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Our BadgerCare Plus plan includes a range of benefits. View the benefits below to see all that it offers. It's for pregnant women, children to age 19, families and adults.
More information on eligibility and enrollment can be found on the Wisconsin Department of Health Services website.
Adams, Ashland, Barron, Bayfield, Brown, Burnett, Calumet, Chippewa, Columbia, Crawford, Dane, Dodge, Door, Douglas, Eau Claire, Florence, Fond Du Lac, Forest, Green, Green Lake, Jefferson, Kenosha, Kewaunee, La Crosse, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pierce, Polk, Portage, Price, Racine, Rock, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood.
Do you have a serious health problem? If so, our care managers are in your corner. They will:
The care manager will stay close by throughout the medical journey. He or she will:
Whether chiropractor services are your primary or alternative treatment method, you're covered. Members 21 and over are covered for chiropractic care visits.
This is a benefit provided by the State of Wisconsin.
Where a mother has her baby is an important choice. That's why women who are pregnant can pick from a large number of hospitals across Wisconsin.
We encourage mothers-to-be to tour the hospital's birthing center. This way they will be familiar with it. And be more relaxed when they have their baby.
Each member can choose a primary care physician (PCP). Use the "Doctor Lookup" tool to see if your doctor is in our network.
The PCP is your main doctor for:
For members who don't have a doctor or whose doctor is not in our network, we can help find a new one close by.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well. There is no copayment for exams and cleanings.
If you live in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, your dental benefits are provided by UnitedHealthcare Community Plan.
If you live outside of Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State, not UnitedHealthcare.
If you have chronic or high-risk illnesses, our disease management services are designed to support you.
We have special programs for:
Some members may need extra support to live safely at home.
Our plan covers medical equipment ordered by member's doctor or case manager. This can include supplies like:
There is no copayment for medical equipment and supplies.
We provide the exams needed to help keep feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.
Our podiatry coverage includes:
There is no copayment per visit.
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.
We will help you:
Trouble hearing can affect a person's life in many ways. Our plan includes services and support to help protect your hearing.
There is no copayment per visit.
After surgery or a serious illness, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. With approval from your doctor, our plan covers:
This plan pays for expenses related to a hospital stay. Our plan covers:
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
UnitedHealthcare offers services to help you talk with your doctor or other health care workers. You can get this service if you do not speak English or have hearing and speech barriers. You do not need a referral from your doctor to get these services.
Interpreter services are offered free of charge.
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
We'll help you get the information needed to improve your health or be at your best.
You can receive information in your preferred language. Just ask. We also have people at our member service centers who speak more than one language. Chances are, we have someone who speaks your language.
Prescriptions and certain over-the-counter items are provided by the State of Wisconsin.
You may receive a prescription from a UnitedHealthcare doctor, specialist or dentist. You can fill your prescription at any pharmacy that is a provider for BadgerCare Plus. Just show your ForwardHealth ID card to the pharmacy when you get your prescriptions filled.
You may have copayments or have limits on covered medications.
We're looking out for you. Our local member advocates can help solve problems, provide training and education, and work on issues that concern members.
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We'll answer your questions simply and completely.
We can also help you find:
Mental health is as important as physical health. That's why we have coverage for both.
Required care includes:
There is a copayment per service.
Medical questions and situations sometimes happen at bad times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.
Our nurses will:
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
After a serious illness, surgery or injury, you may need extra nursing and therapy. In these situations, our plan covers short stays in a rehabilitation center where you can heal.
Most people know the bad health effects of smoking. And they know they need to quit. We support our members to help them quit. The only thing they won't get from us is a lecture.
Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.
Our plan covers visits for:
There is a copayment for these visits.
We provide rides to and from medical visits.
Our plan provides non-emergency medical transportation to and from health care appointments.
That includes trips to:
You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:
This benefit is offered by Vision Service Plan.
Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
There are no copayments for preventive care.
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