Children's Health Insurance Program (Wisconsin)
More State Children's Health Insurance Programs
Wisconsin BadgerCare
Eligibility Requirements
- You must have children under age 19 living with you.
- Your income must be within the guideline limits.
- There is no limit on assets.
- You must not be covered by other health insurance.
Waiting Periods
There is a 3 month waiting period for those individuals with current health care coverage to be eligible for BadgerCare benefits. The exception to this rule would be if coverage was lost due to a "good cause" reason. Examples of good cause reasons include loss of job (unless you voluntarily quit), loss of job because you were unable to work due to an illness or injury, change to a new job that does not offer group benefits, termination of COBRA, group benefits lost due to reduction in hours or employer terminated group health plan for all employees.
Covered Services and Benefits
BadgerCare of Wisconsin provides comprehensive coverage for all of the medical needs listed below:
- Doctor visits
- Vaccinations
- Prenatal Care
- Hospitalization
- Prescription drugs
- Vision care
- Hearing services
- Family planning assistance
- Mental health services
- Medical equipment
- Speech, physical and occupational therapy
- Lab and x-ray
Health Plan Choices
The majority of families with children receiving health care through Wisconsin's BadgerCare Program are enrolled in HMO's. The exception to this would be if there is only one HMO available to you in your area. If such is the case, you may receive your health care from any provider who accepts the BadgerCare Forward card.
Premium Payments, Co-Payments and Coinsurance
Whether or not a monthly premium is required depends upon your family income. If the family income is below 150% of the FPL, you will pay no premium. It it's above 150%, you will pay a monthly premium that is no more than 5% of your family income.
Program Length, Enrollment and Renewal
Coverage under BadgerCare is available for as long as you meet the original enrollment guidelines. A review of your eligibility will be conducted annually. Program requirements are subject to change from one year to the next.
Contact
Applications for BadgerCare must be submitted in the location designated for your county. For more information, contact BadgerCare at: 1-800-362-3002
Wisconsin BadgerCare Website:
http://dhfs.wisconsin.gov/badgercare/index.htm
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