Wendy Metcalf
Division of Economic Support Administrator
Email
BadgerCare & BadgerCare +
BadgerCare provides Medicaid coverage for uninsured low-income children and their parents whose income is not more than 185% of the federal poverty level. The benefits or covered services are the same as those for Wisconsin Medicaid. BadgerCare also uses the Forward Card for identification. Once you are eligible, you may stay on the program until your income is over 200% of the federal poverty level.
Families with income over 150% of the federal poverty level will need to pay a small premium each month to become eligible and remain eligible for BadgerCare. The amount is no more than 5% of the total family's income. There is no asset test for BadgerCare.
BadgerCare coverage is only for persons who are uninsured. This means that the person:
- Is not covered by a health plan in the current month or any of three previous months without good cause, or
- Does not have access to an employer's group health plan that covers the family, and the employer pays 80% or more of the premium.
Payment of a premium is required if your income is more than 150% of the federal poverty level. The amount is no more than 5% of the total family's income.
You must make the first payment before your eligibility can be approved, and continue to pay the premiums when they are due to stay on BadgerCare. You may ask your employer to withhold the payment and send it for you, or use electronic fund transfer, or make direct payments.
Coverage may go back to the first of the month that you request BadgerCare. There is no backdating of coverage for months prior to the month of application.
With BadgerCare, you don't have to neglect your own health in order to save money. Your health is vital to your children's well being. Sometimes there are situations that make it difficult for a family to provide health care, such as illness, unexpected bills or care problems. In situations like these, BadgerCare can help you stay healthy and keep your children healthy.
BadgerCare +
How to Apply:
Contact the ES Division at 608-742-9227.
Find out more at: http://www.dhs.state.wi.us/badgercare/