Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO)

Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) is a HMO plan offered by University of Wisconsin Hospitals and Clincs Autho available for enrollment in 2026 to people living in Western Wisconsin and Northeast Iowa. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) plan features an annual prescription drug deductible of $270. Under this plan, Tier 6 select care drugs are highly affordable with no copay for one-month, two-month, or three-month supplies filled at standard pharmacies or through standard mail order. For other generic medications, Tier 1 preferred generics cost a $2.00 copay and Tier 2 generics cost a $10.00 copay for a one-month supply. Higher-tier medications require coinsurance instead of flat copays. You will pay a 20% coinsurance for Tier 3 preferred brand drugs and a 40% coinsurance for Tier 4 non-preferred drugs. Tier 5 specialty drugs are covered with a 30% coinsurance for a one-month supply.

Additional Benefits

The Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) plan offers robust medical coverage with predictable out-of-pocket costs, featuring no coinsurance for many primary services. Inpatient hospital stays require a $300 daily copay for days one through seven and no copay for subsequent days, while primary care visits have a $30 copay and specialist visits require a $75 copay. Emergency care is covered with a $130 copay, and urgently needed services carry a $50 copay, both with no coinsurance. For ancillary care, members enjoy no copay and no coinsurance for home health services, annual physicals, and routine dental cleanings, though routine vision and hearing exams require a $40 copay. Diagnostic tests and X-rays are covered under a $50 copay with no coinsurance, whereas dialysis and durable medical equipment require a 20% coinsurance with no copay. Please note that certain benefits, including fitness programs, over-the-counter items, and routine transportation, are not covered by this plan.