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HMO Enrollment

Q: Will I be able to choose my HMO after enrolling in BadgerCare Plus?

A: Yes, Most BC+ members who are eligible for BC+ and reside in a BC+ HMO service area will be able to choose their HMO.

Members may choose their own HMO or work with the HMO Enrollment Specialist to choose the best one for their needs. They may choose at any time during the enrollment process. All eligible members of the member’s family must choose the same HMO.  However, individuals within a family may be eligible for an exemption from enrollment. 

 Exemptions:  A member may qualify for an exemption from HMO enrollment if s/he meets certain criteria, such as a chronic illness, high-risk third trimester pregnancy, or continuity of care concerns, etc.

If the member believes s/he has a valid reason for exemption, s/he should call the HMO Enrollment Specialist at 1-800-291-2002.  

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