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    Archived pages: 9 . Archive date: 2013-12.

  • Title: Medquest QEXA - Welcome Page
    Descriptive info: .. Home.. How it Works.. Questions & Answers.. Outreach.. Enrollment Materials.. Resources.. QExA Helpline.. Toll-Free.. 1-866-928-1959.. TTY Line Toll-Free.. 1-866-928-1958.. An Enrollment Counselor is ready for your call.. Open.. 8 a.. m.. to 5 p.. Mon.. – Fri.. PARA SA KARAGDAGANG TANONG SA TAGALOG, TAWAGAN PO LamANG ANG LIBRENG LINYANG PWEDENG TUMULONG SA INYO DITO SA 1-866-928-1959.. PARA DAGITI KAYAT TAYO A DamAGEN TI ILOCANO, AWAGAN LAENG DAYTOY LIBRE A LINYA NGA MABALIN A MAKATULONG KADATAYO IDIAY 1-866-928-1959.. 자세한 한국어 안내를 원하시면 수신자 부담 무료 안내전화 Helpline(1-866-928-1959번)으로 전화주시기 바랍니다.. 若需详细中文资料,请使用免费电话1-866-928-1959 寻求协助。.. Welcome to QExA HAWAI‘I.. QUEST Expanded Access (QExA) is the Medicaid program for seniors, 65 and older,  ...   with:.. A better way to get care that includes choosing a doctor who takes care of them and makes sure clients get the care they need.. Improved access to quality healthcare.. Expanded services designed to fit the clients' needs.. QExA clients receive Medicaid healthcare services through a health plan.. Use the links below to find out more:.. Read about QExA and how to choose your health plan.. Review the QExA Questions & Answers.. Download QExA Materials.. Find other Helpful Resources.. Use the links below to find out more about the QExA health plans:.. United Healthcare Community.. ‘Ohana Health Plan.. QUESTIONS, need help, call the Helpline: 1-866-928-1959.. |.. Copyright 2008..

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  • Title: Medquest QEXA - How it Works
    Descriptive info: QExA: How it Works.. QExA was created by the Department of Human Services.. It is a Medicaid managed care program.. This means Medicaid healthcare services will be provided to clients through their health plan, not Medicaid fee-for-service.. QExA clients choose their QExA health plan.. They will no longer use Medicaid fee-for-service for their covered services.. Clients use the doctors, hospitals, care facilities and pharmacies that are in the health plan they choose.. QExA health plans cover all regular Medicaid services.. For more information on services, click here:.. Will my healthcare services stay the same?.. Plus clients have some additional services, including:.. A doctor called a PCP (primary care provider) who is responsible for their care.. Long-Term Care (LTC) Services.. Regular check-ups to stay healthy.. A way to get healthcare 24 hours a day, 7 days a week through their health plan.. A Service Coordinator to work with them to make sure their health needs are met.. START now and take the first step toward healthy long-term living.. Step 1: Learn about your choices.. Step 2: Choose your health plan.. Step 3: Sign-up with your health plan choice.. It’s easy to learn about QExA and your health plan choices.. To find out more you can:.. CALL.. us toll-free at 1-866-928-1959 and talk with an  ...   you choose a health plan.. Do you have doctors you want to continue to see?.. Do you have a hospital, care facility or pharmacy you want to use?.. Look at your health plan choices and find the one that:.. Lets you stay with the doctors you use now.. Provides the services you need.. There are two QExA health plans: United Healthcare Community and ‘Ohana Health Plan.. Beginning January 1, 2013, Med-QUEST clients can choose between the two QExA health plans.. Regardless of where you live, you can choose either health plan.. ISLAND.. Hawaii (Big Island).. Kauai.. Lanai.. Maui.. Molokai.. Oahu.. x.. Use the links below to find out more about the QExA health plans.. :.. Step 3: Sign up with your health plan choice.. QExA clients cannot choose their health plan through the Internet.. There are 2 ways clients can sign up with the health plan they choose.. the Helpline Toll-Free at 1-866-928-1959 and talk with an Enrollment Counselor.. We are ready for your call and want to help you choose your health plan.. SEND.. in the QExA CHOICE Form.. Fill it out and mail it to us at: PO Box 135038, Honolulu, HI 96801.. Or fax it toll-free to 1-866-535-7620.. Click here to download a copy of the CHOICE form:.. QExA CHOICE form..

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  • Title: Medquest QEXA - Questions & Answers
    Descriptive info: QExA Questions & Answers.. Our goal is make sure you get answers to all your questions about QExA, your health plan choices, and more.. Start by taking a look at these QExA Questions & Answers.. Remember, you can find out more by calling us.. Help is available in many languages at no charge.. We’re waiting for your call.. QExA Helpline Toll-Free : 1-866-928-1959.. Open 8 a.. m to 5 p.. Monday – Friday.. TTY Line Toll-free for hearing impaired users: 1-866-928-1958.. What is QUEST Expanded Access (QExA)?.. Who is eligible for QExA?.. What is QExA managed care?.. Where can I find out more about QExA?.. Do I have to choose a QExA health plan?.. How do I sign-up with the health plan I choose?.. Can I still see my doctor?.. How do I find out which health plan my doctor is in?.. What healthcare services are covered under QExA?.. Can I get home care services?.. Which health plans are in QExA?.. Does each health plan offer the same services?.. Can I change health plans?.. What is a PCP?.. I don’t have a doctor to be my PCP.. How do I choose one?.. Can I change my PCP?.. If I have an emergency, can I still go to the emergency room (ER)?.. What is Open Enrollment?.. What is a Service Coordinator?.. I have Medicare coverage.. Do I have to choose a health plan?.. What happens if I don’t choose a health plan?.. What can I do if I have a problem with my PCP or my health plan?.. QExA is the Medicaid program for seniors, 65 and older, and people of all ages with disabilities.. Everyone in QExA will get their Medicaid healthcare services through a health plan.. QExA clients choose the health plan they want to use.. Most Medicaid clients who are seniors, 65 and older, and people of all ages with disabilities are in the QExA program.. To find out more, call the toll-free Helpline at 1-866-928-1959.. QExA managed care gives clients improved access to quality healthcare.. Clients choose the health plan they want to use.. They get their healthcare services through their health plan.. Health plan members use the doctors, hospitals, clinics and pharmacies that are in their health plan.. QExA managed care covers all regular Medicaid services plus some additional services including:.. A primary care provider (PCP) they choose who is responsible for their care.. Long Term Care (LTC) Services.. Regular check-ups and health assessments to keep members well.. When QExA members need to see a medical specialist, their PCP helps and sends them to another provider in their health plan.. Access to healthcare 24 hours a day, 7 days a week through their health plan.. A Service Coordinator to work with members to make sure their health needs are met.. It’s easy to learn about QExA and the participating health plans.. Call.. We are here to answer your questions and help you choose a health plan.. There is no charge to call the Helpline Toll-Free, 1-866-928-1959, or meet with an Enrollment Counselor.. If you do not speak English, you can still call this number.. We have interpreters for you.. If you are deaf, call the toll-free TTY Line Toll-Free, 1-866-928-1958.. Yes.. Medicaid clients who are seniors, 65 and older, and people of all ages with disabilities need to choose a health plan for their healthcare services.. QExA managed care is designed to bring you:.. Improved access to care.. Coordination of your healthcare services.. Enhanced quality of care.. Outreach and education.. There are three ways to sign-up with your health plan.. You can:.. We are ready for your call and want to help you choose the best health plan for your needs.. Send.. in the QExA CHOICE Form (Click here to download a copy of the CHOICE form:.. ) Fill it out and send it to us at: PO Box 135038, Honolulu, HI 96801.. Or fax it toll-free to 1-866-928-7620.. with an Enrollment Counselor to choose your health plan.. Call us toll-free at 1-866-928-1959 to schedule an appointment.. If your doctor works with  ...   for QExA and will not enroll in a health plan.. For more information about QExA covered services, call us toll-free at 1-866-928-1959.. Most QExA clients will receive home care services through their health plan.. If you are in the DD waiver, then you receive your waiver services through the Department of Health.. Call the toll-free Helpline at 1-866-928-1959 to find out more.. If you are in one of the other waiver programs*, then special rules apply.. * Waiver programs include: NHWW, RACCP, MFCCP and HCCP.. There are two health plans in QExA: United Healthcare Community and ‘Ohana Health Plan.. Most members in QExA can choose either plan.. The plans you can choose depends on where you live, see the chart below:.. QExA health plans must provide all of the Medicaid covered healthcare services.. The providers that work with each health plan may be different.. Plus, each health plan may offer some extra benefits.. Call the Helpline Toll-Free at 1-866-928-1959 to find out more.. You can change health plans if you make the change within the first 90 days of your enrollment in the health plan.. After the 90-day period ends you can only change health plans:.. if you have good cause as determined by the Department of Human Services.. during QExA’s annual open enrollment period.. Your regular doctor is also called a PCP (Primary Care Provider).. Your PCP takes care of your healthcare needs.. You need to choose a PCP who works with your health plan.. When you need to see a specialist or use other medical service, your PCP helps you get that care.. Your current doctor may be able to be your PCP.. Call an Enrollment Counselor at the Helpline Toll-Free at 1-866-928-1959 to find out more.. Your health plan will help you find a PCP.. Once you are a health plan member, you have 15 days to choose a PCP.. Call your health plan as soon as you get your health plan confirmation notice from the Department of Human Services.. You can choose a new PCP anytime.. Call your health plan; they will help you find a new PCP.. If I have an emergency, can I still go to the emergency room?.. If you have an emergency go to the nearest emergency room (ER) or call 911.. You should only go to the ER if you are having an emergency.. If you are sick and need to see a doctor, your new health plan can help you.. You do not have to go to the ER.. You can call your new plan to get this help.. Once a year during Open Enrollment everyone in QExA can review their health plan options.. If they want to choose a new QExA health plan, they can choose one at that time.. We will send you information about your choices and what to do before the Open Enrollment period.. Everyone in QExA has a Service Coordinator through their health plan.. Your Service Coordinator helps you:.. Get better access to healthcare services and providers.. Take a more active role in your care.. Understand and use your QExA benefits.. Once a year your Service Coordinator will do a Health and Functional Assessment for you.. If you want a different Service Coordinator, call your health plan.. Your QExA health plan may provide some services that Medicare does not, such as prescription drugs and an annual physical exam.. Your Medicare benefits do not change.. If you do not choose a health plan, the Department of Human Services will choose one for you.. Don’t wait; call the toll-free Helpline at 1-866-928-1959 to find out more about your choices.. An Enrollment Counselor is ready to answer your questions and help you choose your health plan over the phone.. Call your health plan for assistance.. Each health plan must follow an approved complaint process.. This process is described in your health plan’s Member Handbook which will be sent to you following your enrollment in the health plan.. If your health plan cannot assist you with your problem, you can receive assistance from the QExA Ombudsman..

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  • Title: Medquest QEXA - Outreach
    Descriptive info: Community Outreach.. QExA Enrollment Counselors provide education and enrollment assistance to QExA members throughout the State of Hawaii.. In addition, we meet with stakeholders and community-based organizations to invite their support and assistance in reaching all QExA members.. For more information call the QExA Helpline Toll-Free at 1-866-928-1959.. Stakeholder Presentation.. Reference Cards.. What is QExA?.. If you need to get Adobe Acrobat Reader to view PDF documents, click the Adobe icon..

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  • Title: Medquest QEXA - Enrollment
    Descriptive info: QExA Enrollment Materials.. All QExA enrollment materials are available in:.. English.. *.. Chinese.. Ilocano.. Korean.. Tagalog.. Text file links below.. The versions marked with a.. can be downloaded from this site.. All of the QExA enrollment materials on this website are also available in text files for people who use screen reader software.. Use the links below to download the QExA enrollment materials:.. English.. Decision Assistance Booklet.. QExA Questions and Answers.. Chinese.. Ilocano.. Korean.. Tagalog.. Text file links..

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  • Title: Medquest QEXA - Resources
    Descriptive info: State of Hawaii Department of Human Services - Med-Quest Division.. QExA Health Plans:.. State of Hawaii Department of Health - Developmental Disabilities Division:.. State of Hawaii Department of Human Services Memorandums:.. Transition from Medicaid Fee-For-Service(FFS) to QExA.. Computer System Error in SPAP.. Client Communications:.. Initial Assignment Notice.. Confirmation Notice.. Tip Sheet for Clients..

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  • Title: Medquest QEXA - Text file for Screen Reader - Decision Assistance Booklet
    Descriptive info: Decision Assistance Booklet Cover and page 1.. QExA HAWAI’I QUEST Expanded Access for Healthy Long-Term Living.. Welcome to QUEST Expanded Access (QExA), a new Medicaid program for seniors, 65 and older, and people of all ages with disabilities.. Starting on February 1, 2009, these clients will receive their Medicaid services through a QExA health plan.. If you are eligible for QExA, you need to choose a health plan that best meets your needs.. If you don’t choose a health plan SOON, the Department of Human Services (DHS) will choose one for you.. START NOW! Open this booklet and take an important step toward healthy long-term living.. Questions: Call the toll-free Helpline at 1-866-928-1959 Open 8 a.. Monday through Friday TTY line toll-free 1-866-928-1958 Visit us on the Internet at www.. qexa.. org.. Page 2.. Table of Contents:.. Step 1: Learn About Your Choices Page 3.. Step 2: Choose a Health Plan Page 4.. Step 3: Sign Up with a Health Plan Page 5.. Health Plan Information Pages 6-9.. Covered Services Pages 10-11.. Questions and Answers Pages 12-15.. What Happens Next? Back cover.. This booklet is available in:.. · Braille.. · Audiotape.. · Large print.. · Chinese.. · Ilocano.. · Korean.. · Tagalog.. Call the toll-free Helpline at 1-866-928-1959 to get a copy sent to you.. Page 3.. Step 1: Learn About Your Choices.. To find out more, you can:.. Call the toll-free Helpline at 1-866-928-1959 and speak with an Enrollment Counselor.. Attend a QExA meeting in your area.. Enrollment Counselors will provide information on QExA and your health plan choices.. You can get all your questions answered and choose your health plan, too.. Call us toll-free at 1-866-928-1959 to find a meeting near you.. Meet face-to-face with an Enrollment Counselor.. To schedule an appointment, call us toll-free at 1-866-928-1959.. Page 4.. Step 2: Choose a Health Plan.. With QExA, you will receive your medical services through a health plan.. You will choose a doctor, called a Primary Care Provider (PCP), who will make sure your healthcare needs are met.. Time is limited – you need to choose a health plan SOON!.. Some questions to ask before you choose a health plan:.. Call us toll-free at 1-866-928-1959 to find out which health plans they work with.. Look at your choices and find the health plan that:.. Lets you stay with the providers you use now.. Offers the services that best meet your needs.. There are two QExA health plans: Evercare and `Ohana Health Plan.. Both health plans are available on the Big Island, Kauai, Maui and Oahu.. Only `Ohana Health Plan is available on Lanai and Moloka‘i.. Page 5.. Step 3: Sign Up with a Health Plan.. There are three ways to sign up with the health plan you choose:.. We are ready for your call and want to help you choose the health plan that is right for you.. Send to us the QExA CHOICE Form provided with this booklet.. Fill it out and mail it to us at: P.. O.. Box 135038, Honolulu, HI 96801.. Meet with an Enrollment Counselor to help choose your health plan.. Call us toll-free at 1-866-928-1959 to find out more.. Page 6.. Evercare QExA.. Evercare QExA offers expert service coordination.. Evercare has been helping members get care for a long time.. With Evercare QExA as your managed care program, you will work with a local service coordinator to make a care plan to fit your specific needs.. We will help you with the complex healthcare system.. We will work with your doctors and family to help you meet your health goals.. With Evercare QExA, you are at the center of your healthcare.. We want you to stay healthy and independent.. Depending on your care plan, developed by your Service Coordinator, you may be eligible for services such as adult day care, personal help, assisted living, meals and supplies.. We can even help with minor home changes so you can get around more easily.. We coordinate with Medicare.. If you have Medicare, we can help coordinate your Medicare and Medicaid benefits.. Benefits to help you stay healthy:.. · Referral to specialty care.. · Preventive healthcare.. · Vaccines (such as flu or other illness).. · Child immunization.. · Health education.. · Programs on diabetes, weight control, heart problems and more.. Page 7.. With Evercare QExA you also get:.. · A primary doctor you choose from Evercare’s many providers.. · Transportation to some medical appointments.. · Care at home, depending on your care plan.. · Drug coverage.. · Help with mental, drug, or alcohol issues.. · Interpreter services.. · 24-hour hotline to call a nurse with questions.. What if I am already getting care from  ...   you will meet with ‘Ohana associates who live and work in your neighborhood.. HealthConnections.. Staying healthy is important at every stage in life.. HealthConnections are specific programs that help you and your family take steps to maintain a healthy lifestyle.. We have programs to help you connect with local community-based groups when you need additional support.. ‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.. Page 10.. QExA Covered Services.. Medicaid services provided through your QExA health plan include:.. Hospital services (emergency, inpatient and outpatient).. Visits to your regular doctor (also called your PCP), medical specialists and other providers.. Service Coordinator through health plan.. Long-Term Care Services, including:.. Home- and Community-Based Services, such as adult day care, assisted living and residential care.. Page 11.. Behavioral Health Services, including:.. Psychiatric or psychological evaluations.. Medicaid services coordinated by QExA include:.. Zero to Three program from Department of Health (DOH).. DOH case management for clients with developmental disabilities or mental retardation.. DOH mental health services.. Page 12.. Q and A.. QExA is a new Medicaid program for seniors, 65 and older, and people of all ages with disabilities who currently receive treatment through a Fee-For-Service system.. With QExA, these clients will benefit, for the first time, from comprehensive and coordinated care.. They will be assisted by a team of healthcare professionals, including Service Coordinators.. Starting February 1, 2009, clients will receive medical treatment through the QExA health plan of their choice.. Clients will choose a doctor, called a Primary Care Provider (PCP), who works with their health plan.. They will see this doctor for regular checkups or when they are sick.. When clients need a specialist or other medical services, the PCP arranges care.. All QExA members will have a Service Coordinator through their health plan.. Service Coordinators make sure the health needs of clients are met.. For a list of QExA covered services, see pages 10-11.. Page 13.. Is everyone in QExA?.. QExA is designed for seniors, 65 and older, and people of all ages with disabilities who receive Medicaid.. Participants in the State of Hawaii Organ and Tissue Transplant (SHOTT) program and Maui PACE are not eligible for QExA.. For more information about QExA eligibility, call us toll-free at 1-866-928-1959.. What doctors can I see?.. You need to choose a Primary Care Provider who participates in your QExA health plan.. That physician will coordinate your care and make sure you have access to medical specialists and other services.. It is easy to find out which doctors participate in the QExA health plans.. You can:.. Call the toll-free Helpline at 1-866-928-1959 and ask an Enrollment Counselor.. Q and A continued.. You can call us.. The toll-free number is 1-866-928-1959.. Both health plans have a website.. It has a list of doctor for each QExA health plan.. One website is www.. evercarehealthplans.. The other website is www.. com.. What are my health plan choices?.. There are two health plans that provide Medicaid services through QExA: Evercare and `Ohana Health Plan.. For more information on each plan, see pages 6-9.. For a list of covered services, see pages 10-11.. If you live on Lanai or Molokai, you will receive QExA services through `Ohana Health Plan.. See pages 8-9 for more information on `Ohana Health Plan.. Call the toll-free Helpline at 1-866-928-1959 to find out more about the doctors and facilities available to QExA clients on Lanai and Molokai.. Page 15.. If you do not choose a health plan between October 1 and December 1, 2008, DHS will choose one for you.. An Enrollment Counselor is ready to answer your questions and help find the health plan that is right for you.. Yes, you have 90-days to change health plan, for any reason.. After this 90-day grace period ends, you can only change health plans:.. If you have good cause (DHS makes the decision).. Once a year during QExA’s annual open enrollment period (we’ll send you information before it starts).. Back cover and page 16.. What Happens Next?.. After you choose your health plan, we will send you a letter with the:.. Name of your health plan.. Health plan’s Member Services phone number.. Date your membership in the health plan starts.. Your health plan will send you a:.. Member Handbook that has important information on how to access care and more.. Membership Card.. Remember ….. If you have any questions, help is just a phone call away.. Call the toll-free Helpline at 1-866-928-1959.. ,Monday through Friday.. TTY line toll-free 1-866-928-1958.. Visit us on the Internet at www.. org.. QExA HAWAI`I QUEST Expanded Access for Healthy Long-Term Living.. Sponsored by the State of Hawaii Department of Human Services Med-QUEST Division..

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  • Title: Medquest QEXA - Text file for Screen Reader - Choice Form
    Descriptive info: QExA Choice Form.. QExA HAWAI`I CHOICE Form.. QExA HAWAI`I PO Box 135038 Honolulu, HI 96801.. If you want to send in your health plan choice, please fill out this form and mail it to us at the address shown above.. You can also fax it toll-free to 1-866-535-7620.. Or, if you want, you can choose a health plan over the phone, call the toll-free Helpline at 1-866-928-1959.. PLEASE PRINT.. Client Last Name.. First Name.. Middle Initial.. Date of Birth.. Address.. Apt.. No.. City.. State.. Zip Code..  ...   choice): Evercare `Ohana Health Plan.. My 2nd choice for my QExA health plan is (circle your 2nd choice): Evercare `Ohana Health Plan.. Name of Doctor (Primary Care Provider).. Client Signature.. Date signed.. Questions … call toll-free 1-866-928-1959 (TTY toll-free 1-866-928-1958) to talk with an Enrollment Counselor.. If form is completed by Legal Representative:.. I (write in First & Last Name) am the Legal Representative and made the above health plan choice for (write in First & Last Name of client).. Sign here (Legal Representative).. Daytime Telephone Number..

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  • Title: Medquest QEXA - Text file for Screen Reader - QEXA Questions and Answers
    Descriptive info: QExA Hawai‘i.. QUEST Expanded Access for Healthy Long-Term Living.. Q & A.. Visit us on the Internet at: www.. QExA is a new Medicaid program for seniors, 65 and older, and people of all ages with disabilities.. Starting February 1, 2009 everyone in QExA will get their Medicaid healthcare services through a health plan.. QExA members pick the health plan they want to use.. Most Medicaid clients who are seniors, 65, and older, and people of all ages with disabilities are in the QExA program.. To find out more, call the toll-free Helpline at 1- 866-928-1959.. QExA managed care gives members improved access to quality healthcare.. Members pick the health plan they want to use.. Members use the doctors, hospitals, clinics and pharmacies that are in their health plan.. QExA managed care covers all regular Medicaid services plus some additional services, including:.. ·.. To find out more you can:.. Call us toll-free at 1-866-928-1959 and talk with an Enrollment Counselor.. Enrollment Counselors provide information on QExA and your choices.. Call us at toll-free at 1-866-928-1959 to find a meeting near you.. There is no charge to call the Helpline, 1-866-928-1959, or meet with an Enrollment Counselor.. If you are deaf, call the toll-free TTY line, 1-866-928-1958.. Medicaid clients who are seniors, 65, and older, and people of all ages with disabilities need to choose a health plan for their healthcare services.. QExA managed care is designed to bring you: ·.. >.. How do I sign-up with the health plan I choose?.. Call the toll-free Helpline at 1-866-928-1959 and talk with an Enrollment Counselor.. Send in the QExA CHOICE Form (Click here to download a copy of the CHOICE form: QExA CHOICE form) Fill it out and send it to us at: PO Box 135038, Honolulu, HI 96801.. You can also go to our website, www.. org, to download and print a CHOICE form – it is under Enrollment Materials.. Meet with an Enrollment Counselor to choose your health plan.. It is easy to find out which health plan your doctor works with, you can: ·.. You continue to receive the same Medicaid healthcare services.. The only difference is now you get those services  ...   of Health · DD/MR (Developmentally Disabled/Mentally Retarded) waiver clients use their QExA health plan for acute and primary care services ONLY.. · Behavioral health services for enrollees with serious mental illness (SMI) or children with serious emotional disturbances (SED).. Participants in the State of Hawaii Organ and Tissue Transplant Program (SHOTT) and Maui PACE are NOT eligible for QExA and will not enroll in a health plan.. Can I still get home care services?.. Most QExA members will receive home care services through their health plan.. If you are in the DD/MR waiver, then you will continue to receive your waiver services through the Department of Health.. There are two health plans in QExA: EverCare and `Ohana Health Plan.. The plan you can choose depends on where you live.. On Hawai‘i (the Big Island), Kaua‘i, Maui and O‘ahu, you choose either Evercare or ‘Ohana Health Plan.. On Lāna‘i and Moloka‘i, ‘Ohana Health Plan is your only health plan choice.. After the 90-day period ends, you can only change health plans:.. 1.. If you have good cause as determined by the Department of Human Services.. 2.. During QExA’s annual open enrollment period.. Call an Enrollment Counselor at the toll-free Helpline at 1-866-928-1959 to find out more.. If I have an emergency, can I still go to the emergency room ?.. Starting February 1, 2009 you can call your new plan to get this help.. If they want to pick a new QExA health plan, they can choose one at that time.. We will send you information about your choices and what to do 60 days before the Open Enrollment period.. Your Service Coordinator helps you: ·.. Your QExA health plan may provide some services that Medicare does not such as prescription drugs and an annual physical exam.. If you do not pick a health plan, the Department of Human Services will choose one for you.. This process is described in your health plan’s Member Handbook, which will be sent to you following your enrollment in the health plan.. If your health plan cannot assist you with your problem, you can receive assistance from the QExA Ombudsman*.. * QExA Ombudsman services available beginning February 1, 2009..

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