1
Translation of Decision Assistance Booklet
ENGLISH TRADITIONAL CHINESE
QExA HAWAI’I
QUEST Expanded Access for Healthy
Long-Term Living
夏威夷 QExA 計畫
QUEST 擴大接觸可過健康長壽的生活
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.
歡迎加入 QUEST 擴大接觸 (QExA) ,
這是一個為 65 歲及以上的長者,以及
各年齡層的殘障人士所設計的新的
Medicaid (醫療補助)計畫。 從 2009
年 2 月 1 日開始,參與者將會開始經由
他們的 QExA 醫療保健計畫取得
Medicaid (醫療補助)服務。
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.
如果您符合QExA的參加資格,您就必
需選擇最符合您需求的醫療保健計畫。
如果您不儘快選擇一個醫療保健計畫,
人民服務部將為您選擇。
START NOW!
Open this booklet and take an
important step toward healthy long-
term living
現在就開始﹗
打開這本手冊,踏上健康長壽生活的重
要步驟。
Questions: 如有任何問題:
Call the toll-free Helpline at 1-866-928- 請撥打免費諮詢專線 1-866-928-1959
2
1959
Open 8 a.m. to 5 p.m. Monday through
Friday
TTY line toll-free 1-866-928-1958
服務時間為星期一至星期五上午 8 點至
下午 5 點。
聾啞人士,請撥打免費 TTY 電話 1-
866-928-1958
�Visit us on the Internet at
www.qexa.org �我們的網址是 www.qexa.org
Table of Contents: 目錄:
Step 1: Learn About Your Choices
Page 3
步驟一: 瞭解您可以選擇的計畫
第 3 頁
Step 2: Choose a Health Plan
Page 4
步驟二: 選擇一個醫療保健計畫
第 4 頁
Step 3: Sign Up with a Health Plan
Page 5
步驟三: 登記您所選擇的醫療保健計畫
第 5 頁
Health Plan Information
Pages 6-9
醫療保健計畫資訊
第 6-9 頁
Covered Services
Pages 10-11
涵蓋的服務
第 10-11 頁
Questions and Answers
Pages 12-15
問與答
第 12-15 頁
What Happens Next?
Back cover
接下來呢?
封底
This booklet is available in:
• Braille
• Audiotape
這本手冊有以下不同版本:
• 盲人點字
• 錄音帶
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• Large print
• Chinese
• Ilocano
• Korean
• Tagalog
• 大字印刷
• 中文
• 伊洛果語
• 韓文
• 塔加格語
Call the toll-free Helpline at 1-866-928-
1959 to get a copy sent to you.
撥打免費諮詢專線 1-866-928-1959 索
取您需要的版本。
Step 1: Learn About Your Choices 步驟一: 瞭解您可以選擇的計畫
It’s easy to learn about QExA and your
health plan choices. To find out more,
you can:
欲得知更詳盡的 QExA 相關資訊和您可
以選擇的醫療保健計畫非常簡單,您可
以:
Call the toll-free Helpline at 1-866-928-
1959 and speak with an Enrollment
Counselor. We are here to answer your
questions and help you choose your
health plan.
撥打免費諮詢專線 1-866-928-1959,
向登記顧問諮詢。 我們可以回答您的問
題並且幫助您選擇適合您的醫療保健計
畫。
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.
參加在您居住的地區舉辦的 QExA 會
議。 登記顧問會針對 QExA 和您的醫療
保健選擇提供資訊。 您的所有問題都可
以得到解答,並且選擇出適合您的醫療
保健計畫。 請撥打免費諮詢專線
1-866-928-1959 取得最接近您居住地
區的會議地點。
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Meet face-to-face with an Enrollment
Counselor. To schedule an
appointment, call us toll-free at 1-866-
928-1959.
面對面和登記顧問諮詢。 請撥打免費
諮詢專線 1-866-928-1959 預約。
Step 2: Choose a Health Plan 步驟二: 選擇一個醫療保健計畫
With QExA, you will receive your
medical services through a health plan.
This means you use the doctors,
hospitals, pharmacies and care
facilities that work with your health
plan.
參與了 QExA 後,您會經由您的醫療保
健計畫取得醫療服務。 也就是到有參加
您選擇的醫療保健計畫的醫生,醫院,
藥局,和醫療保健機構看診。
You will choose a doctor, called a
Primary Care Provider (PCP), who will
make sure your healthcare needs are
met. If you don’t have a doctor, your
health plan will help you find one.
您可以選擇一位家庭醫生(PCP), 照顧
您的醫療保健需求。 如果您目前還沒有
家庭醫生,您的醫療保健計畫會指定一
個家庭醫生給您。
Time is limited – you need to choose a
health plan SOON!
時間有限─您必需儘快選擇一個醫療保
健計畫!
Some questions to ask before you
choose a health plan:
在選擇醫療保健計畫前 ,請先自問以下
問題:
Do you have doctors you want to
continue to see? 您有沒有想繼續看的醫生?
Do you have a hospital, care facility or
pharmacy you want to use?
您有沒有想要使用的醫院,醫療保健機
構或是藥局?
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Call us toll-free at 1-866-928-1959 to
find out which health plans they work
with.
請撥打免付費諮詢專線 1-866-928-1959
以瞭解他們是和哪個醫療保健計畫合
作。
Look at your choices and find the
health plan that: 找出一個醫療保健計畫,可以使您:
Lets you stay with the providers you
use now
繼續留在現在的醫療保健提供者處看
診。
Offers the services that best meet your
needs. 提供給您最符合您需求的服務。
There are two QExA health plans:
Evercare and `Ohana Health Plan.
Both health plans are available on the
Big Island, Kauai, Maui and Oahu (see
chart below). Only `Ohana Health Plan
is available on Lanai and Molokai.
有兩個 QExA 醫療保健計畫: Evercare
和 ‘Ohana 醫療保健計畫。 在 Big
Island,Kauai,Maui,和 Oahu 共提供
兩個醫療保健計畫(見下
)。 ‘Ohana
醫療保健計畫是 Lanai 和 Molokai 居民
的唯一選擇。
Step 3: Sign Up with a Health Plan 步驟三: 登記您所選擇的醫療保健計畫
There are three ways to sign up with
the health plan you choose:
您有 3 種方法可以加入您所選擇的醫療
保健計畫:
Call the toll-free Helpline at 1-866-928-
1959 and speak with an Enrollment
Counselor. We are ready for your call
and want to help you choose the health
plan that is right for you. TTY users call
撥打免付費諮詢專線 1-866-928-
1959,向登記顧問諮詢。 期待您的來
電,並已準備好幫助您選擇一個適合您
的醫療保健計畫。 聾啞人士,請撥打免
付費 TTY 電話 1-866-928-1958
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toll-free 1-866-928-1958.
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.
Or fax it toll-free to 1-866-535-7620.
寄送本手冊中所提供的 QExA 選擇表格
回來給我們。
填寫完之後郵寄至: P.O. Box 135038,
Honolulu, HI 96801.
或傳真至免付費專線 1-866-535-7620。
Meet with an Enrollment Counselor to
help choose your health plan. Call us
toll-free at 1-866-928-1959 to find out
more.
面對面和登記顧問諮詢,幫助您選擇您
的醫療保健計畫。 欲知詳情,請撥打免
費諮詢專線 1-866-928-1959。
Evercare QExA Evercare QExA
Evercare QExA offers expert service
coordination Evercare QExA 提供專家式協調服務
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.
Evercare長久以來都照顧它的會員。 有
了Evercare QExA成為您的管理式醫療
計畫之後,您可以與一名當地的服務協
調員一起找出最符合您個人需求的醫療
保健計畫。 我們會協助您共同面對複雜
的醫療保健系統。 我們會與您的醫生和
家人共同協助您達成您的健康目標。
With Evercare QExA, you are at the
center of your healthcare
有了 Evercare QExA 之後,您就是您的
醫療保健計畫的重心。
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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.
我們希望您健康並且獨立。 依據您的服
務協調員為您找出的醫療保健計畫,您
可以使用以下服務,例如﹕成年人日間照
護,個人照護,生活協助,供餐和日用
品供應。 我們甚至能協助您做住屋的輕
微變動,使您能夠更輕鬆地在家活動。
We coordinate with Medicare 我們為您的 Medicare (聯邦醫療保險)做協調工作
If you have Medicare, we can help
coordinate your Medicare and Medicaid
benefits.
如果您有 Medicare (聯邦醫療保險),我
們可以幫助您協調 Medicare (聯邦醫療
保險)和 Medicaid (醫療補助)的醫療保
障。
Benefits to help you stay healthy: 幫助您保持健康的各種保障:
Referral to specialty care. 轉診至專科醫生。
Preventive healthcare. 預防性醫療服務。
Vaccines (such as flu or other illness). 注射疫苗(如流行感冒或其他疾病)。
Child immunization. 孩童疫苗施打。
Health education. 健康教育。
Programs on diabetes, weight control,
heart problems and more.
糖尿病,體重控制,心臟疾病以及其他
的項目等。
With Evercare QExA you also get: 有了Evercare QExA您也可以享有:
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X A primary doctor you choose from
Evercare’s many providers.
X Transportation to some medical
appointments.
X Care at home, depending on your
care plan.
X Drug coverage.
X Help with mental, drug, or alcohol
issues.
X Interpreter services.
X 24-hour hotline to call a nurse with
questions.
X 從Evercare的眾多醫療保健提供者中
選擇一個家庭醫生。
X 到某些醫療機構看診的交通工具。
X 依您的醫療保健計畫而定的居家照
謢。
X 藥物。
X 精神,藥物和酗酒問題的協助。
X 翻譯服務。
X 24小時護士熱線電話問問題。
What if I am already getting care from a
doctor?
如果我已經在某個醫生處開始治療了
呢?
Our goal is to give you a smooth
transition to Evercare. We want you to
keep getting good care from a provider
you like. Call 1-888-980-8728 (toll-free)
or for hearing impaired, 1-888-685-
8480 to see if your provider is in our
group of providers. Or for more
information, visit
our website at
我們的目標是使您能平順的移轉至
Evercare。 我們希望您能繼續從您想要
的醫療保健提供者處得到良好的照顧。
請撥打免付費電話 1-888-980-8728,或
是聾啞人士,撥打 1-888-685-8480 查
詢您的醫療提供者是不是我們的一群提
供者之一。 欲知詳情,請至我們的網站
查詢
What does Evercare QExA cost? Evercare QExA 的費用多少?
Evercare QExA is free! There is no cost
to enroll in Evercare QExA. There are
Evercare QExA 是完全免費的! 登記參
加Evercare QExA不需任何費用。 也沒
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no co-payments. 有其他使費。
How do I enroll in Evercare QExA?
To enroll, call the QExA Enrollment
Counselor.
我如何登記參與Evercare QExA呢?
要登記,請打電話至QExA登記顧問。
Why should I choose Evercare QExA? 我為什麼要選擇 Evercare QExA 呢?
X Local service coordination.
X Evercare’s long experience in
service coordination.
X Local customer service.
X Bringing together your Medicare and
Medicaid benefits.
X 有當地的協調服務
X Evercare 有多年的協調服務經驗。
X 有當地的客戶服務。
X 協調您的 Medicare (聯邦醫療保險)和
Medicaid (醫療補助)的醫療保障。
ALL ABOUT ‘OHANA ‘OHANA 的相關資訊
Why Choose Us? 為何要選擇我們?
Our people, services and beliefs are all
centered on caring for you and your
‘ohana (your family and support group)
in a way that best fits your needs. We
do this by:
我們的人員,服務和信念就是一心一意
以最符合您需求的方式照顧您和您的
‘ohana(你的家人和支援團)。 我們藉由
以下方式達成此目標:
X Understanding your healthcare
needs.
X Building you a custom healthcare
plan.
X Providing the services to help you
reach your goals.
X Ensuring you have access to care 24
X 瞭解您的醫療保健需求。
X 建立您專屬的醫療保健計畫。
X 提供幫助您達到目標的服務。
X 確保您能每週7天,每天24小時,都
能透過我們24小時的健康顧問專線取
得照護。
10
hours a day, 7 days a week through
our 24-hour Health Advisor line.
X Giving you the choice of quality
providers from the ‘Ohana provider
network.
X 給予您來自 ‘Ohana醫療提供者網路的
高品質醫療保健服務提供者。
If this sounds right for you and your
‘ohana, then come join ‘Ohana!
如果這聽起來是您和您的家人所要的,
就快來參與 ‘Ohana﹗
Come Join ‘Ohana... World-Class
HealthCare Right Here at Home!
快來參與 ‘Ohana‧‧‧ 世界級
醫療保健服務就在您身邊!
1-888-846-4262 (TTY/TDD : 1-877-
247-6272)
1-888-846-4262 (TTY/TDD : 1-877-
247-6272)
‘Ohana Health Plan, a plan offered by
WellCare Health Insurance of Arizona,
Inc.
‘Ohana 醫療保健計畫,是由阿里桑尼亞
的 WellCare Health Insurance of
Arizona, Inc. 所提供的計畫。
The ‘Ohana Service Coordinator ‘Ohana服務協調員
Your local, on-island ‘Ohana service
coordinator is a trained healthcare
professional and is your advocate
within the plan, in the community and
across the different healthcare
services. Your coordinator will help
explain the services that we offer and
help you access care when needed.
在您島上的地道‘Ohana 服務協調員是一
位受過訓練的醫療保健專業人士,同時
也是您的醫療計畫,社區中和不同醫療
保健服務的倡導者。 您的協調員會解釋
我們所提供的服務,並且幫助您取得您
需要的照顧。
Treating the Whole Person 全人治療
We understand that you and your 我們理解您和您的家人可能有醫療以外
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family may have more than medical
needs. Our service coordinators are
trained to create care plans that
address the needs of the whole person.
的需要。 我們的服務協調員受過專業訓
練,可以為您設計符合全人需求的計
畫。
Person and ‘Ohana-Centered Care 個人和家人為中心的照護
We understand that each member has
different needs. Your goals and
outcomes are the focus of the care
planning and management process.
我們理解每名成員有不同的需要。 您的
目標和成果是保健計畫和管理過程的重
要焦點。
Local People, Local Presence 當地人員,當地服務
When you call ‘Ohana Health Plan, you
will talk to an ‘Ohana employee right
here in Hawai‘i. When you attend an
‘Ohana event, you will meet with
‘Ohana associates who live and work in
your neighborhood.
當您打電話至 ‘Ohana醫療保健計畫時,
您將和位於夏威夷的 ‘Ohana員工交談。
當您參加 ‘Ohana 的活動時,您將與在
您社區附近居住及工作的 ‘Ohana 員工
見面。
HealthConnections HealthConnections 健康連系
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.
保持健康在生命的每個階段都很重要。
[健康連系]是幫助您全家開始保持健康的
生活型態的特別項目。 當您需要額外的
支援時,我們有幫助您與當地社區團體
連系的項目。
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QExA Covered Services QExA 所包括的服務
Medicaid services provided through
your QExA health plan include:
經由 QExA 醫療保健計畫取得的
Medicaid (醫療補助)服務包括:
X Hospital services (emergency,
inpatient and outpatient)
X Visits to your regular doctor (also
called your PCP), medical
specialists and other providers
X Lab tests and X-rays
X Prescription drugs
X Durable medical equipment and
medical supplies
X Home health services
X Hospice services
X Vision services
X Preventive care services
X Maternity and family planning
services
X Rehabilitation services
X Transportation services
X Urgent care services
X Service Coordinator through
health plan
X Personal Assistance Services –
Level I
X 醫院服務(急診,住院和門診服
務)
X 到您的醫生,也就是家庭醫生
(PCP) , 專科醫生,及其它醫療服
務提供者處看診。
X 實驗室測試和照 X 光
X 處方藥
X 耐用的醫療設備和器材
X 居家醫療服務
X 善終院服務
X 視力服務
X 預防性醫療服務
X 懷孕和家庭計畫服務
X 復健服務
X 運輸交通服務
X 緊急醫療服務
X 經由醫療保健計畫提供服務協調員
X 第一級個人照護服務
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Long-Term Care Services, including: 長期醫療照護服務,包括︰
X Home- and Community-Based
Services, such as adult day care,
assisted living and residential care
X Institutional Services, such as a
nursing home
X 居家和社區安置服務, 例如成年人
日間照護,生活協助,以及居家照
護
X 機構提供的照護服務,例如護理之
家
Behavioral Health Services, including: 行為醫療保健服務,包括︰
X Acute care for psychiatric illnesses
X Crisis services – 24 hours a day, 7
days a week
X Substance abuse treatment
X Psychiatric or psychological
evaluations
X 急性精神疾病的照護
X 危機處理服務 ─ 一周 7 天,一天
24 小時
X 藥物濫用治療
X 精神或心理評估
Medicaid services coordinated by
QExA include:
經由 QExA 協調的 Medicaid (醫療補助)
服務,包括︰
X Dental services
X School health services
X Zero to Three program from
Department of Health (DOH)
X DOH case management for clients
with developmental disabilities or
mental retardation
X DOH mental health services
X 牙科服務
X 學校醫療保健服務
X 美國衛生部的 0 到 3 歲計畫。
X 美國衛生部(DOH)為發展遲緩或智
障的參與者所提供的病例管理
X 美國衛生部(DOH) 精神醫療保健服
務
For more information about QExA 欲知 QExA 所包含的服務詳情,請撥打
14
covered services, call us toll-free at 1-
866-928-1959.
免付費諮詢專線 1-866-928-1959。
Q & A 問與答
What is QExA? 什麼是 QExA?
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.
QExA 是一個為 65 歲以上的長者,以及
各年齡層的殘障人士所設計的新的
Medicaid (醫療補助)項目,他們目前
是經由續次付款的醫療系統得到醫療服
務。 有了 QExA 之後,這些人士首次享
受完整並協調的醫療保健服務。 一群專
業的醫療保健人員,其中還包括服務協
調員會共同幫助 QexA 的參與者。
Starting February 1, 2009, clients will
receive medical treatment through the
QExA health plan of their choice.
從 2009 年 2 月 1 日開始,參與者將開
始經由 QExA 醫療保健計畫取得醫療服
務。
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.
參與者將選擇一位家庭醫生(PCP), 照
顧他們的醫療保健需求。 當他們生病或
者需要健康檢查時,可以至家庭醫生
(PCP) 處看診。 當他們需要一位專科醫
師或是其他的醫療服務時,他們的 PCP
可以協助安排。
All QExA members will have a Service 每個 QExA 的成員經由他們的醫療保健
15
Coordinator through their health plan.
Service Coordinators make sure the
health needs of clients are met.
計畫將能得到一個服務協調員。 服務協
調員能確保參與者的醫療保健需求得到
滿足。
For a list of QExA covered services,
see pages 10-11.
欲得知QExA 所包含的所有服務清單,
請參閱第10-11頁。
Is everyone in QExA? 每個人都可參與 QExA 嗎?
QExA is designed for seniors, 65 and
older, and people of all ages with
disabilities who receive Medicaid.
QExA 是為目前已參與 Medicaid (醫療
補助)項目的 65 歲及以上的長者,以
及各年齡層的殘障人士所設計的。
Participants in the State of Hawaii
Organ and Tissue Transplant (SHOTT)
program and Maui PACE are not
eligible for QExA.
威夷州器官和組織移植計畫(SHOTT)以
及 Maui PACE 的參與者都不符合參與
QExA 的資格。
For more information about QExA
eligibility, call us toll-free at 1-866-928-
1959.
欲知 QExA 的參加資格,請撥打免費諮
詢專線 1-866-928-1959。
What doctors can I see? 我能看哪些醫生呢?
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:
您需要選擇一個參與您的 QExA 醫療保
健計畫的家庭醫生 (PCP) 。 這位醫生將
為您協調醫療保健服務,並確保您可以
取得專科醫療服務和其他服務。 查詢哪
些醫生參與了 QExA 醫療保健計畫非常
容易。 您可以︰
16
X Ask your doctor and other
providers which health plans they
work with.
X Call the toll-free Helpline at 1-866-
928-1959 and ask an Enrollment
Counselor.
X 詢問您的醫生和其他醫療提供者他
們所合作的醫療保健計畫名稱。
X 撥打免費諮詢專線 1-866-928-
1959 詢問登記顧問。
How do I find out which health plan my
doctor is in?
要如何查詢我的醫生與哪個醫療保健計
畫合作?
X You can call us. The toll-free number
is 1-866-928-1959.
X You can use a computer. Both health
plans have a website. It has a list of
doctor for each QExA health plan.
X 您可以打電話給我們。 免費諮詢專線
是 1-866-928-1959。
X 也可以使用電腦上網。 兩個醫療保健
計畫都有網站。 各個QexA醫療保健
計畫都有各自的醫生清單。
One website is 一個計畫的網址是
The other website is 另一個計畫的網址是
What are my health plan choices? 我可以選擇的醫療保健計畫有哪些?
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.
共有兩個經由QExA提供Medicaid (醫
療補助)服務的醫療保健計畫:
Evercare 和 ‘Ohana 醫療保健計畫。
欲瞭解更多有關各個計畫的資訊,請參
閱第6-9 頁。 欲瞭解包含的服務清單,
請參閱第10-11 頁。
If you live on Lanai or Molokai, you will
receive QExA services through `Ohana
Health Plan. See pages 8-9 for more
‘Ohana 醫療保健計畫是Lanai和
Molokai 居民的唯一選擇。 欲瞭解更多
有關 ‘Ohana醫療保健計畫的資訊,請參
17
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.
閱第8-9 頁。 請撥打免費諮詢專線 1-
866-928-1959以得知更多有關Lanai和
Molokai居民在QExA計畫中可取得的醫
生和醫療機構。
What happens if I don’t choose a
health plan?
如果我不選擇任何一個醫療保健計畫,
會發生什麼事?
If you do not choose a health plan
between October 1 and December 1,
2008, DHS will choose one for you.
如果您未在 2008 年 10 月 1 日至 2008
年 12 月 1 日間選擇一個醫療保健計
畫,人民服務部將為您選擇一個醫療保
健計畫。
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 find the health plan that is right for
you.
現在就撥打免費諮詢專線 1-866-928-
1959 瞭解詳情。 登記顧問會回答您的
問題,並且幫助您選擇適合您的醫療保
健計畫。
Can I change health plans? 我能改變醫療保健計畫嗎?
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:
是的,您有90天的期間可以改變醫療保
健計畫,不管原因為何。 在90天的寬限
期結束之後,只有在以下的狀況下您才
能更改醫療保健計畫︰
X If you have good cause (DHS
makes the decision).
X Once a year during QExA’s annual
X 如果人民服務部認為您要更改的理
由很合理。
X 在 QExA 每年公開的登記期間更改
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open enrollment period (we’ll send
you information before it starts).
(我們會在該期間開始前寄送資訊給
您)。
What Happens Next? 接下來呢?
After you choose your health plan, we
will send you a letter with the:
在您選擇了醫療保健計畫後,我們會寄
一封包含以下資訊的信給您:
X Name of your health plan.
X Health plan’s Member Services
phone number.
X Date your membership in the health
plan starts.
X 您選擇的醫療保健計畫的名稱。
X 您的醫療保健計畫的會員服務專線。
X 您的醫療保健計畫的會員生效日期。
Your health plan will send you a: 您的醫療保健計畫會寄送給您:
X Member Handbook that has
important information on how to
access care and more.
X Membership Card.
X 會員手冊,其中有如何取得照護的更
多相關重要資訊。
X 會員卡。
Remember …
If you have any questions, help is just a
phone call away.
切記‧‧‧
只要一通電話,您的任何問題就能得到
解答。