Quartz Medicare Advantage Dual Eligible
with Rx
Learn what it means to have neighborly service and coverage with a
2027 UW Health Quartz Dual Eligible with Rx plan.
Enjoy quality coverage from two trusted names in Medicare
Quartz Medicare Advantage (HMO), in partnership with UW Health, offers Quartz Dual Eligible with Rx plan with various benefits, prescriptions drug coverage, and valuable extras – all for little to no extra cost per month.*
*Available in Dane County only.
2027 UW Health Quartz Medicare Advantage
Dual Eligible with Rx
$0
monthly premium
For full plan details, here are some helpful documents
Provider directory (Regular print | Large print)
Pharmacy Directory (Regular print | Large print)
2027 Summary of Benefits | Evidence of Coverage | Annual Notice of Coverage
DSNP Enrollment Application | Search for Network providers
|
2027 UW Health Quartz Medicare Advantage Dual Eligible with Rx
|
|
|---|---|
|
Monthly premium |
$0 |
|
Preventive services copay |
$0 |
|
Primary care visit copay |
$0 |
|
Specialist office visit copay |
$0 |
|
Urgent care visits* |
$0 |
|
Emergency care visits* (copay waived if admitted within three days) |
$0 |
|
Lab services per day (not per lab) |
$0 |
|
Medical maximum out-of-pocket (covered by Medicaid if the member maintains eligibility) |
$9,850 |
|
Inpatient hospital coverage copay per day (up to Medicare limits) |
$0 |
|
Outpatient surgery at Ambulatory Surgical Centers (ASCs) or hospitals |
$0 |
|
Skilled nursing facility copay per day |
$0 |
|
Vision: Annual initial routine eye exam copay |
$0 |
|
Vision: Annual limit for contacts, frames, lenses, and upgrades |
$500 |
|
Hearing: Annual routine hearing exam copay |
$0 |
|
Hearing: Plan payment every two years for hearing aids |
$3,000 |
|
Dental: Annual limit** |
$2,500 |
|
Dental: Basic and major procedures (e.g., cleanings, fillings, crowns, and oral surgery) |
Covered 100% |
|
Dental: Prosthodontics (e.g., removable and fixed prosthodontics, including bridges and implant coverage) |
50% coinsurance |
ALSO INCLUDED:
- Travel benefits. Get covered care at in-network costs for up to 6 months per year***
- Durable medical equipment and related supplies. 20% cost-share for Medicare-covered items
-
Quartz® CashCard
$75 per quarter for utilities and groceries
$500 per year for fitness membership or rides to routine medical appointments
$325 per quarter for approved over-the-counter health-related items
You may be responsible for coinsurance if you lose your full Medicaid benefit and are no longer a qualified Medicare beneficiary.
For some Dual Eligible Medicaid members, small copays may occur under the Medicaid benefit.
* $20,000 annual limit for urgent care, emergency, and transportation services received outside the United States and its territories.
** Receive coverage with a provider in the Delta Dental Medicare Advantage Network who also accepts Medicaid. Continue to pay in-network pricing. Open network access is available with balance billing.
***For travel outside the states of Wisconsin, Illinois, Minnesota, or Iowa. Call to activate travel benefit.
This plan is available in Dane County.
2027 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
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|
|
Generic drugs |
$0 |
$0 |
$0 |
|
Brand/Other drugs |
$0 |
$0 |
$0 |
|
Select Care drugs |
$0 |
$0 |
$0 |
|
Vaccines |
$0 |
$0 |
$0 |
|
Extra Help Copay if you have LIS Level 2
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|
|
Generic drugs |
$1.65 |
$1.65 |
$1.65 |
|
Brand/Other drugs |
$5.00 |
$5.00 |
$5.00 |
|
Select Care drugs |
$0 |
$0 |
$0 |
|
Vaccines |
$0 |
$0 |
$0 |
|
Extra Help Copay if you have LIS Level 1
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|
|
Generic drugs |
$5.80 |
$5.80 |
$5.10 |
|
Brand/Other drugs |
$14.40 |
$14.40 |
$14.40 |
|
Select Care drugs |
$0 |
$0 |
$0 |
|
Vaccines |
$0 |
$0 |
$0 |
|
Standard Part D Benefit – Does not receive Extra Help
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|
|
Generic drugs |
Deductible $700, |
Deductible $700, |
Deductible $700, |
|
Brand/Other drugs |
Deductible $700, |
Deductible $700, |
Deductible $700, |
|
Insulins |
$35 or 25% |
$70 or 25% |
$105 or 25% |
|
Select Care drugs |
$0 |
$0 |
$0 |
|
Vaccines |
$0 |
$0 |
$0 |
Note: Fill your prescriptions at any in-network retail or mail order pharmacy (except Tier 5). Tier 5 (Specialty) 30-day supply is available in retail and specialty pharmacy locations only; not available through mail-order pharmacies. Covered opioid pain medications limited to a 30-day supply.
Our Star Rating
Every year, Medicare evaluates plans based on a 5-Star Rating system. Star Ratings are calculated each year and may change from one year to the next. 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 2026 here: WI residents
Ready to start the journey?
Follow these steps today
Make sure you’re eligible.
If you’re age 65, eligible for Medicare Part A, enrolled in Medicare Part B, qualify for Medicaid, and live in Dane or La Crosse County, you may be eligible for a Quartz Dual Eligible with Rx plan. To remain enrolled, you must continue to be eligible for both Medicare and Medicaid.
Explore your options.
View plans to learn about our plan options, or download the Quartz Dual Eligible plan for your county.
Make your choice.
Contact us
Whether you’ve selected a plan that’s right for you or you need support making a decision, we’re here to help.
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