When you join KelseyCare Advantage, you can see any Kelsey-Seybold Clinic physician without a referral or prior authorization. If you have been going to a Kelsey-Seybold Clinic physician, you are not required to continue going to that physician, even if that physician is your Primary Care Physician. You may simply schedule an appointment with any Kelsey-Seybold Clinic physician of your choice. A referral is not required to see a Kelsey-Seybold Specialist.
When Kelsey-Seybold Clinic does not have the specialist you need at any of their locations, you can be referred to a specialist who has been selected by Kelsey-Seybold physicians. Your Kelsey-Seybold physician will submit a request to KelseyCare Advantage for a referral to a non-Kelsey-Seybold provider. Both you, and the specialist to whom you are referred, will receive written confirmation if the service is approved. All services provided by Affiliate Contract Providers require a referral or prior authorization from KelseyCare Advantage.
Confidential mental health/ substance abuse treatment is provided through United Behavioral Health. All mental health or chemical dependency treatment must be authorized by United Behavioral Health prior to services being rendered. You may call United Behavioral Health at 1-800-817-4808.