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Getting Care

The Care You Need, When You Need It

When you’re sick or hurt, your recovery depends on getting the right kind of care. And that varies with your situation. After all, the ER is no place for earaches. And that annoying rash? You might be able to get the help you need — without even leaving home. Watch the video and review the chart below so you have the information you need to make the right call.

Virtual VisitTelehealthPrimary CareUrgent CareEmergency Care
Type of careAn appointment with a health care provider via your smartphone, tablet, or computer, arranged as neededAn appointment scheduled with your usual provider during clinic hours, conducted via video chat or phone callA face-to-face, in-person appointment for routine, preventive care or other non-emergency care, scheduled with your provider at the clinic or officeIn-person, walk-in care at designated locations, usually with extended hours24/7 in-person care for serious, life-threatening medical situations that require immediate attention
When to use itFor urgent, non-emergency symptoms, like:
• Cough
• Headache
• Nausea
• Rash
• Sore throat
• Sprain
For service outside of the clinic, including: 
• Routine visits
• Surgery follow-ups
• Mental health services
• Screenings
For in-clinic services, like:
• Routine checkups
• Annual physicals
• Preventive screenings
• Vaccinations
• Non-urgent injuries and illnesses, like flu, aches, and pains
For health issues or injuries that need prompt attention but are not emergencies, like:
• Cuts, scrapes, and bruises
• Sprains and strains
• Ear pain or infection
• Rashes and insect bites
• Sore or strep throat
For serious and/or life-threatening situations, including:
• Chest pain or heart attack
• Numbness or weakness on one side or stroke symptoms
• Shortness of breath
• Major illness
• Traumatic injury
How to get careSet up an account ahead of time so you’re prepared to log in if you get sick or injured. Learn more on our Digital Tools page.Call your provider’s office to see if a telehealth visit is right for you. If it is, we’ll schedule a time and provide  connection instructions.Call your primary care provider or clinic to schedule ahead of time.Call your primary care provider or clinic first – day or night – for the best course of action. They will let you know if you should go to urgent care.Call 911 or go to the nearest hospital emergency department for immediate help.
Hours24/7Normal clinic hoursNormal clinic hoursExtended hours24/7
Cost Level$$$$$$$$$$$$

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Virtual First

$0 Cost-Share for Greater Access and Savings

At Quartz, we care about bringing you access to health care when and where you need it. We also want to help you save on health care costs. This is why we’re especially pleased to bring select members “Virtual First.”
Virtual First puts you first, providing convenient access to primary care, urgent care, and behavioral health providers for $0 cost-share* when you utilize telehealth or virtual visits.

⊲ Visit with a primary care, urgent care, or behavioral health provider through the use of a telephone, smartphone, tablet, or computer.
⊲ Enjoy the peace of mind knowing you’ll get the care to help you live your healthiest – when and where you need it – without traveling to your provider.

You can learn more about telehealth and virtual visits. Go to QuartzBenefits.com/telehealth-virtual-visits

*$0 cost-share applies only to telehealth or virtual visits for primary care, urgent care, and behavioral health. View your 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.

Hearing Aid Coverage

Some plans provide coverage for one hearing aid per ear every 36 months. Please see your SBC, Certificate of Coverage or call Customer Service to see if your plan includes hearing aid coverage.

Covered Hearing Aids

If your plan covers hearing aids, the following brands and specific models listed below will be covered.* Costs of treatment related to hearing aids, such as ear molds and fittings, are only covered when the hearing aid model is covered.


Please note: This coverage does not apply to members with State and Local Government or BadgerCare Plus plans.

Hearing Aid Models Covered as of Jan. 1, 2021:
Hearing Aid Manufacturer   Model or Type*Technology Level
PhonakAudeo BB30 / B50
Bolero BB30 / B50
Naida BB30 / B50
Sky BB30 / B50
Virto BB30 / B50
CROS BB30 / B50
WidexModel or Type*Technology Level
Evoke110 / 220
Beyond220
Unique110 / 220
CROS
GN ReSoundModel or Type*Technology Level
Linx 3D5
Enzo 3D5
 Enya EY2 / 3
SigniaModel or Type*Technology Level
Pure NX3X
Motion NX3X
Insio NX3X
CROS NX
UnitronModel or Type*Technology Level
Moxi500 / 600
Stride500 / 600
Insera500 / 600
Max500 / 600
Shine3 / 5
OticonModel or Type*Technology Level
OPN3
OPN Play 2
Siya2
DynamoSP4 / SP6
CROS
StarkeyModel or Type*Technology Level
Picassoi1600
Musei1200 / i1600
Muse iQ i1600
Halo 2 iQi1600
CROS
Approved hearing aids are limited to the following models:

● BTE (behind the ear)

● RIC (receiver in the ear)

● ITE (in the ear)

● ITC (in the canal)

*The approved hearing aid list will be reviewed at least annually.

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