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Quartz Dual Eligible with Rx plan

Learn what it means to have neighborly service and coverage with a
2025 UW Health Quartz Dual Eligible with Rx plan.

Enjoy quality coverage from two trusted names in Medicare

Quartz Dual Eligible with Rx, in partnership with UW Health, offers you a plan with various benefits, prescriptions drug coverage, and valuable extras – all for little to no extra cost per month.

Our 2025 Dual Eligible plans include:
About our 2025 UW Health Quartz Medicare Advantage Dual Eligible with Rx plan

Original Medicare is great, but we offer you more – for $0 a month. Quartz Dual Eligible provides the support and savings to take your dollar further and help make life easier.

2025 Quartz Medicare Advantage service area
For full plan details, here are some helpful documents

Explore more details below about our 2025 UW Health Quartz Medicare Advantage Dual Eligible with Rx plan.

Original Medicare 2024
UW Health Quartz Medicare Advantage Dual Eligible with Rx*

Monthly premium

Part A: $0-$505
Part B: $0-$174.70

$0

Medical deductible

Part A: $1,632
Part B: $240

$0

Maximum out-of-pocket limit

None

$9,350

Doctor/specialty visits

20% coinsurance

$0 for members

Mental health services

20% coinsurance

$0 for members

Hospital

Deductible per benefit period
150-day lifetime limit

$0 for members up to Medicare limits

Emergency/urgent care

0 - 20% coinsurance

$0 copay - 20% coinsurance
Worldwide annual limit: $20,000

Outpatient X-rays/hospital

0 - 20% coinsurance

$0 for members

Prescription drug coverage

Not included

Copays as low as $0

Vision coverage

20% coinsurance

$0 for routine annual exam;
$500/year for glasses and contacts

Preventive & comprehensive
Dental coverage

Not included

$0 preventive care;
$3,000/year for preventive and comprehensive
dental services

Hearing coverage

Not included

$0 for routine annual exam;
$3,000 every 2 years
for hearing aids

OTC allowance

Not included

$325/quarterly
for eligible items at participating retailers
with the Quartz® CashCard

Wallet benefit

Not included

$500 Quartz® CashCard
to offset the cost of rides to routine medical appointments
and fitness memberships

*Available in Dane County only.

2025 Quartz Dual Eligible pharmacy copay amounts

If you have Extra Help for your Part D benefits, you will pay reduced cost-sharing for your Part D drugs. Please see the chart below for the Extra Help cost-sharing, copays, and standard benefits.

Extra Help copay if you have LIS level 3

Retail 30-day
Retail 60-day
Retail 90 to 100-day
Mail-order 90 to 100-day

Generic drugs

$0

$0

$0

$0

Brand/other drugs

$0

$0

$0

$0

Extra Help copay if you have LIS level 2

Retail 30-day
Retail 60-day
Retail 90 to 100-day
Mail-order 90 to 100-day

Generic drugs

$1.60

$1.60

$1.60

$1.60

Brand/other drugs

$4.80

$4.80

$4.80

$4.80

Extra Help copay if you have LIS level 1

Retail 30-day
Retail 60-day
Retail 90-day
Mail-order 90 to 100-day

Generic drugs

$4.90

$4.90

$4.90

$4.90

Brand/other drugs

$12.15

$12.15

$12.15

$12.15

2025 Standard Part D Benefit – Does not receive Extra Help

Retail 30-day
Retail 60-day
Retail 90 to 100-day
Mail-order 90 to 100-day

Generic drugs and
Brand/other drugs

Deductible $590,
then 25% coinsurance.
$2,000 annual
out-of-pocket max.

Deductible $590,
then 25% coinsurance.
$2,000 annual
out-of-pocket max.

Deductible $590,
then 25% coinsurance.
$2,000 annual
out-of-pocket max.

Deductible $590,
then 25% coinsurance.
$2,000 annual
out-of-pocket max.

Insulins

$35

$70

$105

$105

Select Care Drugs

$0

$0

$0

$0

Note: Part D vaccines (e.g., Tetanus (Tdap), shingles, etc.) are covered at no cost to you when received in a pharmacy. You will need to submit a reimbursement request form for vaccines received in a clinic. 

Our Star Rating

The Star Ratings from the Centers for Medicare and Medicaid Services help you quickly compare Medicare plans based on quality and performance. Visit medicare.gov/plan-compare (By clicking this link you will leave the Quartz Medicare Advantage website) for more information and to compare Star Ratings for this and other plans. You can view and print our Medicare Star Ratings for 2025 here: WI, IL, IA residentsMN residents.

Enroll today

Take the next step and enroll in a Quartz Dual Eligible plan today. If you need help enrolling, we’re here to help.

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