UW Health Quartz Medicare Advantage
Dual Eligible Plans
About our UW Health Quartz Medicare Advantage Dual Eligible with Rx
Welcome to Quartz Dual Eligible! We’re happy to have you as a member. You deserve more than the basics, and we’ll help you get the most out of your health care plan.
Our Quartz Dual Eligible plans maintain separate county eligibility requirements, premiums, and benefits. While you need to enroll in a Quartz Dual Eligible plan for the county service area where you live, you have the freedom to see any provider in the entire Quartz Medicare Advantage network throughout Illinois, Iowa, Minnesota, and Wisconsin.
Get more of the benefits you want
Case Management
All Quartz Medicare Advantage Dual Eligible with Rx members have access to case management services upon enrollment at no extra cost.
An entire care team works with members to ensure they get the most of your benefits, including:
- Coordinate care and services
- Develop care plans
- Create and meet health goals
How does case management work?
The case management team includes a registered nurse and/or social work care manager. They work closely with you and your caregivers to help you get the best care possible.
Your team will connect with you at least once a year. More often, if needed. If you have not yet connected with your team, please call (866) 884-4601.
Other health management resources
Health Information
By clicking the links below you will leave the Quartz Dual Eligible website
Free health information and resources in your community are a call or click away:
- Great Rivers 2-1-1
- Dial 2-1-1 or (800) 362-8255
- 211wisconsin.communityos.org
- www.211.org
Quartz dental benefits will put a smile on your face
Get preventive and comprehensive dental coverage with $3,000 annual limits to help pay for services. Save money and get balance-billing protection by seeing a Delta Dental Medicare Advantage network provider.
Search for a Medicare Advantage network provider who also accepts Medicaid near you. Find a doctor
Travel more, worry less
This plan travels with you! For up to six months a year, get covered services at in-network costs when traveling nationwide outside of Illinois, Iowa, Minnesota, and Wisconsin. Plus, members have access to most retail pharmacies nationwide
UW Health Quartz Medicare Advantage (HMO) offers extra benefits.
Extra benefits are quick and easy ways to manage your health — leaving you more time to live your life.
Quartz® CashCard
Get $500 a year to use toward a fitness membership and rides to routine medical appointments with Uber, Lyft, and general taxis.
Plus, get $325/quarter to buy over-the-counter health-related items at participating retailers, such as: Walmart, Family Dollar, Walgreens, CVS, and more. Learn more
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, let us connect you to the right program to support you in well-living. Learn more.
Care management
This program coordinates the care and services for members who need extra support with their medical and social needs.
At no extra cost, a registered nurse will work with you to coordinate your health care services — ensuring you get the care you need. Learn more.
Virtual visits
UW Health Quartz Dual Eligible members have access to UWHealth Care Anywhere for virtual visits. UWHealth Care Anywhere lets you quickly connect with an in-network provider 24/7 from the comfort of your home or wherever you are. No appointment is needed. Getting the urgent care you need is a click away with your smartphone, tablet, or computer equipped with a web camera – all with a $0 copay. Learn more.
Accu-Chek & OneTouch® blood glucose meters and test strips
Access to high-quality supplies to help you manage diabetes. Our preferred brands of blood glucose monitoring supplies are the Accu-Chek and OneTouch® blood glucose meters and their associated test strips.
All are available at no extra cost to you.
The Quartz nourishing meal program
We offer the Quartz Nourishing Meals Program to eligible Quartz Medicare Advantage (HMO) and Dual Eligible members enrolled in a Quartz Care Management program, for members with congestive heart failure, and for members recovering from an in-patient hospital stay or skilled nursing facility stay. Let us handle the cooking so you can focus on your recovery.
Learn more in your plan’s Evidence of Coverage found in your Quartz MyChart account.
Personal Emergency Response System
You have access to a 24/7 wearable monitoring Personal Emergency Response System. Maintain your independence while knowing help is near in the event of an emergency. Eligibility for a Personal Emergency Response System will be determined by various factors including, but not limited to: living situation, living alone, history of falls, mobility and fall risk, and medical diagnoses.
Brain fitness benefit
You’ll have access to BrainHQ, an online memory fitness program with 29 fun, evidence-based exercises that can Improve so many things in your life – at no extra charge. Use on your own schedule with any computer, tablet, or smartphone with an internet connection. Learn more.
For full plan details, here are some helpful documents
Provider directory (Regular print | Large print)
Pharmacy directory (Regular print | Large print)
Summary of Benefits
Evidence of Coverage
Search for network providers
Annual Notice of Changes
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 |
$0 |
|
Medical deductible |
Part A: $1,632 |
$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 |
$0 for members up to Medicare limits |
|
Emergency/urgent care |
0% - 20% coinsurance |
$0 copay - 20% coinsurance |
|
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; |
|
Preventive & comprehensive |
Not included |
$0 preventive care; |
|
Hearing coverage |
Not included |
$0 for routine annual exam; |
|
OTC allowance |
Not included |
$325-$500/quarterly |
|
Wallet benefit |
Not included |
$500 Quartz® CashCard |
*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 |
Deductible $590, |
Deductible $590, |
Deductible $590, |
Deductible $590, |
|
Insulins |
$35 |
$70 |
$105 |
$105 |
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 residents | MN residents.