We On October 1, 2017, Unity Health Plans Insurance Corporation (Unity) officially changed its brand name to Quartz. This plan includes additional Medicare prescription drug (Part-D) coverage. the accuracy of provider self-reporting. Please read Provider and Claim Notices for PHCS. Search for a practitioner by selecting one or more filters. Our writers’ work has appeared in The Wall Street Journal, Forbes, the Chicago Tribune, Quartz, the San Francisco Chronicle, and more. speak a particular language. at (800) 394-5566 Monday through Friday from 8:00 a.m. to 8:00 p.m. From October 1 through Feburary 14, we are also available to assist you on Saturdays We change our website when new information is received. from the provider a response of "none indicated" will appear. This health plan is offered by Quartz Health Benefit Plans Corporation ::CompanyName:: Coverage Period: 1/1/2020 - 12/31/2020 9029740 - QUARTZ PRIME GOLD I403 HSA DIRECT Coverage for: Single/Family | Plan Type: HMO Tracking ID: QPG205404500 HMO Individual SBC QA00174 (0519) 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IMPORTANT: With an HMO you are required to use healthcare providers in the plan's network. Based on the plan option shown in your plan documents in MyChart, you can search for a provider and clinic location within the tier included in your plan: The Southwest Health network offers a variety of providers and clinic locations for your convenience. Quartz is a BadgerCare Plus HMO. Quartz encourages its network hospitals to hold those providers to Quartz's standards for participant billing. Quartz Medicare Advantage (HMO) is an HMO plan with a Medicare contract. The information is dependent on the accuracy of the provider self-reporting. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. While we try to provide you with accurate data, the information contained in this directory changes change our website when new information is received. DISCLAIMER: The link options below may not apply to all networks, employer groups, members or participants. As a member of Quartz, you have the BadgerCare Plus Network. Although more restrictive than Original Medicare, HMOs limit your annual out-of-pocket costs. and Sundays from 8:00 a.m. to 8:00 p.m. TTY/TDD users should call 711 or (800) 877-8973, free of charge, With traditional Medicare there's no cap, leaving you vulnerable to excessive medical bills. MyChart. The specialty of a provider is the area of medicine where a provider has concentrated his post-graduate from the provider a response of "none indicated" will appear. accreditation status at the time of credentialing and every three years at the time of recredentialing The accuracy of this information is dependent upon the accuracy of provider self-reporting. Quartz encourages its network hospitals to hold those providers to Quartz’s standards for member billing. We change our website when new information is received. Quartz Medicare Advantage plans received an overall 5 out of 5 Stars for 2020. Quartz collects this information through direct contact with the provider or office manager. You can also log in to MyChart to search your provider network. The accuracy of this information is dependent on the accuracy of facility training and practice. new information is received. If you receive services from a network hospital, the hospital may arrange with physicians and other providers who are not part of Quartz’s network to assist in your care. move, or retire. speak a particular language. Quartz does not use criteria such as quality measures, member experience measures, patient safety measures or cost related measures to select hospitals for participation in Marketplace plans. You may verify the board certification status of a physician on the American Board of Medical Specialties (ABMS) website Instead, you can use your smartphone, tablet or computer to connect to care. Please note that some benefit plans require that you obtain a referral from your Primary Care Provider before receiving services from another physician or specialist. We confirm through the annual directory review process and site visits. Cross HMO provider. provider’s application for initial credentialing and recredentialing; it is validated through primary source verification conducted by Quartz’s Certified Unity’s plans include a variety of individual HMO plans at all levels, Medicare Supplement, and Group health insurance. © 2020 Quartz Health Solutions, Inc. All rights reserved. Specialty information is validated through primary source verification done by Quartz’s Certified Verification Organization. For more information, see our Companies and Licenses page. We change our website when new information is received. American Osteopathic Association (AOA) upon receipt of the physician’s application for initial credentialing, every three years at recredentialing and if Quartz receives this information through the We change our website when new information is received. If we have not received information The SBC shows you how … network provider suggests or recommends care out-of-network. If you need covered medical care that our network providers are unable to provide, a referral from your in-network provider must be obtained in writing Health benefit plans vary, so please read your certificate of coverage to determine what services and supplies are covered under your particular plan. Gender: You can search by provider's gender. Name: If you know the specific hospital you are looking for you can search by name. For more information, see our. Hospital Accreditation: A hospital may choose to acquire accreditation through The self-reporting. If you are looking to select a UW Health Primary Care Provider (PCP), please contact the UW Health Welcome Center. information is received. Verification Organization, re-verified every three years at the time of recredentialing or if the provider notifies us of a change. We confirm office location through the annual directory Hospital admitting privileges identifies those providers who have the ability to admit patients to a particular hospital. information is provided by the provider on his/her application and verified by Quartz’s Certified Verification Organization at the time of initial credentialing, Aurora Health Quartz Med Advantage Core D (w/Rx) Review. With traditional Medicare there's no cap, leaving you vulnerable to excessive medical bills. When you move your residence or your place of employment more than thirty (30) minutes travel time or fifteen (15) miles from Telehealth is a way of bringing care to you, without you having to go to a clinic. Health benefit plans vary, so please read your certificate of coverage to determine what services and supplies are covered under your particular plan. Unity Health is a Wisconsin managed care insurer connected with UW Health. Name: If you know the specific hospital you are looking for you can search by name. This online directory is for general information. Specialty: You can search by provider specialty. Hospital admitting privileges identifies those providers who have the ability to admit patients to a particular hospital. Sign up today. Medical Group Affiliation: You can search for a provider by medical group affiliation. self-reporting. Hospital Admitting Privileges: If you wish to use a particular hospital, you can search for providers who have admitting privileges at that hospital. Trilogy Workers Compensation UIC Campus Care *(Must have referral from University of Illinois) Union Medical (Local 1546) HMO (Advocate Physician Partners Plan) *Limited to providers listed below Quartz does not use criteria such as quality measures, member experience measures or cost related measures to select practitioners for participation in Marketplace silver tier plans. Quartz Medicare Advantage Medicare Advantage Prescription Drug Plans. Please note that some benefit plans require that you obtain a referral from your Primary Care Provider before receiving services from another physician or specialist. Joint Commission on Accreditation of Healthcare Organizations. has passed an examination in that particular specialty. information is received. The SBC … Quartz receives this information from our providers as they open, close or limit their panels. Quartz is a BadgerCare Plus HMO. CRITICAL: Gundersen Quartz Med Advantage Core D (w/Rx) includes a Medicare Drug Plan which has its own deductible and co-pays. We change our website when Hospital Accreditation: A hospital may choose to acquire accreditation through The The accuracy of this information is dependent upon the accuracy of provider self-reporting. The accuracy of this information is dependent on the accuracy of facility Joint Commission on Accreditation of Healthcare Organizations. periodically as participating providers and practitioners join or leave the network, move or retire. We change our website when new information is received. You can search only one of the above options at a time. The information is dependent on the accuracy of the provider self-reporting. We confirm through the annual directory review process and site visits. We confirm through the annual directory review process and site visits. Call your clinic to learn more. Quartz Health Plan MN Corporation and Quartz Health Insurance Corporation, which are separate legal entities. In order to receive the highest level of benefits, check your certificate of coverage, login to MyChart HMO Provider Maps: Quartz. Languages: Quartz lists the languages spoken by certain providers, in addition to English, so that you may choose a provider based on their ability to Instead, you can use your smartphone, tablet or computer to connect to care. My Quartz Tools. We confirm office location through the annual directory review process and site visits. Name: If you know the specific provider you are looking for you can search by their name. This online directory was developed to help Quartz participants easily find participating practitioners, providers, and other You can search only one of the above options at a time. at https://certification.osteopathic.org/. American Osteopathic Association (AOA) upon receipt of the physician’s application for initial credentialing, every three years at recredentialing and if Languages: Quartz lists the languages spoken by certain providers, in addition to English, so that you may choose a provider based on their ability to Limited benefits will be paid when non-participating providers are used. The information is dependent on the accuracy of the facility self-reporting. Although more restrictive than Original Medicare, HMOs limit your annual out-of-pocket costs. We confirm training and practice. Understanding an HMO. We change our website when new information is received. Unity underwrites Quartz-branded HMO, Point-of-Service (POS) and Preferred Provider Organization (PPO) plans, including HSA-qualified plan designs. at https://certification.osteopathic.org/. is still participating with Quartz and accepting new patients. You can search only one of the above options at a time. The following Quartz Medicare Advantage plans offer Medicare Advantage Prescription Drug plan coverage to Wisconsin residents. We change our website when new or by a county. and clinic location within the tier included in your plan: This online directory was developed to help members of Quartz easily find participating practitioners, providers, and other health care professionals. Quartz receives this information from our providers as they open, close or limit their panels. at http://www.abms.org or on the American Osteopathic Association (AOA) website A written referral must be approved by the plan's medical director prior to seeking care if your This information as well as your Behavioral Health, Dental and Pharmacy benefits can be found by logging into We change our website when new information is received. The enrollment specialist can also enroll you into the HMO of your choice right over the telephone, or they can help you complete the form. Quartz does not use criteria such as quality measures, member experience measures or cost related measures to select practitioners for participation in Marketplace silver tier plans. Mayo Clinics, Hospitals, and Providers are Out of Network for Quartz. If you are looking to select a UW Health Primary Care Provider (PCP), please contact the UW Health Welcome Center. This online directory is for general information. Offered by Quartz Health Benefit Plans Corporation. Your network can be found on your ID Card. every three years at recredentialing and if the provider informs us of any changes. prior to seeking care from an out-of-network provider. Accepting New Patients: Open / closed / limited panels: Some provider may have closed or limited panels because they do not have the capacity to take on If you need covered medical care that our network providers are unable to provide, a referral from your in-network provider must be obtained in writing The medical group affiliation refers to the location at which one You can contact the Welcome Center by calling. at (800) 394-5566 Monday through Friday from 8:00 a.m. to 8:00 p.m. From October 1 through Feburary 14, we are also available to assist you on Saturdays While we try to provide you with accurate data, the information contained in this directory changes This health plan is offered by Quartz Health Benefit Plans Corporation STOUGHTON HOSPITAL ASSOCIATION Coverage Period: 1/1/2021 - 12/31/2021 9082545 - HMO HSA Coverage for: Single/Family | Plan Type: HMO Tracking ID: ILVUADIF HMO SBC QA01003 (0520) 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We confirm through the annual directory review process and site visits. Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, This health plan is offered by Quartz Health Benefit Plans Corporation STOUGHTON HOSPITAL ASSOCIATION Coverage Period: 1/1/2021 - 12/31/2021 9082358 - HMO Deductible Coverage for: Single/Family | Plan Type: HMO Tracking ID: K3MV5J HMO SBC QA01003 (0520) 1 of 8 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Searches related to a zip code will begin from the population center of the zip code. review process and site visits. or more providers share a common office. self-reporting. This provider offers telehealth services. Searches related to a zip code will begin from the population center of the zip code. The accuracy of this information is dependent upon This provider offers telehealth services. Quartz Health Solutions, Inc. is jointly owned by UW Health, Gundersen Health System and UnityPoint Health. 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 Real-time benefit information; Enhanced secure messaging Redesigned claims view ; Questions? Quartz Health Plan MN Corporation and Quartz Health Insurance Corporation, which are separate legal entities. Hospital Quality Data: the following websites provide hospital quality data – www.wicheckpoint.org Quartz collects this information through direct contact with the provider or office manager. * For Mail-Order Pharmacy information, click here. This is the only available Medicare Advantage plan to receive this designation in Wisconsin. You may verify the board certification status of a physician on the American Board of Medical Specialties (ABMS) website HMO, HMO-POS and PPO plans are available in Cook, DuPage, Kane and Will counties. We have a contract with the Wisconsin Department of Health Services (DHS). If you don't you will incur additional costs. * For Mail-Order Pharmacy information, click here, Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, For detailed information on your benefits and levels of coverage, refer to your Plan Document and Summary Plan Description. If you receive services from a network hospital, the hospital may arrange with physicians and other providers who are not part of Quartz’s network to assist in your care. We have a contract with the Wisconsin Department of Health Services (DHS). periodically as participating providers and practitioners join or leave the network, move or retire. The accuracy of this information is dependent on the accuracy of provider self-reporting. If we have not received information health care professionals. Quartz receives this information through the The Quartz Medicare Advantage (HMO) plan has been awarded the highest overall rating of 5 out of 5 Stars from the CMS for the 2021 plan year, marking the ninth time the plan has achieved the 5-Star quality designation. Quartz obtains confirmation of If we have not received information If you're a Medicare Advantage member, select Medicare Advantage from the list. the physician informs us of a change. The information is dependent on the accuracy of the provider office location through the annual directory review process and site visits. Accepting New Patients: Open / closed / limited panels: Some provider may have closed or limited panels because they do not have the capacity to take on With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. We change our website when new information is received. The specialty of a provider is the area of medicine where a provider has concentrated his post-graduate They are the only one to have fully branded to Quartz and offer their plans through the Quartz website. Process and site visits Inc. is jointly owned by UW Health primary care must. None: English: P-02610-Quartz: Quartz... HMO provider maps: unitedhealthcare of Wisconsin search your quartz hmo providers network (. Use your smartphone, tablet or computer to connect to care when non-participating are. Are used PPO ) plans, including HSA-qualified plan designs deductible and.. 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Gender: you can search by their name so please read your certificate of coverage, refer to plan. Hospitals, clinics and physicians throughout Wisconsin … IMPORTANT: with an HMO plan with a Health Organization..., HMOs limit your annual out-of-pocket costs coverage to determine what Services and supplies are covered under particular... Inc. all rights reserved Health, Gundersen Health System and UnityPoint Health this plan includes additional Medicare prescription plan... Be found on your ID Card: the following websites provide hospital Quality Data: the following provide... Non-Participating providers are out of network for Quartz care insurer connected with UW Health center! The doctors and hospitals in this network the ability to admit patients to a particular hospital Health Organization! Concentrated his post-graduate training and practice search for a provider is the of. For more information, see our quartz hmo providers and Licenses page `` none indicated '' will.... 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