Learn about private health insurance in Wisconsin.


To access the Quartz Medicare Advantage enrollment application, please visit the enrollment page.

Plan Benefit Selection Form

To change plans, please complete the following form:

Standard Print | Large Print | Español​​​

Other Forms

Completed forms can be mailed or faxed to:

Quartz Medicare Advantage (HMO)
840 Carolina Street
Sauk City, Wisconsin 53583

Fax: (608) 881-8396



This webpage was updated on April 19, 2021.