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KelseyCare Employer Medical Insurance

The Lower Cost, Higher Quality Health Plan for Houston Employers

  • Ranked highest in clinical quality and financial efficiency in the Houston market by an independent benchmarking study
  • Consistently earns high marks for member satisfaction in the annual Consumer Assessment of Health Plan Satisfaction survey 
    KelseyCare® is the Greater Houston area’s “accountable care” plan. KelseyCare is a “select network” health plan in which Kelsey-Seybold physicians and affiliate providers in multiple specialties take responsibility for delivering care and collaborating together to carefully coordinate the care of plan enrollees.

KelseyCare has a proven track record of delivering 15-20% in comparative cost savings, delivering high performance on quality measures and delivering high enrollee satisfaction. KelseyCare has been ranked the market’s “most cost effective plan” by an independent benchmarking study. Members consistently give KelseyCare higher marks for enrollee satisfaction in the annual Consumer Assessment of Health Plan Satisfaction (CAHPS) survey compared to enrollees of competing Houston-area plans.

No referrals

KelseyCare members benefit from the affordable, high-quality, “coordinated” care delivered by the Houston area’s premier accountable care organization – Kelsey-Seybold Clinic. Our members can self-refer to hundreds of Kelsey-Seybold physicians and specialists at 20 multi-specialty care centers throughout the greater Houston area with no referral required. The “select network” includes both Kelsey-Seybold and “affiliate provider” physicians.

Members are referred to “affiliate providers” by their Kelsey-Seybold physician and have access to premier hospital facilities. KelseyCare providers regularly refer to St. Luke’s Health System hospitals in the Texas Medical Center, Sugar Land, and The Woodlands; Texas Children’s Hospital; Texas Woman’s Hospital; Methodist facilities in Willowbrook and Sugar Land; Clear Lake Regional Hospital; and more.

The KelseyCare plan is offered by leading Houston-area employers including the City of Houston; the City of Sugar Land; the Port of Houston Authority; Menninger Clinic; the St. Luke’s Health System; Mitsubishi Caterpillar Forklift America, Inc. (MCFA); the METRO Transit Workers Union; Igloo Products Corporation; MedCare Pediatrics; United Space Alliance; Universal Weather and Aviation; Spark Energy and others. Of course, KelseyCare is the benefits plan offered to Kelsey-Seybold Clinic’s 2,400 physicians and employees.

KelseyCare Services
KelseyCare enrollees receive a high level of ongoing support. Each enrollee has access to an exclusive KelseyCare Concierge Service available by phone during business hours to assist them with any questions or needs.

After hours, KelseyCare enrollees can call the After-Hours Nurse Hotline for help. After-hours nurses have immediate electronic access to patient medical records, can schedule appointments for patients, page their physician and instruct them on care.

KelseyCare enrollees also can email their physician, view medical test results and schedule appointments online through MyKelseyOnline, a secure electronic portal connected to the Kelsey-Seybold Electronic Medical Records system.

Value-Added Corporate Benefits

With Kelsey-Seybold Clinic, the commitment to preventive healthcare is made clear with complementary health initiatives designed to help maintain a proactive culture of wellness within the organization. Our own organization is highly committed to wellness. These rewards further help control overall company costs by proactively helping employees keep fit and mindful of healthy lifestyles. Some of our wellness initiatives include:

  • Physician-hosted lunch-and-learns
  • Monthly Webinar Wednesday and Healthy Living eNewsletter
  • Free Health Kiosks located in Downtown Houston, offered in partnership with Waste Management Inc. and the Kelsey Research Foundation.

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Our Partnership with Cigna
KelseyCare® integrates the resources of Kelsey-Seybold Clinic and Cigna in a unique healthcare model that benefits members.

Our plan design offers members incentives to select the area’s most cost-effective physician network to organize and coordinate their care. The KelseyCare plan is easy for members to understand and encourages members to get the care they need.
Our members receive ongoing reminders for important preventive care.
Learn more about this health plan for Houston Employers

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Our Partnership with BoonChapman
The KelseyCare health benefits plan, administered by Boon-Chapman, provides high-quality healthcare for self-funded companies with more than 50 employees in the Greater Houston area.

Members have access to the Kelsey-Seybold provider network, which includes 370 Kelsey-Seybold physicians and more than 1,800 KelseyCare Affiliate Specialists selected by Kelsey-Seybold’s physician leadership for quality care.

Learn more about KelseyCare administered by BoonChapman for your houston employees

Why Choose KelseyCare?

With KelseyCare, you’ll get quality care from leading physicians and premier hospital partners. You’ll save money with KelseyCare’s lower total plan cost. Kelsey-Seybold physicians are Houston’s Doctors for Life – with local, regional and national recognition for medical excellence by the National Committee for Quality Assurance (NCQA).

When you choose KelseyCare, you select Kelsey-Seybold Clinic as your healthcare provider. Kelsey-Seybold has been recognized by the NCQA as the nation’s first accredited Accountable Care Organization.

The bottom line – Kelsey-Seybold Clinic and KelseyCare are the partners you want for convenient, affordable and effective quality care.
KelseyCare Patient Testimonial
Longtime KelseyCare patient and City of Houston employee Mary Coleman explains how KelseyCare conveniently provides all of her healthcare needs.

Here are more reasons to choose KelseyCare:
  • Complete Access to Care, 24/7 – Choose the Kelsey-Seybold physician you want to see at any of our 20 multispecialty care centers, and make an appointment with no referral required. Contact our 24/7 Contact Center for appointment scheduling. Speak to an expert Kelsey-Seybold nurse whenever you have a concern after-hours – just call 713-442-0000. Make appointments for ill care at many of our locations on Saturdays.
  • Access to Top Doctors and Premier Hospital Partners – Your Kelsey-Seybold physician may refer you to a selected Affiliate Specialist as part of your treatment plan.
  • KelseyCare Affiliate Specialists – like Kelsey-Seybold physicians and specialists – are among Houston’s top doctors and include physicians from the Texas Heart Institute, Baylor College of Medicine, The University of Texas Health Science Center at Houston and leading private practitioners. You’ll need a referral from your Kelsey-Seybold physician to see an Affiliate Specialist.
  • KelseyCare’s Premier Hospital Partners include: the St. Luke’s Health System in the Texas Medical Center, including St Luke’s Hospital; St. Luke’s Sugar Land Hospital; St. Luke’s The Woodlands Hospital; The Woman’s Hospital of Texas; Texas Children’s Hospital; and Clear Lake Regional Medical Center.
  • One-Stop Care – KelseyCare’s state-of-the-art care centers are located throughout the Greater Houston area and bring primary care, many specialists, lab and X-ray and onsite pharmacies together for you. We offer advanced imaging (MRI, CT, PET, digital mammography, bone densitometry) and Outpatient Surgery on a scheduled basis.
  • Secure Access Online to Your Physician – Join MyKelseyOnline to securely view your lab results and email your physician’s office with questions and follow-ups.
  • Rely on Our Reputation for Excellence – Kelsey-Seybold is consistently recognized for excellence, with the most physicians in the state of Texas recognized by the National Committee for Quality Assurance (NCQA) for excellence in diabetes care and heart and stroke care. Kelsey-Seybold has been recognized by the NCQA as the nation’s first accredited Accountable Care Organization. Sixteen of Kelsey-Seybold’s multispecialty care centers have been named Level 3 Patient-Centered Medical Homes by the NCQA.
  • Experience the Benefits of Coordinated Care – Ever wish your physicians talked to each other? You don’t have to wish any longer. 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 available to your Kelsey physicians 24/7 through our state-of-the-art Electronic Medical Record (EMR) system.
  • Your KelseyCare Concierge – This exclusive service for KelseyCare members provides personalized assistance in scheduling appointments and selecting physicians. Call the KelseyCare Concierge at 713-442-0006 or toll-free at 866-609-1630, 8 a.m. - 5 p.m., Monday through Friday.

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