Medicare Select is an HMO plan that helps fill in the gaps of original Medicare. Medicare Select is designed to work with Medicare and may pay some or all of approved charges. This is an individual plan. If you and your spouse both want supplemental coverage, you need to purchase two policies. In order to apply for Medicare Select, you need to be enrolled in Medicare Part A and Medicare Part B.
You cannot be covered by Medicaid (BadgerCare) or a Medicare Advantage plan and also have Medicare Select.
Each Medicare beneficiary has an Open Enrollment Period. During this time, enrollment in a Medicare Supplement plan is guaranteed. A supplement plan cannot turn down the applicant's enrollment request (as long as all other eligibility criteria are met).
This period lasts ten for calendar months and includes the:
Guarantee issue occurs if you are applying within six months of enrolling in Medicare Part B or within six months of turning 65. Other Guarantee Issue periods may apply.
If an individual is enrolling outside of either an Open or Guarantee Issueperiod, the application will be reviewed to determine whether the plan will accept the applicant, based on health factors.
Coverage with Medicare Select will begin the first of the month following the completion of an application, unless a member requests a different date. You may apply for our Medicare Select plan up to 60 days before you want your coverage to begin.
Quartz does not cover Medicare Part D. If you are interested in purchasing a Medicare Part D plan,we can provide information about companies that cover this plan.
You can find a list of participating providers (doctors, hospitals and other health care facilities) by going to QuartzBenefits/findadoctor (select the Commerical HMO / POS network) or in the Medicare Select Provider Directory.
A primary care provider (PCP) is a doctor (MD), physician's assistant (PA) nurse practitioner (NP) who manages your health care so you receive consistent medical care in an effective and efficient manner. Your PCP will coordinate your medical care through the use of participating specialty practitioners.
Quartz requires all members to have a PCP.
To select your PCP, Quartz provides you with the following options –
Yes. You can change your PCP at any time. We offer two convenient ways to change your PCP –
PCP changes are effective on the day of Quartz’s receipt of your request unless you request a future date.
You should talk with your PCP before seeing other types of practitioners, so he / she may coordinate your health care.
You should work with your PCP to determine if you need specialty care. If you do, he / she will refer you to an appropriate specialist who is participating for your network.
Requests to terminate coverage need to be submitted in writing. Please send your request by mail or fax to:
840 Carolina Street
Sauk City, WI 53583
Fax: (608) 775-8060
Customer Service Phone: (608) 644-3430 or (800) 362-3310.
This health plan is offered by Quartz Health Benefit Plans Corporation.