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.

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


A local Medicare Advantage 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)
    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.