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
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.
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
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
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.
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
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. 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.
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 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 
