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 Participant Handbook

Table of Contents

• Message from the Governor
• Wisconsin SeniorCare
• How to Apply
• Who is Eligible
  • Qualifying for SeniorCare
  • Social Security Number
  • Income
  • Assets
  • Out-of-Pocket Expense
• Participation Levels
  • SeniorCare Participation Level Table
  • Level 1
  • Level 2a
  • Level 2b
  • Level 3
• Health Insurance Coverage
• When Coverage Begins
• Refund of Enrollment Fee
• SeniorCare ID Cards
• Using Your SeniorCare Card
  • Participating Pharmacies
• Eligibility Updates and Renewals
  • SeniorCare Notices
  • Reporting Changes in Eligibility
  • Annual Eligibility Review
  • Annual Renewal Application
• SeniorCare Benefits
  • Covered Prescriptions
  • Prior Authorization
  • Prescriptions Not Covered
  • Potential Coverage Limitations For Levels 2b and 3
  • Questions to Ask
• Out-of-State Prescription Benefits
• Reapplication
• Withdrawal from Program
• Termination from Program
• Fraud
  • Participant Fraud
  • Provider Fraud
• SeniorCare Participant Rights
• Appeals
• Civil Rights Protections
• Discrimination Complaints
• Other Programs Available for Those on SeniorCare
• ACCESS

Next Page — Message From Governor