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Quartz Dual Eligible with Rx plan
Learn what it means to have neighborly service and coverage with a
2025 UW Health Quartz Dual Eligible with Rx plan.
Enjoy quality coverage from two trusted names in Medicare
Quartz Dual Eligible with Rx, in partnership with UW Health, offers you a plan with various benefits, prescriptions drug coverage, and valuable extras – all for little to no extra cost per month.
Our 2025 Dual Eligible plans include:
- $0 copay for preventive services
- $0 copay for doctor visits
- $0 copay for annual eye and hearing exams
- Quartz Nourishing Meal Program
- Type 2 diabetes and obesity reversal program
- Travel benefits - national and international
- Mental well-being program
- Local Quartz Champion for personalized support
About our 2025 UW Health Quartz Medicare Advantage Dual Eligible with Rx plan
Original Medicare is great, but we offer you more – for $0 a month. Quartz Dual Eligible provides the support and savings to take your dollar further and help make life easier.
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/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 |
Select Care Drugs |
$0 |
$0 |
$0 |
$0 |
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 2024 here: WI, IL, IA residents | MN residents
Enroll today
Take the next step and enroll in a Quartz Dual Eligible plan today. If you need help enrolling, we’re here to help.
Still have questions?
Attend a seminar
Call a Quartz Medicare expert:
(888) 346-0886 (TTY: 711)