BadgerCare Plus for Families
Limited Coverage Plans
Family Planning Only Services
Certain individuals, with family income under
the FPL may be able to get family planning services. You can apply
online at ACCESS.wi.gov or
by calling your agency.
If you want more information or have questions, go to
dhs.wi.gov/em/customerhelp or call Member Services at
Please Note: The following services could change.
Ask your provider to see if the service you need is covered.
Through an initial or routine family planning related
office visit, the following services may be covered:
Contraceptive services and supplies (birth control
supplies such as birth control pills, condoms, IUDs, etc.),
Family planning prescriptions,
Tests and treatment for certain STD/STIs (Sexually
Transmitted Diseases/Infections) including chlamydia, herpes,
gonorrhea and syphilis as well as certain other lab tests,
Natural family planning supplies,
Routine preventive primary services related to
Note: Only certain services are covered under
Family Planning Only Services. For example, mammograms and
hysterectomies are not covered.
You should tell your health care provider you have this
plan, before you get services. Your provider must tell you if a service
is not covered.
If a service is not covered and you still want and get
the service, you will have to pay for it. You may also call the number
on the back of your card and ask if a service is covered.
Please keep in mind, this is a limited plan and you may
be able to enroll in the BadgerCare Plus Standard or Benchmark Plans
which are full-benefit plans.
Federal law allows members to choose their provider,
including physicians and family planning clinics, for family planning
services and supplies.
This means you can also go to any family planning clinic
that will accept your ForwardHealth ID card, even if the clinic is not
part of your HMO.
Emergency Services Plan
This plan provides short term coverage for people who
have an emergency medical condition and cannot get BadgerCare Plus only
because of their immigration status. Emergency Services will only pay
for health care you get for an emergency medical condition. A medical
emergency is a medical problem which could put your health at risk if
you do not get medical care right away.
Please Note: The Emergency Services plan does not
guarantee the care you get will be paid. You will have to pay the cost
of health care you get, if it is not considered an emergency.
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February 07, 2013