Quartz Medicare Advantage Dual Eligible with Rx
Talk with local Quartz Medicare experts who can explain your coverage and provider network options.
Call us Monday through Friday, 8 a.m. – 8 p.m.
More of the Medicare benefits you deserve.
If you qualify for both Medicaid and Medicare, consider boosting your Medicare benefits with a Quartz Dual Eligible with Rx plan.
Introducing Quartz Dual Eligible with Rx
With Quartz Dual Eligible, you get all the benefits of Original Medicare, plus more. If you have full Medicaid benefits and are a qualified Medicare beneficiary, you will pay $0 for your Medicare-covered services.
You’ll also have access to all the doctors, specialists, and hospitals of nationally recognized providers, such as Aurora Health Care, Gundersen Health System, and UW Health. Plus, you get access to even more doctors across Illinois, Iowa, Minnesota, and Wisconsin.
Get more of the benefits you want
- $0/month. There’s no monthly cost to add this plan to your Medicaid benefits.
- $0 copay for doctor visits. Includes primary care and visits to specialists.
- $0 copay virtual visits. Get urgent medical care virtually with a video call, from the comfort of home – or wherever you happen to be.
- $3,000 – $3,500/year for comprehensive dental services (varies by county of residence) plus $0 preventive care.
- $3,000 every two years for hearing aids. Stay connected to the people in your life.
- $0 copay. For access to a 24/7 wearable monitoring Personal Response System. Maintain your independence while knowing help is near in the event of an emergency.†
Why choose Quartz Dual Eligible?
$0 for annual hearing and vision exams.
Copays as low as $0 for generic drugs.
Get plan-covered services at in-network costs when traveling for up to 6 months outside of our service area.
$0 copays for vaccines.
† Personal Response System eligibility is based on your living situation, if you live alone, your history of falls, fall risk, mobility, and medical diagnoses. To learn more, contact your case manager.
Have questions about Dual Eligible? We can help.
Am I eligible to enroll?
To join Quartz Medicare Advantage, you need to be entitled to Medicare Part A, enrolled in Medicare Part B, and be a U.S. citizen or lawfully present in the U.S. To qualify and remain enrolled in a Quartz Dual Eligible plan, you need to be eligible for Medicare and receive full Medicaid benefits and be considered a Qualified Medicare Beneficiary, and live in one of the following Wisconsin counties:
- UW Health Quartz Dual Eligible – Dane County
- Gundersen Quartz Dual Eligible – La Crosse County
- Aurora Health Quartz Dual Eligible – Milwaukee County
When can I enroll?
- If you’re eligible for Medicare, you can enroll during the Medicare Annual Enrollment Period, which happens every year from Oct. 15- Dec. 7.
- If you’re entitled to a Dual Eligible plan, you can enroll in a Quartz Dual Eligible plan now or at the beginning of any calendar year quarter.
- If you already have Medicare and Medicaid, you can enroll or switch Dual Eligible plans once per quarter (every three months) or during the Medicare Annual Enrollment Period. As long as you maintain proper Medicaid eligibility, you’ll stay qualified for a Dual Eligible plan. Once enrolled, your coverage will automatically renew each year unless there is a change to the plan’s service area.
How do I enroll in a Quartz Dual Eligible plan?
If you’d like help choosing the right plan for your needs, we’re here for you.
You can apply for or enroll in a Quartz Dual Eligible plan one of two ways:
- Call your local insurance agent
- Connect with a Quartz Medicare expert by calling (866) 530-7647 (TTY: 711), Monday through Friday, 8 a.m. – 8 p.m.
What is a Dual Eligible Special Needs (D-SNP) plan ?
Dual Eligible plans, also known as Dual Eligible Special Needs (D-SNP) plans, are a kind of Medicare Advantage plan for people who have both Medicare and Medicaid. These plans cover hospital, medical, and prescription costs – all in one plan, with little or no extra monthly costs.
What does “with Rx” mean?
“With Rx” means that the plan includes prescription benefits and coverage.
How do I know if I'm eligible for a Quartz Dual Eligible plan
To join a Dual Eligible plan, you need to be entitled to Medicare Part A, enrolled in Medicare Part B, and be a U.S. Citizen or lawfully present in the United States.
What counties do I need to live in to enroll in a Quartz Dual Eligible plan?
- Dane County for UW Health Quartz Dual Eligible
- La Crosse County for Gundersen Quartz Dual Eligible
- Milwaukee County for Aurora Health Quartz Dual Eligible
When can I enroll in a Quartz Dual Eligible plan?
- When you’re eligible for Medicare (age 65): You can enroll during Medicare’s Annual Enrollment Period (AEP), which happens every year from Oct. 15 – Dec. 7
- If you become entitled to a Dual Eligible plan: You can enroll in a Quartz Dual Eligible plan any time you become eligible for the plan (based on your life circumstances), or at the beginning of any calendar quarter
- If you already have Medicare and Medicaid, you can enroll or switch Dual Eligible plans once per quarter (every three months) or during Medicare AEP
How do I keep my Dual Eligible plan from year-to-year?
As long as you continue to maintain proper Medicaid eligibility, you’ll stay qualified for a Dual Eligible plan. And, once enrolled, your coverage will automatically renew each year unless there is a change to your plan’s service area.
How to prepare for Quartz Dual Eligible
Start with us. Your local Quartz Medicare experts.
Call a Quartz Medicare expert:
(866) 530-7647 (TTY: 711)
Request a call from a Quartz Medicare expert
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