Estimate Your Out-of-Pocket Costs
Determine costs you may incur prior to receiving health care services using the Determination of Benefits Form. To complete the form, you will have to ask your provider for certain medical coding information including procedure codes, procedure modifiers and unit codes for the services.
2018 Pharmacy Benefits
Your pharmacy benefit is administered by Navitus Health Solutions.
- Employer Trust Funds offers step-by-step instructions on how to use Navitus’ member tool Navi-Gate, to help determine your prescription drug costs
2018 Uniform Dental Benefits
Delta Dental of Wisconsin is the administrator of the Uniform Dental Benefit. If you have questions about your dental benefits or network, please contact Delta Dental at 844.337.8383 or visit their website at deltadentalwi.com/state-of-wi.
Note: Your benefits are subject to eligibility and plan provisions effective at the time services are rendered.
Contact Quartz Customer Service by sending a message.
Unity Health Plans Insurance Corporation administers the Uniform Benefits for the State of Wisconsin and Wisconsin Public Employers Group Health Insurance program as determined by the Group Insurance Board.