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Medicare Advantage Plan H9834-004-0 in Wabasha County, MN Gundersen MN Quartz Med Advantage Value (HMO) • 2026

CMS Rating: ☆☆☆☆☆ (4.0 out of 5 stars*)

Plan H9834-004-0, marketed as Gundersen MN Quartz Med Advantage Value (HMO), is a Medicare Advantage Plan offered by Quartz Medicare Advantage (HMO), without prescription drug coverage. This 2026 Part C plan has a Health Maintenance Organization (HMO) provider network.

The latest CMS enrollment data shows an estimated 104 Medicare beneficiaries are enrolled in this plan, with 0 members in Wabasha County, MN.

Last update:

Gundersen MN Quartz Med Advantage Value Overview

2026 Medicare Advantage Plan Overview for H9834-004-0
Plan Overview for H9834-004-0
CMS Plan ID: H9834-004-0
Plan Type: HMO
Plan Year: 2026
Monthly Premium: $0.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $4200.00 (In-Network)
Part B Give Back: Not offered
Prescription Drug Coverage: Not Included
Additional Benefits: Dental, Vision, Hearing
Service Area: Wabasha County, MN
Enrollment (Nationwide): 104 beneficiaries
Enrollment (CMS – Local)0 beneficiaries in Wabasha County
Provided By: Quartz Medicare Advantage (HMO)
Frequently Asked Questions About Gundersen MN Quartz Med Advantage Value (HMO)

Here are some of the most frequently asked questions people have about Plan ID H9834-004-0:

What is the 2026 premium for Plan ID H9834-004-0?

Gundersen MN Quartz Med Advantage Value has a $0.00 monthly premium for 2026. You must also continue to pay any Medicare Part B premium you owe.

What is the out-of-pocket maximum for Plan ID H9834-004-0?

Plan ID H9834-004-0 has a 2026 in-network maximum out-of-pocket (MOOP) limit of $4200.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

How is Plan ID H9834-004-0 rated by CMS?

For 2026, Gundersen MN Quartz Med Advantage Value is included under CMS contract H9834, which has a ★4.0 out of 5 Star Rating.

Is Gundersen MN Quartz Med Advantage Value an HMO, PPO, or another type of Medicare Advantage plan?

Gundersen MN Quartz Med Advantage Value uses a Health Maintenance Organization (HMO) provider network.

How many members does Gundersen MN Quartz Med Advantage Value have?

The most recent CMS enrollment data shows approximately 104 beneficiaries enrolled in Plan ID H9834-004-0.

Who provides Gundersen MN Quartz Med Advantage Value (HMO)?

Quartz Medicare Advantage (HMO) provides Gundersen MN Quartz Med Advantage Value (HMO).

Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: $15 copay
Specialist: In-network: $50 copay

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: In-network: $0 copay
Telehealth benefit: In-network: $0-$60 copay
Routine chiropractic: In-network: $15 copay
Fitness benefits: Not covered
Health education: Not covered
Counseling services: In-network: $0 copay
Over-the-counter drug benefits: Not covered
Health transportation (non-emergency): Not covered

Diagnostic, Lab, and Imaging Services

Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
Diagnostic radiology services: In-network: $100 copay
Lab services: In-network: $10 copay
Outpatient x-rays: In-network: $10 copay
Diagnostic tests and procedures: In-network: $10 copay

Emergency and Urgent Care Services

Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $150 copay
Worldwide emergency care: $150 copay
Urgent care: $60 copay
Inpatient hospital care: Tier 1 | $225 per day for days 1-6 | $0 per day for days 7-90 | $0 per stay
Skilled Nursing Facility: Tier 1 | $0 per day for days 1-20 | $215 per day for days 21-100
Ground ambulance: In-network: $300 copay

Mental Health Services

Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
Outpatient individual therapy: In-network: $40 copay
Outpatient group therapy: In-network: $40 copay
Inpatient psychiatric hospital care: Tier 1 | $225 per day for days 1-6 | $0 per day for days 7-90 | $0 per stay

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: $30 copay
Occupational therapy: In-network: $30 copay

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
Diabetes supplies: In-network: $0 copay
Durable medical equipment: In-network: 20% coinsurance
Prosthetics: In-network: 20% coinsurance

Medicare Part B Drugs

Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
Covered Service In-Network Cost
Chemotherapy: In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered): In-network: 0%-20% coinsurance

Dental Services

Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
Oral exam: In-network: $0 copay
Dental x-rays: In-network: $0 copay
Cleaning: In-network: $0 copay
Periodontics: In-network: $0 copay
Endodontics: In-network: $0 copay
Restorative services: In-network: $0 copay
Implant services: In-network: 50% coinsurance
Orthodontics: Not covered
Oral/Maxillofacial surgery: In-network: $0 copay

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
Routine eye exam: In-network: $0 copay
Contact lenses: In-network: $0 copay
Eyeglass frames only: In-network: $0 copay
Eyeglass lenses only: In-network: $0 copay
Eyeglasses (frames & lenses): In-network: $0 copay
Upgrades: In-network: $0 copay

Hearing Services

Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
Hearing exam: In-network: $35 copay
Fitting/evaluation: Not covered
Prescription hearing aids: In-network: $0 copay
OTC hearing aids: Not covered

Additional and Special Needs Services

Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
Adult day health services: Not covered
Home-based palliative care: Not covered
Personal emergency response system: Not covered
Weight management programs: Not covered
Wigs for chemotherapy-related hair loss: Not covered
Alternative therapies: Not covered
Massage therapy: In-network: $15 copay
Home/bathroom safety devices: Not covered

Gundersen MN Quartz Med Advantage Value covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS Medicare Star Ratings

Each year, Medicare Advantage HMOs are rated by the Centers for Medicare & Medicaid Services (CMS) across nine categories using a 5-star system. These star ratings are designed to help you assess the quality of care and service offered by this Quartz Medicare Advantage (HMO) plan.

2026 Medicare Star Ratings for Contract H9834
CMS Measure Star Rating
2026 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Contact Quartz Medicare Advantage (HMO)

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

Quartz Medicare Advantage (HMO) Plan Contact Details for Gundersen MN Quartz Med Advantage Value (HMO)
Contact Type Details
Website: Quartz Medicare Advantage (HMO) Plan Page
Opens the carrier website in a new window and enrollment information in this window.
New Members: 1-800-394-5566
Existing Members: 1-800-394-5566
Plan Address: 2650 Novation Parkway | Fitchburg, WI 53713

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Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology

Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.

Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.

Primary CMS datasets used to compile information about Plan ID H9834-004-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services 202608
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2026
Plan Benefits Package Centers for Medicare & Medicaid Services 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-08
Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Quartz Medicare Advantage (HMO) (official source) http://quartzbenefits.com/medicareadvantage October 13, 2025
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025