Menu
Page Updated On 11/14/2022

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

Check Drug Prices and Pharmacy Network

Enroll in Quartz Dual Eligible with Rx

The Quartz Dual Eligible plan gives you all the great benefits of Original Medicare, plus many more valuable benefits that protect your health -- without hurting your wallet.