HOUSTON (June 19, 2015)– Kelsey-Seybold Clinic, the nation’s first accountable care organization accredited by the National Committee for Quality Assurance, and Community Health Choice, a Houston-based non-profit Health Maintenance Organization, announced a partnership to deliver Kelsey-Seybold’s “KelseyCare” health benefits plan to the Employees Retirement System of Texas’ (ERS) Texas Employees Group Benefits Program (GBP) participants.
KelseyCare serves more than 64,000 commercial members and 29,000 Medicare Advantage members, delivering high-quality care that is on average 15 to 30 percent lower in total cost when compared to other health plans in the greater Houston area. Community Health Choice currently provides HMO services to more than 275,000 members in 20 counties.
This new plan option, called KelseyCare powered by Community Health Choice, will be available to ERS participants during the 2015-2016 summer enrollment period, which begins June 29, 2015 and ends July 31, 2015 for active employees and retirees under the age of 65. The insurance effective date will be September 1, 2015. Through KelseyCare powered by Community Health Choice, participants will be able to see any Kelsey-Seybold physician at any Kelsey-Seybold location, with no referral required, as well as access, by referral, to more than 3,000 KelseyCare Affiliate Specialists.
In addition, participants will have access to Kelsey-Seybold’s suite of convenient services, including 24-hour appointment scheduling, Saturday appointments, after-hours nurse assistance, online doctor communication and prescription refill, and one-stop care at multispecialty care centers.
“Kelsey-Seybold Clinic has enjoyed a long-standing partnership with Community Health Choice, providing valued healthcare services since 2009. KelseyCare powered by Community Health Choice, a new benefit offering with the Employees Retirement System (ERS) of Texas, is a natural next step for our organizations and will help raise the quality of care, improve care coordination, and provide services that are affordable and accessible to the state employees who live and work in our communities,” said Spencer Berthelsen, chairman and managing director of Kelsey-Seybold Clinic.
“At Community Health Choice, we believe that health is at the heart of every strong Texas community, so it is a particular honor to serve those who serve Texas. Our goal, in partnership with KelseyCare, is to provide the peace of mind that comes from having comprehensive, highly convenient health coverage, so that state employees can focus on what they do best – serving the state of Texas,” says Ken Janda, president and chief executive officer of Community Health Choice.
ERS participants who wish to choose KelseyCare for a September 1, 2015 effective date should actively enroll during ERS’s summer enrollment period either online, through their benefits coordinator, or by calling ERS. For answers to frequently asked questions and more information about the KelseyCare powered by Community Health Choice plan, visit www.ERSKelseyCare.com or call local: (713) 295-6792, toll-free: (844) 515-4877, TTY/TDD: 7-1-1.
About Kelsey-Seybold Clinic
Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's famous Texas Medical Center. More than 420 physicians and allied health professionals practice at 20 locations and an accredited Sleep Center in the Greater Houston area. Medical services offered by Kelsey-Seybold include medical care in 55 medical specialties, including primary care and specialty care, outpatient surgery centers, an accredited Sleep Center, laboratory services, advanced radiology services and other diagnostic services, 15 onsite Kelsey pharmacies and a secure web portal for patients to communicate with their Kelsey-Seybold doctors, get test results and schedule appointments. Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold holds the honor for the most physicians in Houston certified for excellence in diabetes, heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center.
About Community Health Choice
Community Health Choice is a non-profit health maintenance organization licensed by the Texas Department of Insurance. Through its network of more than 8,000 doctors and 70 hospitals, Community Health Choice serves nearly 300,000 members in 20 counties, including a commercial health plan in the federal Health Insurance Marketplace. Join Community online via Facebook,Twitter, and YouTube.