Quartz Medicare Advantage plans with UW Health - Illinois
About our 2025 UW Health Illinois Quartz Medicare Advantage plans
With our 2025 UW Health Illinois Quartz Medicare Advantage plans, you have access to all the doctors, specialists, and hospitals in the nationally recognized UW Health, as well as doctors across Illinois, Iowa, Minnesota, and Wisconsin. 2025 UW Health Illinois Quartz Medicare plans feature:
Get more of the benefits you want
Complex Case Management
Complex Case Management helps members who have serious health problems. Learn more.
Diabetes Disease Management
If you have diabetes, we offer a support and education program. You’ll get helpful information in the mail or we are available by phone during business hours. If you would like to enroll, go to MyChart and send us a message, or call Customer Service.
Other Health Management Resources:
Health Risk Assessment Survey
A better understanding of your health is just a few clicks away when you complete the online health risk assessment (HRA) survey. Plus, Quartz Medicare Advantage members earn Quartz Well points for taking the HRA!
Here’s how to get started:
- Go to your MyChart account at QuartzMyChart.com
- From the landing page, scroll down and click Quartz Well Portal
- Then click Access Wellness Portal to open your Quartz Well page
- In the left column, click Health Risk Assessment
- Follow the prompts to complete and submit the survey*
Don’t have a MyChart account? Go to QuartzMyChart.com, click on “Sign Up Now” and follow the steps to activate your account.
*Your responses are kept private and will not affect your coverage with Quartz Medicare Advantage. MyChart® licensed from Epic System Corporation ©1999-2020.
Health Information
By clicking the links below you will leave the Quartz Medicare Advantage website
Get free, confidential community information 24 hours per day – 7 days per week
Dial 2-1-1 or (608) 246-4357 for State Assistance
211wisconsin.communityos.org for National Assistance
www.211.org Preventive Care and Screenings
Preventative care and screenings
Your Guide to Medicare’s Preventive Services. View brochure.
Quartz dental benefits will put a smile on your face
Get preventive and comprehensive dental coverage with $800-$1,200 annual limits to help pay for services. Save money and get balance-billing protection by seeing a Delta Dental Medicare Advantage network provider.
You can purchase an additional $1,000 in dental coverage for $44/month
Coverage for what you need
Quartz Medicare Advantage plans include coverage for preventive and comprehensive dental care.
Preventive care generally includes
- Annual cleanings and exams
- Dental X-rays
Comprehensive care includes:
- Restorative services such as fillings
- Root canals and crowns
- Periodontics (scaling and root planing)
- Dentures and dental implants
- Oral surgery
Finding a dentist
With open access, you choose the dentist you want to see. If you see a provider out of the Delta Dental network, you may be balance-billed for the difference of what the provider charges and what is allowed.
If you don’t have a dentist, we can help. Search for a Delta Dental Medicare Advantage dental provider or call (800) 394-5566 (TTY:711)
Travel more, worry less
For up to six months a year, Quartz Medicare Advantage plans offer covered services at in-network costs when traveling nationwide outside the states of Illinois, Iowa, Minnesota, and Wisconsin.*
You also have access to most retail pharmacies nationwide. Emergency medical care (including ambulance services) is covered too! Contact a Quartz Champion to learn more.
*Must receive care from Medicare-certified providers
UW Health Quartz Medicare Advantage (HMO) offers extra benefits.
Extra benefits are quick and easy ways to manage your health — leaving you more time to live your life.
Quartz® CashCard
Get one CashCard to use toward multiple items such as a fitness membership and eyewear from an in-network provider. Plus, get $40/quarter to buy over-the-counter health-related items at participating retailers, such as: Walmart, Family Dollar, Walgreens, CVS, and more.. Learn more
Well-living programs
We all have aspects of our health we’d like to improve, and Quartz is your resource to help. From physical health and mental resiliency to social well-being, let us connect you to the right program to support you in well-living. Learn more.
Care management
This program coordinates the care and services for members who need extra support with their medical and social needs.
At no extra cost, a registered nurse will work with you to coordinate your health care services — ensuring you get the care you need. Learn more.
Virtual visits
The UW Health Care Anywhere app or website offers 24/7 online access to non-emergency medical evaluation and management services provided by a physician or other qualified health care professional: $0 copay per visit. Learn more.
Accu-Chek & OneTouch® blood glucose meters and test strips
Access to high-quality supplies to help you manage diabetes. Our preferred brands of blood glucose monitoring supplies are the Accu-Chek and OneTouch® blood glucose meters and their associated test strips.
All are available at no extra cost to you
The Quartz nourishing meal program
We offer the Quartz Nourishing Meals Program to eligible Quartz Medicare Advantage (HMO) and Dual Eligible members enrolled in a Quartz Care Management program, for members with congestive heart failure, and for members recovering from an in-patient hospital stay or skilled nursing facility stay. Let us handle the cooking so you can focus on your recovery.
Learn more in your plan’s Evidence of Coverage found in your Quartz MyChart account.
Massage therapy for chronic conditions
You receive a 60-minute massage for certain chronic conditions, such as neck pain, lower back pain, fibromyalgia, and Type 2 diabetes. Get 6-12 visits a year with a $0-$20 copay per visit.
Brain fitness benefit
You’ll have access to BrainHQ, an online memory fitness program with 29 fun, evidence-based exercises that can Improve so many things in your life – at no extra charge. Use on your own schedule with any computer, tablet, or smartphone with an internet connection. Learn more.
Acupuncture benefit
Members may receive up to 20 Medicare-covered treatments a year for chronic low back pain with a network provider. $20 copay per treatment.
See details and access to your plan documents based on your plan below.
2025 UW Health Illinois Quartz Medicare Advantage Value Plan (No Rx)
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2025 UW Health Illinois Quartz Medicare Advantage Value Plan (No Rx) below. Or, if you’d like to view multiple plans side-by-side, you can access and review our full 2025 Plan Comparison Guide.
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 | Annual Notice of Coverage
Search for Network Providers
2025 Plan benefit selection forms: Standard print | Large print | Spanish
Online plan benefit selection form tool
The 2025 UW Health Illinois Quartz Medicare Advantage Value Plan (No Rx) features:
|
|
|
|---|---|
|
Monthly premium |
$0 |
|
Primary care visit copay |
$0 |
|
Specialist visit copay |
$35 |
|
Annual out-of-pocket maximum |
$4,500 |
|
Urgent care copay (worldwide) |
$40/visit |
|
Emergency copay (worldwide) |
$125/visit |
|
Lab services copay |
$10/day |
|
Medicare-covered dental exam copay |
$35 |
|
Dental coverage* |
$1,000 annual limit |
|
Optional supplemental dental coverage |
$44/month |
|
Inpatient hospital coverage copay |
Days 1-5: $275/day |
|
Outpatient surgery at Ambulatory Surgical Centers copay |
$225 per surgery |
|
Skilled nursing facility copay |
Days 1-20: $0 |
|
Quartz® CashCard |
OTC items: $40/quarter |
|
Massage therapy for chronic conditions copay |
12 (60-minute) visits per year: $20 |
*Open network access available with balance billing
2025 UW Health Illinois Quartz Medicare Advantage Elite Plan (No Rx)
Because choosing the right Medicare plan is an important decision, we’ve made it easy for you to view highlights of our 2025 UW Health Illinois Quartz Medicare Advantage Elite Plan (No Rx) below. Or, if you’d like to view multiple plans side-by-side, you can access and review our full 2025 Plan Comparison Guide.
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 | Annual Notice of Coverage
Search for Network Providers
2025 Plan benefit selection forms: Standard print | Large print | Spanish
Online plan benefit selection form tool
The 2025 UW Health Illinois Quartz Medicare Advantage Elite Plan (No Rx) features:
|
|
|
|---|---|
|
Monthly premium |
$30 |
|
Primary care visit copay |
$0 |
|
Specialist visit copay |
$25 |
|
Annual out-of-pocket maximum |
$3,250 |
|
Urgent care copay (worldwide) |
$30/visit |
|
Emergency copay (worldwide) |
$140/visit |
|
Lab services copay |
$5/day |
|
Medicare-covered dental exam copay |
$25 |
|
Dental coverage* |
$1,200 annual limit |
|
Optional supplemental dental coverage |
$44/month |
|
Inpatient hospital coverage copay |
$325/stay |
|
Outpatient surgery at Ambulatory Surgical Centers copay |
$175 per surgery |
|
Skilled nursing facility copay |
Days 1-20: $0 |
|
Quartz® CashCard |
OTC items: $40/quarter |
|
Massage therapy for chronic conditions copay |
12 (60-minute) visits per year: $0 |
*Open network access available with balance billing
2025 UW Health Illinois Quartz Medicare Advantage Core D Plan (Includes Rx)
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2025 UW Health Illinois Quartz Medicare Advantage Core D Plan (Includes Rx) below. Or, if you’d like to view multiple plans side-by-side, you can access and review our full 2025 Plan Comparison Guide.
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 | Annual Notice of Coverage
Search for Network Providers
2025 Plan benefit selection forms: Standard print | Large print | Spanish
Online plan benefit selection form tool
The 2025 UW Health Illinois Quartz Medicare Advantage Core D Plan (Includes Rx) features:
|
|
|
|---|---|
|
Monthly premium |
$0 |
|
Primary care visit copay |
$0 |
|
Specialist visit copay |
$45 |
|
Annual out-of-pocket maximum |
$5,500 |
|
Urgent care copay (worldwide) |
$50/visit |
|
Emergency copay (worldwide) |
$125/visit |
|
Lab services copay |
$15/day |
|
Medicare-covered dental exam copay |
$45 |
|
Dental coverage* |
$800 annual limit |
|
Optional supplemental dental coverage |
$44/month |
|
Inpatient hospital coverage copay |
Days 1-5: $350/day |
|
Outpatient surgery at Ambulatory Surgical Centers copay |
$280 per surgery |
|
Skilled nursing facility copay |
Days 1-20: $0 |
|
Quartz® CashCard |
OTC items: $40/quarter |
|
Massage therapy for chronic conditions copay |
6 (60-minute) visits per year: $20 |
*Open network access available with balance billing
Core D 2025 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.
You pay the following until your True Out-of-Pocket (TrOOP) costs reach $2,000. The TrOOP is the maximum you will spend out of pocket. You may get your drugs from network retail or mail-order pharmacies.
For the UW Health IL Quartz Medicare Advantage Core D plans, the yearly deductible for Tiers 3, 4, and 5 is $225.
|
|
Retail 30-day
|
Retail 60-day
|
Retail 90 to 100-day
|
Mail-order 90 to 100-day
|
|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
$5 |
$10 |
$12.50 |
$12.50 |
|
Tier 2 (Generic) |
$15 |
$30 |
$37.50 |
$37.50 |
|
Tier 3 (Preferred brand) |
25% after deductible |
25% after deductible |
25% after deductible |
25% after deductible |
|
Tier 4 (Non-preferred drugs) |
33% after deductible |
33% after deductible |
33% after deductible |
33% after deductible |
|
Tier 5 (Specialty) |
30% after deductible |
Not offered |
Not offered |
Not offered |
|
Tier 6 (Select Care drugs) |
$0 |
$0 |
$0 |
$0 |
Note: Our plan covers Part D vaccines (e.g., Tetanus (Tdap), shingles, etc.) at no extra cost, even if your plan has a deductible and you haven’t paid it. There is no extra cost for vaccines received in a pharmacy. You will need to submit a reimbursement form for vaccines received in a clinic.
Insulin: You won’t pay more than $35 per month for covered insulin, no matter what tier it is on.
2025 UW Health Illinois Quartz Medicare Advantage Value D Plan (Includes Rx)
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2025 UW Health Illinois Quartz Medicare Advantage Value D Plan (Includes Rx) below. Or, if you’d like to view multiple plans side-by-side, you can access and review our full 2025 Plan Comparison Guide.
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 | Annual Notice of Coverage
Search for Network Providers
2025 Plan benefit selection forms: Standard print | Large print | Spanish
Online plan benefit selection form tool
The 2025 UW Health Illinois Quartz Medicare Advantage Value D Plan (Includes Rx) features:
|
|
|
|---|---|
|
Monthly premium |
$32 |
|
Primary care visit copay |
$0 |
|
Specialist visit copay |
$35 |
|
Annual out-of-pocket maximum |
$4,500 |
|
Urgent care copay (worldwide) |
$40/visit |
|
Emergency copay (worldwide) |
$125/visit |
|
Lab services copay |
$10/day |
|
Medicare-covered dental exam copay |
$35 |
|
Dental coverage* |
$1,000 annual limit |
|
Optional supplemental dental coverage |
$44/month |
|
Inpatient hospital coverage copay |
Days 1-5: $275/day |
|
Outpatient surgery at Ambulatory Surgical Centers copay |
$225 per surgery |
|
Skilled nursing facility copay |
Days 1-20: $0 |
|
Quartz® CashCard |
OTC items: $40/quarter |
|
Massage therapy for chronic conditions copay |
12 (60-minute) visits per year: $20 |
*Open network access available with balance billing
2025 Value D 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.
You pay the following until your True Out-of-Pocket (TrOOP) costs reach $2,000. The TrOOP is the maximum you will spend out of pocket. You may get your drugs from network retail or mail-order pharmacies.
For the UW Health IL Quartz Medicare Advantage Value D plans, the yearly deductible for Tiers 3, 4, and 5 is $225.
|
|
Retail 30-day
|
Retail 60-day
|
Retail 90 to 100-day
|
Mail-order 90 to 100-day
|
|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
$5 |
$10 |
$12.50 |
$12.50 |
|
Tier 2 (Generic) |
$15 |
$30 |
$37.50 |
$37.50 |
|
Tier 3 (Preferred brand) |
25% after deductible |
25% after deductible |
25% after deductible |
25% after deductible |
|
Tier 4 (Non-preferred drugs) |
33% after deductible |
33% after deductible |
33% after deductible |
33% after deductible |
|
Tier 5 (Specialty) |
30% after deductible |
Not offered |
Not offered |
Not offered |
|
Tier 6 (Select Care drugs) |
$0 |
$0 |
$0 |
$0 |
Note: Our plan covers Part D vaccines (e.g., Tetanus (Tdap), shingles, etc.) at no extra cost, even if your plan has a deductible and you haven’t paid it. There is no extra cost for vaccines received in a pharmacy. You will need to submit a reimbursement form for vaccines received in a clinic.
Insulin: You won’t pay more than $35 per month for covered insulin, no matter what tier it is on.
2025 UW Health Illinois Quartz Medicare Advantage Elite D Plan (Includes Rx)
Because choosing the right Medicare plan for you is an important decision, we’ve made it easy for you to view highlights of our 2025 UW Health Illinois Quartz Medicare Advantage Elite D Plan (Includes Rx) below. Or, if you’d like to view multiple plans side-by-side, you can access and review our full 2025 Plan Comparison Guide.
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 | Annual Notice of Coverage
Search for Network Providers
2025 Plan benefit selection forms: Standard print | Large print | Spanish
Online plan benefit selection form tool
The 2025 UW Health Illinois Quartz Medicare Advantage Elite D Plan (Includes Rx) features:
|
|
|
|---|---|
|
Monthly premium |
$68 |
|
Primary care visit copay |
$0 |
|
Specialist visit copay |
$25 |
|
Annual out-of-pocket maximum |
$3,250 |
|
Urgent care copay (worldwide) |
$30/visit |
|
Emergency copay (worldwide) |
$140/visit |
|
Lab services copay |
$5/day |
|
Medicare-covered dental exam copay |
$25 |
|
Dental coverage* |
$1,200 annual limit |
|
Optional supplemental dental coverage |
$44/month |
|
Inpatient hospital coverage copay |
$325/stay |
|
Outpatient surgery at Ambulatory Surgical Centers copay |
$175 per surgery |
|
Skilled nursing facility copay |
Days 1-20: $0 |
|
Quartz® CashCard |
OTC items: $40/quarter |
|
Massage therapy for chronic conditions copay |
12 (60-minute) visits per year: $0 |
*Open network access available with balance billing
2025 Elite D 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.
You pay the following until your True Out-of-Pocket (TrOOP) costs reach $2,000. The TrOOP is the maximum you will spend out of pocket. You may get your drugs from network retail or mail-order pharmacies.
For the UW Health IL Quartz Medicare Advantage Elite D plans, the yearly deductible for Tiers 3, 4, and 5 is $200.
|
|
Retail 30-day
|
Retail 60-day
|
Retail 90 to 100-day
|
Mail-order 90 to 100-day
|
|---|---|---|---|---|
|
Tier 1 (Preferred generic) |
$5 |
$10 |
$12.50 |
$12.50 |
|
Tier 2 (Generic) |
$15 |
$30 |
$37.50 |
$37.50 |
|
Tier 3 (Preferred brand) |
25% after deductible |
25% after deductible |
25% after deductible |
25% after deductible |
|
Tier 4 (Non-preferred drugs) |
33% after deductible |
33% after deductible |
33% after deductible |
33% after deductible |
|
Tier 5 (Specialty) |
30% after deductible |
Not offered |
Not offered |
Not offered |
|
Tier 6 (Select Care drugs) |
$0 |
$0 |
$0 |
$0 |
Note: Our plan covers Part D vaccines (e.g., Tetanus (Tdap), shingles, etc.) at no extra cost, even if your plan has a deductible and you haven’t paid it. There is no extra cost for vaccines received in a pharmacy. You will need to submit a reimbursement form for vaccines received in a clinic.
Insulin: You won’t pay more than $35 per month for covered insulin, no matter what tier it is on.