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1.1 Introduction to BadgerCare Plus

1.1.1 Overview

1.1.2 BadgerCare Plus Coverage Groups

1.1.3 Limited Coverage Health Care Plans

1.1.4 Wisconsin Medicaid

1.1.4.1 Medicaid Programs

1.1.5 Health Care Choice

1.1.6 Ways to Apply

1.1.1 Overview

BadgerCare Plus is a state and federal program that provides health coverage for low-income Wisconsin residents. To be eligible for BadgerCare Plus, a person must meet certain non-financial and financial requirements.

 

Depending on their age, income, and other criteria, BadgerCare Plus members have their benefits funded by either the Medicaid program or CHIP .

 

Note: BadgerCare Plus replaced AFDC -Medicaid, Healthy Start, and BadgerCare.

1.1.2 BadgerCare Plus Coverage Groups

Populations eligible for BadgerCare Plus include:

 

For information on income limits, see Section 16.1 Income and Section 50.1 Federal Poverty Level Table.

 

All BadgerCare Plus members receive coverage under the Standard Plan. See Chapter 38 Covered Services for information on covered services.

 

BadgerCare Plus is funded by Medicaid and CHIP. CHIP, which is also known as SCHIP or Title 21, is primarily a program covering low-income children’s health care needs. In Wisconsin, these low-income children include children with incomes above the Medicaid income limits up to 306 percent of the FPL . Children eligible for CHIP are covered under BadgerCare Plus. CHIP also covers pregnant women who are enrolled in the BadgerCare Plus Prenatal Program.

1.1.3 Limited Coverage Health Care Plans

BadgerCare Plus also has several limited coverage health care plans. These include:

1.1.4 Wisconsin Medicaid

Medicaid is a state and federal program that provides health coverage for Wisconsin residents who are elderly, blind, or disabled. In addition to this, Medicaid funds the benefits of most adults and children enrolled in BadgerCare Plus.

 

Medicaid is also known as Medical Assistance, MA, and Title 19.

1.1.4.1 Medicaid Programs

The following are different subprograms of Medicaid:

1.1.5 Health Care Choice

It is possible for individuals to qualify for both BadgerCare Plus and EBD Medicaid based on financial and non-financial eligibility criteria. See Chapter 49 Health Care Choice for more information.  

1.1.6 Ways to Apply

A person can apply for BadgerCare Plus:

 

A person can also apply through the Federally Facilitated Marketplace.

 

 

 

This page last updated in Release Number: 17-04

Release Date: 12/13/2017

Effective Date: 12/13/2017