Online

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

 Enroll

If eligible, you may also enroll in a Medicare Advantage Plan (like Quartz Medicare Advantage) through the CMS Medicare Online Enrollment Center at Medicare.gov. (You may apply if you live in Waukesha County in Wisconsin.)

Face-to-Face

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

To schedule an appointment, please contact us.

This webpage was updated on June 2, 2020.

By Mail

You can also print an application, complete and mail it to: 

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

Please keep in mind that applications are time-sensitive. If you want to talk to a local Medicare expert about your eligibility for a Quartz Medicare Advantage plan or the date your coverage would begin, please contact us today.