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Getting Care

The Care You Need, When You Need It

When you’re sick or hurt, your recovery depends on getting the right kind of care. And that varies with your situation. After all, the ER is no place for earaches. And that annoying rash? You might be able to get the help you need — without even leaving home. Watch the video and review the chart below so you have the information you need to make the right call.

Virtual VisitTelehealthPrimary CareUrgent CareEmergency Care
Type of careAn appointment with a health care provider via your smartphone, tablet, or computer, arranged as neededAn appointment scheduled with your usual provider during clinic hours, conducted via video chat or phone callA face-to-face, in-person appointment for routine, preventive care or other non-emergency care, scheduled with your provider at the clinic or officeIn-person, walk-in care at designated locations, usually with extended hours24/7 in-person care for serious, life-threatening medical situations that require immediate attention
When to use itFor urgent, non-emergency symptoms, like:
• Cough
• Headache
• Nausea
• Rash
• Sore throat
• Sprain
For service outside of the clinic, including: 
• Routine visits
• Surgery follow-ups
• Mental health services
• Screenings
For in-clinic services, like:
• Routine checkups
• Annual physicals
• Preventive screenings
• Vaccinations
• Non-urgent injuries and illnesses, like flu, aches, and pains
For health issues or injuries that need prompt attention but are not emergencies, like:
• Cuts, scrapes, and bruises
• Sprains and strains
• Ear pain or infection
• Rashes and insect bites
• Sore or strep throat
For serious and/or life-threatening situations, including:
• Chest pain or heart attack
• Numbness or weakness on one side or stroke symptoms
• Shortness of breath
• Major illness
• Traumatic injury
How to get careSet up an account ahead of time so you’re prepared to log in if you get sick or injured. Learn more on our Digital Tools page.Call your provider’s office to see if a telehealth visit is right for you. If it is, we’ll schedule a time and provide  connection instructions.Call your primary care provider or clinic to schedule ahead of time.Call your primary care provider or clinic first – day or night – for the best course of action. They will let you know if you should go to urgent care.Call 911 or go to the nearest hospital emergency department for immediate help.
Hours24/7Normal clinic hoursNormal clinic hoursExtended hours24/7
Cost Level$$$$$$$$$$$$

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Virtual First

$0 Cost-Share for Greater Access and Savings

At Quartz, we care about bringing you access to health care when and where you need it. We also want to help you save on health care costs. This is why we’re especially pleased to bring select members “Virtual First.”
Virtual First puts you first, providing convenient access to primary care, urgent care, and behavioral health providers for $0 cost-share* when you utilize telehealth or virtual visits.

⊲ Visit with a primary care, urgent care, or behavioral health provider through the use of a telephone, smartphone, tablet, or computer.
⊲ Enjoy the peace of mind knowing you’ll get the care to help you live your healthiest – when and where you need it – without traveling to your provider.

You can learn more about telehealth and virtual visits. Go to QuartzBenefits.com/telehealth-virtual-visits

*$0 cost-share applies only to telehealth or virtual visits for primary care, urgent care, and behavioral health. View your Summary of Benefits and Coverage to see when cost-sharing for other telehealth or virtual visits may apply. Virtual First is not available on all plans.

Hearing Aid Coverage

Hearing aid coverage is outlined in your Summary of Benefits and Coverage (SBC) or Certificate of Coverage document; you may also call customer service for hearing aid coverage information.

Covered Hearing Aids

For plans that cover hearing aids, Quartz covers the standard level of hearing aid technology as defined by each of the following approved manufactures listed below. Costs of treatment related to hearing aids such as earmolds and fittings are only covered when the hearing aid model is covered.

Please note: this coverage does not apply to members with State and Local Government (ETF), Quartz Medicare Advantage, and BadgerCare Plus plans.

Hearing Aid Models Covered as of January 1, 2022:
Hearing Aid Manufacturer   Hearing Aid StyleStandard Technology Level
PhonakBTE, RIC, ITE, ITC, and CROS30 and 50
WidexBTE, RIC, ITE, ITC, and CROS 110 and 220
GN ReSoundBTE, RIC, ITE, ITC, and CROS 5
SigniaBTE, RIC, ITE, ITC, and CROS 3
UnitronBTE, RIC, ITE, ITC, and CROS 500 and 600
OticonBTE, RIC, ITE, ITC, and CROS (Adult)3
OticonBTE, RIC, ITE, ITC, and CROS-Play (Pediatric)2
StarkeyBTE, RIC, ITE, ITC, and CROS 1000 and 1200
Approved hearing aids are limited to the following styles:
  • BTE (behind the ear)
    • V5257
    • V5261
  • RIC (receiver in the ear)
    • V5257
    • V5261
  • ITE (in the ear)
    • V5256
    • V5260
  • ITC (in the canal)
    • V5255
    • V5259
  • CROS
    • Monaural (1CROS device)
    • V5171-HA, CROS, monaural, ITE
    • V5172-HA, CROS, monaural, ITC
    • V5181-HA, CROS, monaural, BTE
    • Binaural (1 CROS device + 1 Hearing Aid)
    • V5211-HA, CROS, binaural ITE/ITE
    • V5212-HA, CROS, binaural, ITE/ITC
    • V5213-HA, CROS, binaural, ITE/BTE
    • V5214-HA, CROS, binaural ITC/ITC
    • V5215-HA, CROS, binaural ITC/BTE
    • V5221-HA, CROS, binaural BTE/BTE

*The approved hearing aid list will be reviewed at least annually.

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