BadgerCare Plus Basic Plan Home Page>>Enrollment and Benefits Guide

BadgerCare Plus Basic Plan — Benefits Guide

Printable Version (English) (PDF)

You will find the following information in this booklet. If you have questions, before you contact the Basic Plan Processing Unit, please read this booklet. You may find your answer.

• Premiums
• Benefits and Copayments
• Other Coverage and Programs
• Basic Plan Rules 
• Your Rights
• Letters 
• ForwardHealth Basic Plan Card

Basic Plan members can see any provider taking part in BadgerCare Plus. To see if your provider is a BadgerCare Plus provider or to find a provider, call Member Services at 1-800-362-3002.

You can stay enrolled in the Basic Plan as long as you pay your monthly premium and stay on the Core Plan Waitlist and meet all Core Plan rules. To meet the Core Plan rules, you must be 

• Living in Wisconsin,
• Age 19 through 64, and
• A U.S. citizen or legal immigrant.

Also, you must not:

• Have dependent children under age 19 living with you,
• Be pregnant,
• Have income above the program income limits of 200% of the federal guidelines (for current income guidelines, go to badgercareplus.org/fpl.htm)
• Have private health insurance coverage when you request Core Plan coverage or in the 12 months before that date unless you lost your health insurance coverage for a good cause reason,
• Be able to sign up for insurance from an employer during the month you apply or next three months,
• Have had access to health insurance through an employer in the last 12 months,
• Be disabled or blind and able to get Medicare, or
• Be able to get Medicaid or BadgerCare Plus for Families.

Next Section - Premiums

P-00148 (10/12)

Last Revised:  April 19, 2013