Online

You can complete a secure online enrollment form by clicking the button:

    Enroll

You may apply if you live in the following counties:

  • Wisconsin: Buffalo, Crawford, Jackson, Juneau, La Crosse, Monroe, Trempealeau and Vernon
  • Iowa: Allamakee, Clayton, Fayette, Howard and Winneshiek

Medicare Beneficiaries may also enroll in a Quartz Medicare Advantage (HMO) plan through the CMS Medicare Online Enrollment Center at http://www.medicare.gov (By selecting this link, you will leave the Quartz Medicare Advantage website).

Face to Face

A local Medicare expert is available to meet with you to discuss the plan options available. There is no obligation to enroll. You can complete an enrollment application during this appointment, if you choose. Or, you can take an application with you to fill out and return at a later time. 

To schedule an appointment, please contact us.

By Mail

You can also  print an application to complete and mail. 

You may apply if you live in the following counties:

  • Wisconsin: Buffalo, Crawford, Jackson, Juneau, La Crosse, Monroe, Trempealeau and Vernon
  • Iowa: Allamakee, Clayton, Fayette, Howard and Winneshiek

Please note, applications are time sensitive. If you want to talk to an expert about your eligibility for Quartz Medicare Advantage or the date your coverage would begin, please contact us. Mail the application to our office at:

Quartz Medicare Advantage (HMO)
Application
840 Carolina Street
Sauk City, WI 53583

This webpage was updated on May 11, 2020.