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Covered Services and Copays — Standard Plan
BadgerCare Plus Standard Plan covers the following services.
These services could change. You should always check with your provider or call Member Services at 1-800-362-3002, for the most up to date information on what services are covered and if there are any limits on the services you need.
- Case management services
- Chiropractic services
- Dental services
- Family planning services and supplies
- HealthCheck (Early and Periodic Screening, Diagnosis and Treatment) for people under 21 years of age.
- Some Home and community-based services
- Home health services or nursing services if a home health agency is unavailable
- Hospice care
- Inpatient hospital services other than services in an institution for mental disease
- Inpatient hospital, skilled nursing facility, and intermediate care facility services for patients in
institutions for mental disease who are:
- Under 21 years of age
- Under 22 years of age and was getting services when you turned 21 years of age
- 65 years of age or older
- Intermediate care facility services, other than services at an institution for mental disease
- Laboratory and X-ray services
- Medical supplies and equipment
- Mental health and medical day treatment
- Mental health and psychosocial rehabilitative services, including case management services, provided by staff of a certified community support program
- Nurse midwife services
- Nursing services, including services performed by a nurse
practitioner
- Optometric/optical services, including eye glasses
- Outpatient hospital services
- Personal care services
- Physical and occupational therapy
- Physician services
- Podiatry services
- Prenatal care coordination for women with high-risk pregnancies
- Prescription drugs and over-the-counter drugs
- Respiratory care services for ventilator-dependent individuals
- Rural health clinic services
- Skilled nursing home services other than in an institution for mental disease
- Smoking cessation treatment
- Speech, hearing, and language disorder services
- Substance abuse (alcohol and other drug abuse) services
- Transportation to obtain medical care
- Tuberculosis (TB) services
Co-payments
Co-payments for the Standard Plan are between $0.50 and $3.00 depending
on the services. If you have more than one services you may have
more than one co-payment
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Cost of Service
Up to $10.00
From $10.01 to $25.00
From $25.01 to $50.00
Over $50.00 |
Co-payment
$0.50
$1.00
$2.00
$3.00 |
Last Revised:
March 06, 2013
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