2025 Benefit highlights
Expect More from your Individual & Family Plan
Get it all. The plan, the network, and the benefits.
Quartz plans fit your budget and give you the extras you want– like nationally recognized providers, supportive local customer service, plus dental and vision. Quartz is partnered with the health systems of UW Health, UnityPoint Health, Gundersen Health System, and Advocate Aurora Health for more access to conveniently located care that puts you first.
2025 benefit highlights*
- With Quartz’s Virtual First benefit, members will have a $0 copay for telehealth and virtual appointments for primary care, behavioral health, and urgent care (included on all plans except HSA and Standard Plans)
- Members with chronic conditions can receive self-monitoring tools at no additional cost to help manage their health, with dedicated clinicians offering support. This program includes a blood pressure monitor or scale, along with clinical supervision and regular reminders to stay on track
New ways to save:
- Our new 6-tier formulary design for non-Standard Plans features $0 cost for preventive medications (tier 1) – Quartz Formulary Information
- The Gold Maintenance Plan includes access to personal Durable Medical Equipment (DME)* like CPAP, hearing aids, and nebulizers with no out-of-pocket costs. Prior authorization may apply
- Quartz offers a Health Savings Account (HSA) eligible High Deductible Health Plan (HDHP) Bronze Plan. You can use an HSA pre-tax savings account to help cover out-of-pocket health expenses such as copays, dental exams, or even health care materials like eyewear or hearing aids
Dental and vision highlights:
- Many Gold, Silver, and Bronze plans are also available, with options to add dental and adult vision benefits
- Vision benefits include material coverage with a $100/year annual benefit for eyewear such as glasses or contacts
*Benefits vary based on plan and location – review plan benefit details for exact benefits included
Discover the value of a Quartz plan
Well-living programs
We all have aspects of our health we’d like to improve, and Quartz is your resource to help. From physical health and mental resiliency to social well-being, we’ll connect you to the right program to support you in living well. Quartz offers programs for managing behavioral health, diabetes, obesity, pregnancy and postpartum, hypertension, and more. Learn more about our wellness programs.
$0 virtual care
Get the care you need, when you need it. Virtual First offers a $0 copay for telehealth or virtual primary care, behavioral health, and urgent care (available with non-HSA plans).*
*$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.
Networks and Coverage Areas
Quartz One Achieve Network – Wisconsin
Quartz One Achieve Network – Wisconsin gives you access to the care you need and a trusted network of providers close by. Explore our local plan options, compare benefits and costs, and find out what makes Quartz different.
Quartz One Achieve Network Wisconsin counties served:
Adams, Brown, Buffalo, Calumet, Chippewa, Columbia, Crawford, Dane, Dodge, Eau Claire, Florence, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Manitowoc, Marinette, Marquette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Pepin, Richland, Rock, Racine, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waushara, Winnebago
Wisconsin Counties
- Service area: where you need to live to purchase a plan
- Network area: in-network coverage area
Quartz – Gundersen Performance Network – Wisconsin
Quartz Gundersen Performance Network health plans – Wisconsin gives you access to the care you need and a trusted network of providers close by. Explore our local plan options, compare benefits and costs, and find out what makes Quartz different.
The Quartz Gundersen Performance Network – Wisconsin is a new narrow network that provides cost-savings for our members and focuses on the convenience and locality of Gundersen Health System.
Quartz Gundersen Performance Network Wisconsin counties served:
Jackson, La Crosse, Trempealeau
- Service area: where you need to live to purchase a plan
- Network area: in-network coverage area
Quartz – Select Network – Minnesota
The Quartz Gundersen Performance Network – Minnesota is a new narrow network that provides cost-savings for our members and focuses on the convenience and locality of Gundersen Health System
- Gundersen Health System
- Olmsted Medical Center
- Winona Health Services
- Gundersen Saint Elizabeth’s Hospital and Clinics
Quartz Select Network Minnesota counties served: Fillmore, Houston, Olmsted, Wabasha, Winona
Minnesota counties served
- Service area: where you need to live to purchase a plan
- Network area: in-network coverage area
Quartz One Achieve Network – Illinois
The Quartz One Achieve Network – Illinois features providers throughout Northwest and North Central Illinois. The network also expands into Wisconsin, Iowa, and Minnesota. You can enroll in a Quartz One Achieve Network plan if you reside in one of the five counties listed.
Quartz One Illinois counties served: Carroll, Jo Daviess, Lee, Ogle, Stephenson
llinois Counties
- Service area: where you need to live to purchase a plan
- Network area: in-network coverage area
Quartz Performance Network – Illinois
The Quartz Performance Network – Illinois features providers throughout Northwest and North Central Illinois. The network also expands into Wisconsin, Iowa, and Minnesota. You can enroll in a Quartz Performance Network plan if you reside in one of the two counties listed.
Quartz One Illinois counties served: Boone & Winnebago
llinois Counties
- Service Area: where you need to live to buy a plan
-
Network Area:
In network providers are also available throughout this coverage area
Contact us
We’re here to help you find the right plan option that works for you and your family. Please contact Quartz at (866) 770-1102, or if you have worked with an agent in the past, reach out to them with any questions on your 2025 Quartz plan options.