Clinic 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 non-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 BCBSTX HealthSelect network who is not affiliated with Kelsey-Seybold, you can change your PCP selection by calling BCBSTX and it will be effective immediately.
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 participants at (713) 442-5373 and
- Saturday hours for pediatric care at Fort Bend, Clear Lake, Spring and Tanglewood Clinics.
HealthSelectSM of Texas participants with other PCPs
If you are enrolled in HealthSelect of Texas and do not choose 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.
You can change your PCP anytime.