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.