|
Wisconsin Medicaid
Health care coverage for you or someone you know
Brochure - PDF
Wisconsin Medicaid has many different health care programs that help certain needy or low-income people pay for health care. People who may be able to get Medicaid are:
- Age 65 or older
- Blind or disabled
- Under age 19
- Pregnant Women
- Families with children
- Women age 35 to 65 who have been diagnosed with certain types of cancers
- Women age 15 through 44 who want family planning services
The program rules and income limits are not the same for each program.
Medicaid pays for:
- Dental services
- Doctors visits
- Family planning services
- Hearing services, including hearing aids
- Hospice care
- Hospital care
- Immunizations (shots)
- Lab and X-ray services
- Medical supplies and equipment
- Mental health and day treatment
- Nursing services
- Vision, including eye glasses
- Personal care and home health care
- Prenatal services
- Prescription and over-the-counter drugs
- Substance abuse
- Therapy - Speech, Physical, Occupational
- Transportation to medical services
And more!
There are many different Medicaid programs.
Is there one for you, or someone you know?
Family Medicaid is for parents and their children under age 19, and for relatives caring for a child.
BadgerCare is for uninsured parents and their children under age 19. This
is for families who cannot get Family Medicaid because they make too much money.
Healthy Start is for children and pregnant women. Some Medicaid
providers can give pregnant women pregnancy related services right away, before
applying at the Medicaid office. Newborn babies will get Medicaid, if mom has
Medicaid on the day the baby is born.
Medicaid Extensions help families to stay on Medicaid if their income
changes.
Elderly, Blind or Disabled Medicaid is a program for people who are age 65 or older, blind or disabled.
Community Waivers help elderly, blind or disabled people live in their own homes or in the community, rather than a state institution or a nursing home.
Family Care is a long term care program for groups who are elderly, people with physical disabilities or with developmental disabilities.
Medicaid Purchase Plan provides health care for people with disabilities who work.
Medicaid Deductible can help if you have high medical bills and your income is over the Medicaid program income limits.
Medicaid Premium Assistance can help some people pay their Medicare Part A and B premiums.
Family Planning Waiver Program is for women age 15 through 44. This program pays for family planning services. Your doctor or family planning provider may be able to give you family planning services including birth control for up to 90 days, while you apply with the Medicaid office.
Tuberculosis (TB) Related Services help people who need treatment for tuberculosis.
Well Woman Medicaid helps women who have been diagnosed with and are in need of treatment for certain types of cancer.
What it will cost
Some people will have to pay part of the cost of their care. This is called a cost share, copay or copayment, premium or deductible.
Children under 18, pregnant women or people enrolled in a Medicaid HMO will not have a cost share.
Before you apply
If you want to see if you can get Medicaid before you apply, you can go to ACCESS, the state’s pre-screener. The web address is
access.wisconsin.gov. It takes about 15 minutes and when you are done it will tell you if you may be able to get one of these programs. It will also tell you where and how to apply. This is only a screener so you still have to apply with the Medicaid office or online at
access.wisconsin.gov.
What to do if you want to apply
First you need to decide how you want to apply. You can apply for some of these programs online at access.wisconsin.gov. Or, you can apply for any of these programs by mail, over the telephone or in person with your local Medicaid office.
To find the address or phone number for your Medicaid office, call Recipient Services at 1-800-362-3002. They can also send you an application and answer any questions you may have about the application or these programs.
For more information contact:
 The Department of Health and Family Services is an equal opportunity employer and service provider. If you have a disability and need to access this information in an alternate format, or need it translated to another language, please call (608) 266-3356 or (888) 701-1251 (TTY). All translation services are free of charge.
For civil rights questions call (608) 266-9372 or (888) 701-1251 (TTY).
PHC 10163 (10/06)
| 
