Medicare Counseling: Dual Eligible Special Need Plans (D-SNP) Plan – Gundersen Health Quartz
Check what other D-SNPs are available in your county and what Medicaid plans they accept. (Excel)
Gundersen Health Quartz Medicare Advantage Dual Eligible (HMO D-SNP, H5262-029)
For calendar year 2024
Contact information
Phone: 866-491-1335
TTY: 711
Website: The Quartz website
Eligibility
Who can get this plan
People with:
- Full benefit Medicaid
- The Qualified Medicare Beneficiary (QMB) Medicare Savings Program
Service area
La Crosse County
Star rating
4.5 out of 5 stars
Coverage
Check if your doctors are in-network: Quartz – Find a doctor
Check if your prescription drugs are covered: Quartz formulary (list of covered drugs) (PDF)
Costs
Doctor visit: No cost
Hospitalization: No cost
Skilled nursing facility: No cost
Emergency department: No cost
Extra benefits
Details: Quartz 2023 Plan Comparison Guide
Basic dental: Up to $3,000 covered in preventive and comprehensive dental
Extra dental: Up to $3,000 covered in preventive and comprehensive dental
Vision:
- No cost for a routine eye exam
- $500 towards eyewear
Hearing:
- One routine hearing exam and hearing aid fitting/evaluation every year
- Up to $3,000 for hearing aids every two years
Wellness programs: See Quartz CashCard under "Other"
Other:
- $500 a year for non-emergency transportation or fitness memberships
- $270 a quarter for over-the-counter drug items
How to enroll
You can only enroll during a Medicare enrollment period; learn more at Medicare.gov.
Enrollment into this plan will automatically disenroll you from your current Medicare Advantage or Part D plan.
There are multiple ways to enroll:
- Call the plan at 866-491-1335
- Medicare.gov
- 1-800-MEDICARE
- Contact the State Health Insurance Assistance Program (SHIP)