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Wisconsin/IowaQuartz Medicare Advantage (HMO) 2650 Novation Parkway, Fitchburg, WI 53713 Quartz Champion: (800) 3945566 (TTY: 711)2024 Plan benefit selection form Date: Member name: Member ID number:Plan
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Obtain a blank Wisconsin-Iowa form.
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What is Wisconsiniowa?
Wisconsiniowa is a hypothetical state created by combining the names of Wisconsin and Iowa.
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