Frequently Asked Questions

• With the KelseyCare Plan in the Limited Network, you’ll get quality care from leading physicians and premier hospitals. You’ll also have predictable copays and a concierge level of service available exclusively for KelseyCare Plan in the Limited Network members.
• When you select the KelseyCare Plan in the Limited Network, you are exclusively selecting Kelsey-Seybold physicians and Kelsey-Seybold HMO Plan affiliate specialists to coordinate and deliver your care and treatment. Kelsey-Seybold physicians are changing the way health cares. With local, regional, and national recognition for medical excellence.
• The KelseyCare Plan in the Limited Network offers comprehensive benefits, including physician care, hospitalization, outpatient surgery and treatment, diagnostic service, and preventive care, including exams to diagnose and treat diseases and conditions of the eye.
• The bottom line — Kelsey-Seybold Clinic and the KelseyCare Plan in the Limited Network are the partners you want for convenient and comprehensive quality care.

• Primary care visit to treat an injury or illness $30 copay/visit; deductible does not apply.
• Specialists visit $60 copay/visit; deductible does not apply.

• Diagnostic test (X-ray, blood work) 20% coinsurance after deductible.
• Imaging (CT/PET scans, MRIs) 20% coinsurance after deductible.

If you are experiencing a life- or limb-threatening emergency, call 911 or seek care immediately at an emergency center. If you are experiencing a situation which is not life- or limb-threatening after hours, we recommend that you call our After Hours Nurse Team at 713-442-0000. Our After-Hours Nurses can access your secure electronic medical record and page your physician if necessary. You can call our Kelsey-Seybold After-Hours Nurse Hotline at any time after normal business hours to ask questions or discuss concerns regarding symptoms or illnesses you or a family member may be experiencing.

The NOV Houston HMO Plan partners with premier hospitals in the Texas Medical Center and multiple hospital systems throughout the greater Houston area. A partial list of our hospital network includes:

• St. Luke's Health System, including Baylor St. Luke's Medical Center in the Texas Medical Center, St. Luke’s Sugar Land Hospital, St. Luke’s The Woodlands Hospital, and St. Luke’s Patients Medical Center
• Texas Children's Hospital
• HCA Houston Healthcare Clear Lake
• The Woman’s Hospital of Texas

Yes, several urgent care locations in the Greater Houston area are available to you through Blue Cross Blue Shield of Texas (BCBSTX). Call (855) 212-1613 or go to (bcbstx.com) to find a network urgent care center.

To make your healthcare experience with NOV Houston HMO Plan as hassle-free as possible, we offer a complimentary concierge service that is available exclusively to NOV Houston HMO Plan members.

Call the NOV Houston HMO Plan Concierge at 713-442-8977, 8 a.m. – 5 p.m., Monday through Friday. Here are just some of the services provided by your NOV Houston HMO Plan Concierge:

• Personalized assistance in scheduling appointments and selecting physicians.
• Assistance in finding nearby clinic locations.
• Expert guidance regarding specific services available at each clinic location.
• Resolution of complex billing and eligibility issues.
• Expert help resolving your questions and concerns regarding the NOV Houston HMO Plan.

Call 713-442-8977 for more information.

Kelsey-Seybold Clinic provides comprehensive primary care and specialty care. You have access to more than 650 physicians with expertise in more than 65 medical specialties. You may see any Kelsey-Seybold physician or specialist at any Kelsey-Seybold location — no referral required. Kelsey-Seybold offers board-certified specialists trained in Family Medicine, Internal Medicine, and medical specialties, including Cardiology, Obstetrics and Gynecology (OB/GYN), Ear, Nose, and Throat (ENT), Endocrinology, Gastroenterology, Urology, Orthopedics and Sports Medicine, Dermatology, Rheumatology, Allergy and Immunology, Pediatrics, General Surgery, Reconstructive Breast Surgery, and many others.

• 24/7 Access to Care — Choose the Kelsey-Seybold physician you want to see at any of our 32 multispecialty care centers and make an appointment with no referral required. Call our 24/7 Contact Center at (713) 442-0000 for appointment scheduling. Speak to an expert Kelsey-Seybold After-Hours nurse whenever you have a concern after hours by calling the After-Hours Nurse Hotline at (713) 442-0000. Make appointments for sick care at four locations on Saturdays: Our Tanglewood Clinic near the Galleria, Fort Bend Medical and Diagnostic Center, Clear Lake Clinic in Webster, and Spring Medical and Diagnostic Center. Call (713) 442-0000 after 5 p.m. on Friday to schedule.
• Access to 7,200+ Medical Specialists and Premier Hospitals — These include St. Luke’s Health — Texas Medical Center, SugarLand, and The Woodlands; The Texas Heart Institute; The Woman’s Hospital of Texas; Texas Children’s Hospital; Houston Methodist – SugarLand and Willowbrook; and HCA Houston Healthcare Clear Lake.
• One-Stop Care — With the NOV Houston HMO Plan, you have access to state-of-the-art care centers located throughout the Greater Houston area. At many of our locations, you can see your doctor, have lab work or an X-ray in the same building, and pick up a prescription before you go home. We offer advanced imaging (MRI, CT, PET, digital mammography, bone densitometry) and outpatient surgery on a scheduled basis.
• Secure Online Access to Your Physician — Join MyKelseyOnline to securely view your lab results and email your physician’s office with questions and follow-ups.
• Our Reputation for Excellence — Kelsey-Seybold Clinic is consistently recognized for excellence, with the most physicians in Houston recognized by the National Committee for Quality Assurance (NCQA) for excellence in diabetes care and heart and stroke care. Kelsey-Seybold has also been recognized by the NCQA as the nation’s first accredited Accountable Care Organization (ACO).
• Coordinated Care — Ever wish your physicians talked to each other? Kelsey-Seybold physicians are experts on coordination and collaboration. We know that coordinated care is the key to superior care. Your secure medical information is always available to your Kelsey-Seybold physicians through our state-of-the-art electronic medical record (EMR).
• NOV Houston HMO Plan Concierge — This exclusive service for NOV Houston HMO Plan members provides personalized assistance in scheduling appointments and selecting physicians. Call the Kelsey-Seybold Concierge at (713) 442-8977, 8 a.m. to 5 p.m., Monday through Friday.