Wisconsin Medicaid and BadgerCare Plus
Other Health Insurance
If you or anyone in your family has any other health
insurance coverage, you must tell the agency. If you do not inform the
agency about any other health insurance your benefits may be denied or
ended.
Anyone requesting BadgerCare Plus is required to make an
assignment of Medical Support Liability. Medical Support Liability means
that applicants and members must sign over to the State of Wisconsin all
rights to payments from court-ordered medical support or from other
third party payers of your medical expenses. Examples of third party
payers are:
-
Health insurance (other than BadgerCare Plus or
Medicaid), or
-
Payments from an accident or injury if Medicaid or
BadgerCare Plus paid for any services due to the accident (see
Accident and Injury Claims).
In some situations, you must cooperate with the Child
Support Agency to establish paternity. This means that if you were not
married at the time of the child's birth, the Child Support Agency will
help you to legally name the parent.
If your child does not have health insurance and has an
absent parent, you must help the Child Support Agency to get insurance
information from the absent parent. The Child Support Agency will also
help you get and to keep getting health insurance (medical support) for
your child through court-orders.
You must cooperate with the Child Support agency, unless
you:
There are different Good Cause reasons. If you think you
may have a good reason for not cooperating with the Child Support
Agency, tell your local agency.
If you have questions about your other insurance
coverage, ask your insurance company. If you have questions or
complaints regarding that insurance company, contact:
Office of the Commissioner of Insurance
Bureau of Market Regulation
PO Box 7873
Madison WI 53707-7873
1-800-236-8517
Access to Affordable Employer-Sponsored Health
Insurance
If you are able to enroll or have been able to sign up
for health insurance through an employer, you may not be able to stay
enrolled in BadgerCare Plus.
If you have any access to health insurance, you cannot
enroll in the BadgerCare Plus Core Plan.
For parents or relatives who care for a child,
employer-sponsored health insurance is considered affordable, if the
premium for an individual plan is not more than 9.5% of the family's
income.
Your agency will check to see if you have access to
employer-sponsored health insurance.
Accident and Injury Claims
If you are in an accident or injured and you get a cash award or settlement due to the accident or injury and ForwardHealth pays for part or all of your care, you must report this to your local agency. If you have hired an attorney or are working with an insurance agency to settle your claim, you must report this information.
If you are getting Supplemental Security Income (SSI), or you live in Clark, Douglas, Eau Claire, Fond du Lac, Green Lake, Juneau, LaCrosse, Lincoln, Marinette,
Milwaukee, Rock, Sheboygan, Trempealeau, Vilas, Walworth, Waushara or Winnebago County, you must report your accident or injury case to:
Wisconsin Casualty Recovery – HMS
5615 Highpoint Drive
Irving, TX. 75308-9984
Toll Free Telephone: (877) 391-7471
Fax Number: (469) 359-4319
OR
All other members not receiving SSI or in one of the counties listed
above should report to the agency before the case is settled.
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Last Revised:
February 06, 2013 |
