Paul Sanchez
BadgerCare Plus is a health insurance program in the state of Wisconsin that covers children, adults, and families in need of assistance with healthcare costs. It is a program that helps low-income children, pregnant people, and adults. There are four ways to apply for BadgerCare Plus: online, by phone, in person, or by mail.
| Characteristics | Values |
|---|---|
| What is BadgerCare Plus? | A health care program that helps low-income children, pregnant people, and adults in Wisconsin. |
| How to apply? | Online, by phone, by mail, or in person. |
| Online application | Visit www.access.wi.gov or https://access.wisconsin.gov/access/ and complete an online application. |
| Phone application | Call 1-888-256-4563 (East Central consortium Call Center) or 1-800-362-3002 (local county or tribal Income Maintenance agency). |
| Mail application | Request a paper application by mail and return it by faxing it to 1-855-293-1822 or by mailing it to your local agency. |
| In-person application | Visit your local county or tribal Income Maintenance (IM) agency. |
| Other requirements | Certain information is required when applying, such as income and asset details. |
| Managing benefits | Use the ACCESS website and MyACCESS mobile app to manage your benefits. |
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What You'll Learn
Who is eligible for BadgerCare Plus?
BadgerCare Plus is a health care program that assists low-income children, pregnant people, and adults in Wisconsin. To be eligible for BadgerCare Plus, one must be a resident of Wisconsin and meet certain income and qualification requirements. The specific criteria for eligibility vary depending on the category of the applicant. For instance, a child may still qualify for the Children's Health Insurance Program (CHIP) even if their family's income is too high for Medicaid.
Pregnant individuals can also benefit from BadgerCare Plus, as it provides support during pregnancy and early childhood. Additionally, adults who meet the income and qualification requirements can receive assistance through the program. It is recommended to check with the local Economic Support agency to determine if one meets the eligibility criteria for BadgerCare Plus.
To apply for BadgerCare Plus, individuals can utilize one of four methods: online, telephone, in-person, or by mail. The online application can be completed on the official website, www.access.wi.gov. Alternatively, applicants can call the East Central consortium Call Center at 1-888-256-4563 to apply over the phone. For in-person applications, individuals can visit their local agency, such as the office in Waupaca County at 811 Harding St., Waupaca, WI 54981. Lastly, applicants can request a paper application by mail, fax, or in person at the local agency.
It is important to note that eligibility for BadgerCare Plus is reviewed annually by the state, and individuals may be contacted to provide additional information for renewing their coverage. The state's Medicaid agency plays a crucial role in the application process, as they determine eligibility and handle enrollment. Therefore, it is recommended to stay informed about the specific documentation requirements of the state's Medicaid agency.
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How to apply online
BadgerCare Plus is a health care program that helps low-income children, pregnant people, and adults in Wisconsin. To apply for BadgerCare Plus online, follow these steps:
- Visit the official website of ACCESS (www.access.wi.gov or https://access.wisconsin.gov/access/) to complete an online application. This website is available in Spanish as well.
- On the website, click on "Am I Eligible" to determine if you qualify for benefits.
- If you are eligible, click on "Apply for Benefits" to start your online application.
- You will need to provide certain information during the application process, so make sure you have all the necessary details ready.
- After submitting your application, you can manage your benefits through the MyACCESS mobile app, available on your app store.
- If you have any questions or need assistance, you can call the BadgerCare Plus premium collection unit at 1-888-907-4455 or the CALL CENTER at 1-888-256-4563. For hearing-impaired individuals, TTY 711 is available.
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Applying by phone, mail, or in person
BadgerCare Plus is a health care program that provides health insurance to low-income children, pregnant people, and adults in Wisconsin. It is possible to apply for BadgerCare Plus by phone, mail, or in person. Here is what you need to know about these application methods:
Applying by Phone
To apply for BadgerCare Plus by phone, you can call your local county or tribal Income Maintenance (IM) agency during their office hours. You can find the contact information for your local IM agency online or by calling 1-800-362-3002. When calling, have all the necessary information ready, including details about any current health insurance coverage you have through your employer.
Applying by Mail
To apply for BadgerCare Plus by mail, you will need to complete a paper application. You can find the application form, known as the BadgerCare Plus Application Packet F-10182, on the ACCESS website or by contacting your local county or tribal agency. Fill out the application form and mail it to your local IM agency. Remember to include any supporting documents they may require.
Applying in Person
To apply for BadgerCare Plus in person, visit your local county or tribal Income Maintenance (IM) agency during their office hours. You can find the location and office hours of your local IM agency online or by calling 1-800-362-3002. When visiting in person, bring all the required documentation, including information about your current health insurance coverage and income details.
Regardless of the application method, always be cautious about sharing personal information. Only share sensitive information on official and secure websites or with trusted contacts. If you have any questions or need assistance during the application process, don't hesitate to contact the IM agency or the Wisconsin Department of Health Services for guidance.
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Managing your benefits
To manage your benefits, it is important to keep your contact information up to date. Make sure the Wisconsin Department of Health Services has your current address, phone number, and email address so that they can send you important updates about your coverage. You can do this by logging in or creating an account on the ACCESS Wisconsin website.
Pay attention to communication from the Wisconsin Department of Health Services and your health plan provider. Listen to phone messages and read any letters, texts, and emails you receive.
After you apply for ForwardHealth programs, you should only use ACCESS and the MyACCESS mobile app to manage your benefits. You can view your account details and manage your benefits anywhere, anytime with the MyACCESS app.
If you have questions about your premium amount or general eligibility, contact your local agency. If you have questions about ACCESS or MyACCESS online payments, call Member Services at 800-362-3002.
To keep your benefits, you need to update your information annually. This process is called a renewal. The Wisconsin Department of Health Services will inform you when it is time to renew. The fastest and easiest way to renew is online through ACCESS Wisconsin. You can also renew by mail by filling out the renewal application that was mailed to you.
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Additional BadgerCare Plus benefits
BadgerCare Plus is a health care program that helps low-income children, pregnant people, and adults in Wisconsin. It is the state's largest Medicaid program, with roughly 1 million members. The program provides health insurance benefits to people aged 0-64. Here are some additional benefits of BadgerCare Plus:
Preventive Care
BadgerCare Plus covers preventive care services such as HealthCheck, which provides healthcare to children and young adults up to age 20. This includes regular check-ups, vaccinations, and health screenings to identify potential issues early on.
Urgent and Emergency Care
The program also covers urgent and emergency care visits. So, whether it's an unexpected illness or an injury that requires immediate attention, members can seek treatment without worrying about the financial burden.
Prescription Drugs
BadgerCare Plus includes coverage for prescription medications. This ensures that members can access the medicines they need for their health conditions without facing high out-of-pocket costs.
Hospital Care
Inpatient care at hospitals is also covered by BadgerCare Plus. This means that members who require hospitalization for their medical conditions will have their treatment expenses covered by the program.
Nursing Services
The program provides coverage for nursing services, including home health and skilled nursing care. This is especially beneficial for those who require assistance with daily living activities or need specialized care that can be provided in the comfort of their own homes.
Substance Abuse Treatment
BadgerCare Plus recognizes the importance of addressing substance abuse issues and provides coverage for alcohol and other drug abuse care. This benefit offers support and treatment options for individuals struggling with addiction, helping them on their path to recovery.
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Frequently asked questions
BadgerCare Plus is a health insurance program in the state of Wisconsin. It covers children, adults, and families who need additional assistance with healthcare costs.
You can apply for BadgerCare Plus online, in-person, by phone, or by mail. To apply online, go to https://access.wi.gov or https://www.access.wisconsin.gov/access/ and click on "Apply for Benefits". To apply by phone, call 1-888-256-4563 or 1-800-362-3002. To apply in person or by mail, visit or contact your local county or tribal Income Maintenance (IM) agency.
BadgerCare Plus is available to low-income children, adults, and pregnant people in Wisconsin.
BadgerCare Plus offers healthcare coverage with few limitations. There are no insurance premiums, and members can print ID cards, chat with a nurse online, and access other services through the member-only website.
