Most of Quartz-branded health plans provide Preventive Health Exams (PHEs) with no copay, even if the member has not met their deductible for in-network care.
Many members do not understand the difference between a PHE and a diagnostic service, especially if they occur in the same visit. They are unpleasantly surprised when they receive a bill for what they thought was a free exam.
When a member calls to set up a PHE, be sure to explain that they may be charged for a service if it is a diagnostic service provided during the PHE. You can refer them to this flyer that shows what services are provided without copay.
Alternatively, the member can call Quartz and ask the following questions about the upcoming exam –
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Quartz Health Solutions, Inc., Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc., Gundersen Health Plan Minnesota, Physicians Plus Insurance Corporation, Gundersen Health System, UnityPoint Health and UW Health are separate legal entities. Plans are underwritten by Unity Health Plans Insurance Corporation unless otherwise noted.