Qualexa Healthcare

Qualexa Healthcare Qualexa provides focus-driven, strategy management services and contributes to the future of quality Healthcare Administration and Credentialing.

At Qualexa Healthcare TPA, we know that behind every claim is a person - not just a number.That’s why we go beyond claim...
08/06/2025

At Qualexa Healthcare TPA, we know that behind every claim is a person - not just a number.

That’s why we go beyond claim processing. We listen, communicate, and provide personalized, affordable healthcare solutions that truly make a difference.

Here’s how we’re redefining member care:

· Better communication & support
· More affordable, flexible plan options
· Guidance to high-quality, low-cost providers
· Smarter tools & education for informed decisions
· Medications delivered right to your door

Because real people deserve real care. Reach out to our team member John Cooper, or read more on our services at: www.qualexahealthcare.com

Big news from Qualexa Healthcare!Our PBM, Seva-Rx, is now working with Mark Cuban Cost Plus Drug Company to provide affo...
07/16/2025

Big news from Qualexa Healthcare!

Our PBM, Seva-Rx, is now working with Mark Cuban Cost Plus Drug Company to provide affordable, transparent prescription access to our members. Medications now available at ACQ cost + dispensing and pharmacy fee.

• No hidden rebates
• No spread pricing
• Delivered directly to you

This is healthcare done right. Learn more about this joint venture at: https://seva-rx.com/2025/07/09/costplus-partnership/

🇺🇸 Wishing You a Happy & Safe Fourth of July from Qualexa! 🎆Today we celebrate freedom, community, and the spirit of ind...
07/04/2025

🇺🇸 Wishing You a Happy & Safe Fourth of July from Qualexa! 🎆
Today we celebrate freedom, community, and the spirit of independence. Whether you're enjoying fireworks or time with loved ones, we hope your day is filled with pride and joy.

Thank you for letting us be part of your journey — today and every day.

When 1% of claims consume 80% of your pharmacy budget... it's time for a better prescription. *Qualexa delivers access t...
06/04/2025

When 1% of claims consume 80% of your pharmacy budget... it's time for a better prescription. *

Qualexa delivers access to more intelligent PBM solutions - including 340B pharmacy programs, improved drug sourcing, and convenient mail order - all designed to dramatically reduce specialty drug costs.

We also prioritize price transparency, so you gain clearer insights into where your pharmacy dollars are going - and how to make them go further.

Let us help you cut the costly symptoms from your pharmacy spending. Learn more at www.qualexahealthcare.com

*Fact pulled from A 2024 study published in the Journal of Managed Care & Specialty Pharmacy observed that, over a 10-year period, the average cost per prescription claim in Medicare Part D increased by 245.6%, from $962.94 in 2012 to $3,327.63 in 2021. This substantial rise in costs is indicative of the significant financial burden posed by high-cost claims

Meet Steven Howard!Steven Howard is the Manager of Self and Level Funded Services at Qualexa Healthcare LLC, where he ov...
05/29/2025

Meet Steven Howard!

Steven Howard is the Manager of Self and Level Funded Services at Qualexa Healthcare LLC, where he oversees every aspect of clients covered by these plans. With nearly a decade of experience in the industry, both on the Administration side and as a Broker, he blends his knowledge and experience to help client members become active consumers with their healthcare. Steven holds a degree in Kinesiology emphasis in Exercise Physiology from Kansas State University which he uses in risk management, underwriting, and cost containment strategies processes. Steven is an active member of the Self-Insurance Institute of America (SIIA) where he serves as a Committee Member of the Future Leaders Committee. Beyond his work life, Steven can be found outside enjoying a gravel bike ride and being a Conservation Volunteer at the Sedgewick County Zoo.

To learn more about our team, check out our website: www.qualexahealthcare.com

Are You Overpaying for TPA Services?Many TPAs charge high admin fees - and it gets worse when they outsource services. E...
05/27/2025

Are You Overpaying for TPA Services?

Many TPAs charge high admin fees - and it gets worse when they outsource services. Every time they use outside vendors, they tack on markup costs that your group ends up paying for.

At Qualexa Healthcare, we do things differently.

• Lower, more transparent admin costs
• Full-service TPA - most work done in-house
• Fewer markups, more savings for your group
Let’s talk about how we can help reduce your total TPA spend - without sacrificing service.

We help bring claims back down to size. Get in touch today at: www.qualexahealthcare.com

Happy Memorial Day!Today, we remember the heroes who gave everything for our freedom. This Memorial Day, we honor their ...
05/26/2025

Happy Memorial Day!

Today, we remember the heroes who gave everything for our freedom.
This Memorial Day, we honor their sacrifice and reflect with gratitude. At Qualexa Healthcare, we’re proud to serve our communities with the same spirit of dedication and care.

Wishing you and your loved ones’ peace, safety, and remembrance.

What’s Really Driving Your Claims Costs?If you're managing a self-funded health plan, you already know claims are your b...
05/23/2025

What’s Really Driving Your Claims Costs?

If you're managing a self-funded health plan, you already know claims are your biggest expense - but do you know what’s really behind the rising costs?

More importantly... do you know how to solve it?

At Qualexa Healthcare, we dig deeper.

• Transparent claims insights
• Smarter plan design
• Proactive cost containment strategies

We don’t just administer - we optimize.

Let’s uncover what’s driving your overall claims spend and take back control. Visit www.qualexahealthcare.com to learn more.

Up to 80% of hospital bills are overbilled - with many cases inflated by more than 450% over Medicare rates. Even so-cal...
05/22/2025

Up to 80% of hospital bills are overbilled - with many cases inflated by more than 450% over Medicare rates. Even so-called “discounted” PPO claims can still be drastically overpriced.

At Qualexa Healthcare, we don’t just accept high bills - we challenge them.

· Access to narrow networks with real discounts

· Steerage to quality hospitals at fair prices

· Expert claim review and negotiation

We help bring healthcare claims back down to size. Learn more at www.qualexahealthcare.com

Did you know the average hospital stay costs $15,000 - and that’s just for admission?Procedures like heart stent surgery...
05/20/2025

Did you know the average hospital stay costs $15,000 - and that’s just for admission?

Procedures like heart stent surgery can hit $170K. At Qualexa Healthcare, we help prevent unnecessary costs by guiding members to the right level of care at top-quality facilities with proven outcomes. Better steerage means fewer complications, better recoveries, and serious savings.

Learn more at www.qualexahealthcare.com

Address

10996 Four Seasons Place, Suite 100A
Crown Point, IN
46307

Opening Hours

Monday 8am - 5:30pm
Tuesday 8am - 5:30pm
Wednesday 8am - 5:30pm
Thursday 8am - 5:30pm
Friday 8:30am - 5:30pm

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