Member Kit

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Welcome to Quartz!

Thank you for choosing ​Quartz! We want to make it as easy as possible for you to use your health plan. To help you, we've created this member kit to walk you through important details.

Questions?

Contact us!
Online Tools

Quartz MyChart

Quartz MyChart gives you access to your health insurance and certain medical information through one secure portal.

As a Quartz MyChart member you can –

  • View your benefit information
  • Check claims status
  • Check eligibility
  • Review prior authorizations
  • Receive electronic communications from Quartz
  • Determine costs you may incur prior to receiving health care services
  • Take a health risk assessment
  • Request ID cards
  • Change your Primary Care Provider
  • Update your demographic information
  • Ask customer service a question by sending a message within Quartz MyChart

Quartz MyChart members with a UW Health provider can –

  • Receive test results
  • Schedule, cancel and view appointments
  • Send secure electronic messages to your UW Health care team
  • View and print selected health issues, medications, allergies and immunizations
  • Feel better, faster with a video or e-Visit for certain types of health problems

Quartz members with a Gundersen Health System (GHS) provider can –

Quartz members that use GHS MyCare can access their content through one login via MyChartCentral. Download instructions and then visit MyChartCentral to get started.

Member Pages

The member section of our website provides videos, interactive tools and other resources to help you better understand the ins and outs of your health plan.

Health Topics

  • The Healthwise® Knowledgebase is an online encyclopedia that allows you to research symptoms, diagnoses, treatments and obtain helpful tips on self-care.

Stay Connected

Curious about our latest news and programs? Want to discover new recipes or health tips? A complete Quartz experience awaits when you join our social community.

Understanding Your Health Plan

Understanding Your Plan

Select any of the options below to learn more about the different features of your health plan. You will find other important plan information in the How Insurance Works section of the website.

GenericIDCard

ID Card

Review your ID card to make sure your information is correct. Keep it in your wallet and show it each time you receive care. You can print ID cards or request a new one through MyChart.
EOB

Benefit Information

Learn More
Your Schedule of Benefits briefly describes your health plan benefits. Your Certificate of Coverage contains detailed information about health services eligible for coverage. It also contain important limitations and exclusions. Visit MyChart to view these documents.
SOB_SBC

Explanation of Benefits

Learn More
Your Explanation of Benefits shows what your health plan paid for covered health services. It also shows what you owe to the health care provider after Quartz has paid benefits. Learn more about your EOB and sign up to receive electronic EOBs in MyChart.
Doc Choice

Find A Doctor

Go
Our Find a Doctor tool allows you to easily search for In-Network doctors and other health care providers. You can search by Primary Care Provider, Specialist, Location, Facility and more.

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. This video will help you decide what type of provider is right for your situation. Below is a summary of how to access care depending on your needs –

Type of Care

 What To Do

Routine Care

Contact your Primary Care Provider's (PCP) clinic

Specialty CareContact your PCP clinic, they will tell how to get appropriate care 
After-Hours CareContact your PCP clinic, they will tell you how to get appropriate care
Urgent CareGo to a participating Urgent Care Center if your injury is not life-threatening but you need prompt attention
Emergency CareGo to the nearest hospital or call 911
Care Away from HomeContact your PCP clinic, of it it's an emergency, go directly to the nearest hospital
Behavioral Health CareYou can call a provider directly to schedule an outpatient appointment. If you need assistance finding a provider or have questions about behavioral health services, including alcohol and drug treatment services, please call Behavioral Health Care Management at (608) 640-4450 or toll-free at (800) 683-2300.

If you are looking for a primary care physician at a UW Health Clinic and need help selecting one, visit the UW Health Welcome Center, an individualized service available to help new members select primary care physicians and transition their care to UW Health. Otherwise, use Find a Doctor to browse providers in your network.

Understanding Your Pharmacy Benefits

Get the most out of your drug coverage –

  • Review the Quartz Formularies to see if your current medication is covered.
  • Medications on the Formulary are assigned a Tier (Tier 1, Tier 2). See what Tier your medication falls under. Each Tier is listed on your Summary of Benefits next to the amount you contribute to payment for the medication. This is your cost-sharing.
  • Check to see if your medications qualify for the Choice90 program.
  • Login to MyChart to access the Pharmacy Benefits Online Tool where you can find information about your specific drug benefit:
    • Get Drug Information
    • View Prior Authorization Status for Pharmacy Benefit Medications
    • Access your Prescription History with PersonalHealth Rx
    • Do a Drug Price Check
    • Find a Pharmacy

When you have questions –

You Want ToWhere to Find Information
Check the Formulary Status or Restriction Status of a DrugVisit the Prescription Drug Formulary
Find a PharmacyVisit Find a Pharmacy
Appeal a Prior Authorization DenialCall Customer Service at (800) 362-3310
Speak to a Clinical Pharmacist about why a Prior Authorization Request was deniedCall Quartz Pharmacy Program at (888) 450-4884
Find Criteria for Coverage of a MedicationCall Quartz Pharmacy Program at (888) 450-4884 or view the Medication Prior Authorization information to learn more about the process and timeline
Get Early Refills, Vacation Supplies, Emergency Supplies, Supplies for a New Member, or Reimbursement of Medications Purchased Out-of-PocketVisit Understanding Your Pharmacy Benefits
Managing Your Health

Quartz Cares About Your Health

That’s why we offer a wide range of programs and resources to help you manage your health.

  • Wellness and Prevention – The best way to stay healthy is to prevent or find illness early
  • Health Topics – Browse health information, find decision tools for medical issues, or check your symptoms
Forms & Resources

Access the forms you need –FAST!

Get secure and convenient access to member forms and resources through MyChart.

Not a MyChart member yet? Sign up now!

Printed Materials

If you would like printed materials, complete the Request Materials form in MyChart or send a message.

You can also contact Quartz Customer Service at (800) 362-3310.

Printed materials you can request include –

  • Provider Directory
  • Member Guide
  • Federal Brochure
  • Prescription Drug Benefit Brochure
  • Preventive Services Covered Under the Affordable Care Act
  • Prescription Drug Formulary
  • Notice of Privacy Practices

Get an Answer Online - Right now!

Downloadable Forms

 

Essential Information

 


This Member Kit is for members who have insurance through their Employer. If you have insurance through the State of Wisconsin Group Health Insurance Program, BadgerCare Plus or purchased an Individual and Family Plan, please select the correct member kit for information about your plan.

This is a summary of the features of the Quartz Health Benefit Plans Corporation DBA Quartz. Before making a final decision, please read the Plan's Federal brochure 73-901. All Benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure.