SeniorCare Home

What Is It?

Should I Apply?

Am I Eligible?
(ACCESS)

Where Do I Apply?

SeniorCare Application Form and Instructions

Information for Applicants/
Participants

Fact Sheets

Information for Providers

Updates

SeniorCare Prescription Drug Assistance Program

Information for Applicants/Participants

Brochures and Letters

• Notice to Medicaid and BadgerCare Recipients and SeniorCare Participants regarding Brand Medically Necessary Drugs, September 1, 2004
• Prescription Drugs for Wisconsin Seniors — PHC 10077  (PDF, 325 KB)

Fact Sheets

• ACCESS — Am I Eligible — PHC 16105 (2/07) (PDF, 48 KB)
• ACCESS — Check My Benefits — PHC 16106 (2/07) (PDF, 47 KB)
• Contact Us — Wallet Card — PHC 16108 (4/07)
• Covered Drugs — PHC 10084
• Frequently Asked Questions About SeniorCare — PHC 10083
• Prescription Drug Assistance Program — PHC 10078 (English, Hmong, Spanish)
• SeniorCare Annual Renewal — PHC 10085 (English, Hmong, Russian, Spanish)
• SeniorCare and Medicare Part D — PHC 10074
• SeniorCare Income — PHC 10087
• Spenddown and Deductible —  PHC 10086
• Wisconsin Legal Services Programs, PHC 10096 (PDF, 38 KB)

Federal Poverty Level Guidelines

• Federal Poverty Level Guidelines (FPL)

Medicare Part D Information

• Medicare Part D Information

Privacy Notice and Forms

• SeniorCare Notice of Privacy Practices (English, Hmong, Laotian [PDF, 312KB], Russian, Spanish)
• Wisconsin SeniorCare HIPAA Privacy Authorization for Use or Disclosure — HCF 13161 (PDF 109 KB)
• Wisconsin SeniorCare HIPAA Privacy Access Request — HCF 13162 (PDF 100 KB)
• Wisconsin SeniorCare HIPAA Privacy Accounting Request — HCF 13163 (PDF 92 KB)
• Wisconsin SeniorCare HIPAA Privacy Alternate Communication Request — HCF 13164 (PDF 96 KB)
• Wisconsin SeniorCare HIPAA Privacy Amendment Request — HCF 13165 (PDF 88 KB)
• Wisconsin SeniorCare HIPAA Privacy Complaint — HCF 13166 (PDF 92 KB)
• Wisconsin SeniorCare HIPAA Privacy Revocation of Authorization — HCF 13167 (PDF 96 KB)
• Wisconsin SeniorCare HIPAA Privacy Restriction Request — HCF 13168 (PDF 88 KB)
• SeniorCare Authorization of Representative — HCF10080 (PDF 72 KB)

Handbooks

• SeniorCare Participant Handbook