Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families in Wisconsin. It helps pay for medical expenses, including doctor visits, hospital care, prescription drugs, and nursing home care. Medicaid is administered by the state of Wisconsin and is funded jointly by the state and federal governments. To be eligible for Medicaid in Wisconsin, individuals must meet certain income and asset limits. The program is available to children, pregnant women, people with disabilities, and low-income adults. Medicaid plays a vital role in ensuring that low-income individuals and families in Wisconsin have access to quality health care.
BadgerCare Plus
BadgerCare Plus is Wisconsin’s Medicaid program. It provides health insurance to low-income individuals, families, and children, pregnant women, people with disabilities, and nursing home residents. BadgerCare Plus also covers some other services, such as dental care, vision care, and mental health services.
To be eligible for BadgerCare Plus, you must meet certain income and asset limits. The income limits are based on the federal poverty level (FPL). For 2023, the FPL is $13,590 for a single person and $27,750 for a family of four. The asset limits are $2,000 for a single person and $4,000 for a family of four.
If you meet the eligibility requirements, you can apply for BadgerCare Plus online or by mail. You can also contact your local county human services agency for more information.
Once you are approved for BadgerCare Plus, you will be assigned to a health plan. There are several different health plans to choose from, so you can find one that meets your needs and budget.
BadgerCare Plus is a valuable program that provides health insurance to many people who would otherwise be uninsured. If you think you may be eligible, I encourage you to apply.
Benefits of BadgerCare Plus
- Comprehensive health coverage, including doctor visits, hospital care, prescription drugs, mental health services, and more.
- Low or no cost to enrollees.
- Easy to apply and enroll.
- Peace of mind knowing that you and your family are covered in case of illness or injury.
Comparison of BadgerCare Plus and Medicaid
| Characteristic | BadgerCare Plus | Medicaid |
|---|---|---|
| Who is eligible? | Low-income individuals, families, and children, pregnant women, people with disabilities, and nursing home residents. | Low-income individuals, families, and children, pregnant women, people with disabilities, and nursing home residents. |
| What benefits are covered? | Comprehensive health coverage, including doctor visits, hospital care, prescription drugs, mental health services, and more. | Varies by state, but typically includes basic health coverage, such as doctor visits, hospital care, and prescription drugs. |
| How much does it cost? | Low or no cost to enrollees. | Varies by state, but typically has low or no cost to enrollees. |
| How do I apply? | Online, by mail, or through a local county human services agency. | Varies by state, but typically online, by mail, or through a local government office. |
Overview: BadgerCare Plus (Medicaid in Wisconsin)
BadgerCare Plus is Wisconsin’s Medicaid program, providing comprehensive health coverage for eligible individuals and families with low income and resources.
Eligibility for BadgerCare Plus
- Income: Eligibility is based on household income, with limits varying according to household size. In general, those with incomes at or below 138% of the federal poverty level qualify.
- Age: Children, pregnant women, and adults up to age 64 may qualify.
- Citizenship: U.S. citizens, legal permanent residents, and certain other qualified non-citizens may qualify.
- Disability: Individuals with disabilities, as defined by Social Security, may qualify regardless of income.
Benefits of BadgerCare Plus
- Comprehensive coverage: BadgerCare Plus covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health care.
- Low or no cost: Eligible individuals and families pay little or nothing for covered services.
- Access to care: BadgerCare Plus participants have access to a network of healthcare providers throughout the state.
Applying for BadgerCare Plus
Individuals can apply for BadgerCare Plus online, by mail, or by phone. Applications can be found at the Wisconsin Department of Health Services website, local county human services offices, or community organizations that provide assistance with health insurance enrollment.
Factors Affecting Eligibility
| Factor | Explanation |
|---|---|
| Income | Eligibility is based on household income, with limits varying according to household size. |
| Age | Children, pregnant women, and adults up to age 64 may qualify. |
| Citizenship | U.S. citizens, legal permanent residents, and certain other qualified non-citizens may qualify. |
| Disability | Individuals with disabilities, as defined by Social Security, may qualify regardless of income. |
Medicaid in Wisconsin: Overview and Services Covered
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. In Wisconsin, Medicaid is administered by the Department of Health Services.
Services Covered by Medicaid in Wisconsin
- Medical care: This includes doctor visits, hospital stays, and prescription drugs.
- Dental care: This includes checkups, cleanings, and fillings.
- Vision care: This includes eye exams and eyeglasses.
- Mental health care: This includes counseling and therapy.
- Substance abuse treatment: This includes detoxification and counseling.
- Long-term care: This includes nursing home care and home health care.
Other services covered by Medicaid in Wisconsin:
- Transportation to medical appointments
- Personal care services, such as bathing and dressing
- Home-delivered meals
- Assistive devices, such as wheelchairs and walkers
Medicaid eligibility in Wisconsin:
To be eligible for Medicaid in Wisconsin, you must meet certain income and asset limits. The income limits vary depending on your family size and household income. The asset limits are also based on family size and include your bank accounts, investments, and other assets.
How to apply for Medicaid in Wisconsin:
You can apply for Medicaid in Wisconsin online, by mail, or in person at your local county human services office. The application process can take several weeks, so it’s important to apply as early as possible.
Contact information for the Wisconsin Department of Health Services:
1-800-362-3002
TTY: 711
| Service | Covered | Not Covered |
|---|---|---|
| Doctor visits | Yes | No |
| Hospital stays | Yes | No |
| Prescription drugs | Yes | No |
| Dental care | Yes | No |
| Vision care | Yes | No |
| Mental health care | Yes | No |
| Substance abuse treatment | Yes | No |
| Long-term care | Yes | No |
Medicaid in Wisconsin
Medicaid is a health insurance program that provides coverage to low-income individuals and families. It is a joint federal and state program, with the federal government providing funding and the states administering the program. In Wisconsin, Medicaid is known as BadgerCare Plus. BadgerCare Plus provides coverage for a variety of services, including doctor visits, hospital care, prescription drugs, mental health services, and substance abuse treatment.
How to Apply for Medicaid in Wisconsin
To apply for Medicaid in Wisconsin, you can:
- Apply online at the Wisconsin Department of Health Services website.
- Call the Department of Health Services at 1-800-362-3002.
- Visit your local Department of Health Services office.
When you apply for Medicaid, you will need to provide:
- Your name, address, and date of birth.
- Your Social Security number.
- Proof of income, such as pay stubs or tax returns.
- Proof of assets, such as bank statements or property deeds.
- Information about your health insurance coverage, if you have any.
Once you have submitted your application, it will be reviewed by the Department of Health Services. You will be notified of the decision within 45 days. If you are approved for Medicaid, you will receive a BadgerCare Plus card in the mail. You can use this card to access covered services.
| Eligibility for Medicaid in Wisconsin |
|---|
| To be eligible for Medicaid in Wisconsin, you must: |
|
|
|
|
|
|
|
|
If you have any questions about Medicaid in Wisconsin, you can contact the Department of Health Services at 1-800-362-3002.
Thanks for sticking with me through all that info on Medicaid in Wisconsin. I know it can be a bit dry, but it’s important stuff to know. If you still have questions, feel free to give us a call or visit our website. And if you’re looking for more info on other state’s Medicaid programs, check back later ’cause I’m working on those too. Until then, take care and stay healthy!