2023 New Benefits
Expect More from your Individual & Family Plan
Boost your benefits with a Quartz Health plan
Quartz serves a wide service area and offers a vast array of health plans so you can continue your relationship with us through the different seasons of your life – when you move, between jobs, early retirement, and after becoming Medicare eligible.
What’s new for 2023
Adult Vision – Select a plan that includes the adult vision benefit, which includes an annual exam* and a $100 hardware benefit for contacts and glasses. (Subject to Durable Medical Equipment deductible)
*Available on plans that include Vision in the plan name. PCP cost-share amount still applies.
Dental –This benefit includes two annual exams and much more through a large network of dental providers in the Momentum network. Dental coverage is included in plans with Dental in the plan name.
Lab & X-ray – Predictable costs help you maintain a healthy lifestyle. That’s why for 2023, lab and X-ray services have copays, lowering the member cost share for services that were previously subject to deductible and coinsurance amounts .**
**Not offered on HSA plans
Value Tier Rx – Maintenance medications often help our members continue to live their best life – that’s why we’ve added Value Tier RX benefit. This benefit adds a tier to the member’s Rx cost-share. This tier provides the lowest cost share and is available for certain drugs. View the drug formulary to see if your prescription is part of the value tier. Link to Formulary.
Tiered Choice Plus
Quartz is pleased to continue to bring Wisconsin members Tiered Choice Plus, a network with plan options focused on the most personalized service, choice, and affordability. Check the map below to see if your area offers Tiered Choice Plus plans.
Tiered Choice Plus Service Area
- Fond du Lac
- Green Lake
You’ll love the peace of mind knowing you have exclusive access to one-on-one service and support.
- A dedicated team of experts to guide your every step with concierge-level service.
As a Tiered Choice Plus member, you have more choice on how much you spend on health care services. How is this possible? A network with two tiers (Tier 1 and Tier 2) enables you to identify and choose providers who provide services at lower costs. More choices means more chances to save on overall health care costs while continuing to provide access to the expansive network of providers you have today.
A tiered plan is designed to help you save money on monthly premiums and make health care more affordable. Members who see providers in Tier 1 will have lower out-of-pocket costs such as deductibles, copays, and coinsurance.
Well-being services for a life well-lived
Quartz Champion Service
When you enroll in a Tiered Choice Plus plan, you get special access to a dedicated Quartz team member: a Quartz Champion. Connect with your Quartz Champion team anytime you have a question or concern.
As part of your special access to the Quartz Champion team, you can reach out anytime in whatever way works for you.* Someone will personally:
- Walk you through your plan so you fully understand your coverage
- Help you find a doctor and lead you to helpful tools and resources
- Answer your questions on claims, billing, and benefits
- Arrange for referrals and assist with scheduling when needed
- Connect you with health management and wellness programs
- Enroll you in MyChart and touch base with key reminders and updates
- Advocate and communicate on your behalf when necessary
- Provide support and resources after a diagnosis
- Assist with transition of care and coordination
Preventive care supports your health and well-being for a life well-lived. Preventive services continue to be covered at 100%.
Essential health benefits
All plans include Essential Health Benefits, including emergency services, hospitalization, pregnancy, maternity, newborn care, lab, mental health, prescription drugs, pediatric, and preventive services.