Quartz Medicare Advantage Plans 2025

If you’re considering Medicare Advantage plans for 2025, you’re likely wondering what’s new and how the plans could benefit you. This article cuts through the noise, delivering clear insights on the updates to premiums, benefits, and networks for Quartz Medicare Advantage plans in the coming year, helping you make a cost-effective and informed choice regarding Quartz Medicare Advantage Plans 2025.

 

Key Takeaways

  • Quartz Medicare Advantage Plans for 2025 in Wisconsin integrate comprehensive health coverage with additional benefits such as fitness memberships and Part D prescription drug benefits, tailored to diverse healthcare needs including special plans for dual-eligible individuals.

 

  • Quartz Medicare Advantage plans offer extensive coverage options, including no-cost preventive care, hospitalization, telehealth, and worldwide emergency transportation, along with substantial dental and vision benefits that surpass basic healthcare requirements.

 

  • Quartz’s high-quality Medicare Advantage plans earned a 5-star rating from CMS for 2023, reflecting their commitment to member satisfaction, while their annual contract renewal process enables members to stay informed about changes and adjust their plans during the enrollment periods.

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Quartz Medicare Advantage Plans 2025: A Comprehensive Overview

 

Quartz Medicare Advantage Plans 2025 Quartz Medicare Advantage Plans 2025: A Comprehensive Overview

 

When it comes to healthcare, Quartz is a name you can trust. Offering a range of Medicare Advantage plans in Wisconsin, Quartz provides options to meet diverse healthcare needs in 2025. From Health Maintenance Organization (HMO) plans to Preferred Provider Organization (PPO) plans, each Quartz Medicare Advantage plan offers explicit benefits tailored to fit individual needs.

Quartz Medicare Advantage plans for 2025 typically integrate comprehensive health services coverage, including a security health plan, and Part D prescription drug benefits. Additionally, Quartz continues to offer popular additional benefits such as fitness memberships, providing a holistic approach to health and wellness.

 

Plan Types

Quartz offers a wide range of Medicare Advantage plans to cater to the unique needs of different groups. One such offering is the Special Needs Plan (SNP), specifically tailored for individuals who qualify for both Medicaid and Medicare.

Among SNPs, the Dual Eligible Special Needs Plan (D-SNP) targets Wisconsin residents with full benefit Medicaid or those enrolled in the Qualified Medicare Beneficiary Medicare Savings Program. By providing comprehensive Medicaid services, these plans ensure that beneficiaries receive the care they need.

The coordination of benefits and quality of care in Quartz Medicare Advantage plans cater to the distinct needs of the Dual Eligible population. This focus on matching the plan type to individual needs underscores the commitment of Quartz to the health and well-being of its members.

 

Coverage Options

Comprehensive coverage in Quartz Medicare Advantage plans guarantees access to vital healthcare services. Quartz covers a wide range of health needs, including:

  • No-cost coverage for doctor visits

 

  • Hospitalization

 

  • Skilled nursing facilities

 

  • Emergency department services

 

  • Telehealth

 

  • Emergency transportation worldwide

 

  • $25 copays for podiatric services

 

Beyond this, Quartz’s dental and vision coverage includes:

  • No-cost preventive dental services

 

  • $0 copays for routine eye exams

 

  • Coverage up to $3,000 for comprehensive dental

 

  • $500 towards eyewear

 

An optional add-on for comprehensive dental coverage is available for an additional fee, offering an extra $1,000 of coverage.

For your prescription needs, Medicare Part D coverage with Quartz includes varied deductibles for different medication tiers and a coverage gap where members pay 25% of drug costs after a certain spending amount in their prescription drug plans.

 

Benefits

In addition to basic health coverage, Quartz Medicare Advantage plans offer extra perks to promote member health and wellness. These perks include:

  • Up to $1,000 a year towards fitness memberships

 

  • Transportation to medical appointments

 

  • Eyewear coverage

 

  • $40/quarter for over-the-counter health items at participating retailers

 

This not only promotes physical health but also eases the financial burden of essential health and drug services expenditures.

In addition to physical health, Quartz also addresses mental well-being. Eligible members have access to the following programs:

  • Virta Health for obesity and Type 2 diabetes reversal

 

  • Quartz’s mental well-being programs with AbleTo, offer digital and professional support

 

  • BrainHQ, an online memory fitness program

 

  • $0 copay for virtual visits with UWHealth Care Anywhere

 

  • Nourishing meal delivery for eligible members

 

  • Acupuncture, hearing aids, and massage therapy benefits

 

For travelers, Quartz provides worldwide emergency coverage and service coverage at in-network costs for six months a year, making it a great option for those seeking South Central insurance.

 

Understanding Star Ratings and Performance Measures

 

Quartz Medicare Advantage Plans 2025 Understanding Star Ratings and Performance Measures

 

Making an informed decision about choosing a Medicare Advantage plan involves comprehending CMS star ratings and performance measures, which are significant factors. Medicare Advantage plans are rated on a scale of 1 to 5 by CMS, with 5 being the highest rating a plan can achieve.

The weight of patient experience, complaints, and access measures increased from 2 to 4 for the 2023 Star Ratings, indicating an increased focus on the quality of patient interactions with healthcare services.

To enhance the reliability of the Star Ratings, CMS employs Tukey outlier deletion to determine the cut points for all measures except CAHPS. This approach aims to improve the predictability and stability of the ratings.

This means that the ratings are not just arbitrary numbers, but are calculated using a reliable and robust method, ensuring they accurately reflect the quality of the Medicare Advantage plans.

 

Quartz’s Star Ratings

The star ratings reflect the quality of Quartz Medicare Advantage plans. For 2023, Quartz Health Plan Corporation achieved a 5-star rating, the highest rating possible.

This achievement signifies not only the high-quality healthcare services provided by Quartz but also the satisfactory patient experience, positioning Quartz as a top choice for Medicare Advantage plans.

 

Performance Measures

Medicare Advantage plans, Quartz’s included, undergo evaluation based on up to 38 unique quality and performance measures. These measures assess facets like patient experience, complaints, and healthcare access, providing a comprehensive evaluation of the plan.

CMS also made adjustments to the Star Ratings in 2023 to account for the impact of the COVID-19 pandemic, specifically for certain Healthcare Effectiveness Data and Information Set (HEDIS) measures.

The weighting of these performance measures may change over time, reflecting the changing priorities in healthcare. For example, the weight of the Statin Use in Persons with Diabetes measure was reduced from 3 to 1 in 2023, indicating a change in the measure’s impact on the overall assessment of plan quality.

New additions and revisions to Part C measures involve weight changes, affecting the overall star rating.

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Comparing Quartz Medicare Advantage Plans with Competitors

Quartz sets itself apart from the competition in the Medicare Advantage plans market with its comprehensive coverage, member satisfaction, and extra perks. When compared with other major providers, Quartz Medicare Advantage plans offer a competitive network size, ensuring members have access to a wide range of healthcare providers.

Members typically report a satisfactory experience with Quartz Medicare Advantage plans, positioning them favorably against other major companies in Wisconsin. Moreover, Quartz Medicare Advantage plans distinguish themselves with additional perks that may not be uniformly available with all competitors.

These factors set their Medicare Advantage plans apart in the Wisconsin market, making them a top choice for 2025.

 

Network Size

One of the key factors to consider when choosing a Medicare Advantage plan is the network size. Having a comprehensive provider network can positively impact performance measures and patient satisfaction. Quartz Medicare Advantage plans emphasize building such a comprehensive provider network, ensuring members have access to the healthcare services they need.

Keep in mind that the network of Quartz Medicare Advantage is region-specific, covering areas in:

  • Iowa

 

  • Illinois

 

  • Minnesota

 

  • Wisconsin

 

Therefore, members need to verify the network’s reach and their access to healthcare providers. This ensures that they can fully utilize the benefits of their chosen Quartz Medicare Advantage plan.

 

Member Experience

Known for providing an excellent member experience, Quartz Medicare Advantage plans have made their mark. This high-quality member experience is reflected in the high ratings achieved in consumer satisfaction surveys and rankings. This recognition illustrates the commitment of Quartz to ensure that its members have a satisfactory healthcare experience.

While specific data comparing member satisfaction of Quartz Medicare Advantage to its competitors in Wisconsin is currently unavailable, the high ratings and positive feedback from members attest to the quality of the member experience provided by Quartz. This positions Quartz Medicare Advantage plans as a top choice for individuals seeking a satisfying and fulfilling healthcare experience.

 

Extra Perks

 

Quartz Medicare Advantage Plans 2025 Comparing Quartz Medicare Advantage Plans with Competitors

 

One aspect where Quartz Medicare Advantage plans shine is in the additional perks they offer. These extra perks enrich the overall benefits package, offering members value-added services that address a variety of health and wellness needs.

These perks can enhance the attractiveness and competitiveness of Quartz plans when compared with other providers.

From Humana’s focus on extra benefits such as fitness programs and over-the-counter allowances to Aetna’s comprehensive dental, vision, and hearing coverage, and UnitedHealthcare’s inclusion of gym memberships and wellness programs, the competition is stiff.

However, Quartz’s unique offering of comprehensive coverage, fitness memberships, comprehensive dental and vision coverage, and worldwide emergency coverage sets it apart, providing an edge over its competitors, including Leon Health Holdings.

 

Navigating Enrollment and Medicare Contract Renewal

The process of enrolling in a Quartz Medicare Advantage plan is quite simple. New beneficiaries can enroll during their Initial Enrollment Period, which begins three months before their 65th birthday month and extends three months after.

For 2025, Quartz has updated its Medicare Advantage plans to include enhanced benefits such as increased over-the-counter allowances and telehealth services, providing even more value to members.

Annual contract renewals are standard for Medicare Advantage plans, and Quartz is no exception. Current members receive information about contract renewal automatically and must actively renew their elections during the Annual Enrollment Period if they wish to make changes for the upcoming year.

Enrollees must adhere to the Open Enrollment Period (October 15 to December 7) and the General Enrollment Period (January 1 to March 31) to guarantee timely access to Quartz Medicare Advantage plans.

 

Enrollment Process

 

Quartz Medicare Advantage Plans 2025 Navigating Enrollment and Medicare Contract Renewal

 

Enrolling in a Quartz Medicare Advantage plan is a simple and convenient process. To enroll, beneficiaries must ensure they are eligible and complete the enrollment process during designated enrollment periods. Quartz provides multiple avenues for enrollment, making the process easy and accessible.

Beneficiaries can enroll online through the official Quartz website, contact Quartz customer service, or mail a paper application form.

During the enrollment process, applicants need to provide their Medicare number and the date their Part A and Part B coverage commenced, as indicated on their Medicare card. This information is essential to verify eligibility and ensure a smooth enrollment process.

 

Contract Renewal

Quartz Medicare Advantage plans undergo annual contract renewals with CMS, which is a standard process for Medicare Advantage plans. Members will receive advance communication about any changes in their Quartz Medicare Advantage plans for the year 2025 before the enrollment period.

This allows members to make informed decisions about their health insurance coverage for the upcoming year, considering options from a reliable life insurance company.

Tips for Choosing the Right Quartz Medicare Advantage Plan

To satisfy your healthcare needs, selecting the appropriate Medicare Advantage plan is vital. Quartz Medicare Advantage plans often provide more benefits than Original Medicare and can be more cost-effective. However, it is important to understand all costs involved in a Medicare Advantage plan, including:

  • The premium

 

  • Deductibles

 

  • Copays

 

  • Coinsurance

 

Beneficiaries can identify a plan that aligns with their needs by evaluating their healthcare requirements and comparing the benefits of different Quartz Medicare Advantage plans.

 

Assessing Costs

Cost is a major factor in choosing a Medicare Advantage plan. To make a well-informed decision, it’s necessary to comprehend all the costs associated with a plan, which include:

  • Premiums

 

  • Deductibles

 

  • Copays

 

  • Coinsurance

 

The average monthly premium for a Medicare Advantage plan in Wisconsin in 2024 is $26.15, offering a benchmark for cost comparison.

Considering these costs can provide a clearer picture of the total cost of a Quartz Medicare Advantage plan. With this knowledge, beneficiaries can compare plans more effectively and choose a plan that fits within their budget while also meeting their healthcare needs.

 

Evaluating Network Providers

Another crucial factor in choosing a Medicare Advantage plan is the network of healthcare providers. Quartz Medicare Advantage plans emphasize building a comprehensive provider network, ensuring members have access to the healthcare services they need.

It’s vital to confirm that your current doctors are part of the plan’s network when assessing Quartz Medicare Advantage plans.

Beneficiaries can check the provider/pharmacy directory of the Quartz Medicare Advantage plans to ensure that preferred medical providers participate in the plan’s network. If a current provider is not in-network, consider the need to switch to an in-network healthcare provider to avoid incurring higher out-of-pocket costs.

 

Considering Extra Benefits

 

Quartz Medicare Advantage Plans 2025 Tips for Choosing the Right Quartz Medicare Advantage Plan

 

The extra benefits provided by Quartz Medicare Advantage Plans can greatly enrich your healthcare experience. These benefits go beyond standard medical coverage, addressing a variety of health and wellness needs. For example, Quartz Medicare Advantage Plans offer a Quartz CashCard with up to $1,000 a year towards fitness memberships, transportation to medical appointments, eyewear, and $40/quarter for over-the-counter health items at participating retailers.

Complimentary therapies offered include massage therapy, with 6-12 visits at a low copay, up to 20 acupuncture treatments for chronic low back pain per year, and free access to BrainHQ for memory fitness. The hearing aid benefit includes an annual routine hearing exam at a modest copay and a substantial allowance towards hearing aids every two years.

For members who travel, Quartz Medicare Advantage Plans provide a travel benefit for receiving covered services at in-network costs for up to six months annually and worldwide emergency coverage. Considering these extra benefits can help beneficiaries choose a plan that not only covers their healthcare needs but also enriches their overall health and wellness.

Summary

The Quartz Medicare Advantage plans for 2025 offer comprehensive coverage, a range of plan types, and additional benefits, making them a top choice for Medicare Advantage. With high star ratings and a focus on member experience, Quartz stands out among other providers.

The enrollment process is straightforward, and the annual contract renewal ensures that members are always updated about any changes in their plans.

When choosing a Quartz Medicare Advantage plan, consider the costs, verify that your preferred healthcare providers are in the network, and take into account the additional benefits. With these factors in mind, you can make an informed decision and choose a Quartz Medicare Advantage plan that best suits your healthcare needs.


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Frequently Asked Questions

 

Is Quartz part of Medicare?

No, Quartz offers Medicare Advantage plans designed to work with Original Medicare, providing members with benefit plans and the freedom to choose any Medicare participating provider.

 

What is the largest Medicare Advantage company?

The largest Medicare Advantage company is UnitedHealth Group, which has 7.6 million people in its plans and generated $257 billion in premium revenues in 2022.

 

What is the projected Medicare Advantage enrollment in 2025?

The projected Medicare Advantage enrollment in 2025 is over 35.4 million beneficiaries, which would account for over half of the total Medicare enrollment.

 

What types of Medicare Advantage plans does Quartz offer?

Quartz offers a range of Medicare Advantage plans, such as HMO plans, PPO plans, and Special Needs Plans designed for those eligible for both Medicaid and Medicare. These options cater to diverse healthcare needs.

 

How comprehensive is the coverage offered by Quartz Medicare Advantage plans?

Quartz Medicare Advantage plans offer comprehensive coverage, including doctor visits, hospitalization, skilled nursing facilities, emergency department services, telehealth, emergency transportation worldwide, dental and vision coverage, and Part D prescription drug benefits. These plans provide a wide range of benefits for members.

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Speak with a licensed insurance agent

1-844-350-0776
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