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Quartz Medicare Advantage
Dual Eligible with Rx

Pharmacy Benefits

If you have any questions, you can call and speak to a Medicare expert
at (866) 491-1335 (TTY: 711).

2023 Copay Amounts

Part D vaccines are covered at no cost to you.  You won’t pay more than $35 for a one-month supply of covered insulin, no matter what cost-sharing tier it’s on.

Retail 30-dayRetail 60-DayRetail 90-Day Mail Order
90-Day
 Tier 1 (Preferred Generic) 25% of cost 25% of cost 25% of cost 25% of cost
 Tier 2 (Generic) 25% of cost25% of cost25% of cost25% of cost
 Tier 3 (Preferred Brand)25% of cost25% of cost25% of cost25% of cost
 Tier 4 (Non-Preferred Drug)   25% of cost 25% of cost 25% of cost 25% of cost
 Tier 5 (Specialty) 25% of cost25% of cost 25% of cost 25% of cost
Tier 6 (Vaccines)$0N/AN/AN/A

Initial Coverage Gap begins at: $4,660 | Catastrophic Coverage begins at: $7,400

More health benefits. No extra monthly cost. That's Quartz Dual Eligible.

Quartz Dual Eligible plans offer all of the great benefits of Original Medicare and Medicaid, plus more, for as low as $0/month. Get the most out of your health care coverage. Call today to enroll.