QUARTZ SELECT SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS
Quartz Health Plan MN Corporation · 2027 plan year
Silver
- Ind. deductible
- No deductible
- Family deductible
- $0
- Ind. OOP max
- $10,500
- Family OOP max
- $21,000
Compare with other Silver plans in MN
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Quartz Health Plan MN Corporation plans in MN
Monthly premiums by age
Rating Area 1
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $491 | $491 |
| 21 | $552 | $607 |
| 30 | $626 | $689 |
| 40 | $705 | $776 |
| 50 | $985 | $1,084 |
| 60 | $1,497 | $1,647 |
| 64 and over | $1,655 | $1,821 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $55.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $110.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $1,200.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1500.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | 50.00% |
| Urgent Care Centers or Facilities | $110.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | $300.00 |
| Preferred Brand Drugs | $150.00 |
| Specialty Drugs | $600.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1500.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $55.00 |
Other
| Benefit | In-network |
|---|---|
| Laboratory Outpatient and Professional Services | $110.00 |
| Major Dental Care - Adult | 50.00% |
| Major Dental Care - Child | 50.00% |
| Abortion for Which Public Funding is Prohibited | 50.00% |
| Accidental Dental | 50.00% |
| Acupuncture | 50.00% |
| Allergy Testing | 50.00% |
| Basic Dental Care - Adult | 20.00% |
| Basic Dental Care - Child | 30.00% |
| Chemotherapy | 50.00% |
| Chiropractic Care | $55.00 |
| Clinical Trials | 50.00% |
| Delivery and All Inpatient Services for Maternity Care | $1,500.00 |
| Dental Check-Up for Children | No charge |
| Diabetes Education | 50.00% |
| Dialysis | 50.00% |
| Durable Medical Equipment | 50.00% |
| Emergency Transportation/Ambulance | 50.00% |
| Eye Glasses for Children | 50.00% |
| Gender Affirming Care | 50.00% |
| Habilitation Services | $110.00 |
| Hearing Aids | 50.00% |
| Home Health Care Services | 50.00% |
| Hospice Services | 50.00% |
| Imaging (CT/PET Scans, MRIs) | $500.00 |
| Infusion Therapy | 50.00% |
| Inpatient Physician and Surgical Services | 50.00% |
| Nutritional Counseling | $55.00 |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $55.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $500.00 |
| Outpatient Rehabilitation Services | $110.00 |
| PANDAS/PANS | 50.00% |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 50.00% |
| Radiation | 50.00% |
| Reconstructive Surgery | 50.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $110.00 |
| Rehabilitative Speech Therapy | $110.00 |
| Routine Dental Services (Adult) | No charge |
| Routine Eye Exam (Adult) | $55.00 |
| Routine Eye Exam for Children | $55.00 |
| Routine Foot Care | 50.00% |
| Skilled Nursing Facility | $1500.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $1500.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $55.00 |
| Transplant | 50.00% |
| Treatment for Temporomandibular Joint Disorders | 50.00% |
| Virtual Visit | No charge |
| Well Baby Visits and Care | No charge |
| Wigs | 50.00% |
| X-rays and Diagnostic Imaging | $110.00 |
Service area
This plan covers 4 geographic areas.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.