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Our Medicaid SSI plan is for Wisconsin residents who receive Supplemental Security Income (SSI). It provides extra support and care. You get many services to help with daily activities. View the benefits below to see all that it offers.
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.
Build a healthy future for you and your baby — and earn great rewards — through Healthy First Steps. This program helps keep you and your baby healthy during your pregnancy and your baby's first 15 months of life.
Healthy First Steps includes:
Once you sign up, you can choose either a $20 Old Navy gift card or a stylish diaper bag. The choice is yours.
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.
Each member can choose a primary care physician (PCP). Use the "Doctor Lookup" tool to see if your doctor is in our network.
You get a primary care physician (PCP), who is your main doctor. If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
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.
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:
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:
Trouble hearing can affect a person's life in many ways. Our plan includes services and support to help protect your hearing.
Mothers-to-be may receive help and advice from many people. Yet every pregnancy is different. This free program will support a mother-to-be through her pregnancy.
Healthy First Steps program is there to help keep you and your baby healthy during and after pregnancy. You'll get a personal care manager who will work closely with you. He or she can:
Eat healthier and save money on pre-qualified healthy foods.
Use your Healthy Savings card at Pick 'n Save, Copps, Metro Market, and Woodman's grocery stores. You will get discounts on healthy options.
You will receive a welcome packet shortly after your enrollment with UnitedHealthcare Community Plan.
After surgery or a serious illness — or if you have disability — 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 no 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:
A pregnancy is a journey Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN. with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
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.
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. Included are:
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You'll get text messages throughout your pregnancy and your baby's first year. Each text contains health and safety tips for topics like:
So you and your baby can make a great start on life.
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 no copayment for these visits.
Transportation services are provided by the State of Wisconsin.
Members can get round trip transportation to and from health care locations. That includes trips to:
There is a copayment for some of these services.
Members can get the care, eyeglasses and treatment that let them see life more clearly. Benefits include:
There is no copayment for each service.
This benefit is offered by Herslof Optical.
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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