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QExA Information 1'ip Sheet
'~ ` WHAT TO DO BEGINNING FEBRUARY 1, 2009
Beginning February 1, 2009, if you have a question about your health insurance, call your health
plan. Keep all your scheduled appointments. If you have any problems, use the numbers on the
back of this page to get help.
t~~' GETTING CARE BEFORE YOU RECEIVE YOUR HEALTH.PLAN'MEMBER CARD
The confirmation notice lets you know the QExA health plan you are enrolled in. Take this notice to
your doctor or other service provider. This notice will let them know your health plan before you get
your member ID card.
`° PRIMARY CARE PROVIDERS (PCP)
The health plans will send you health plan information. The health plan will ask you to choose a
PCP when they send you a Welcome Packet. Your PCP is the doctor you see for your regular
check-ups. You will have fifteen days to let the health plan know who your doctor is. If you do not
let the health plan know, they will assign a PCP for you. If the PCP is not your regular doctor, let
your health plan know. Also, you can always change your PCP. You can do it as often as you like.
Just let your health plan know.
`~-~'~ IF YOUR DOCTOR OR OTHER SERVICE PROVIDER IS NOT IN YOUR.HEALTH PLAN
If your doctor or other service provider has not signed up with your health~plan, you can still see
them for the first six months of the QExA program. When you meet with your service coordinator for
your Health and Functional Assessment, please tell them if you have any providers that have not
signed up with your QExA health plan. They will work with you to get the care you need.
°~.
"' MEDICARE AND QExA
Both of the QExA health plans also have Medicare insurance programs. You can join their Medicare
insurance program. You do not need to join their insurance program. You can remain with
traditional Medicare or the Medicare insurance program that you currently use.
""'"' IF YOU WANT TO CHANGE YOUR HEALTH PLAN
Call the QExA Enrollment Choice Counselor at 1-866-928-1959 (TTY 1-866-928-1958) if you want to
change your health plan. When you call to make your change, it will be effective the first day of the
next month. For example, if you call to make a change on February 16, 2009, it will be effective on
March 1, 2009. You have 90-days (February 2 through April 30, 2009) to call and change your
health plan.
Comm. No ~ 3~• ~
If you need general QExA information, visit www.gexa.org. Ref. To: S4CD
Ref. Date FEB 1_____ $ Z~
QExA HAWAI'1
"Ij Call your health plan
Call your health plan if there is a problem with a service coordinator. Call if there is a problem with
your doctor or other service provider. Call if you have a problem getting access to; health care. If
you do not agree with the services you are getting, or other items like this, calPyouF QExA health
plan. - - _
1-888-980-8728
711
'www.EvercareHealthPlans.com/HI QEzA
1-888-846-4262
1-877-247-6272
www.ohanahealthplan.com
Call the QExA Ombudsman or Med-QUEST Division's.Customer Service Branch
au have a problem with.your health.plan, call the QExA Ombudsman. The QExAlOmbudsman
fists you in working with your health plan and provider to get the care you feel you need.
~ can also call if you do not agree with what the health plan is telling you. You can also call
Med-QUEST Division's Customer Service to aet help with these oroblems.
447-1749
270-1536
660-0063
791-3467
http://hilopaa.org/gexa.aspx
524-3370
692-7182
1-800-316-8005
1-800-603-1201
Call the QExA Enrollment Choice Counselor if you want to c
1-866-928-1959
1-866-928-1'.358
If you need general QExA information, visit www.geza.org.
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