HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Questions? Contact Customer Service at (800) 362-3310. If your facility does not currently have access to My Quartz

Tools,

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. QUARTZ - PHARMACY PROGRAM - MEMBER TYPE Home Medical Equipment, Home Health, or Infusion Services. Quartz Formularies expand / collapse Quartz Formularies. Standard Choice. Standard. Medical Policies. Quartz Pharmacy Program. Electronic Data Interchange (EDI) Resources for Your Patients expand / collapse Resources for Your Patients. Complex Case Management. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

QUARTZ WELL PORTAL

Contact us at (800) 362-3310 and we will work with you (and, if you wish, your doctor) to find a wellness program with the same reward that is right for you in light of your health status. The above is an overview only. Activities and points may change. Please review your

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

CERTIFICATE OF COVERAGE LOOKUP Certificate of Coverage Lookup. To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. If you are a current Quartz member, you may also login to MyChart to view your current benefit documents. Subscriber Number First nine digits only. YOUR PRESCRIPTION DRUG BENEFIT We want you to receive the most value from your prescription drug benefits. Here are some tips to help you. 1 The information in this document is specific to members of Quartz – offered by Quartz Health Insurance Corporation. CLAIM ADJUSTMENT/REVIEW REQUEST quartzbenefits.com claim adjustment/review request qa00420 (0421) provider name: _____ contact name: _____ phone: (_____) _____ ext. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Questions? Contact Customer Service at (800) 362-3310. If your facility does not currently have access to My Quartz

Tools,

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. QUARTZ - PHARMACY PROGRAM - MEMBER TYPE Home Medical Equipment, Home Health, or Infusion Services. Quartz Formularies expand / collapse Quartz Formularies. Standard Choice. Standard. Medical Policies. Quartz Pharmacy Program. Electronic Data Interchange (EDI) Resources for Your Patients expand / collapse Resources for Your Patients. Complex Case Management. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

QUARTZ WELL PORTAL

Contact us at (800) 362-3310 and we will work with you (and, if you wish, your doctor) to find a wellness program with the same reward that is right for you in light of your health status. The above is an overview only. Activities and points may change. Please review your

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

CERTIFICATE OF COVERAGE LOOKUP Certificate of Coverage Lookup. To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. If you are a current Quartz member, you may also login to MyChart to view your current benefit documents. Subscriber Number First nine digits only. YOUR PRESCRIPTION DRUG BENEFIT We want you to receive the most value from your prescription drug benefits. Here are some tips to help you. 1 The information in this document is specific to members of Quartz – offered by Quartz Health Insurance Corporation. CLAIM ADJUSTMENT/REVIEW REQUEST quartzbenefits.com claim adjustment/review request qa00420 (0421) provider name: _____ contact name: _____ phone: (_____) _____ ext.

QUARTZ UPDATES

Stay up-to-date on the latest Quartz information. Medicare Vaccine Claims. Medicare Fee-for-service (FFS) is paying for the COVID-19 vaccine and its administration for all Medicare members (even Medicare Advantage members) during 2020-2021. FOCUS ON THE GREATER GOOD: HOW QUARTZ HELPS REDUCE HEALTH The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

QUARTZ UPDATES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. REAL TIME BENEFIT CHECK MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. QUARTZ HONORED WITH WORKPLACE RECOGNITION MADISON Quartz was recently named a winner of Gallup’s Exceptional Workplace Award (GEWA).Founded in 2007, the GEWA celebrates organizations that incorporate employee engagement into the bedrock of how they do their work, motivate their team, and achieve business outcomes.

WE HEARD YOU!

Results from the February Net Promoter Score survey. Thanks to everyone who completed our Net Promoter Score (NPS) survey this past February. NPS is an important way Quartz measures the customer experience of all 4 of our customer groups (member, employer, agent, & provider) and their overall perception of Quartz. BILLING POST-OPERATIVE CARE MANAGEMENT MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. VACCINES UNDER MEDICARE PART D MADISON, WISCONSIN Most vaccines are covered under Medicare Part D and should be administered at a pharmacy. Most medical providers are not set up to bill Medicare Part D. If a provider administers a Part D vaccine in a clinic or other provider facility, the patient will typically have a higher bill than if had they received the same vaccine at a pharmacy. FROM OUR MEMBER NEWSLETTER: DE&I EFFORTS MADIOSN n the upcoming summer edition of our Pulse member newsletter, we highlight efforts of our Diversity, Equity, and Inclusion team to

improve support for

REMINDERS FROM OUR PROVIDER MANUAL MADISON, WISCONSIN Be sure to pay attention to these provider manual reminders focused on paper claims mailing address changes, electronic claims submissions, and replacement/corrected claim submissions. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

SENIOR CHOICE

Requests to terminate coverage need to be submitted in writing. You can submit a letter or print and complete the Senior Choice Waiver of Coverage Form. Please send your request by mail or fax to: Mail: Attn: Senior Choice. 840 Carolina Street. Sauk City, WI 53583. Fax Number:

(608) 643-2564.

PRIOR AUTHORIZATION

General (Medical) Prior Authorization List - PPO. Behavioral Health Prior Authorization. Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608) 471-4391. Submission instructions are included

with all forms.

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

CERTIFICATE OF COVERAGE LOOKUP Certificate of Coverage Lookup. To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. If you are a current Quartz member, you may also login to MyChart to view your current benefit documents. Subscriber Number First nine digits only. HEALTH CARE PRACTITIONERS IN WISCONSIN Providers, for assistance, please call Customer Service at (800) 362-3310 or your designated Provider Coordinator listed below. Members: for help with providers, call Customer Service at (800)

362-3310.

2021 PROVIDER DIRECTORY QUARTZ COMMUNITY NETWORK i Welcome to Quartz QUARTZ COMMUNITY NETWORK PROVIDER DIRECTORY ChooseQuartz.com Our goal is to help you live your best life through access to aŠordable, high-quality care. To do this, we partner with an extensive network of providers 2019 UPDATE TO BEERS LIST AVOIDING SLEEP DRUGS QuartzBenefits.com 2019 Update to Beers List – Avoiding Sleep Drugs By Karolina Myrda, DPH-4 As we age, we respond differently to how we

sleep.

HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

SENIOR CHOICE

Requests to terminate coverage need to be submitted in writing. You can submit a letter or print and complete the Senior Choice Waiver of Coverage Form. Please send your request by mail or fax to: Mail: Attn: Senior Choice. 840 Carolina Street. Sauk City, WI 53583. Fax Number:

(608) 643-2564.

PRIOR AUTHORIZATION

General (Medical) Prior Authorization List - PPO. Behavioral Health Prior Authorization. Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608) 471-4391. Submission instructions are included

with all forms.

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

CERTIFICATE OF COVERAGE LOOKUP Certificate of Coverage Lookup. To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. If you are a current Quartz member, you may also login to MyChart to view your current benefit documents. Subscriber Number First nine digits only. HEALTH CARE PRACTITIONERS IN WISCONSIN Providers, for assistance, please call Customer Service at (800) 362-3310 or your designated Provider Coordinator listed below. Members: for help with providers, call Customer Service at (800)

362-3310.

2021 PROVIDER DIRECTORY QUARTZ COMMUNITY NETWORK i Welcome to Quartz QUARTZ COMMUNITY NETWORK PROVIDER DIRECTORY ChooseQuartz.com Our goal is to help you live your best life through access to aŠordable, high-quality care. To do this, we partner with an extensive network of providers 2019 UPDATE TO BEERS LIST AVOIDING SLEEP DRUGS QuartzBenefits.com 2019 Update to Beers List – Avoiding Sleep Drugs By Karolina Myrda, DPH-4 As we age, we respond differently to how we

sleep.

QUARTZ UPDATES

Stay up-to-date on the latest Quartz information. Medicare Vaccine Claims. Medicare Fee-for-service (FFS) is paying for the COVID-19 vaccine and its administration for all Medicare members (even Medicare Advantage members) during 2020-2021.

SENIOR CHOICE

Requests to terminate coverage need to be submitted in writing. You can submit a letter or print and complete the Senior Choice Waiver of Coverage Form. Please send your request by mail or fax to: Mail: Attn: Senior Choice. 840 Carolina Street. Sauk City, WI 53583. Fax Number:

(608) 643-2564.

FOCUS ON THE GREATER GOOD: HOW QUARTZ HELPS REDUCE HEALTH The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

QUARTZ UPDATES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. REAL TIME BENEFIT CHECK MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. MEDICATION PRIOR AUTHORIZATION Appropriate pharmacy staff will review the request using Quartz’s prior authorization criteria to determine coverage. Requestors and patients will be notified of the decision by fax and mail, respectively. Practitioners and patients may appeal a determination by calling Customer Service at (800) 362-3310 and notifying the

representative that

FROM OUR MEMBER NEWSLETTER: DE&I EFFORTS MADIOSN n the upcoming summer edition of our Pulse member newsletter, we highlight efforts of our Diversity, Equity, and Inclusion team to

improve support for

WHY A 5-STAR RATING FROM MEDICARE MATTERS MADISON Here at Quartz, we think achieving a 5-Star Rating from Medicare is a really big deal! For 2021, only 21 Medicare Advantage plans in the nation achieved a 5-Star Rating, and Quartz Medicare Advantage (HMO)

has two of them!

BILLING POST-OPERATIVE CARE MANAGEMENT MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. WE'RE LISTENING MADISON, WISCONSIN We appreciate all the feedback you’ve given us in the past. Soon, you’ll be receiving our latest Net Promoter Score (NPS) survey. NPS is an important way Quartz measures the customer experience of all four of our customer groups (member, employer, agent, and provider) and their overall perception of Quartz. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Questions? Contact Customer Service at (800) 362-3310. If your facility does not currently have access to My Quartz

Tools,

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BEHAVIORAL HEALTH

Behavioral Health Services. You 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. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

ADULT HEALTH SCREENINGS Skin and mole exam. Bone health: Bone mineral density test (starting at age 50) Heart and Circulation Health. Blood pressure test: At every clinic visit. Cholesterol test: Start at age 20. Screening for Pre-Diabetes and Diabetes – Every three years beginning at age 45,

or

YOUR PRESCRIPTION DRUG BENEFIT We want you to receive the most value from your prescription drug benefits. Here are some tips to help you. 1 The information in this document is specific to members of Quartz – offered by Quartz Health Insurance Corporation. CERTIFICATE OF COVERAGE LOOKUP Certificate of Coverage Lookup. To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. If you are a current Quartz member, you may also login to MyChart to view your current benefit documents. Subscriber Number First nine digits only. CLAIM ADJUSTMENT/REVIEW REQUEST quartzbenefits.com claim adjustment/review request qa00420 (0421) provider name: _____ contact name: _____ phone: (_____) _____ ext. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Questions? Contact Customer Service at (800) 362-3310. If your facility does not currently have access to My Quartz

Tools,

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BEHAVIORAL HEALTH

Behavioral Health Services. You 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. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

ADULT HEALTH SCREENINGS Skin and mole exam. Bone health: Bone mineral density test (starting at age 50) Heart and Circulation Health. Blood pressure test: At every clinic visit. Cholesterol test: Start at age 20. Screening for Pre-Diabetes and Diabetes – Every three years beginning at age 45,

or

YOUR PRESCRIPTION DRUG BENEFIT We want you to receive the most value from your prescription drug benefits. Here are some tips to help you. 1 The information in this document is specific to members of Quartz – offered by Quartz Health Insurance Corporation. CERTIFICATE OF COVERAGE LOOKUP Certificate of Coverage Lookup. To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. If you are a current Quartz member, you may also login to MyChart to view your current benefit documents. Subscriber Number First nine digits only. CLAIM ADJUSTMENT/REVIEW REQUEST quartzbenefits.com claim adjustment/review request qa00420 (0421) provider name: _____ contact name: _____ phone: (_____) _____ ext.

QUARTZ UPDATES

Stay up-to-date on the latest Quartz information. Medicare Vaccine Claims. Medicare Fee-for-service (FFS) is paying for the COVID-19 vaccine and its administration for all Medicare members (even Medicare Advantage members) during 2020-2021.

QUARTZ UPDATES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. FOCUS ON THE GREATER GOOD: HOW QUARTZ HELPS REDUCE HEALTH The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

QUARTZ UPDATES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. REAL TIME BENEFIT CHECK MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. WHY A 5-STAR RATING FROM MEDICARE MATTERS MADISON Here at Quartz, we think achieving a 5-Star Rating from Medicare is a really big deal! For 2021, only 21 Medicare Advantage plans in the nation achieved a 5-Star Rating, and Quartz Medicare Advantage (HMO)

has two of them!

WE'RE LISTENING MADISON, WISCONSIN We appreciate all the feedback you’ve given us in the past. Soon, you’ll be receiving our latest Net Promoter Score (NPS) survey. NPS is an important way Quartz measures the customer experience of all four of our customer groups (member, employer, agent, and provider) and their overall perception of Quartz. BILLING POST-OPERATIVE CARE MANAGEMENT MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER BLOG

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools. It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Electronic notification of remittance advice and referral status

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

MEDICAL POLICIES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BEHAVIORAL HEALTH

Behavioral Health Services. You 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. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

PRIOR AUTHORIZATION

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. ADULT HEALTH SCREENINGS A couple of ways we can care for our health is to get our annual checkup with our primary care provider, get a flu shot and stay active. Men and women have different recommended health screenings, and the kinds of screenings vary by age. CERTIFICATE OF COVERAGE LOOKUP To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. CLAIM ADJUSTMENT/REVIEW REQUEST quartzbenefits.com claim adjustment/review request qa00420 (0421) provider name: _____ contact name: _____ phone: (_____) _____ ext. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools. It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Electronic notification of remittance advice and referral status

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

MEDICAL POLICIES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BEHAVIORAL HEALTH

Behavioral Health Services. You 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. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

PRIOR AUTHORIZATION

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. ADULT HEALTH SCREENINGS A couple of ways we can care for our health is to get our annual checkup with our primary care provider, get a flu shot and stay active. Men and women have different recommended health screenings, and the kinds of screenings vary by age. CERTIFICATE OF COVERAGE LOOKUP To view your current Certificate of Coverage, enter your subscriber number (found on your ID card), date of birth and the benefit as of date and select Search. CLAIM ADJUSTMENT/REVIEW REQUEST quartzbenefits.com claim adjustment/review request qa00420 (0421) provider name: _____ contact name: _____ phone: (_____) _____ ext.

QUARTZ UPDATES

Stay up-to-date on the latest Quartz information. Medicare Vaccine Claims. Medicare Fee-for-service (FFS) is paying for the COVID-19 vaccine and its administration for all Medicare members (even Medicare Advantage members) during 2020-2021.

QUARTZ UPDATES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. FOCUS ON THE GREATER GOOD: HOW QUARTZ HELPS REDUCE HEALTH The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

QUARTZ UPDATES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. WHY A 5-STAR RATING FROM MEDICARE MATTERS MADISON Here at Quartz, we think achieving a 5-Star Rating from Medicare is a really big deal! For 2021, only 21 Medicare Advantage plans in the nation achieved a 5-Star Rating, and Quartz Medicare Advantage (HMO)

has two of them!

IT’S TIME FOR PREVENTIVE CARE MADISON, WISCONSIN Did you know an estimated 41% of U.S. adults have delayed or avoided medical care because of the pandemic? There is a rising concern in the health care field that delayed care now could lead to increased or more severe medical issues in the future. BILLING POST-OPERATIVE CARE MANAGEMENT MADISON, WISCONSIN The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. VACCINES UNDER MEDICARE PART D MADISON, WISCONSIN Most vaccines are covered under Medicare Part D and should be administered at a pharmacy. Most medical providers are not set up to bill Medicare Part D. If a provider administers a Part D vaccine in a clinic or other provider facility, the patient will typically have a higher bill than if had they received the same vaccine at a pharmacy.

PROVIDER BLOG

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

AGENT BLOG | QUARTZ

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Questions? Contact Customer Service at (800) 362-3310. If your facility does not currently have access to My Quartz

Tools,

MYPLANTOOLS

Quartz's secure online tool that allows you and your clients access to health insurance information. Background Image: Myplantools. The site includes –. Request a small group quote. View your agency groups' benefit information. View and confirm benefit eligibility. Create customized provider directories. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

PRIOR AUTHORIZATION

General (Medical) Prior Authorization List - PPO. Behavioral Health Prior Authorization. Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608) 471-4391. Submission instructions are included

with all forms.

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

MEDICATION PRIOR AUTHORIZATION Appropriate pharmacy staff will review the request using Quartz’s prior authorization criteria to determine coverage. Requestors and patients will be notified of the decision by fax and mail, respectively. Practitioners and patients may appeal a determination by calling Customer Service at (800) 362-3310 and notifying the

representative that

UW NETWORK | QUARTZ

Our online tool allows you to search for current providers. Find A Doctor. For a complete list of providers available, please refer to the Quartz - UW Health Network Provider Directory. This list of providers available may change. Health care providers frequently join or leave the network. Before you receive health care services, check

to make

COMPLETE ENROLLMENT

Thank you for choosing Quartz! We're excited to have you as a member! You will be receiving a welcome packet with your login information which will allow you to complete your enrollment. Once you login, you will be able to –. Make a Payment. Select a Primary Care Provider. Sign Up for MyChart. Notify Quartz of Other Health Insurance Coverage. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Questions? Contact Customer Service at (800) 362-3310. If your facility does not currently have access to My Quartz

Tools,

MYPLANTOOLS

Quartz's secure online tool that allows you and your clients access to health insurance information. Background Image: Myplantools. The site includes –. Request a small group quote. View your agency groups' benefit information. View and confirm benefit eligibility. Create customized provider directories. URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

PRIOR AUTHORIZATION

General (Medical) Prior Authorization List - PPO. Behavioral Health Prior Authorization. Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608) 471-4391. Submission instructions are included

with all forms.

MEDICAL POLICIES

The Medical Policies listed below are examples provided for informational purposes only. These Medical Policies do not constitute medical advice. When deciding coverage, the terms of the enrollee’s plan and any applicable laws are referenced. Plan terms are found in plan documents including but not limited to Certificates of Coverage,

Benefit

MEDICATION PRIOR AUTHORIZATION Appropriate pharmacy staff will review the request using Quartz’s prior authorization criteria to determine coverage. Requestors and patients will be notified of the decision by fax and mail, respectively. Practitioners and patients may appeal a determination by calling Customer Service at (800) 362-3310 and notifying the

representative that

UW NETWORK | QUARTZ

Our online tool allows you to search for current providers. Find A Doctor. For a complete list of providers available, please refer to the Quartz - UW Health Network Provider Directory. This list of providers available may change. Health care providers frequently join or leave the network. Before you receive health care services, check

to make

COMPLETE ENROLLMENT

Thank you for choosing Quartz! We're excited to have you as a member! You will be receiving a welcome packet with your login information which will allow you to complete your enrollment. Once you login, you will be able to –. Make a Payment. Select a Primary Care Provider. Sign Up for MyChart. Notify Quartz of Other Health Insurance Coverage. QUARTZ MEDICARE PLAN OPTIONS Quartz Medicare Advantage is a plan with various coverage options. All plans offer comprehensive medical coverage, worldwide urgent and emergency coverage, and fixed premiums regardless of your age. Quartz offers various plans, some that include Part D drug coverage. Plan options are sure to fit your needs for cost and coverage. SHOPPING FOR INDIVIDUAL HEALTH PLANS Learn More About Quartz. Employer Group Plans. Quartz offers confidence. Confidence that you're providing the best choice for your employees, whether it's a group insurance or a self-funded plan. You're in the driver's seat to choose the networks that match your needs, as well as the health, wellness and pharmacy benefits that

matter to you.

SENIOR CHOICE

Requests to terminate coverage need to be submitted in writing. You can submit a letter or print and complete the Senior Choice Waiver of Coverage Form. Please send your request by mail or fax to: Mail: Attn: Senior Choice. 840 Carolina Street. Sauk City, WI 53583. Fax Number:

(608) 643-2564.

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. MEMBER KIT - BADGERCARE PLUS - QUARTZ The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. WE'RE LISTENING MADISON, WISCONSIN We appreciate all the feedback you’ve given us in the past. Soon, you’ll be receiving our latest Net Promoter Score (NPS) survey. NPS is an important way Quartz measures the customer experience of all four of our customer groups (member, employer, agent, and provider) and their overall perception of Quartz. MEMBER KIT - BADGERCARE PLUS Grievances We would like to know if you ever have concerns about our service or your claims. For help resolving your concerns, please call Quartz's Customer Service at (800) 362-3310, or write to us if you

have a grievance:

BADGERCARE PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. TOBACCO & E-CIGARETTES You might already know – Tobacco use is a major cause of disease and early death. Tobacco harms nearly every organ of your body. E-cigarettes (vaping) in NOT harmless. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools. It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Electronic notification of remittance advice and referral status URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

MEDICAL POLICIES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

MYPLANTOOLS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PRIOR AUTHORIZATION

Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608)

471-4391

MEDICATION PRIOR AUTHORIZATION Requesting Prior Authorization for Medications* To Request coverage of a medication requiring prior authorization, complete the Medication Prior Authorization Request form and submit online or fax to the number that appears on the form.

UW NETWORK | QUARTZ

For a complete list of providers available, please refer to the Quartz - UW Health Network Provider Directory.. This list of providers available may change. Health care providers frequently join or

COMPLETE ENROLLMENT

Exchange Assigned ID Your Exchange Assigned ID can be found on your Quartz Welcome Letter. You can also find this ID by contacting Quartz Customer Service at 800-362-3310. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools. It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Electronic notification of remittance advice and referral status URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

MEDICAL POLICIES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

MYPLANTOOLS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PRIOR AUTHORIZATION

Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608)

471-4391

MEDICATION PRIOR AUTHORIZATION Requesting Prior Authorization for Medications* To Request coverage of a medication requiring prior authorization, complete the Medication Prior Authorization Request form and submit online or fax to the number that appears on the form.

UW NETWORK | QUARTZ

For a complete list of providers available, please refer to the Quartz - UW Health Network Provider Directory.. This list of providers available may change. Health care providers frequently join or

COMPLETE ENROLLMENT

Exchange Assigned ID Your Exchange Assigned ID can be found on your Quartz Welcome Letter. You can also find this ID by contacting Quartz Customer Service at 800-362-3310. QUARTZ MEDICARE PLAN OPTIONS Quartz Medicare Advantage is a plan with various coverage options. All plans offer comprehensive medical coverage, worldwide urgent and emergency coverage, and SHOPPING FOR INDIVIDUAL HEALTH PLANS The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

SENIOR CHOICE

Senior Choice is a Medicare Supplement (Medigap) plan. It helps to cover some of the extra charges not paid for by Medicare. Medicare provides medical coverage for

PREMIUM PAYMENTS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. WE'RE LISTENING MADISON, WISCONSIN We appreciate all the feedback you’ve given us in the past. Soon, you’ll be receiving our latest Net Promoter Score (NPS) survey. NPS is an important way Quartz measures the customer experience of all four of our customer groups (member, employer, agent, and provider) and their overall perception of Quartz. MEMBER KIT - BADGERCARE PLUS Grievances We would like to know if you ever have concerns about our service or your claims. For help resolving your concerns, please call Quartz's Customer Service at (800) 362-3310, or write to us if you

have a grievance:

MEMBER KIT - BADGERCARE PLUS - QUARTZ The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. 2020-2021 BADGERCARE PLUS 3 Using Your ForwardHealth ID Card Your ForwardHealth ID card is the card you will use to get your BadgerCare Plus benefits. Your ForwardHealth ID card is different from your HMO HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools. It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Electronic notification of remittance advice and referral status URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

MEDICAL POLICIES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

MYPLANTOOLS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PRIOR AUTHORIZATION

Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608)

471-4391

MEDICATION PRIOR AUTHORIZATION Requesting Prior Authorization for Medications* To Request coverage of a medication requiring prior authorization, complete the Medication Prior Authorization Request form and submit online or fax to the number that appears on the form.

UW NETWORK | QUARTZ

For a complete list of providers available, please refer to the Quartz - UW Health Network Provider Directory.. This list of providers available may change. Health care providers frequently join or

COMPLETE ENROLLMENT

Exchange Assigned ID Your Exchange Assigned ID can be found on your Quartz Welcome Letter. You can also find this ID by contacting Quartz Customer Service at 800-362-3310. HEALTH INSURANCE IN MADISON AND SELECT WI IL MN AND IACURRENT MEMBERSBROWSE PLANSEMPLOYERSAGENTSPROVIDERSABOUT The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PROVIDER PORTAL

My Quartz Tools. It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include: Electronic notification of remittance advice and referral status URGENT CARE SERVICES WISCONSIN Note: If you go to urgent care, you may have to pay the copayment (if your plan has copays for urgent care).Services from a non-participating provider are covered up to the usual, customary, and reasonable charge (UCR). You may be responsible for paying charges

that are

BEHAVIORAL HEALTH

Behavioral Health Services. You 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.

MEDICAL POLICIES

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

MYPLANTOOLS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

PRIOR AUTHORIZATION

Please select the appropriate prior authorization request form below and submit to: Quartz Behavioral Health Care Management. Fax (608)

471-4391

MEDICATION PRIOR AUTHORIZATION Requesting Prior Authorization for Medications* To Request coverage of a medication requiring prior authorization, complete the Medication Prior Authorization Request form and submit online or fax to the number that appears on the form.

UW NETWORK | QUARTZ

For a complete list of providers available, please refer to the Quartz - UW Health Network Provider Directory.. This list of providers available may change. Health care providers frequently join or

COMPLETE ENROLLMENT

Exchange Assigned ID Your Exchange Assigned ID can be found on your Quartz Welcome Letter. You can also find this ID by contacting Quartz Customer Service at 800-362-3310. QUARTZ MEDICARE PLAN OPTIONS Quartz Medicare Advantage is a plan with various coverage options. All plans offer comprehensive medical coverage, worldwide urgent and emergency coverage, and SHOPPING FOR INDIVIDUAL HEALTH PLANS The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE_PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

SENIOR CHOICE

Senior Choice is a Medicare Supplement (Medigap) plan. It helps to cover some of the extra charges not paid for by Medicare. Medicare provides medical coverage for

PREMIUM PAYMENTS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. WE'RE LISTENING MADISON, WISCONSIN We appreciate all the feedback you’ve given us in the past. Soon, you’ll be receiving our latest Net Promoter Score (NPS) survey. NPS is an important way Quartz measures the customer experience of all four of our customer groups (member, employer, agent, and provider) and their overall perception of Quartz. MEMBER KIT - BADGERCARE PLUS Grievances We would like to know if you ever have concerns about our service or your claims. For help resolving your concerns, please call Quartz's Customer Service at (800) 362-3310, or write to us if you

have a grievance:

MEMBER KIT - BADGERCARE PLUS - QUARTZ The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels.

BADGERCARE PLUS

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. 2020-2021 BADGERCARE PLUS 3 Using Your ForwardHealth ID Card Your ForwardHealth ID card is the card you will use to get your BadgerCare Plus benefits. Your ForwardHealth ID card is different from your HMO

I accept I refuse

Skip to Main Content

* Find a Doctor

* MyChart

* Contact Us

* Español

Open Search Close Search

Search

Menu

The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. Up and Down arrows will open main level menus and toggle through sub tier links. Enter and space open menus and escape closes them as well. Tab will move on to the next part of the site rather than go through menu items.

Menu

*

Current Members

expand /

collapse Current Members

*

Individual & Family Plans

expand

/ collapse Individual & Family Plans * Individual Member Kit

*

Employer Group Members

expand

/ collapse Employer Group Members * Group Employee Member Kit

*

Medicare Plan Members

expand

/ collapse Medicare Plan Members

* Medicare Select

* Senior Choice

* Medicare Advantage

*

State & Local Members

expand

/ collapse State & Local Members * State & Local Member Kit

* Why Quartz?

* Contact Us - State & Local Members * Contact Us Form - State & Local Member * Self-Funded Participants

*

Federal Employees Health Benefits (FEHB)

expand

/ collapse Federal Employees Health Benefits (FEHB)

* Benefits

* Forms & Resources

* FEHB Member Kit

* Digital Tools

*

Getting Care

expand

/ collapse Getting Care

* Primary Care

* Specialty Care

* Urgent Care

* Telehealth Visits vs Virtual Visits

* Emergency Care

* Away From Home

* What is Prior Authorization?

* Welcome Center

* BadgerCare Plus Members

*

Health Management, Wellness & Prevention

expand

/ collapse Health Management, Wellness & Prevention * Wellness & Prevention * Health Management Programs

*

Pharmacy Program

expand

/ collapse Pharmacy Program * Quartz Formularies * Prior Authorization * Drug Supply Policies * Specialty Pharmaceuticals Program

* Find A Pharmacy

* Frequently Asked Questions

* Member Blog

*

Browse Plans expand / collapse Browse

Plans

* Individual & Family Plans

* Group Plans

*

Medicare Plans

expand /

collapse Medicare Plans * Medicare Advantage

* Senior Choice

* Medicare Select

* Medicaid (BadgerCare Plus)

*

Employer-Provided Insurance

expand / collapse

Employer-Provided Insurance * Why Choose Quartz?

*

Employers expand /

collapse Employers

* Buy a Quartz Plan

* Illinois Employer Forms * Iowa Employer Forms * Minnesota Employer Forms * Wisconsin Employer Forms

*

Employer Resources

expand

/ collapse Employer Resources * Update Your Employer Profile * Workplace Wellness

*

Self-Funded

expand

/ collapse Self-Funded * Self-Funded Employer Resources

* Employer Blog

*

Agents expand / collapse Agents

* Large Group

* Small Group

*

Self-Funded Product

expand

/ collapse Self-Funded Product * When you Choose Self-Funded, Choose Quartz.

*

Individual & Family Plans

expand

/ collapse Individual & Family Plans * Individual & Family Plans

*

Medicare expand /

collapse Medicare

* Medicare Advantage

* Medicare Select

* Senior Choice

* Why Quartz?

*

Forms & Resources

expand

/ collapse Forms & Resources

* Wisconsin Forms

* Iowa Forms

* Illinois Forms

* Minnesota Forms

* Agent Blog

*

Providers expand / collapse

Providers

*

Medicare Advantage

expand /

collapse Medicare Advantage * Part D Formulary & Criteria * Case & Disease Management * Clinical Practice Guidelines * Medicare First Tier, Downstream and Related Entitles (FDR)

Compliance

* Provider Communicator Newsletter & News Flash Bulletins * Prior Authorization List

* Provider Portal

* Prior Authorization

*

Provider Forms

expand /

collapse Provider Forms * My Quartz Tools Access Request Form

*

Provider Resources

expand

/ collapse Provider Resources * Utilization Management * Provider Newsletters * Chiropractic Providers * Home Medical Equipment, Home Health, or Infusion Services

*

Quartz Formularies

expand

/ collapse Quartz Formularies

* Standard Choice

* Standard

* Medical Policies

* Quartz Pharmacy Program * Electronic Data Interchange (EDI)

*

Resources for Your Patients

expand

/ collapse Resources for Your Patients * Complex Case Management

* Provider Blog

*

About expand /

collapse About

*

Careers

expand

/ collapse Careers

* Benefits

* Culture

* Careers FAQ

*

Diversity, Equity & Inclusion Overview

expand

/ collapse Diversity, Equity & Inclusion Overview * Diversity, Equity & Inclusion * In Our Communities

*

The Quartz Difference

expand

/ collapse The Quartz Difference * Our Quality Promise to You

* Health Plans 101

* Newsroom

* History

*

Contact Us

expand

/ collapse Contact Us * Locations, Maps & Directions * Contact Us Form - Member * Contact Us Form - Non-Member

* Preventing Fraud

*

Notice of Privacy Practices

expand

/ collapse Notice of Privacy Practices

* Terms

* Website and Mobile Application Privacy Policies * Companies & Licenses * Health Insurance Resources for Wisconsin

* Talk to an Expert

*

Leadership Team

expand

/ collapse Leadership Team

* Dr. Mark Selna

* Marybeth Bay

* Brian Collien

* Kimila Daniels

* Amie Goldman

* Jim Hiveley

* Karla Lord

* Christina Ott

* Debbie Schiffman

* Christine Senty

* Jesse Shultis

* Greg Skemp

* Kelly Skifton

* Dominic Turpin

* Troy Vander Pas

Log in

* Quartz MyChart

* Sign Up for Quartz MyChart

* MyPlanTools

* My Quartz Tools

* Find a Doctor

* MyChart

* Contact Us

* Español

*

What our members need to know about COVID-19...

AAAChoose font size

SEE HEALTH PLANS

I AM... Please Select Browsing Plans A BadgerCare Member A Wisconsin State or Local Member A Member Current employer group Provider I WANT TO... Please Select

Go

Background Image: Medicare Advantage 5 Stars

Want to Switch

Medicare Plans?

QUARTZ MEDICARE ADVANTAGE (HMO) PLANS HAVE BEEN RATED 5 STARS BY

MEDICARE.

AND, YOU CAN SWITCH TO ONE RIGHT NOW! AMERICAN RESCUE PLAN SPECIAL ENROLLMENT PERIOD

Learn more

Background Image: ARPA SEP Alt iStock-1072634074-824-414

ACT FAST!

COVID-19 VACCINES

How and Where to Sign Up Background Image: People hugging

Quartz

* WEBSITE AND MOBILE APPLICATION PRIVACY POLICIES

* TERMS

* CAREERS

* SITE MAP

* NOTICE OF PRIVACY PRACTICES * QUARTZ FORMULARIES

* Español

* Hmoob

* 繁體中文

* Deutsch

* العربية

* Русский

* 한국어

* Tiếng Việt

* Deitsch

* ໄທລາວ

* Français

* Polski

* हिंदी

* Shqip

* Tagalog

* አማርኛ

* Oromiffa

* ગુજરાતી

* Italiano

* ភាសាខ្មែរ * српско-хрватски

* ไทย

* اردو

*

Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, Quartz Health Plan MN Corporation and Quartz Health Insurance Corporation, which are separate legal entities. For more information, see our Companies and

Licenses

page.

� 2021 Quartz Health Solutions, Inc. All rights reserved.

Live Chat is Online

Chatting

0

×

–

undefined

Chat Input Box

Chat

Powered by