Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

UW Health Quartz Med Advantage Elite D (w/Rx), 2027

H5262Contract007Plan

HMO · 3 counties in Wisconsin

Run by Quartz Health Plan Corporation (contract H5262), sold as Quartz Medicare Advantage (HMO), owned by University of Wisconsin Hospitals and Clincs Autho

Renews for 2027

2026 star rating, contract H5262: 4 of 5

UW Health Quartz Med Advantage Elite D (w/Rx) (H5262-007) costs $171 a month in 2027, up $9 from 2026, with an in-network out-of-pocket limit of $6,500 ($4,200 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Monthly premium	$162	$171	up $9
In-network out-of-pocket limit	$4,200	$6,500	up $2,300
Specialist visit	$40 copay	$50 copay	up $10
Emergency room	$150 copay	$130 copay	down $20
Hospital stay, in network	$450 a stay	$500 a stay	up $50for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $215 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $60for a 30-day stay
Over-the-counter items, yearly	$120 a year	$60 a year	down $60
Drug tier 1, preferred generic	$2	$0	down $2
Drug tier 4, non-preferred drug	40% of the cost	35% of the cost	down 5 points
13 lines do not change
Drug deductible	$200	$200	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$10 copay	$10 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$300 copay	$300 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$300 a year	$300 a year	no change
Hearing aids, yearly limit for both ears	$750 a year	$750 a year	no change
Counties served	3	3	no change
Drug tier 2, generic	$10	$10	no change
Drug tier 3, preferred brand	20% of the cost	20% of the cost	no change
Drug tier 5, specialty tier	30% of the cost	30% of the cost	no change
Drug tier 6, select care drugs	$0	$0	no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$2	$0
Tier 2	Generic	$10	$10
Tier 3	Preferred Brand	20% of the cost	20% of the cost
Tier 4	Non-Preferred Drug	40% of the cost	35% of the cost
Tier 5	Specialty Tier	30% of the cost	30% of the cost
Tier 6	Select Care Drugs	$0	$0

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 34 plans open to everyone are sold for 2027, this one included. Against the others, 17 plans have a lower out-of-pocket limit, 2 the same, 13 a higher one. On the premium, 31 plans have a lower premium, 2 a higher one.

Out-of-pocket limits of the 34 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0001 plan

$4,000 to under $6,00013 plans

$6,000 to under $8,000 (this plan)17 plans

$8,000 to $10,0002 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 3 counties: $171 a month and $6,500.

Wisconsin

Columbia Dane Green

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H5262-007
Legal name of the contract: Quartz Health Plan Corporation
Sold as: Quartz Medicare Advantage (HMO)
Parent company: University of Wisconsin Hospitals and Clincs Autho
Plan type: HMO
2026 star rating of the contract: 4 of 5 overall; health plan 4 of 5, drug plan 3.5 of 5
Members, September 2026: 2,824
Plan website, as filed with CMS: quartzbenefits.com/medicareadvantage

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Dane, WIWhere most of its members live; premiums and limits side by side
Every Quartz Medicare Advantage (HMO) plan for 2027Its contracts, counties and plans that end
The other 13 plans of contract H5262Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.