Explore Gundersen Minnesota Quartz Medicare Advantage plans
Experience neighborly service and coverage with our 2027 Quartz Medicare Advantage (HMO) plan options.
Enjoy quality coverage from two trusted names in Medicare
Quartz Medicare Advantage, in partnership with Emplify by Gundersen, offers you five plans with various benefits, prescription drug coverage, and valuable extras – with premiums starting at $0 per month.
2027 Gundersen Minnesota Quartz Medicare Advantage plan options
With our 2027 Gundersen Minnesota Quartz Medicare Advantage plans, you have access to all the doctors, specialists, and hospitals in the nationally recognized Emplify Health by Gundersen system, as well as doctors throughout the Quartz Medicare Advantage network. 2027 Gundersen Minnesota Quartz Medicare Advantage plans feature:
- Plan options starting at $0 per month
- Direct access to trusted doctors, hospitals at Emplify Health by Gundersen
- Travel benefits outside our service area and the U.S. and its territories
Explore more details of our five plan options below.
2027 Gundersen Minnesota Quartz Medicare Advantage
Value (no Rx)
$0
monthly premium
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2027 Gundersen Minnesota Quartz Medicare Advantage Value plan (no Rx) below.
For full plan details, here are some helpful documents
If you’d like to compare plan highlights in your region, you can view or download your 2027 Gundersen Minnesota Quartz Medicare Advantage plan options.
Provider directory (Regular print | Large print)
Pharmacy directory (Regular print | Large print)
2027 Summary of Benefits | Evidence of Coverage
Annual Notice of Change
Search for network providers
|
2027 Gundersen Minnesota Quartz Medicare Advantage (HMO) - Value plan (no Rx)
|
|
|---|---|
|
Monthly premium |
$0 |
|
Preventive services copay |
$0 |
|
Primary care visit copay |
$15 |
|
Specialist office visit copay |
$50 |
|
Urgent care visits* |
$60 |
|
Emergency care visits* (copay waived if admitted within three days) |
$150 |
|
Lab services per day (not per lab) |
$20 |
|
Medical maximum out-of-pocket |
$4,450 |
|
Inpatient hospital coverage copay per day |
Days 1 - 6: $225 |
|
Outpatient surgery at Ambulatory Surgical Centers (ASCs) or hospitals |
$200
|
|
Skilled nursing facility copay per day |
Days 1 - 20: $0 |
|
Vision: annual initial routine eye exam copay |
$0 |
|
Vision: annual limit for contacts, frames, lenses, and upgrades |
$225 |
|
Hearing: annual routine hearing exam copay |
$35 |
|
Hearing: plan payment every two years for hearing aids |
$1,500 |
|
Dental: annual limit** |
$1,000 |
|
Dental: basic and major procedures (e.g., cleanings, fillings, crowns, and oral surgery) |
Covered 100%(until annual limit) |
|
Dental: prosthodontics (e.g., removable and fixed prosthodontics, including bridges and implant coverage) |
50% coinsurance |
|
Dental: optional rider for an extra $1,000 coverage |
$48 per month |
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
* $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. 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 these Minnesota counties: Fillmore, Houston, and Wabasha.
2027 Gundersen Minnesota Quartz Medicare Advantage
Basic D (with Rx)
$0
monthly premium
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2027 Gundersen Minnesota Quartz Medicare Advantage Basic D plan (with Rx) below.
For full plan details, here are some helpful documents
If you’d like to compare plan highlights in your region, you can view or download your 2027 Gundersen Minnesota Quartz Medicare Advantage plan options.
Provider directory (Regular print | Large print)
Pharmacy directory (Regular print | Large print)
2027 Summary of Benefits | Evidence of Coverage
Annual Notice of Change
Search for network providers
|
2027 Gundersen Minnesota Quartz Medicare Advantage (HMO) - Basic D plan (with Rx)
|
|
|---|---|
|
Monthly premium |
$0 |
|
Preventive services copay |
$0 |
|
Primary care visit copay |
$55 |
|
Specialist office visit copay |
$75 |
|
Urgent care visits* |
$50 |
|
Emergency care visits* (copay waived if admitted within three days) |
$130 |
|
Lab services per day (not per lab) |
$60 |
|
Medical maximum out-of-pocket |
$7,150 |
|
Inpatient hospital coverage copay per day |
Days 1 - 7: $335 |
|
Outpatient surgery at Ambulatory Surgical Centers (ASCs) or hospitals |
$375
|
|
Skilled nursing facility copay per day |
Days 1 - 20: $0 |
|
Vision: annual initial routine eye exam copay |
$0 |
|
Vision: annual limit for contacts, frames, lenses, and upgrades |
No coverage |
|
Hearing: annual routine hearing exam copay |
$40 |
|
Hearing: plan payment every two years for hearing aids |
No coverage |
|
Dental: annual limit** |
No coverage |
|
Dental: oral exam and prophylaxis (cleaning) once every other calendar year |
Covered 100% |
|
Dental: prosthodontics (e.g., removable and fixed prosthodontics, including bridges and implant coverage) |
No coverage |
|
Dental: optional rider for an extra $1,000 coverage |
$56 per month |
ALSO INCLUDED:
- Travel benefits. Get covered care at in-network costs for up to 6 months per year***
- Durable medical equipment and related supplies. 23% cost-share for Medicare-covered items
- Part D prescription drugs. Details below
* $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. 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.
Basic D 2027 prescription drug coverage
Quartz Medicare Advantage has a list of all covered drugs that you can search online or download. The drug list organizes medications into six tiers of costs.
What you pay for prescription drugs in 2027
Your plan has a deductible of $270 for drugs only in Tiers 3, 4, and 5. Deductible does not apply to medications in Tiers 1, 2, or 6. Once you reach the deductible, they are subject to a copay or coinsurance. After reaching the annual True Out-of-Pocket (TrOOP) limit of $2,400, your plan will cover all of your Part D drug costs for the rest of the year. See the image below to learn about the coverage stages.
|
Plan deductible: $270
|
Deductible applies?
|
Your share
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
× No |
Copay |
$0 |
$0 |
$0 |
|
Tier 2 (Generic) |
× No |
Copay |
$10 |
$20 |
$25 |
|
Tier 3* (Preferred brand) |
✓ Yes |
Coinsurance |
20% |
20% |
20% |
|
Tier 4 (Non-preferred drugs) |
✓ Yes |
Coinsurance |
35% |
35% |
35% |
|
Tier 5** (Specialty) |
✓ Yes |
Coinsurance |
28% retail only |
Not available** |
Not available** |
|
Tier 6*** (Select Care drugs) |
× No |
Copay |
$0 |
$0 |
$0 |
You can fill your prescriptions at any in-network retail or mail-order pharmacy.
*Tier 3 includes many common brand-name drugs, some higher-cost generic drugs, and insulin.
**Tier 5 (Specialty) 30-day supply available in retail and specialty pharmacy locations only; not available through mail-order pharmacies.
***Tier 6 includes many low-cost medications that treat diabetes, high blood pressure, high cholesterol, osteoporosis, and other conditions.
This plan is available in these Minnesota counties: Fillmore, Houston, and Wabasha.
2027 Gundersen Minnesota Quartz Medicare Advantage
Core D (with Rx)
$48
monthly premium
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2027 Gundersen Minnesota Quartz Medicare Advantage Core D plan (with Rx) below.
For full plan details, here are some helpful documents
If you’d like to compare plan highlights in your region, you can view or download your 2027 Gundersen Minnesota Quartz Medicare Advantage plan options.
Provider directory (Regular print | Large print)
Pharmacy directory (Regular print | Large print)
2027 Summary of Benefits | Evidence of Coverage
Annual Notice of Change
Search for network providers
|
2027 Gundersen Minnesota Quartz Medicare Advantage (HMO) - Core D plan (with Rx)
|
|
|---|---|
|
Monthly premium |
$48 |
|
Preventive services copay |
$0 |
|
Primary care visit copay |
$25 |
|
Specialist office visit copay |
$65 |
|
Urgent care visits* |
$50 |
|
Emergency care visits* (copay waived if admitted within three days) |
$130 |
|
Lab services per day (not per lab) |
$30 |
|
Medical maximum out-of-pocket |
$6,500 |
|
Inpatient hospital coverage copay per day |
Days 1 - 6: $290 |
|
Outpatient surgery at Ambulatory Surgical Centers (ASCs) or hospitals |
$350
|
|
Skilled nursing facility copay per day |
Days 1 - 20: $0 |
|
Vision: annual initial routine eye exam copay |
$0 |
|
Vision: annual limit for contacts, frames, lenses, and upgrades |
$100 |
|
Hearing: annual routine hearing exam copay |
$40 |
|
Hearing: plan payment every two years for hearing aids |
$800 |
|
Dental: annual limit** |
$300 |
|
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 |
|
Dental: optional rider for an extra $1,000 coverage |
$56 per month |
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
- Part D prescription drugs. Details below
* $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. 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.
Core D 2027 prescription drug coverage
Quartz Medicare Advantage has a list of all covered drugs that you can search online or download. The drug list organizes medications into six tiers of costs.
What you pay for prescription drugs in 2027
Your plan has a deductible of $270 for drugs only in Tiers 3, 4, and 5. Deductible does not apply to medications in Tiers 1, 2, or 6. Once you reach the deductible, they are subject to a copay or coinsurance. After reaching the annual TrOOP (True Out-of-Pocket) limit of $2,400, your plan will cover all of your Part D drug costs for the rest of the year. See the image below to learn about the coverage stages.
|
Plan deductible: $270
|
Deductible applies?
|
Your share
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
× No |
Copay |
$0 |
$0 |
$0 |
|
Tier 2 (Generic) |
× No |
Copay |
$10 |
$20 |
$25 |
|
Tier 3* (Preferred brand) |
✓ Yes |
Coinsurance |
20% |
20% |
20% |
|
Tier 4 (Non-preferred drugs) |
✓ Yes |
Coinsurance |
35% |
35% |
35% |
|
Tier 5** (Specialty) |
✓ Yes |
Coinsurance |
28% retail only |
Not available** |
Not available** |
|
Tier 6*** (Select Care drugs) |
× No |
Copay |
$0 |
$0 |
$0 |
You can fill your prescriptions at any in-network retail or mail-order pharmacy.
*Tier 3 includes many common brand-name drugs, some higher-cost generic drugs, and insulin.
**Tier 5 (Specialty) 30-day supply available in retail and specialty pharmacy locations only; not available through mail-order pharmacies.
***Tier 6 includes many low-cost medications that treat diabetes, high blood pressure, high cholesterol, osteoporosis, and other conditions.
This plan is available in these Minnesota counties: Fillmore, Houston, and Wabasha.
2027 Gundersen Minnesota Quartz Medicare Advantage
Value D (with Rx)
$93
monthly premium
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2027 Gundersen Minnesota Quartz Medicare Advantage Value D plan (with Rx) below.
For full plan details, here are some helpful documents
If you’d like to compare plan highlights in your region, you can view or download your 2027 Gundersen Minnesota Quartz Medicare Advantage plan options.
Provider directory (Regular print | Large print)
Pharmacy directory (Regular print | Large print)
2027 Summary of Benefits | Evidence of Coverage
Annual Notice of Change
Search for network providers
|
2027 Gundersen Minnesota Quartz Medicare Advantage (HMO) - Value D plan (with Rx)
|
|
|---|---|
|
Monthly premium |
$93 |
|
Preventive services copay |
$0 |
|
Primary care visit copay |
$15 |
|
Specialist office visit copay |
$50 |
|
Urgent care visits* |
$50 |
|
Emergency care visits* (copay waived if admitted within three days) |
$130 |
|
Lab services per day (not per lab) |
$20 |
|
Medical maximum out-of-pocket |
$4,900 |
|
Inpatient hospital coverage copay per day |
Days 1 - 6: $275 |
|
Outpatient surgery at Ambulatory Surgical Centers (ASCs) or hospitals |
$250
|
|
Skilled nursing facility copay per day |
Days 1 - 20: $0 |
|
Vision: annual initial routine eye exam copay |
$0 |
|
Vision: annual limit for contacts, frames, lenses, and upgrades |
$175 |
|
Hearing: annual routine hearing exam copay |
$35 |
|
Hearing: Plan payment every two years for hearing aids |
$1,250 |
|
Dental: annual limit** |
$400 |
|
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 |
|
Dental: optional rider for an extra $1,000 coverage |
$48 per month |
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
- Part D prescription drugs. Details below
* $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. 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.
Value D 2027 prescription drug coverage
Quartz Medicare Advantage has a list of all covered drugs that you can search online or download. The drug list organizes medications into six tiers of costs.
What you pay for prescription drugs in 2027
Your plan has a deductible of $225 for drugs only in Tiers 3, 4, and 5. Deductible does not apply to medications in Tiers 1, 2, or 6. Once you reach the deductible, they are subject to a copay or coinsurance. After reaching the annual TrOOP (True Out-of-Pocket) limit of $2,400, your plan will cover all of your Part D drug costs for the rest of the year. See the image below to learn about the coverage stages.
|
Plan deductible: $225
|
Deductible applies?
|
Your share
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
× No |
Copay |
$0 |
$0 |
$0 |
|
Tier 2 (Generic) |
× No |
Copay |
$10 |
$20 |
$25 |
|
Tier 3* (Preferred brand) |
✓ Yes |
Coinsurance |
20% |
20% |
20% |
|
Tier 4 (Non-preferred drugs) |
✓ Yes |
Coinsurance |
35% |
35% |
35% |
|
Tier 5** (Specialty) |
✓ Yes |
Coinsurance |
30% retail only |
Not available** |
Not available** |
|
Tier 6*** (Select Care drugs) |
× No |
Copay |
$0 |
$0 |
$0 |
You can fill your prescriptions at any in-network retail or mail-order pharmacy.
*Tier 3 includes many common brand-name drugs, some higher-cost generic drugs, and insulin.
**Tier 5 (Specialty) 30-day supply available in retail and specialty pharmacy locations only; not available through mail-order pharmacies.
***Tier 6 includes many low-cost medications that treat diabetes, high blood pressure, high cholesterol, osteoporosis, and other conditions.
This plan is available in these Minnesota counties: Fillmore, Houston, and Wabasha.
2027 Gundersen Minnesota Quartz Medicare Advantage
Elite D (with Rx)
$200
monthly premium
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2027 Gundersen Minnesota Quartz Medicare Advantage Elite D plan (with Rx) below.
For full plan details, here are some helpful documents
If you’d like to compare plan highlights in your region, you can view or download your 2027 Gundersen Minnesota Quartz Medicare Advantage plan options.
Provider directory (Regular print | Large print)
Pharmacy directory (Regular print | Large print)
2027 Summary of Benefits | Evidence of Coverage
Annual Notice of Change
Search for network providers
|
2027 Gundersen Minnesota Quartz Medicare Advantage (HMO) - Elite D plan (with Rx)
|
|
|---|---|
|
Monthly premium |
$200 |
|
Preventive services copay |
$0 |
|
Primary care visit copay |
$10 |
|
Specialist office visit copay |
$45 |
|
Urgent care visits* |
$50 |
|
Emergency care visits* (copay waived if admitted within three days) |
$150 |
|
Lab services per day (not per lab) |
$20 |
|
Medical maximum out-of-pocket |
$4,450 |
|
Inpatient hospital coverage copay per stay |
$325 |
|
Outpatient surgery at Ambulatory Surgical Centers (ASCs) or hospitals |
$200
|
|
Skilled nursing facility copay per day |
Days 1 - 20: $0 |
|
Vision: annual initial routine eye exam copay |
$0 |
|
Vision: annual limit for contacts, frames, lenses, and upgrades |
$250 |
|
Hearing: annual routine hearing exam copay |
$25 |
|
Hearing: plan payment every two years for hearing aids |
$1,500 |
|
Dental: annual limit** |
$475 |
|
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 |
|
Dental: optional rider for an extra $1,000 coverage |
$48 per month |
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
- Part D prescription drugs. Details below
* $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. 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.
Elite D 2027 prescription drug coverage
Quartz Medicare Advantage has a list of all covered drugs that you can search online or download. The drug list organizes medications into six tiers of costs.
What you pay for prescription drugs in 2027
Your plan has a deductible of $200 for drugs only in Tiers 3, 4, and 5. Deductible does not apply to medications in Tiers 1, 2, or 6. Once you reach the deductible, they are subject to a copay or coinsurance. After reaching the annual TrOOP (True Out-of-Pocket) limit of $2,400, your plan will cover all of your Part D drug costs for the rest of the year. See the image below to learn about the coverage stages.
|
Plan deductible: $200
|
Deductible applies?
|
Your share
|
30-day
|
31 to 60-day
|
61 to 100-day
|
|---|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
× No |
Copay |
$0 |
$0 |
$0 |
|
Tier 2 (Generic) |
× No |
Copay |
$10 |
$20 |
$25 |
|
Tier 3* (Preferred brand) |
✓ Yes |
Coinsurance |
20% |
20% |
20% |
|
Tier 4 (Non-preferred drugs) |
✓ Yes |
Coinsurance |
35% |
35% |
35% |
|
Tier 5** (Specialty) |
✓ Yes |
Coinsurance |
31% retail only |
Not available** |
Not available** |
|
Tier 6*** (Select Care drugs) |
× No |
Copay |
$0 |
$0 |
$0 |
You can fill your prescriptions at any in-network retail or mail-order pharmacy.
*Tier 3 includes many common brand-name drugs, some higher-cost generic drugs, and insulin.
**Tier 5 (Specialty) 30-day supply available in retail and specialty pharmacy locations only; not available through mail-order pharmacies.
***Tier 6 includes many low-cost medications that treat diabetes, high blood pressure, high cholesterol, osteoporosis, and other conditions.
This plan is available in these Minnesota counties: Fillmore, Houston, and Wabasha.
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 2027 here: WI, IL, IA residents | MN residents.
Ready to start the journey?
Follow these steps today
Confirm you’re eligible.
If you’re age 65, eligible for Medicare Part A, are enrolled in Medicare Part B, and live within our service area, you’re eligible to enroll in a Quartz Medicare Advantage plan.
Explore your options.
Compare Quartz Medicare Advantage plans available in your area to review coverage and benefits. You can also attend a seminar to learn more about your Medicare choices and get your questions answered.
Make your choice.
A local Quartz Medicare expert can explain your options, answer your questions and help you choose a plan that fits your health needs, budget, and lifestyle. Call a local Quartz Medicare expert today at (866) 491-1335 (TTY: 711).
Enroll with confidence.
When you’re ready, enroll online through our secure application or work with a local Quartz Medicare expert to complete your enrollment by phone. You can enroll as early as three months before turning 65.
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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