Medicare Advantage Plan H5262-009-0 in Green County, WI UW Health Quartz Med Advantage Value (HMO) • 2026
Plan-ID H5262-009-0 refers to UW Health Quartz Med Advantage Value (HMO), a Medicare Advantage Plan (Part C) offered by Quartz Medicare Advantage (HMO) for the 2026 plan year. This plan is a Health Maintenance Organization (HMO) model without Part D prescription drug coverage.
According to CMS enrollment data, an estimated 498 beneficiaries are enrolled in this plan, 0 enrollees reside in Green County.
UW Health Quartz Med Advantage Value Overview
Plan Overview for H5262-009-0 |
|
|---|---|
| CMS Plan ID: |
H5262-009-0
|
| Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $4900.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Green County, WI |
| Enrollment (Nationwide): | 498 beneficiaries |
| Enrollment (CMS – Local) | 0 beneficiaries in Green County |
| Provided By: | Quartz Medicare Advantage (HMO) |
To learn more about your plan options, costs, and enrollment periods without agent assistance, try our helpful Medicare Resources below (click to open).
Frequently Asked Questions About UW Health Quartz Med Advantage Value (HMO)
Here are some of the most frequently asked questions people have about Plan ID H5262-009-0:
What is the monthly premium for UW Health Quartz Med Advantage Value (HMO)?
The 2026 monthly premium is $0.00, in addition to any Medicare Part B premium you must pay.
What is the out-of-pocket maximum for Plan ID H5262-009-0?
The 2026 in-network maximum out-of-pocket (MOOP) limit is $4900.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.
How many CMS stars does UW Health Quartz Med Advantage Value have?
Plan ID H5262-009-0 is included under contract H5262, which has a ★4.0 out of 5 CMS Star Rating for 2026.
Is UW Health Quartz Med Advantage Value an HMO, PPO, or another type of Medicare Advantage plan?
UW Health Quartz Med Advantage Value is a Health Maintenance Organization (HMO) Medicare Advantage plan.
How many people are enrolled in UW Health Quartz Med Advantage Value?
The most recent CMS enrollment data shows approximately 498 beneficiaries enrolled in this plan.
Which insurance company offers Plan ID H5262-009-0?
Quartz Medicare Advantage (HMO) provides UW Health 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.
| Covered Service | In-Network Cost |
|---|---|
| Primary: | In-network: $15 copay |
| Specialist: | In-network: $40 copay |
Preventive and Wellness Services
Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.
| Covered Service | In-Network Cost |
|---|---|
| Annual wellness exam: | In-network: $0 copay |
| Telehealth benefit: | In-network: $0-$50 copay |
| Routine chiropractic: | In-network: $15 copay |
| Fitness benefits: | In-network: $0 copay |
| Health education: | Not covered |
| Counseling services: | In-network: $0 copay |
| Over-the-counter drug benefits: | In-network: $0 copay |
| 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.
| Covered Service | In-Network Cost |
|---|---|
| Diagnostic radiology services: | In-network: $150 copay |
| Lab services: | In-network: $20 copay |
| Outpatient x-rays: | In-network: $30 copay |
| Diagnostic tests and procedures: | In-network: $20 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.
| Covered Service | In-Network Cost |
|---|---|
| Emergency room care: | $130 copay |
| Worldwide emergency care: | $130 copay |
| Urgent care: | $45 copay |
| Inpatient hospital care: | Tier 1 | $200 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: $275 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.
| 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 | $200 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.
| Covered Service | In-Network Cost |
|---|---|
| Physical therapy and speech and language therapy: | In-network: $50 copay |
| Occupational therapy: | In-network: $50 copay |
Medical Equipment and Supplies
Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.
| 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.
| 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.
| 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.
| 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.
| 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.
| 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: $10 copay |
| Home/bathroom safety devices: | Not covered |
UW Health 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
Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates Medicare Advantage HMOs across nine broad categories using a 5-star rating system. These star ratings provide insight into the quality of care and service you can expect from this Quartz Medicare Advantage (HMO) plan.
| 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 .
| Contact Type | Details |
|---|---|
| Website: | Quartz Medicare Advantage (HMO) Plan Page |
| New Members: | 1-800-394-5566 |
| Existing Members: | 1-800-394-5566 |
| Plan Address: | 2650 Novation Parkway | Fitchburg, WI 53713 |
Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology
| 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 |
| Publisher | Reference | Last Accessed |
|---|---|---|
| Quartz Medicare Advantage (HMO) (official source) | http://quartzbenefits.com/medicareadvantage | October 13, 2025 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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.
Medicare plan data and editorial content curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for Medicare plan interpretation and publication.