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UHC Kelsey Charter Plan
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Medical administered by United Healthcare (UHC)
Customer Service Number: (888) 651-7319
Group Number: 902915Website: www.myuhc.comThe Kelsey UHC Charter plan is a partnership between UHC and Kelsey-Seybold and utilizes ONLY Kelsey-Seybold physicians and affiliates. This is an In-Network only plan and you must select a primary care physician (PCP), however, you do not need a referral from your PCP in order to see an In-Network specialist. If you are out of the area and have an emergency, you may seek emergency care.If you have a dependent that is outside the Kelsey-Seybold network area, they will have access to the Choice network for care with authorization from UHC. Please call 877-805-1970 to receive the authorization.
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Benefit
In-Network ONLY
All Kelsey-Seybold Network Providers
Deductible
Individual / Family$750 / $1,500
Maximum Out-of-Pocket
(includes deductible and medical and Rx coinsurance)
Individual / Family$3,750 / $7,500
Office Visit
PCP / Specialist$25 copay / $35 copay
Preventive Services
Plan pays 100%
(deductible and copays do not apply)
Routine Lab & X-ray
In Office VisitOutpatient basis
20% after deductible
20% after deductible
Inpatient Hospital
20% after deductible (with referral from PCP)
Urgent Care
$75 copay
Advanced Imaging (MRI, CAT, PET, etc.)
20% after deductible
Emergency Room
$300 copay (waived if admitted); deductible and coinsurance apply
Inpatient Mental Health / Substance Abuse
20% after deductible (with referral from PCP)
Note: For a complete description of benefits see the Summary of Benefits & Coverage or Summary Plan Description.
Additional Programs Included In Your Medical Premium: Virtual Visits, Healthy Pregnancy, Surgery Plus, Airrosti, Real Appeal
Plan Rates* (per paycheck)
24 pay period contributions
19 pay period contributions
Employee Only
$80.23
$101.34
Employee + Spouse
$248.39
$313.76
Employee + Child(ren)
$221.67
$280.00
Employee + Family
$328.59
$415.06
*Per pay period contributions without medical surcharge.PRESCRIPTION DRUG COVERAGE: You are automatically enrolled in the prescription drug program, when you enroll in one of the Fort Bend ISD medical plans. The prescription drug program provides both retail and mail order pharmacy services.
How to find a Provider for the KELSEY UHC CHARTER PLAN:
CALL UNITED HEALTHCARE:
You also have the option to call United Healthcare (UHC) to find out if the provider you selected is In-Network at 1 (888) 651-7319.
A COVID-19 Update from Kelsey-Seybold
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March 23, 2020: A Message from Dr. Tony Lin, CEO and Chairman, Kelsey-Seybold Clinic
Dear Patients,
As we continue to respond to the COVID-19 pandemic, I want you to know that Kelsey-Seybold Clinic’s medical and administrative teams are committed to your medical care and safety during this difficult time.
In response to the guidance of public health and government officials to reduce in-person interactions, Kelsey-Seybold Clinic has made the decision to schedule patient appointments as Virtual Visits, effective immediately, whenever possible, for both primary and specialty care. “Virtual Visits” include Video Visits, Telephonic Visits and E-visits. Please know that our clinics will remain open and physicians have the availability to schedule an in-clinic appointment if necessary, after a patient’s Virtual Visit. Diagnostic testing will also continue to be available for patients if directed by their physician.
Virtual Visits allow patients to select a specific Video Visit for COVID-19 symptoms, as well as visits with primary care and specialty care doctors for a broad range of symptoms and conditions not related to COVID-19. We know that Virtual Visits are new to many patients. To assist our patients, our 24/7 Contact Center (713-442-0000) is standing by to help. Patients will access Virtual Visits through their MyKelseyOnline account or app. These services are available to new as well as current patients.
These measures will not only greatly reduce risk, but allow us to continue to provide timely, quality care for all patients.
We’ve included additional information below about virtual care. The best source for current information is to call our 24/7 Contact Center or visit our website at www.kelsey-seybold.com/health-information/covid-19. Our After-Hours Nurse Triage team is also available after 5 p.m. and on weekends by calling 713-442-0000.
I appreciate your many efforts and ongoing diligence as we face this challenge together. Thank you for trusting Kelsey-Seybold for the healthcare needs of your workforce.
Our 24/7 Contact Center (713-442-0000) is standing by to assist you in scheduling Video and Telephone Visits, or you can directly schedule virtual appointments through your MyKelseyOnline (MKO) account or the MyChart/MyKelsey App. You’ll use your MKO account or the App to conduct most Virtual Visits. If you don’t have an MKO account, you can contact the MKO Help Line at 713-442-6565 (7 days a week, 7 a.m. to 9 p.m.)
We know that Virtual Health is new to many of our patients. However, Kelsey-Seybold has been delivering care to patients virtually since 2016 with several thousand visits completed every year.
Moving to Virtual Visits will help significantly reduce the risk of exposure – while giving our providers the ability to deliver timely, quality care to you. We believe this is right thing to do as we all work together to help slow the spread of the coronavirus.
Please read below for more about Virtual Visit care delivery now available for you and your family. We know information and news changes quickly. I want to remind you that your best source to find the most current information is to call our 24/7 Contact Center or visit our website at kelsey-seybold.com. You can also continue to call your doctor’s office directly. If you need care after-hours, you can contact our After-Hours Nurse Hotline after 5 p.m. weekdays or on the weekend by calling 713-442-0000.
Our providers and clinical team stand ready to care for you and your family now and in the future. Thank you for trusting Kelsey-Seybold Clinic with your care.
Sincerely,
Tony Lin, MD
CEO, Kelsey-Seybold ClinicWe're Here for You! Virtual Care Options Now Available and Delivered by Kelsey-Seybold Providers
Virtual Health Visits Now Available to ALL Kelsey-Seybold Patients. All Kelsey-Seybold patients can continue to get access to the care they need either through a scheduled Video Visit or Telephone Visit with our primary care doctors and providers, pediatricians, and specialists. You may schedule a Virtual Visit for any symptoms or conditions for which you would normally see your doctor in-person for evaluation and treatment. During your Virtual Visit, if the provider determines that an in-person appointment is needed, a follow up in-clinic appointment will be scheduled.
We have more information on our website about all Virtual Visit options available to you. Learn more by clicking on the following links:- Adult Primary Care Options and Information (Hours: Mon. – Friday: 8 a.m. to 9 p.m.; Sat. and Sun.: 9 a.m. to 4 p.m.): Click Here
- Adult Specialty Care Options and Information (Hours: Mon. – Fri.: 8 a.m. to 5 p.m.): Click Here
- Pediatric Care Options and Information: Hours: Mon. – Friday: 8 a.m. to 9 p.m.; Sat. and Sun.: 9 a.m. to 4 p.m.): Click Here
- Pediatric Care Options and Information: Hours: Mon. – Friday: 8 a.m. to 9 p.m.; Sat. and Sun.: 9 a.m. to 4 p.m.): Click Here
Preventive Care Recommendations for Patients. For patients with chronic conditions or who need ongoing care and follow-up, we encourage you to stay connected to your doctor and not delay your care.For the time being, we are asking patients to postpone preventive appointments – such as annual physicals, mammograms, and elective surgeries. If you believe your preventive care appointment can’t wait due to certain symptoms or health concerns, please schedule a Virtual Visit with your primary care doctor or any Kelsey-Seybold physician.Our medical leadership team will continue to assess what preventive care can be done as a Virtual Visit should the need to continue social distancing extend beyond May 1.If you are currently pregnant, please read important information about your health and ongoing care at Kelsey-Seybold from our Chief of Obstetrics and Gynecology, Jesus Samaniego, M.D., F.A.C.O.G. Click HereHave Your Prescription Refills Mailed to Your Home at No Additional Cost to You. Kelsey Pharmacy recommends patients have their prescriptions mailed directly to their home or office with no added shipping charges. Kelsey Pharmacy will also mail or include over-the-counter products, if needed. Plan ahead when using this convenient service – check your refills and allow several days for mailed prescriptions to reach you. Learn more and submit your refill request online: Click HereStaying Connected – We’re Here for You 24/7! Don’t forget, if you have questions, you can message your doctors through your MyKelseyOnline health portal or the MyKelsey/MyChart App. You can also call our 24/7 Contact Center at 713-442-0000 for care support, or to speak with a registered nurse, at any time day or night.If you haven’t signed up for your MyKelseyOnline account, now is a good time to register! This will be how you access Virtual Visits and communicate with your doctor. To register or learn more about MyKelseyOnline Click Here.