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Individual & Family Plan Members

Understanding Your Plan

No matter what kind of health care you need, it is important to check what your plan covers. Your benefits differ depending on the type of plan you have. A referral or prior authorization may be needed before some services will be covered by your plan. Your Quartz ID card will state what kind of plan you have. Be sure to check coverage before getting medical care other than from your PCP.

How Health Insurance Works
Understanding Your Bill
Care You Need, When You Need it

Accessing Care

Quartz wants you to receive the care you need, when you need it. You may need different types of care depending on your situation. Below is a summary of how to access care depending on your needs:
 Virtual VisitTelehealthPrimary CareUrgent CareEmergency Care
What is it?An on-demand appointment with a health care provider via your smartphone, tablet, or computerA scheduled appointment with your usual provider during clinic hours; not in person — either a video chat or phone callRegular, non-emergency care by appointment; face-to-face interaction with your provider, in their clinic or officeIn-person, walk-in care at designated locations, usually with extended hours24/7 in-person care, when help is needed right away to prevent an adverse health outcome
When is it open?24/7Normal clinic hoursNormal clinic hoursExtended hours24/7
What’s the cost?$$$$$$$$$$$$
When should I use it?For urgent, non-emergency symptoms, like: cough, headaches, nausea, rashes, sore throat, sprainsFor service outside of the clinic, including: routine visits, surgery follow-ups, mental health services, screeningsFor in-clinic services, such as: routine checkups, annual physicals, preventive screenings, vaccinations, non-urgent injuries and illnessFor health issues or injuries that need prompt attention but are not serious enough for emergency, such as: cuts, scrapes, and bruises; sprains and strains; ear pain or infection; rashes and insect bites; sore or strep throatFor serious and/or life-threatening situations, like: chest pain or heart attack, numbness or weakness on one side or stroke symptoms, shortness of breath, major illness, traumatic injury
How do I get access?Set up an account ahead of time so you’re prepared to log in if you become 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 so, they’ll schedule a time and give you 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, to identify the best course of action. They will advise you if you should go to urgent care.Call 911 or go to the nearest hospital emergency department for immediate help.

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