2019 The Choice Is Yours, Choose Quartz
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The Choice Is Yours, Choose Quartz 2019
Finding Your Way Around Visit etf.wi.gov for rates and benefit information – including details on deductibles, copayments and out-of-pocket expenses. This is where you’ll find information on your prescription drug and dental benefits too. Visit ChooseQuartz.com, where you’ll find everything you need to know about Quartz. You can search for providers, sign up for MyChart and find links to important plan documents. Choose Quartz for your health insurance coverage. Contact your payroll / benefit office to learn how to enroll.
Connect with Us
Online: ChooseQuartz.com
Phone: (844) 644-3455
TTY / TDD: 711 / (800) 877-8973 WHAT’S INSIDE
MyChart: QuartzMyChart.com
Provider Network Choices
Page 3
How to Find a Doctor
Page 5
Convenient Care Options
Page 7
Provider Spotlight
Page 10
The Quartz offering for the
State of Wisconsin Group Health
Insurance Program is underwritten by
Unity Health Plans Insurance Corporation.
What Provider Network
Works for You?
CHOOSE THE
QUARTZ – UW HEALTH
NETWORK*
FOR PRIMARY CARE
IN DANE COUNTY
If you want primary care in
Dane County (excluding the
communities of Cambridge,
Marshall and Mazomanie),
select the Quartz – UW Health
Network. Use our Find a Doctor
tool to find a participating
provider (instructions are
available on Page 5).
Indicates Primary Care Locations
3
CHOOSE THE
QUARTZ –
COMMUNITY
NETWORK*
FOR PRIMARY CARE
OUTSIDE OF DANE COUNTY
If you want primary care
outside of Dane County and
the communities of Cambridge,
Marshall and Mazomanie,
select the Quartz – Community
Network. Use our Find a Doctor
tool to find a participating
provider (instructions are
available on Page 5).
*Please note: You and your family can select Indicates Primary Care Locations
different PCPs / clinics within the same network. 4
Making It Easy to
Get the Information
You Need
LIKE, HOW TO FIND A DOCTOR.
1 Start Your Search
Go to ChooseQuartz.com/findadoctor
2 Select Your Network
`` State / Local - UW Health
`` State / Local - Community
3 Select Your Criteria
You may search by doctor name, location,
primary care type or specialty.
Download a copy of the entire directory for either
network by selecting Show Printable List.
5
A Click Away
Access important benefit, enrollment and claims information anytime and anywhere. Not to mention some medical details,
if you are a UW Health patient. MyChart is a secure online portal that provides a convenient way for you to view your health
plan information and some of your medical information.
MyChart offers –
24-hour access Electronic Access parts of your
Secure messages UW Health medical
to your health communications,
with Quartz record, schedule simple
plan information to including your
Customer Service appointments and send
review your Quartz explanation of
benefits and claims benefits statements messages to your health
care team
Interested in becoming a MyChart member?
Quartz members age 18 and older can sign up using one of these options –
`` Visit QuartzMyChart.com and select Sign Up Now
`` Sign up during your UW Health appointment. Just ask a member of your care team for an activation code.
`` Sign up at your UW Health Primary Care clinic. No appointment needed. Ask any receptionist for assistance
(photo identification required).
Sign up today to take advantage of the benefits that MyChart offers!
6
QUARTZ OFFERS QUICK
ACCESS TO THE CARE
YOU NEED ...
The UW Health Care Anywhere video visit
app gives you easy, quick access to health
care providers for nonemergency care –
from the comfort of your home or office
using your smartphone, tablet or computer.
Visit uwhealthcareanywhere.org for more
information and to see how you can skip the
waiting room.
e-Visits are quick, online visits between
you and your UW Health or Gundersen
Health System provider for common health
problems. Simply log in to your medical
provider’s secure portal to start your visit. No
appointment is necessary!
7
7… AND THE PROGRAMS AND SERVICES YOU WANT TO
STAY HEALTHY
At Quartz, we know prevention is key to living healthier and could make a difference in your
overall health care experience. Quartz offers members –
`` Timely reminders of important preventive screenings, such as –
• Immunizations ∙ Breast and cervical cancer screening ∙ Colorectal cancer screening
`` The 9 Months & MoreSM Program that supports moms-to-be before, during and after
pregnancy, including –
• Pregnancy, breastfeeding, childbirth and postpartum information
• Guidance on practitioner visits
• Postpartum gift (for those who meet the program requirements)*
• Free text messaging service / mobile app
`` Health Management programs to help you on your journey to better health. Health
Management programs offered may include –
• Easy-to-follow guidelines for living with chronic health conditions
• Resources, tools and educational mailings to help you make good health care decisions
• Reminders for important preventive screenings and medical tests
`` For more information about these services and programs, please call (844) 644-3455 or visit
QuartzBenefits.com.
* Please note: All health and wellness rewards and reimbursements paid to adult members are considered taxable income and Quartz is required to
report these amounts to your employer.
8Working Together for You
At Quartz, we’re and with You
a company THE UW HEALTH WELCOME CENTER
committed to –
We understand that changing your doctor is a scary thought.
The UW Health Welcome Center is here to help you. The Welcome Center
`` Making your health care experience
is a one-stop-shop designed to make your transition into the UW Health
easy with prompt, accurate
system as seamless as possible.
customer service
As a new Quartz member and a new UW Health patient, the UW Health
`` Offering access to top-rated
Welcome Center will –
physicians and providers in the
`` Help you find a UW Health PCP
communities we serve
`` Work with you to move your medical records from your previous clinic
`` Creating innovative approaches `` Gather your medical history
to prevention and community `` Talk about any long-term illness or preventive care needs you may have
well-being `` Help you find community resources if needed (such as transportation,
filling out an advance directive and more)
Looking to establish primary care with a provider at Gundersen Health System?
`` Call (800) 362-9567, ext. 50601 to discuss your care needs with clinic staff.
9UW Hospital
Wisconsin’s No. 1 rated
hospital* and home to
a Level One adult and
pediatric trauma center.
UW Health at the Gundersen Health
American Center System Hospitals
Madison’s east side We give you and Clinics
community-based health
and wellness facility.
access to in and around the greater
many local Coulee Region.
providers.
American Family
Children’s UnityPoint Health
Hospital - Meriter Hospital
Pediatric specialists and and Clinics
state-of-the-art care for for maternity and other
children and their families. specialty services.
*Ranked by U.S. News & World Report 2012-2013, 2013-2014, 2014-2015, 2015-2016 and 10
2017-2018 editions.11
12
13
Take a moment to review your Member Rights and Responsibilities so you can continue to take a more active role in managing your
family’s health care –
MEMBER RIGHTS MEMBER RESPONSIBILITIES
To choose: Members have the right to choose a personal physician To choose a personal physician: Members have a responsibility to
from the Primary Care Physicians (PCPs) who participate in their plan’s choose a personal physician from the PCPs who participate in their
provider network. plan’s provider network.
To obtain information: Members have the right to receive information To know their benefits and requirements: Members have a
about their rights and responsibilities as a member of Quartz. Members responsibility to understand their health plan benefits and limitations
have the right to make recommendations regarding Quartz’s Member and to follow required procedures. Members also have a responsibility
Rights and Responsibilities Statement. Members have the right to to know how to use their plan’s provider network and to ask questions
obtain information about Quartz and information relating to covered about things they do not understand.
and excluded health plan benefits. Members have the right to obtain To provide accurate information: Members have a responsibility to
information on available primary and specialty care practitioners provide accurate and complete information about their health history,
and providers. Members have the right to receive preventive care their eligibility, and their enrollment. Members have a responsibility to
information and information about their illnesses and treatment options. show their ID card each time they receive services and to pay any out-
Members have the right to obtain information about how to file a of-pocket expenses they incur.
complaint, appeal or grievance.
To participate in their care: Members have a responsibility to
To have privacy and confidentiality: Members have the right to privacy participate in their care by asking questions about their health.
and confidentiality in communications and records about their care. Members also have a responsibility to follow the recommended and
To participate in their care: Members have the right to be active in agreed upon treatment plan for their illness and to make healthy
decisions about their treatments. Members have the right to have a lifestyle choices to maintain their health or manage their illness.
candid discussion of appropriate or medically necessary treatment To keep their appointments: Members have a responsibility to keep
options for their conditions, regardless of cost or benefit coverage. their appointments or to give early notice if they must cancel.
Members have the right to obtain information about the risks and
benefits of treatment. Members also have the right to refuse care. To show consideration and respect: Members have a responsibility
to show consideration and respect to health plan staff and health
To present a complaint, appeal or grievance: Members have the right to care providers.
voice concerns and to receive a prompt and fair review of their concerns.
To be treated with respect and dignity: Members have the right to be
treated with respect and dignity regardless of their race, age, gender,
sexual orientation or creed.
14ChooseQuartz.com UH01065 (0918)
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