Forward Health Medicaid is a Wisconsin health insurance program that provides coverage to low-income individuals and families. It uses an innovative approach to healthcare called managed care, which involves working with healthcare providers to deliver high-quality, cost-effective care to members. Forward Health Medicaid also uses data analytics to identify members who may need additional support, such as those with chronic conditions or who are at risk of hospitalization. By using this information, Forward Health Medicaid can provide members with the services and support they need to stay healthy and avoid costly hospitalizations.
BadgerCare Plus Eligibility
BadgerCare Plus is a Medicaid program that provides health coverage to Wisconsin residents who meet certain income and eligibility requirements. The program offers a variety of benefits, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
BadgerCare Plus is available to Wisconsin residents who are:
- Pregnant
- Children under the age of 19
- Parents or caretakers of children under the age of 19
- People with disabilities
- People who are elderly
- People who meet certain income requirements
To apply for BadgerCare Plus, you can visit the Wisconsin Department of Health Services website or call 1-800-362-3002.
The following table provides a summary of BadgerCare Plus eligibility requirements:
| Category | Income Limit |
|---|---|
| Pregnant women | Up to 200% of the federal poverty level (FPL) |
| Children under the age of 19 | Up to 200% of the FPL |
| Parents or caretakers of children under the age of 19 | Up to 100% of the FPL |
| People with disabilities | Up to 100% of the FPL |
| People who are elderly | Up to 100% of the FPL |
| People who meet certain income requirements | Up to 138% of the FPL |
If you have questions about BadgerCare Plus eligibility, you can visit the Wisconsin Department of Health Services website or call 1-800-362-3002.
Wisconsin Medicaid Program
Wisconsin Medicaid, also known as ForwardHealth, is a comprehensive healthcare program for individuals and families with limited income and resources. ForwardHealth provides coverage for a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health services. The program is funded by both state and federal dollars.
Who is Eligible for ForwardHealth?
- Families with children under the age of 19
- Pregnant women
- Adults without dependent children who meet certain income and asset limits
- Individuals with disabilities who meet certain income and asset limits
- Medicare Part D Extra Help Participants
What Services Does ForwardHealth Cover?
ForwardHealth covers a wide range of medical services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental services
- Vision care
- Hearing aids
- Durable medical equipment
How Do I Apply for ForwardHealth?
You can apply for ForwardHealth online, by phone, or in person at your local Department of Health Services office. You will need to provide proof of your income, assets, and household size. You can also apply for ForwardHealth through the Health Insurance Marketplace.
What are the Benefits of ForwardHealth?
- Comprehensive coverage for a wide range of medical services
- Low copays and deductibles
- Access to a network of providers statewide
- Peace of mind knowing that you and your family are covered
ForwardHealth Income Limits
The income limits for ForwardHealth vary depending on your family size and household composition. The following table shows the income limits for a family of four:
| Family Size | Income Limit |
|---|---|
| 1 | $17,655 |
| 2 | $23,795 |
| 3 | $30,035 |
| 4 | $36,275 |
| Each additional person | $6,240 |
Health Insurance Coverage in Wisconsin
Wisconsin residents have access to various health insurance coverage options, including Forward Health, Medicaid, Medicare, BadgerCare Plus, and private health insurance.
Medicaid in Wisconsin
- Medicaid is a health insurance program jointly funded by the federal and state governments.
- It provides health coverage to low-income individuals and families, including:
- Children
- Pregnant women
- People with disabilities
- Seniors
- Medicaid covers a wide range of health services, including:
- Doctor visits
- Hospitalizations
- Prescription drugs
- Mental health services
- Substance abuse treatment
Forward Health
Forward Health is Wisconsin’s Medicaid program. It provides health coverage to eligible individuals and families in Wisconsin.
Eligibility for Forward Health
To be eligible for Forward Health, you must:
- Be a Wisconsin resident
- Be a U.S. citizen or qualified non-citizen
- Meet income and asset limits
Income and Asset Limits
The income and asset limits for Forward Health vary depending on the size of your household.
| Household Size | Income Limit | Asset Limit |
|---|---|---|
| 1 | $18,754 | $2,000 |
| 2 | $25,527 | $3,000 |
| 3 | $32,299 | $4,000 |
| 4 | $39,072 | $5,000 |
| 5 | $45,845 | $6,000 |
| 6 | $52,617 | $7,000 |
| 7 | $59,390 | $8,000 |
| 8 | $66,162 | $9,000 |
Note: Income limits are subject to change annually.
How to Apply for Forward Health
You can apply for Forward Health online, by phone, or by mail.
To apply online, visit the Forward Health website at https://forwardhealth.wi.gov.
To apply by phone, call the Forward Health Customer Service Center at 1-855-269-0202.
To apply by mail, you can download an application form from the Forward Health website or request one by calling the Customer Service Center.
Benefits of Forward Health
Forward Health provides comprehensive health coverage for eligible Wisconsin residents. Benefits include:
- Doctor visits
- Hospitalizations
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental and vision care
- Family planning services
- Preventive care
Conclusion
Forward Health is a valuable health insurance program that provides comprehensive coverage to eligible Wisconsin residents. If you are a Wisconsin resident and meet the eligibility requirements, you should apply for Forward Health today.
Wisconsin Medicaid Managed Care Plans
Wisconsin Medicaid Managed Care Plans are health insurance plans that contract with the state of Wisconsin to provide health care services to Medicaid beneficiaries.
There are currently six Medicaid Managed Care Plans operating in Wisconsin:
- Anthem Blue Cross Blue Shield
- Bright Health
- Centene Corporation
- Molina Healthcare
- UnitedHealthcare Community Plan
- WiSys
Each plan offers a range of benefits and services, including medical, dental, vision, and mental health care. To see which plans are available in your county, you can use the ForwardHealth Online Provider Search Tool. If you are a Medicaid beneficiary, the state will assign you to a Managed Care Plan, or you may be able to choose a plan depending on your individual circumstances.
You can switch plans once a year during the annual Open Enrollment Period, which runs from November 1st to January 31st. You can also switch plans during a Special Enrollment Period if you have a qualifying life event, such as losing your job or moving to a new county.
To learn more about Wisconsin Medicaid Managed Care Plans, you can visit the Wisconsin Department of Health Services website or call the ForwardHealth Customer Service Center at 1-800-362-3002.
Here is a table that summarizes the key differences between the six Medicaid Managed Care Plans operating in Wisconsin:
| Plan | Benefits | Services | Cost |
|---|---|---|---|
| Anthem Blue Cross Blue Shield | Medical, dental, vision, and mental health care | Primary care, specialist care, hospital care, and prescription drugs | $0 monthly premium; copayments may apply |
| Bright Health | Medical, dental, vision, and mental health care | Primary care, specialist care, hospital care, and prescription drugs | $0 monthly premium; copayments may apply |
| Centene Corporation | Medical, dental, vision, and mental health care | Primary care, specialist care, hospital care, and prescription drugs | $0 monthly premium; copayments may apply |
| Molina Healthcare | Medical, dental, vision, and mental health care | Primary care, specialist care, hospital care, and prescription drugs | $0 monthly premium; copayments may apply |
| UnitedHealthcare Community Plan | Medical, dental, vision, and mental health care | Primary care, specialist care, hospital care, and prescription drugs | $0 monthly premium; copayments may apply |
| WiSys | Medical, dental, vision, and mental health care | Primary care, specialist care, hospital care, and prescription drugs | $0 monthly premium; copayments may apply |
Thanks for sticking with me through this journey into the world of Forward Health Medicaid. I know it can be a lot to take in, but I hope you have a better understanding now. If you still have any questions, feel free to drop me a line. In the meantime, keep your eyes peeled for more informative articles coming soon. Until then, stay healthy, stay informed, and I’ll see you next time.