2021 Provider Directory Select Network

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Select Network

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i. Welcome to Quartz Important Information About Us

ii. Network Service Area Map Getting to Know Your Network iii. Establishing Primary Care

Go MyChart iv. Prior Authorization

Referrals

Pharmacy Benefits Take Notice

v. When You Need Care Resources

vi. Non-Discrimination & Language Access CUSTOMER SERVICE

(800) 362-3310

TTY: 711 or (800) 877-8973

MYCHART

QuartzMyChart.com

WEBSITE

QuartzBenefits.com

QuartzBenefits.com/blog

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i

Welcome to Quartz

SELECT NETWORK PROVIDER DIRECTORY QuartzBenefits.com

Our goal is to help you live your best life through access to affordable,

high-quality care. To do this, we partner with an extensive network of providers who are committed to your health and well-being.

Our provider directory makes it easy to find a primary care provider, nearby clinics and top-rated specialists to meet your unique health care needs. Plus, we have extra resources to help you take full advantage of your health plan network.

CONTACT US

As always, if you have any questions or need more information, call Customer Service at (800) 362-3310; TTY: 711 or (800) 877-8973; or send us a message through MyChart at QuartzMyChart.com.

IMPORTANT INFORMATION

⊲ At times we update our list of doctors and clinics. We cannot guarantee that any one doctor, hospital, or other provider is still part of our network.

⊲ For the most up-to-date list of care providers in your Quartz network, visit QuartzBenefits.com/

findadoctor.

⊲ Providers are independent contractors and are not employees of Quartz.

⊲ Contact us for printed information about a provider’s:

• Hospital or medical group affiliations

• Board certifications

• Hospital accreditation

• Gender

• Languages spoken

ABOUT US

Quartz is provider owned by the integrated health care delivery systems of Gundersen Health System, UW Health, and UnityPoint Health.

We are committed to helping our customers live life to the fullest, by supporting them when they’re sick while aspiring to keep them healthy.

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Wisconsin

Illinois Iowa

Minnesota

Howard

Winneshiek Allamakee

Fayette Clayton

Olmsted Winona

Fillmore Houston

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Select Network Service Area

GETTING TO KNOW YOUR NETWORK

Your health insurance includes access to in-network providers. A “network” is a group of doctors and other medical providers who have agreed with Quartz to provide services to Quartz members and bill us for your care. If we do not have a contract with a doctor or provider, they are considered out-of-network.

⊲ Quartz has several different networks. Yours is listed on your ID card. You can search for providers in your network at QuartzBenefits.com/

findadoctor. Simply select the network name that is on your ID card and a list of providers in your network will show in the search results.

⊲ If a provider is not on the list, they are out-of- network and likely are not covered under your plan. Some Quartz plans, however, do cover services with doctors not in your network. If you are not sure if a provider is in-network or out-of- network, simply call their office to check or call Quartz Customer Service for help.

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Get the free app for on-the-go access.

Available for iOS and Android — search Quartz MyChart.

Message and data rates may apply.

iii GO MYCHART

Every Quartz member needs MyChart, your one-stop access to benefits and claims details, important plan documents, and more. Setup your account now so it’s ready when you need it. Go to QuartzMyChart.com, click Sign Up Now and follow the prompts for instant activation.

A good relationship with a primary care provider (PCP) can make a big impact on your health and well-being. That’s why finding a PCP who understands your needs is important. Look for a PCP who:

⊲ Is recommended by your friends, family, or co-workers

⊲ Has training and experience that meets your needs

⊲ Listens, encourages you to ask questions, and offers clear explanations

⊲ Treats you with respect

Go to QuartzBenefits.com/

findadoctor. Have your member ID card handy to make sure you are searching in the right network.

Once you have picked a PCP who best meets your needs, let us know. Go to QuartzMyChart.com and log in to your MyChart account.

Under Quick Links, choose Change your Quartz PCP and follow the prompts.

If you don’t choose a PCP, we will assign you to a primary care clinic near your home. You can make a new selection at any time. Family members do not need to have the same provider or clinic.

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iv Most of the time, you can see a doctor, get

prescriptions filled, or take care of your other medical needs without checking with Quartz. However, sometimes you might need our okay ahead of time before we cover the costs.

This process is called prior authorization. You, your doctor or nurse will fill out either a General Prior Authorization Request Form or a Medication Prior Authorization Form and send it to Quartz for our review. We will let you and your provider know if the service is covered by your plan (approved) or not covered (denied). If the request is denied, we will tell you how you can appeal the decision.

⊲ Learn more about prior authorization and download forms at QuartzBenefits.com/priorauth and QuartzBenefits.com/medpriorauth.

Referrals

Quartz does not need you to get a referral from your PCP to see other providers in your network. Keep in mind:

Quartz offers many kinds of prescription drug coverage. To learn about your specific plan, log in to MyChart at QuartzMyChart.com. Then, navigate to Coverage > Forms > Online Tools > Pharmacy Benefits.

This online tool helps you:

⊲ Get drug information

⊲ Compare drug prices

⊲ Find a pharmacy

⊲ View pharmacy benefit highlights

⊲ View Prior Authorization status for pharmacy benefit medications

⊲ View and print your drug history

Take Notice

For questions about your rights or for assistance, contact:

⊲ Some specialists may only accept you as a patient if you have been referred by your PCP.

⊲ You may need Quartz’s approval ahead of time to make sure specialist care is covered by your plan.

Iowa Insurance Division (515) 281-5705

601 Locust St. - 4th Floor Des Moines, IA 50309

Minnesota Commerce Department Consumer Services Center

Toll-free (800) 657-3602

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v No matter what type of care you need, check to see what your plan covers, especially before being treated by someone other than your PCP. Remember:

⊲ Your benefits may differ from other Quartz members

Resources

We know health insurance is complicated. Check out our resources to help you be a smart health care consumer.

Glossary of Insurance and Medical Terms — go to QuartzBenefits.com/glossary Look up the meanings of common insurance and medical words.

Health Plans 101 — go to QuartzBenefits.com/healthplan101

Review the basics of how health insurance works in easy-to-understand language.

Member Rights and Responsibilities — go to QuartzBenefits.com/memberrights

As a Quartz member, you have the right to be treated with respect. In return, we expect you to be involved in your care and communicate with us.

Notice of Privacy Practices — go to QuartzBenefits.com/privacypractices Learn how Quartz uses and protects your personal information.

Quartz’s YouTube Channel — go to YouTube.com, search for Quartz Health Solutions, Inc.

View videos on getting care, understanding health care bills, and how health insurance works. Plus, meet some of our staff in the Faces of Quartz series.

UNBEARABLE PAIN or SYMPTOMS SEVERE PAIN or

SYMPTOMS MODERATE PAIN or

SYMPTOMS MILD PAIN or

SYMPTOMS NO PAIN or

SYMPTOMS

Primary Care is regular, nonemergency care. Seek primary care for routine checkups or problems like the flu, aches, and pains.

Call your primary care clinic or doctor’s office to make an appointment.

Urgent Care is for health issues or minor injuries that need prompt attention, but are not serious enough for emergency care.

Call your doctor’s office first, day or night, to check the best course of action.

Emergency Care is for serious medical problems such as heart attacks, strokes, and major injuries.

Call 911 or go to the nearest hospital emergency room for help right away.

⊲ You may need a referral or prior authorization before some services will be covered

⊲ You can see all your benefits by logging in to MyChart

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Quartz is the brand name for a group of companies committed to your health: Quartz Health Benefit Plans Corporation, Quartz Health Insurance Corporation, Quartz Health Plan Corporation, and Quartz Health Plan MN Corporation. These companies are separate legal entities. In this notice, “we”

refers to all Quartz companies.

For assistance understanding these materials in a language other than English, call (800) 362-3310, and a Customer Service representative will assist you. TTY users should call 711 or (800) 877-8973.

We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.

We provide free aids and services to people with disabilities to communicate effectively with us, such as –

■ Qualified sign language interpreters

■ Written information in other formats (large print, audio, accessible electronic formats, other formats)

We provide free language services to people whose primary language is not English, such as –

■ Qualified interpreter

■ Information written in other languages

If you need these services, contact Customer Service at (800) 362-3310.

If you believe we failed to provide these services or discriminated in another way on the basis of race, color,

national origin, age, disability, or sex, you can file a grievance with –

Kristie Meier, Compliance Officer 840 Carolina Street

Sauk City, WI 53583 Phone: (800) 362-3310

TTY: 711 or toll-free (800) 877-8973 Fax: (608) 644-3500

Email: [email protected]

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Kristie Meier, Compliance Officer, is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW

Room 509F, HHH Building Washington, D.C. 20201

(800) 368-1019; (800) 537-7697 (TDD)

Complaint forms are available at hhs.gov/ocr/office/file/

index.html

Quartz is a Qualified Health Plan issuer in the Health Insurance Marketplace in certain states. To learn more, visit the Health Insurance Marketplace at HealthCare.gov.

For help to translate or understand this, please call (800) 362-3310, TTY: 711 / (800) 877-8973.

Spanish – Este Aviso contiene información importante. Este aviso contiene información importante acerca de su solicitud o cobertura a través de Quartz. Preste atención a las fechas clave que contiene este aviso. Es posible que deba tomar alguna medida antes de determinadas fechas para mantener su cobertura médica o ayuda con los costos. Usted tiene derecho a recibir esta información y ayuda en su idioma sin costo alguno. Llame al (800) 362-3310.

TTY / TDD: 711 / (800) 877-8973.

Hmong – Tsab ntawv tshaj xo no muaj cov ntshiab lus tseem ceeb.

Tsab ntawv tshaj xo no muaj cov ntsiab lus tseem ceeb txog koj daim ntawv thov kev pab los yog koj qhov kev pab cuam los ntawm Quartz.

Saib cov caij nyoog los yog tej hnub tseem ceeb uas sau rau hauv daim ntawv no kom zoo. Tej zaum koj kuj yuav tau ua qee yam uas peb kom koj ua tsis pub dhau cov caij nyoog uas teev tseg rau hauv daim ntawv no mas koj thiaj yuav tau txais kev pab cuam kho mob los yog kev pab them tej nqi kho mob ntawd. Koj muaj cai kom lawv muab cov ntshiab lus no uas tau muab sau ua koj hom lus pub dawb rau koj. Hu rau (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Vietnamese – Thông báo này cung cấp thông tin quan trọng. Thông báo này có thông tin quan trọng bàn về đơn nộp hoặc hợp đồng bảo hiểm qua chương trình Quartz. Xin xem ngày then chốt trong thông báo này. Quý vị có thể phải thực hiện theo thông báo đúng trong thời hạn để duy trì bảo hiểm sức khỏe hoặc được trợ trúp thêm về chi phí. Quý vị có quyền được biết thông tin này và được trợ giúp bằng ngôn ngữ của mình miễn phí. Xin gọi số (800) 362-3310.

TTY / TDD: 711 / (800) 877-8973.

Chinese – 本通知含有重要的訊息本通知對於您透過 Quartz 所

提出的申請或保險有重要的訊息請在本通知中查看重要的日期您可能要在特定的截止日期之前採取行動，以保留您的健康保險或有助於省錢您有權利免費以您的母語得到幫助和訊息請致電 (800) 362-3310：711 / (800) 877-8973.

Russian – Настоящее уведомление содержит важную информацию.

Это уведомление содержит важную информацию о вашем заявлении или страховом покрытии через Quartz. Посмотрите на ключевые даты в настоящем уведомлении. Вам, возможно, потребуется принять меры к определенным предельным срокам для сохранения страхового покрытия или помощи с расходами.

Вы имеете право на бесплатное получение этой информации и помощь на вашем языке. Звоните по телефону (800) 362-3310.

TTY / TDD: 711 / (800) 877-8973.

Laotian – ແຈ້ງການສະບັບນີ ້ ມີ ຂໍ້ ມູນທີີ່ ສໍ າຄັນ.

ແຈ້ງການສະບັບນີ ້ ມີ ຂໍ້ ມູນທີີ່ ສໍ າຄັນກີ່ຽວກັບໃບສະຫມັກ ຫ ຼື

ການຄ ້ມຄອງຂອງທີ່ານຜີ່ານ Quartz. ຊອກຫາວັນທີ ສໍ າຄັນ ໃນຫນັງສຼື ແຈ້ງການສະບັບນີ ້ .ທີ່ານອາດຈໍ າເປັນຕ້ອງປະຕິ ບັດຕາມເວລາ ທີີ່ ກໍ ານົດໄວ້ທີີ່ ແນີ່ນອນເພຼືີ່ ອຮັກສາໄວ້ການຄ ້ມຄອງສ ຂະພາບຂອງທີ່ານ ຫ ຼື ຊີ່ວຍເຫ ຼື ອດ້ານຄີ່າໃຊ້ຈີ່າຍ.ທີ່ານມີ ສິ ດທີີ່ ຈະໄດ້ຮັບຂໍ້ ມູນນີ ້ ແລະ ຄວາມຊີ່ວຍເຫ ຼື ອໃນພາສາຂອງທີ່ານໂດຍບໍີ່ ເສຍຄີ່າ. ໂທຫາເບີ (800) 362 3310. TTY / TDD: 711 / (800) 877 8973.

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QA00172 (0519)

Ihres Antrags auf Krankenversicherungsschutz durch Quartz. Suchen Sie nach wichtigen Terminen in dieser Benachrichtigung. Sie könnten bis zu bestimmten Stichtagen handeln müssen, um Ihren Krankenversicherungsschutz oder Hilfe mit den Kosten zu behalten.

Sie haben das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Rufen Sie an unter (800) 362-3310. TTY / TDD:

711 / (800) 877-8973.

Arabic – اذه نمضتي .ةمهم تامولعم ىلع راعشلإا اذه يوتحي ربع كتيطغت وأ كبلط لوح ةماه تامولعم راعشلإا Quartz

ثحبا .

ريبادت ءارجإ ىلإ جاتحت دق .راعشلإا اذه يف ةيسيئرلا خيراوتلا نع وأ ةيحصلا كتيطغت ىلع ظافحلا لجأ نم ةنّيعم ديعاومل ًاقفو ةنّيعم يف ةدعاسملا تامولعملا هذه ىلع لوصحلا يف قحلا كديل .فيلاكتلا

ىلع لصتا .ةفلكت يأ نود كتغل يف ةدعاسملا ىلعو

TTY / TDD:

711 / (800) 877-8973 / (800) 362-3310.

French – Cet avis a d’importantes informations. Cet avis a d’importantes informations sur votre demande ou la couverture par l’intermédiaire de Quartz. Rechercher les dates clés dans le présent avis. Vous devrez peut-être prendre des mesures par certains délais pour maintenir votre couverture de santé ou d’aide avec les coûts. Vous avez le droit d’obtenir cette information et de l’aide dans votre langue à aucun coût.

Appelez (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Korean – 본 통지서에는 중요한 정보가 들어 있습니다. 즉 이 통지서는 귀하의 신청에 관하여 그리고 Quartz을 통한 커버리지 에 관한 정보를 포함하고 있습니다.본 통지서에서 핵심이 되는 날짜들을 찾으십시오. 귀하는 귀하의 건강 커버리지를 계속유지하거나 비용을 절감하기 위해서 일정한 마감일까지 조치를 취해야 할 필요가 있을 수있습니다. 귀하는 이러한 정보와 도움을 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가있습니다. (800) 362-3310 로 전화하십시오. TTY / TDD: 711 / (800) 877-8973.

Tagalog – Ang Paunawa na ito ay naglalaman ng mahalagang impormasyon. Ang paunawa na ito ay naglalaman ng mahalagang impormasyon tungkol sa iyong aplikasyon o pagsakop sa pamamagitan ng Quartz. Tingnan ang mga mahalagang petsa dito sa paunawa.

Maaring mangailangan ka na magsagawa ng hakbang sa ilang mga itinakdang panahon upang mapanatili ang iyong pagsakop sa kalusugan o tulong na walang gastos. May karapatan ka na makakuha ng ganitong impormasyon at tulong sa iyong wika ng walang gastos. Tumawag sa (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Application oder Coverage mit Quartz. Geb Acht fer wichdiche Daadem in die Bekanntmachung. Es iss meeglich, ass du ebbes duh muscht, an beschtimmde Deadlines, so ass du dei Health Coverage bhalde kannscht, odder bezaahle helfe kannscht. Du hoscht es Recht fer die Information un Hilf in deinre eegne Schprooch griege, un die Hilf koschtet nix. Kannscht du (800) 362-3310 uff rufe.

TTY / TDD: 711 / (800) 877-8973.

Polish – To ogłoszenie zawiera ważne informacje. To ogłoszenie zawiera ważne informacje odnośnie Państwa wniosku lub zakresu świadczeń poprzez Quartz.Prosimy zwrócic uwagę na kluczowe daty zawarte w tym ogłoszeniu aby nie przekroczyć terminów w przypadku utrzymania polisy ubezpieczeniowej lub pomocy związanej z kosztami. Macie Państwo prawo do bezpłatnej informacji we własnym języku. Zadzwońcie pod (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Hindi – इस सूचना में महत्वपूर्ण जानकारी शाममल है। इस सूचना में

Quartz से जुड़े आपके आवेदन या कवरेज के बारे में महत्वपूर्ण जानकारी

शाममल है। इस सूचना में महत्वपूर्ण तारीखों को देखना न भूलें। स्वास््य कवरेज जारी रखने या खचे में मदद के मलए आपको कुछ तय तारीखों तक कारणवाई करनी ज़रूरी है। आपके पास अपनी भाषा में, बबना ककसी शुल्क के

इस जानकारी और सहायता को पाने का अधिकार है। (800) 362‑3310.

TTY / TDD: 711 / (800) 877‑8973 पर कॉल करें।

Albanian – Ky njoftim përmban informacion të rëndësishëm. Ky njoftim përmban informacion të rëndësishëm për aplikimin ose mbulimin tuaj nëpërmjet Quartz. Kontrolloni për data të rëndësishme në këtë njoftim.

Mund t’ju duhet të ndërmerrni veprim brenda afatave të caktuara për të mbajtur mbulimin tuaj shëndetësor ose për ndihmën me koston. Keni të drejtë ta merrni këtë informacion dhe ndihmë falas në gjuhën tuaj.

Telefononi numrin (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Somali – FIIRO GAAR AH: Haddii aad ku hadashid af Soomaali, adeegyada caawimada luuqada, ayaa waxaa laguugu siinayaa bilaash, waa laguu heli karaa. 1-800-362-3310

(TTY: 1-800-877-8973) bilbilaa.

Cushite – Oroomiff a XIYYEEFFANNAA: Afaan dubbattu Oroomiff a, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Amharic –

Karen –

Mon-Khmer, Cambodian –

Serbocroatian –OBAVJEŠTENJE: Ako govorite srpskohrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite (800) 362-3310 TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711 / (800) 877-8973.

Thai – เรียน: ถา้ คุณพดู ภาษาไทยคุณสามารถใชบ้ ริการช่วยเหลือทางภาษาไดฟ้ รี โทร (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Gujarati – Urdu –

Italian – ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Greek – ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.

Amharic –

Mon-Khmer, Cambodian –

Gujarati –

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QuartzBenefits.com | Quartz Customer Service (800) 362-3310

©Quartz Health Solutions, Inc. | QA00969 (0820)

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QuartzBenefits.com

FACILITY SERVICES DEFINITIONS

Health insurance can be complicated. Refer to this handy guide to better understand common types of care facilities and the services they offer.

QA01597 (0821)

Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, Quartz Health Plan MN Corporation, and Quartz Health Insurance Corporation, which are separate legal entities.

Ambulatory Surgery

Center Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or same- day surgery, is surgery that does not require an overnight hospital stay.

Anesthetists Anesthesiology is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine.

Anti-Hemophiliac

Factor Factor VIII is an essential blood-clotting protein, also known as anti-hemophilic factor.

Audiology Audiology is a branch of science that studies hearing, balance, and related disorders.

Audiologists treat those with hearing loss and proactively prevent related damage. By employing various testing strategies, audiologists aim to determine whether someone has normal sensitivity to sounds

Autism Treatment Autism, or autism spectrum disorder (ASD), refers to a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication.

Behavioral Health Behavioral health is a term that is used to include many aspects of a person’s wellbeing, such as mental health, substance use, harmful behaviors, or overall emotional wellness.

Behavioral Health AODA Residential/

Transitional

A residential treatment center refers to a licensed residential facility that is non-hospital based and provides voluntary, non-acute 24-hour individualized clinical treatment from a multi- disciplinary team in a contained, safe, and structured environment. A transitional residential treatment service is a clinically supervised, peer-supported therapeutic environment with clinical involvement.

Behavioral Health

Day Treatment “Day treatment” or “day hospital” means a nonresidential intensive program that provides a mix of psychosocial treatment, education, and recreational activities and follow-up services to alleviate problems related to mental health or substance abuse issues.

Behavioral Health

Inpatient Psychiatric hospitals, also known as mental health units or behavioral health units, are acute care hospitals or hospital units specializing in the treatment of severe mental disorders, such as major depressive disorder, schizophrenia, and bipolar disorder. Care is provided 24 hours a day, 7 days a week by or under the direction of a psychiatrist or psychiatric nurse practitioner.

Birth to Three The Birth to 3 Program is a federally-mandated Early Intervention program (Part C of the Individuals with Disabilities Education Act—IDEA ) to support families of children with developmental delays or disabilities under the age of three.

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QuartzBenefits.com Clinics A clinic is a health facility where people go for medical care or advice.

Clinics - Specialty

Care Specialty care means advanced medically necessary care and treatment of specific physical, mental or behavioral health conditions or those health conditions which may manifest in particular ages or subpopulations, that are provided by a specialist, preferably in coordination with a primary care professional or other health care professional.

Durable Medical

Equipment Durable medical equipment is medical equipment ordered by a health care provider for everyday or extended use. Some examples are CPAP devices, crutches, hospital beds, orthotics and wheelchairs.

Durable Medical Equipment - Bone Growth Stimulator

Bone growth stimulation is utilized to promote bone healing in difficult to heal fractures or fusions by applying electrical or ultrasonic current to the fracture/fusion site. An electrical osteogenesis stimulator is a device that provides electrical stimulation to augment bone repair.

Durable Medical Equipment - Insulin Pump

Insulin pumps are small, computerized devices that mimic the way the human pancreas works by delivering small doses of short acting insulin continuously (basal rate).

Durable Medical Equipment - Respiratory

Durable medical equipment (DME) includes the different types of oxygen equipment necessary in the care of patients with respiratory ailments.

Durable Medical Equipment - Wound Vac

Negative-pressure wound therapy, also known as a vacuum assisted closure, is a therapeutic technique using a suction pump, tubing and a dressing to remove excess exudate and promote healing in acute or chronic wounds and second- and third-degree burns.

Eye Clinic A clinic where specialist care for a patient’s eyes.

Family Planning

Center Family planning may involve consideration of the number of children a woman wishes to have, including the choice to have no children and the age at which she wishes to have them. These matters are influenced by external factors such as marital situation, career considerations, financial position, and any disabilities that may affect their ability to have children and raise them. If sexually active, family planning may involve the use of contraception and other techniques to control the timing of reproduction.

Home Health Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or nursing home (skilled nursing facility).

Home Infusion Home infusion therapy involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. The components needed to perform home infusion include the drug (for example, antivirals, immune globulin), equipment (for example, a pump), and supplies (for example, tubing and catheters).

Hospice Hospice care focuses on a person’s last six months of life of less. When curative treatment is no longer an option, hospice professionals work to make the patient’s life as comfortable as possible. This means that hospice care includes palliative care because the goal is to make the patient as comfortable as possible for the time that’s left.

Hospital Hospital, an institution that is built, staffed, and equipped for the diagnosis of disease; for the treatment, both medical and surgical, of the sick and the injured; and for their housing during this process.

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QuartzBenefits.com purpose. A fenestrated catheter is most frequently inserted into the localized area to be

treated.

Inpatient

Rehabilitation An inpatient rehabilitation facility is a free-standing rehabilitation hospital or a rehabilitation unit in an acute care hospital. They provide an intensive rehabilitation program and patients who are admitted must be able to tolerate three hours of intense rehabilitation services per day.

Massage Therapy The manipulation of the muscles and other soft tissues of the body (as by stroking, kneading, or rubbing with one or both hands or an instrument) by a massage therapist for therapeutic purposes (as to relieve pain, promote healing, or improve physical functioning)

Narcotic Treatment

Services NRT is comprehensive treatment with synthetic opiates approved by the United States Food and Drug Administration (FDA) for opiate-addicted patients. Authorized narcotic replacement medications are methadone, buprenorphine, naltrexone, and levo-alpha-acetylmethadol (LAAM). They are available to patients receiving treatment in a licensed Narcotic Treatment Program (NTP).

Nursing Home/

Skilled Nursing Facility (SNF)

Nursing homes, also called skilled nursing facilities (SNFs), provide a wide range of health and personal care services. Their services focus on medical care more than most assisted living facilities. These services typically include nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities.

Open MRI Open MRIs are configured to provide improved patient comfort while taking images inside the body. They have magnets above and below the patient and wide open sides.

Orthopedics A branch of medicine concerned with the correction or prevention of deformities, disorders, or injuries of the skeleton and associated structures (such as tendons and ligaments)

Pharmacies A store where medicinal drugs are dispensed and sold.

Physical Therapy The treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery.

Podiatry The treatment of the feet and their ailments.

Portable X-ray

Supplier Portable x-ray suppliers provide diagnostic imaging services at patients’ locations - most often residences including private homes and group living facilities, such as nursing homes - rather than in a traditional clinical setting, such as a doctor’s office or hospital.

Practice Location w/o eVIPS Facility Type

Practice Location means the health care facility at which a physician spends the largest number of hours per week engaged in patient encounters among all such locations where such

physician practices.

Radiology The science dealing with X-rays and other high-energy radiation, especially the use of such radiation for the diagnosis and treatment of disease.

Renal Dialysis Unit A ward or part thereof for dialyzing patients with advanced renal disease. Usually outpatients who may stay overnight; less commonly, inpatients who may be awaiting a kidney transplant.

Sports Medicine

Clinic Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise.

Urgent Care Urgent Care Medicine is the provision of immediate medical service offering outpatient care for the treatment of acute and chronic illness and injury.

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Complete list of providers

Printed on: Saturday, November 13, 2021 Providers as of: Saturday, November 13, 2021

Important Information about the Online Provider Directory

This directory was developed to help you easily find health care providers to meet your unique needs. It contains general information that would apply to most Quartz members. However, health benefit plans vary - please read your certificate of coverage to determine what services and supplies are covered. Note:

 Information in this directory may change as providers join or leave the network, move or retire.

 Quartz does not use criteria such as quality measures, member experience measures or cost-related measures to select practitioners for participation in Marketplace silver tier plans.

 Quartz does not use criteria such as quality measures, member experience measures, patient safety measures or cost-related measures to select hospitals for participation in Marketplace plans.

 Before getting care, verify the provider you choose is still in Quartz’s network and is accepting new patients.

Important notice to all POS enrollees – Before scheduling appointments, Quartz strongly encourages you to contact us to verify the status of the providers involved in your care. Such information may influence your selection of a provider and affect the level of copayment, deductible and coinsurance amounts applicable to the care you receive. The participating providers in your network may change during your plan year. Please send a message to Quartz Customer Service through the message center within

MyChart at QuartzMyChart.com or call (800) 362-3310 to learn more about the participating providers in your network and the financial implications of receiving care from non-participating providers.

Enrolling in Quartz HMO plan does not guarantee services by a particular provider on this list. If you wish to be certain of receiving care from a specific provider listed, you should contact that provider to ask whether or not the provider is still a Quartz provider and whether or not the provider is accepting additional patients.

Questions? Send us a message through MyChart at QuartzMyChart.com or call Quartz Customer Service at (800) 362-3310.

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PRIMARYCAREPHYSICIANS-WI Adams County

FRIENDSHIP Clinics Gundersen Moundview Hospital and Clinics - Friendship

402 W Lake St Friendship, WI 53934 (608) 339-6350 Hours

Monday thru Friday, 8 am - 6 pm

Family Medicine Nurse Practitioner

Docherty, Robert E. APNP Hinze, Danielle L. APNP Obernberger, Sheryl J. APNP Geriatrics Nurse Practitioner Charles, Linda A. APNP

Barron County RICE LAKE

Clinics

Prevea Health - Prevea Rice Lake Health Center 1051 West Ave Rice Lake, WI 54868 (715) 719-0662 Hours

Family Medicine Helland, David J. MD Family Medicine Nurse Practitioner

Moore, Cassandra J. APNP Family Medicine Physician Assistant

Wanish, Aaron C. PA Yeager, Bailey PA Pediatrics Smith, Laura A. DO Willow Creek Women's Clinic - Rice Lake 1024 N Main St Rice Lake, WI 54868 (715) 832-9292 Hours

Every Other Tuesday, 9 am - 5 pm

Poirier, Linda APNP ¥ Brown County

DE PERE Clinics Aurora Health Center - DePere

1881 Chicago St De Pere, WI 54115-3770 (920) 403-8000 Hours

Monday thru Friday, 7:30 am - 5 pm

Family Medicine Chaturvedi, Manisha MD Colassacco, Lawrence E. MD*

Meyer, Shelli A. APNP General Internal Medicine Andres-Palines, Jesusa S. MD Aquino, Elaine M. MD Nitke, Jason M. DO Pediatrics

Andhole, Indira P. MD Hoyer, Jennifer L. MD Zahn, Scott G. MD

DENMARK Clinics Aurora Health Center - Denmark

629 Solvang Way Denmark, WI 54208 (920) 863-2600 Hours

Monday thru Wednesday, 8 am - 5 pm, Thursday, 8 am - 12 pm, Friday, 8 am - 3 pm Family Medicine Nurse Practitioner

Hazard, Timothy E. NP DEPERE Clinics - Specialty Care Evolve LLC - DePere 1710 Lawrence Dr DePere, WI 54115 (920) 364-9078 Hours

Monday thru Thursday, 7:30 am - 6 pm, Friday, 7:30 am - 3 pm

Adult Medicine Nurse

Practitioner

Schultz, Kristin M. APNP GREEN BAY

Clinics Aurora Health Center - Allouez Avenue 1565 Allouez Ave Green Bay, WI 54311-5639 (920) 468-2400

Hours

Monday thru Friday, 7:30 am - 5 pm

Family Medicine Fagre, Timothy A. MD Goolsby, Philip L. MD Family Medicine Nurse Practitioner

Yakel, Brooke T. NP Aurora Health Center - Greenbrier Road 2845 Greenbrier Rd Green Bay, WI 54311-6519 (920) 288-8000

Hours

General Internal Medicine Akashdeep, Kumar MD Mihailescu, Gabriel MD*

Nitke, Leah A. DO*

General Internal Medicine Physician Assistant Lee, Suzette S. PA Aurora Health Center - Kepler Drive

1160 Kepler Dr Green Bay, WI 54311 (920) 288-5500 Hours By Appointment Family Medicine Warpinski, Luke T. MD Family Medicine Nurse Practitioner

Prusak, Courtney B. NP Tuszka, Lisa M. NP Family Medicine Physician Assistant

Soukup, Kaitlyn PA-C Pediatrics

Beno, Donald J. MD Wade Newell, Heather J. MD*

Young, Jeffry J. DO

Aurora Health Center - West Mason Street

2253 W Mason St Green Bay, WI 54303-4706 (920) 327-7300

Hours

Family Medicine Olson, Clinton B. MD Family Medicine Physician Assistant

Baeten, Brianna L. PA Loewe, Allie E. PA General Internal Medicine Heezen, Nicholas J. DO Schoeneich, Marzenna M. MD Sze, David B. MD

General Internal Medicine Nurse Practitioner MacGregor, Jennifer L. NP§

Pediatrics

Alexander, Andrew K. MD Bradford, Anju I. MD Pacurar, Ines C. MD

NEW FRANKEN Clinics

Aurora Health Center - New Franken

4070 Equestrian Ln New Franken, WI 54229-9649 (920) 866-6100 Hours

Family Medicine

Aleksandrowicz, Michael S.

MD

Quidzinski, Erich J. DO Family Medicine Nurse Practitioner

Bernacchi, Danielle M. APNP Jeskewitz, Holly C. NP Klubertanz, Denise C. NP Vandenhouten, Terri L. NP

PULASKI Clinics Aurora Health Center - Pulaski

980 S Saint Augustine St Pulaski, WI 54162-9453 (920) 822-7700 Hours

Monday, 8:30 am - 5 pm, Tuesday, 7 am - 3:30 pm, Wednesday, 8:30 am - 6:30 pm, Thursday, 7 am - 3 pm, Friday 8:30 am - 4 pm Family Medicine Nurse Practitioner

Witte, Jill M. NP

Family Medicine Physician Assistant

Jacobs, Amanda J. PA-C SUAMICO

Clinics Aurora Health Center - Suamico

2890 Lineville Rd Suamico, WI 54313-7202 (920) 662-2100

Hours

Monday thru Thursday, 7 am - 5 pm, Friday, 8 am - 5 pm Family Medicine Vaishnav, Dhwani A. MD Family Medicine Nurse Practitioner

DeValk-Holl, Cathy A. NP Johnson, Angela K. NP Pediatrics

Zahn, Scott G. MD Buffalo County

MONDOVI Clinics Prevea Health - Mondovi (Affiliated with Sacred Heart Hospital)

250 State Rd 37 Mondovi, WI 54755 (715) 926-6230 Hours

Family Medicine Brown, Indigo Y. DO Steinmetz, Steven W. MD Family Medicine Nurse Practitioner

Zais, Stacie APNP§

Nurse Practitioners (ANPs, APNs, APNPs, ARNPs, CNPs, CPNPs, DNPs, FNPs, NPs, and WHNPs) and Physician Assistants (PAs) are licensed, highly qualified professional health care providers who work in partnership with medical doctors. While you may not select a PA as your primary care provider (PCP), they are available for annual exams, urgent/problem visits and follow-up for ongoing health care.

(*) PCPs noted with this symbol are only accepting Quartz members who are existing patients.

(§) ANPs, APNs, APNPs, ARNPs, CNPs, CPNPs, DNPs, FNPs, NPs, and WHNPs and NPs noted with this symbol may not be selected as a PCP.

(¥) This provider offers Telehealth Visits, which are remote scheduled appointments during clinic hours via telephone or video chat when clinically appropriate.

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PRIMARYCAREPHYSICIANS-WI

Scherz, Carly L. PA Chippewa County CHIPPEWA FALLS

Clinics OakLeaf Clinics, Inc - OB- GYN - Lakeland Drive 855 Lakeland Dr

Chippewa Falls, WI 54729 (715) 836-9242

Hours By Appointment Obstetrics & Gynecology Crow, Jordan T. MD ¥ Longbella, Chris R. MD ¥ OakLeaf Clinics, SC - Eau Claire Medical Clinic - Lakeland Drive 855 Lakeland Dr

Hours

Family Medicine Dickson, Erik J. MD Falkenberg, Amy A. MD Hasenberg, Jill A. DO Sauter, Lauren R. MD Suilmann, Caitlin W. MD Family Medicine Nurse Practitioner

Butak, Melanie A. APNP General Internal Medicine Dettbarn, Kyle J. MD Kidess, Anton I. MD Pulmonary Dettbarn, Kyle J. MD Kidess, Anton I. MD Sleep Medicine Dettbarn, Kyle J. MD Kidess, Anton I. MD Oakleaf Clinics, SC - Oakleaf Pediatrics - Lakeland Drive 855 Lakeland Dr

Hours

Pediatrics

Schlimgen, Karla M. MD Prevea Health - 2449 County Highway I (Affiliated with Sacred Heart Hospital) 2449 County Hwy I Chippewa Falls, WI 54729-4410 (715) 717-5825

Hours

Burdick, Kristi M. APNP Obstetrics & Gynecology Lysy, Amy L. MD Pediatrics

Udenberg, Katie J. DO Prevea Health - Chippewa Falls (Affiliated with Sacred Heart Hospital)

2509 County Hwy I Chippewa Falls, WI 54729 (715) 723-9138

Hours

Family Medicine Braunsky, Michael G. DO Helmick, Danielle M. MD Steinmetz, Steven W. MD Tomcik, Matthew A. MD Ulgen, Berkin O. MD Family Medicine Nurse Practitioner

Burdick, Kristi M. APNP Schilling, Bethany B. APNP General Internal Medicine Herron, James F. MD Pediatrics

Kritzberger, Chad J. MD Sunrise Family Care Clinic, S.C.

2829 County Hwy I, Ste 2 Chippewa Falls, WI 54729 (715) 726-3096

Hours

Monday & Tuesday, 7 am - 6:30 pm Wednesday & Friday, 7 am - 4:30 pm & Thursday, 8 am - 1 pm

Family Medicine Landwehr, Mary L. MD Family Medicine Nurse Practitioner

Bischel, Ann L. FNP CORNELL

Clinics Prevea Health - Cornell (Affiliated with Sacred Heart Hospital)

320 N 7th St Cornell, WI 54732 (920) 496-4700 Hours By appointment Family Medicine Nurse Practitioner

Meyer, Kelsey L. APNP General Internal Medicine

Vande Zande, Victoria L. MD Columbia County

COLUMBUS Clinics MMC - Beaver Dam - Columbus Clinic 1580 W James St

Columbus, WI 53925-1157 (920) 350-0235

Hours

Graber, Holly A. FNP Grams, Ruth M. APNP Poser Clinic

635 Park Ave PO Box 229 Columbus, WI 53925 (920) 623-5000 Hours

Monday thru Thursday, 8 am - 5 pm, Friday, 8 am - 3:30 pm General Internal Medicine Poser, Samuel G. MD ¥

LODI Clinics Lodi Medical Clinic (Affiliated with Sauk Prairie HealthCare)

160 Valley Dr Lodi, WI 53555 (608) 592-3296 Hours

Monday, Wednesday, Thursday, and Friday, 7:30 am - 5 pm, Tuesday, 8 am - 5 pm Family Medicine

Krey, David P. DO Podein, Rian J. MD Family Medicine Nurse Practitioner

Meng, Karen M. APNP Weiss, Emily M. APNP§

Eberdt, David J. PA Kanikula, Agnes M. PA Lord, Deanna C. PA Pediatrics

Chao, Andrea M. MD Sports Medicine Krey, David P. DO

PARDEEVILLE Clinics Aspirus Pardeeville Clinic 102 Gillette St

Pardeeville, WI 53954 (608) 429-2185

Hours

Family Medicine Blohm, Brenda A. MD*

Barden, Christi-Jo APNP Charlebois, Diana L. APNP Noonan, Laura L. APNP Schehr, Lindsay K. APNP Swan, James M. APNP ¥ Family Medicine Physician Assistant

Grischow, Rachel R. PA PORTAGE

Clinics Aspirus Portage Clinic 2817 New Pinery Rd PO Box 387

Portage, WI 53901-0387 (608) 745-4598 Hours

Family Medicine Blohm, Brenda A. MD Doherty, Amy DO Faubert, Melissa S. DO Kreckman, Susan H. MD Pogorelec, Jill E. DO Wood, Elizabeth M. MD Family Medicine Nurse Practitioner

Barden, Christi-Jo APNP Charlebois, Diana L. APNP Holt, Stephanie J. APNP Noonan, Laura L. APNP Padley, Andrew B. APNP Schehr, Lindsay K. APNP Swan, James M. APNP ¥ Family Medicine Physician Assistant

Grischow, Rachel R. PA Pediatrics

Perez Romano, Lorenzo MD Pediatrics Nurse Practitioner Arnold, Amy K. APNP*

Women's Health Nurse Practitioner

Schehr, Lindsay K. APNP UW Health - Portage Clinic 2977 County Road Cx Portage, WI 53901 (608) 742-3004 Hours

Monday thru Friday, 8 am - 4:30 pm

Family Medicine Deering, Timothy A. MD*

Kling, Jamie J. DO*

Patel, Hema M. MD*

Strook, Brie K. FNP§

Wangerin, Joseph J. PA WISCONSIN DELLS

Clinics Delton Family Medical Center (Affiliated with Mile Bluff)

28 Commerce St

Wisconsin Dells, WI 53965 (608) 254-5888

Hours

Monday thru Friday, 8 am - 4:30 pm

Family Medicine Myers, Bryan L. MD ¥ Rudy, Paul M. MD ¥ Sabey, Kimberley E. DO ¥ Sebranek, Jenna K. MD ¥ Family Medicine Nurse Practitioner

Dendura, Agnieszka E. APNP Gothard, Margaret E. APNP§

Olson, Angela M. PA ¥ Van Arx, Brooke M. PA ¥ Obstetrics & Gynecology Pech, Michael L. MD ¥

Crawford County PRAIRIE DU CHIEN

Clinics

Gundersen Prairie du Chien Clinic

610 E Taylor St Prairie du Chien, WI 53821-2109 (608) 326-6466 Hours

Family Medicine Boisvert, Walter R. MD*

Morrison, Jasmin R. MD Olijnyk, Patricia J. MD Family Medicine Nurse Practitioner

Neisius, Rochelle L. APNP Plondke, Tammy L. FNP Sandgren, Molly E. APNP Family Medicine Physician Assistant

Breunig, Anton T. PA Whetston, Thomas J. PA Geriatrics

Boisvert, Walter R. MD*