Southeast Wisconsin HMO Changes

BadgerCare Plus Standard and Benchmark Plan Members in Southeastern Wisconsin — HMO Changes

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As of November 1, 2012, UnitedHealthcare (UHC) will no longer be a BadgerCare Plus HMO for Standard and Benchmark Plan members who live in these counties:

• Kenosha

• Milwaukee

• Ozaukee

• Racine

• Washington

• Waukesha

Please keep in mind, your enrollment in BadgerCare Plus is not ending. You will still be able to get BadgerCare Plus covered services from any BadgerCare Plus provider.

This does not affect any BadgerCare Plus Standard or Benchmark Plan members in any county not listed or any BadgerCare Plus Core Plan or SSI Managed Care members in the state.

How will this affect me?

As of November 1, 2012, if you are enrolled in the BadgerCare Plus Standard or Benchmark Plan and you live in one of the counties listed, you will no longer get your health care services through UHC. If you have not selected a new HMO, you can go to any provider that accepts the ForwardHealth card.

I have an approved prior authorization for services with UHC. What will happen to that approval?

If the BadgerCare Plus program requires a prior authorization for a service and you already have a prior authorization from UHC for that service, the BadgerCare Plus program will accept that approval.

When will I be able to enroll in a different BadgerCare Plus HMO?

You will get an enrollment packet in the mail in the near future. This packet will tell you which HMOs are in your area and how to enroll. If you do not choose an HMO at that time, you will be assigned to an HMO by BadgerCare Plus.

Do I have to wait until I get my Enrollment Packet to choose an HMO?

No. You can choose an HMO now. To choose now, contact the HMO Enrollment Specialist at 1-800-291-2002 and ask them to help you.

Will I be able to keep seeing the same health care providers?

Yes. You can go to any provider that accepts the ForwardHealth card.  You can also contact Member Services at 1-800-362-3002 to see if your provider is a BadgerCare Plus provider.

P-00378 (11/12)

Last Revised: November 01, 2012