UW Health Quartz Med Advantage Elite H5262-010 (HMO)
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider—not this page—must tell you whether your current drug coverage is creditable.
Before you enroll- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Confirm in this plan's official documents whether adding a standalone drug plan is allowed.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Your costs at a glanceIn-network, for the 2026 plan year
What's included, and what it's actually worth5 benefits included. Tap any card for the detail
Dental
$1,000/yr preventive dental allowance
Hearing
$1,500hearing aid allowance per 2 years ($30 exam copay)
Vision
$350/yr eyewear allowance
OTC allowance
$30/quarter OTC allowance
See more details about this plan
Doctor Visits: PCP$10 copay
Doctor Visits: Specialist$35 copay
Inpatient Hospital$350 per stay
Outpatient Surgery$200 copay
Mental Health$350 per stay
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Plan questions
Common questions about UW Health Quartz Med Advantage Elite (HMO)
What does UW Health Quartz Med Advantage Elite (HMO) cover?
UW Health Quartz Med Advantage Elite (HMO) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental ($1,000/yr preventive dental allowance), vision ($350/yr eyewear allowance), hearing ($1,500 hearing aid allowance per 2 years ($30 exam copay)), and over-the-counter (OTC) ($30/quarter OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does UW Health Quartz Med Advantage Elite (HMO) cost in 2026?
The published 2026 monthly plan premium for UW Health Quartz Med Advantage Elite (HMO) is $70. The standard Part B premium is $202.90/month in 2026 for most people; assistance may pay it for some members. The in-network medical out-of-pocket maximum is $4,200; it does not include Part D drug spending. Published visit costs include primary care $10 and specialist visits $35. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with UW Health Quartz Med Advantage Elite (HMO)?
CMS lists UW Health Quartz Med Advantage Elite (HMO) as a HMO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes UW Health Quartz Med Advantage Elite (HMO) include prescription drug coverage?
UW Health Quartz Med Advantage Elite (HMO) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. Do not assume that a separate standalone Part D plan can be added: many Medicare Advantage plans cannot be paired with a PDP, and joining one can affect Medicare Advantage enrollment. Confirm this plan's rules and how your prescriptions will be covered before enrolling.
Browse standalone Part D plansWhat extra benefits does UW Health Quartz Med Advantage Elite (HMO) offer beyond Original Medicare?
The current plan record for UW Health Quartz Med Advantage Elite (HMO) lists dental ($1,000/yr preventive dental allowance), vision ($350/yr eyewear allowance), hearing ($1,500 hearing aid allowance per 2 years ($30 exam copay)), over-the-counter (OTC) ($30/quarter OTC allowance), and meals (Meal benefit). The current data does not list fitness and transportation as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in UW Health Quartz Med Advantage Elite (HMO)?
UW Health Quartz Med Advantage Elite (HMO) is a 2026 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsMore plan options
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