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Cigna

Plan Ove​rview

  • Health benefits plan offered on either a self-funded or fully insured basis, offering a "select provider network" on the Cigna Healthcare benefits platform. The Kelsey-Seybold Clinic network includes more than 400 Kelsey-Seybold physicians at 19 clinic locations throughout the region, and more than 1,800 affiliated physicians selected by Kelsey-Seybold physician leadership for quality care.
  • Available to employers with a minimum of 50 employees working in the Greater Houston area.
  • Model based on the delivery of high-quality, "evidence-based" medical care in which physicians in multiple specialties share information and coordinate care on behalf of patients.
  • Plan features designed to give members the services and access they want and need:
    • Online Appointment Requests, 24/7 Contact Center, and After-Hours Nurse Hotline. Kelsey-Seybold Clinic's customer service Contact Center operates 24 hours a day, seven days a week, which means extra convenience for patients and family members. Patients can call the clinic any time of the day or night to schedule a future appointment. Patients can also submit appointment requests via email. After hours, patients can speak to a registered nurse (RN) with any immediate concerns about symptoms or illnesses and obtain direction on the most appropriate setting to receive services.

    • KelseyCare Concierge Services. Similar to a concierge in a fine hotel, the KelseyCare Concierge offers personalized assistance. Our Concierge service can assist with scheduling appointments and take care of special needs and requests. The Concierge can also help with billing and eligibility questions, and provides expert assistance with anything related to accessing care at Kelsey-Seybold Clinic.

    • Executive Health Assessments. For an additional fee, Kelsey-Seybold's Executive Health Assessment Program offers its customers both preventive care and peace of mind. Each three-hour physical includes a one-hour consultation with a physician, along with same-day results on many medical tests. Each physical is conducted in the elegant Mavis and Mary Kelsey Specialty Suite at Kelsey-Seybold's Spencer R. Berthelsen, M.D., Main Campus near the Texas Medical Center.

    • Disease Management. KelseyCare offers disease management programs for high-risk obstetrics, renal care, diabetes management, congestive heart failure, asthma, chronic obstructive pulmonary disease (COPD), and cholesterol management. Our team of case management nurses collaborates with Kelsey-Seybold physicians and nurs​es to incorporate education, prevention, patient care,​ and research into our programs with the purpose of making a significant difference in the health of an employee population.

      Our care delivery model focuses on improving the health status of individuals enrolled in our KelseyCare plan. Kelsey-Seybold Clinic is unique in its ability to integrate patient care, medical management, and value-added services, which positively impact health outcomes, practice efficiency, and patient satisfaction.

    • Comprehensive Provider Network. KelseyCare members may choose their personal primary care physician from a list of Kelsey-Seybold doctors specializing in Family Medicine, Internal Medicine, or Pediatrics. They can select a different doctor for each member of their family. They also can directly access any Kelsey-Seybold Clinic specialist, including any participating Obstetrician/Gynecologist, without a primary care physician referral. A referral by a Kelsey-Seybold Clinic physician is required for other participating specialists.​

      KelseyCare partners with premier hospitals in the Texas Medical Center and throughout the Greater Houston area. These include CHI St. Luke's Health —​ Texas Medical Center, Sugar Land, The Vintage, and The Woodlands; HCA — Clear Lake Regional Medical Center; The Woman's Hospital of Texas; and Texas Children's Hospital.

      Cigna Healthc​are members have access to the Transplant Network, a network of participating organ and tissue transplant centers. Developed by a team of Cigna Healthcare clinical professionals, the transplant network includes respected hospitals and medical centers throughout the country​.​

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