Welcome to Quartz Tiered Choice Plus
Quartz helps you live a life well-lived with a better health plan!
Today, more than ever, we know how important it is to have the
right health plan for you and your family.
Individual and family plans that offer:
- Excellence: Get a top-rated plan with access to the area’s trusted hospitals and providers.
- Choice: With more plan options, you can choose a plan that best meets your needs and budget.
- Wellness: Stay well with health management programs and tools that reward your wellness activities.
Finding a Provider is easy
Quartz gives you access to respected providers in your community. There is $0 out of pocket for preventive care.* A high service, lower-premium plan option that provides access to multiple tiers to keep health care costs more affordable. Tiered Choice Plus provides access to providers in both Tier 1 and Tier 2. Members who see providers in Tier 1 have lower out-of-pocket cost.
Get access to your local hospital and outpatient sites, including:
- UW Health Hospitals & Clinics
- Gundersen Health System & Medical Center
- Aurora Health Care
- ProHealth Care
*Under the Affordable Care Act, some preventive health care services are covered at no cost to you when delivered by a provider within your plan’s network. However, if a new or existing health problem is discussed during a preventive health care visit, a separate office visit will be billed as required by national coding and billing guidelines. This means you may be subject to out-of-pocket charges (copay, coinsurance, or deductible) for these additional services.
Virtual First puts member first
Virtual First* adds amazing convenience, and saves members time and money on overall health care costs:
$0 cost-share for telehealth and virtual visits.
Convenient access to providers when and where members need it.
$0 cost-share applies only to telehealth or virtual visits for primary care, urgent care, and behavioral health. View the Summary of Benefits and Coverage to see when cost-sharing for other telehealth or virtual visits may apply.
*Virtual First is not available on all plans.
Rx Value Tier
Quartz’s Rx Value Tier* benefit provides a lower cost share on select medications that have been shown to help improve overall health when taken daily for certain chronic conditions. This means the cost share of the medication is based on the value of keeping our members their healthiest while managing a chronic condition.
*Only available on certain plans. View the Summary of Benefits and Coverage to see if this benefit is included.
Manage your medications
Our pharmacy program gives you access to our online tool. Shop for the best prices, find convenient pharmacies, review your medication history and more.
Plus, take advantage of our Choice90 Extended Supply Program. Get up to 90 days of your most often prescribed medications at one time.
Review the drug list for covered medicines and those included in the Choice90 program.
Dental benefits, too!
Dental benefits are a great way to maintain dental health for everyone in your household. Get access to a robust network of dentists through Momentum for routine checkups, preventive care services, and patient education. All in-network adult and child cleanings and X-rays are covered at no cost.
Coverage focused on keeping your eyes healthy. The adult vision benefit* includes an annual eye exam and a vision hardware benefit for purchasing glasses or contacts.
*Only available on certain plans. View the Summary of Benefits and Coverage to see if this benefit is included. Note: All plans include pediatric vision coverage.
Lab & X-ray copays
Getting diagnostic care shouldn’t create a barrier to getting the care you need to maintain a healthier lifestyle. That’s why we are introducing plans with set copays for laboratory and X-ray services*.
*Not included on all plans. View the Summary of Benefits and Coverage to see the cost share for this benefit.
Quartz Health Benefit Plans Corporation commercial HMO/POS plans were rated 4.5 out of 5 in NCQA’s Private Health Insurance Plan Ratings in 2022!