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


If you live in Columbia, Dane, Iowa, Richland or Sauk Counties in Wisconsin, you may apply.

Medicare Beneficiaries may also enroll in a Medicare Advantage Plan like Quartz Medicare Advantage through the CMS Medicare Online Enrollment Center at (By selecting this link, you will leave the Quartz Medicare Advantage website.)

Face to Face

A Quartz Medicare Advantage representative 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.

This webpage was updated on May 26, 2020. 

By Mail

You can also print an application to complete and mail.

You may apply if you live in the following Wisconsin counties:

  • Columbia
  • Dane
  • Iowa
  • Richland
  • Sauk

    Please note, applications are time sensitive. If you want to talk to a representative 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 
    840 Carolina Street
    Sauk City, Wisconsin 53583