
BadgerCare Plus is a health insurance program in the state of Wisconsin that provides health care coverage for low-income residents, including children, pregnant people, and adults. It is a joint state and federal program that helps those who are unable to afford health coverage. BadgerCare Plus offers a range of services, including preventive care, doctor visits, hospital and emergency care, and prescription medication. Eligibility for the program is based on the federal poverty level (FPL), and residents can apply online, in person, by phone, or by mail.
| Characteristics | Values |
|---|---|
| Type of Insurance | Health Insurance |
| Coverage | Children, adults, families, pregnant people |
| Area | Wisconsin |
| Eligibility | Low-income residents, based on the federal poverty level (FPL) |
| Application Process | Online, in-person, by phone or by mail |
| Benefits | Health screenings, doctor visits, hospital and emergency care, prescriptions, therapy, rides to medical appointments, etc. |
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What You'll Learn
- BadgerCare Plus is a health insurance program for low-income Wisconsin residents
- It covers children, pregnant people, and adults
- It provides prescription medication and over-the-counter items
- BadgerCare Plus offers screenings to identify and address health barriers
- It includes Medicaid SSI for people aged 65+ or those who are blind or disabled

BadgerCare Plus is a health insurance program for low-income Wisconsin residents
The BadgerCare Plus program offers a range of services, including preventive care, doctor visits, hospital and emergency care, and prescription medication. The program also provides support for pregnant members to ensure the health of both mother and baby. BadgerCare Plus also offers screenings to identify and address barriers to health, such as food insecurity and poor housing. These screenings help connect individuals to local community resources and support to reach their health goals.
Eligibility for BadgerCare Plus is based on the federal poverty level (FPL). Individuals can apply for the program online, in person, by phone, or by mail. The Wisconsin Department of Health Services provides information on eligibility and enrollment, and individuals can also seek assistance from their local county or tribal human services or social services office.
Once enrolled in BadgerCare Plus, individuals choose their HMO plan. If a choice is not made, the state will assign one. The program also includes Medicaid SSI (Supplemental Security Income) coverage for individuals aged 65 and older, as well as those who are blind or disabled. BadgerCare Plus is committed to enriching the lives of Wisconsin communities by addressing the various factors that impact their health.
In addition to health coverage, BadgerCare Plus provides resources for transportation to medical appointments. This includes assistance with gas money, bus vouchers, and rides, ensuring that individuals can access the healthcare services they need. BadgerCare Plus is dedicated to making healthcare accessible and affordable for low-income residents of Wisconsin.
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It covers children, pregnant people, and adults
BadgerCare Plus is a health insurance program offered by the state of Wisconsin. It provides health care coverage for low-income Wisconsin residents, including children, pregnant people, and adults. The program is designed to help those who are unable to afford health coverage, with eligibility based on the federal poverty level (FPL).
BadgerCare Plus offers a range of services to its members. These include screenings to identify and address barriers to health, such as food insecurity and poor housing. Pregnant members receive extra support through the Text4baby program, which provides health and safety tips via text message throughout pregnancy and the baby's first year. BadgerCare Plus also covers doctor visits, hospital and emergency care, and physical, occupational, and speech therapy with no copayment for covered therapy visits. Prescriptions and certain over-the-counter items are provided by the State of Wisconsin and can be filled at any pharmacy that is a provider for BadgerCare Plus.
To enrol in BadgerCare Plus, individuals can apply online, in person, by phone, or by mail. The ability to enrol is based on the federal poverty level, and the program is not available in all ZIP codes. Those who are already enrolled in BadgerCare Plus and receive health coverage from their employer may be eligible for the Health Insurance Premium Payment (HIPP) program, which helps pay for coverage using funds from Medicaid or the Children's Health Insurance Program (CHIP).
In addition to BadgerCare Plus, Wisconsin offers other health care programs such as Care4Kids, which provides health care coverage to children and youth in out-of-home care in select counties, and the Family Planning Only Services Program, which offers family planning-related services to prevent unplanned pregnancies for both men and women.
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It provides prescription medication and over-the-counter items
BadgerCare Plus is a health care program that provides health coverage for low-income Wisconsin residents. It is a state and federal program, and eligibility is based on the federal poverty level (FPL). BadgerCare Plus offers a range of services to its members, including prescription medication and certain over-the-counter items.
Prescriptions can be obtained from a UnitedHealthcare doctor, specialist, or dentist, and can be filled at any pharmacy that is a provider for BadgerCare Plus. Members must show their ForwardHealth ID card when filling their prescriptions. BadgerCare Plus covers prescription drugs, as well as certain over-the-counter medications. This means that members may be able to get their medication at no additional cost, depending on their coverage and the medication prescribed.
The State of Wisconsin administers any limits on covered medications, and members may have copayments for their prescriptions. Local member advocates are available to help members with issues or questions about their benefits, including pharmacy inquiries. These advocates can be reached at 1-800-504-9660, Monday through Friday, from 8:00 a.m. to 4:30 p.m. Central Standard Time.
In addition to prescription medication, BadgerCare Plus also covers a range of other services, including health care for children and young adults under the age of 21, lab work and X-rays, medical supplies and equipment, physician services, inpatient and outpatient hospital care, dental care, eye care, and more. BadgerCare Plus also offers screenings to identify and address social barriers to health, such as food insecurity and poor housing. They also provide additional support for pregnant members to ensure the health of both mother and baby.
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BadgerCare Plus offers screenings to identify and address health barriers
BadgerCare Plus is a health care program that provides health coverage for low-income Wisconsin residents, including children, pregnant people, and adults. The program is administered by the Wisconsin Department of Health Services and UnitedHealthcare Community Plan, and it offers a range of benefits to its members.
One of the key advantages of BadgerCare Plus is its focus on preventive care and health screenings. The program recognises that social factors, such as food insecurity and poor housing, can act as barriers to good health. To address this, BadgerCare Plus offers screenings to identify these barriers and provide members with the necessary support to overcome them.
Through these screenings, BadgerCare Plus aims to help members achieve their health goals and improve their overall well-being. By identifying social drivers of health, the program can connect individuals with local community resources. This might include assistance with food insecurity, housing issues, or other social challenges that may impact their health.
In addition to these screenings, BadgerCare Plus also provides well visits, doctor visits, and hospital and emergency care. Members can easily search for doctors, hospitals, and specialists within their network. They also have access to a variety of health screenings, lab services, x-rays, scans, and other imaging services to support their health needs.
BadgerCare Plus also offers additional support for pregnant members, understanding the importance of prenatal care. Through the Text4baby program, new and expecting mothers can receive informative text messages throughout their pregnancy and their baby's first year. These texts cover topics such as prenatal care, labour and delivery, breastfeeding, safe sleep practices, and car seat safety. This comprehensive approach ensures that both mother and baby receive the necessary care and support during this critical period.
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It includes Medicaid SSI for people aged 65+ or those who are blind or disabled
BadgerCare Plus is a health care program that provides health coverage for low-income Wisconsin residents. It is a state and federal program that helps low-income children, pregnant people, and adults in Wisconsin. The program offers screenings to identify barriers to key social drivers of health, such as food insecurity and poor housing. It also provides extra support to pregnant members to ensure the health of both mother and baby. BadgerCare Plus is included in Medicaid SSI for individuals aged 65 and above, or those who are blind or disabled.
Medicaid SSI is a jointly funded, federal-state health insurance program for low-income and needy individuals. It covers children, the aged, blind, and/or disabled, as well as other people who are eligible to receive federally assisted income maintenance payments. SSI makes monthly payments to individuals with low incomes and few resources who are either aged 65 and above or blind or disabled. Blindness and disability are determined using Social Security rules, and an application for SSI is filed with the Social Security Administration.
Certain former SSI recipients may continue to receive Medicaid benefits. These include individuals who are currently receiving Social Security benefits but have lost their SSI eligibility due to a cost-of-living increase that raised them over the SSI income limit. Disabled adult children who have lost their SSI benefits after July 1, 1987, because they began receiving Social Security benefits from a parent's record or due to an increase in their Social Security benefits from a parent's record may also continue to receive Medicaid. Widows or widowers aged 50 to 65 who receive Social Security Widow(er) Insurance benefits but do not receive Medicare may also be eligible for continued Medicaid coverage.
To apply for Medicaid SSI, individuals can select their state from the menu on the Medicaid website and create an account or log in to complete an application. If a recipient's state provides Medicaid to people on SSI, they will continue to be eligible for Medicaid even if their earnings or other income become too high for an SSI cash payment.
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Frequently asked questions
BadgerCare Plus is a health insurance program in Wisconsin that provides coverage for low-income residents, including children, adults, and families.
BadgerCare Plus is available to low-income Wisconsin residents based on the federal poverty level (FPL). Eligibility is determined by the Wisconsin Department of Health Services.
You can apply for BadgerCare Plus online, in person, by phone, or by mail. You can also check your eligibility through Wisconsin's ACCESS website or by calling their customer service line.
BadgerCare Plus covers a range of health services, including doctor visits, hospital and emergency care, and preventive care. It also offers additional support for pregnant members and those with special needs.



































