Enrollment and Benefits Handbook

Go to Table of Contents

Printable Version (English, Spanish) (PDF, 880KB)

If you have a question, please read this handbook to see if your question can be answered before you contact the agency or Member Services.

You should keep this handbook for one year or until you get a new one. You will get a new handbook once a year. If you are enrolled in a plan or ask to enroll in another plan, you may get another handbook.

Your Key Contacts

All Applicants and Members

ACCESS — Online Tool at access.wi.gov

• See what health, nutrition and other programs you may be able to get

• Apply for FoodShare, BadgerCare Plus and Medicaid

• Check the status of your benefits (for examples: what health care plan are you enrolled in, what is the amount of your FoodShare benefits)

• Report changes (examples: new address or job)

• Replace your lost or damaged ForwardHealth card

• Renew your benefits and submit your FoodShare and/or Child Care Six-Month Report forms

FoodShare, BadgerCare Plus and Medicaid

Member Services — 1-800-362-3002 for help with:

• Premiums

• Covered Services and Copays

• Enrollment Rules

• Health Insurance Premium Payments

• Find a Provider

• Replace your ForwardHealth Card

Your Local Agency, for:

• Questions about enrollment rules

• Why your application was approved or denied

• Why your benefits have been reduced or ended

• Your ForwardHealth card is lost, stolen or damaged.

• Report changes by phone, fax or online

• Sending proof/verification

FoodShare Members

QUEST Customer Services — 1-877-415-5164

• General information about your QUEST card

• If you did not get a QUEST card

• To report a lost, stolen or damaged QUEST card

• Replace your QUEST card

• To get your QUEST card account balance

Members Enrolled in an HMO

• HMO Enrollment Specialist — 1-800-291-2002

• HMO Ombudsman — 1-800-760-0001

HMO Problems; Contact your HMO and ask to speak with a Member Advocate

Non-Emergency Transportation

LogistiCare — Reservation Line (schedule trips)

• 1-866-907-1493

• 1-866-288-3133 (TTY)

Where is my ride?

• 1-866-907-1494

SeniorCare Members — 1-800-657-2038

• The name on your card is wrong

• Your SeniorCare card is lost or damaged (new card will be issued immediately)

• You have questions about the use of the card

• You have questions about your SeniorCare enrollment or level of enrollment

• You have questions about your out of pocket costs

• You have questions about covered drugs

If you have a disability and need this information in a different format, or need it translated to another language, please contact (608) 266-3356 (voice) or 1-888-701-1251 (TTY).

If you have any questions about your responsibilities or your rights, contact your agency or Member Services at 1-800-362-3002.

To get the address or phone number of your agency, see page 1 of your latest Enrollment Letter, call 1-800-362-3002 or go to dhs.wi.gov/em/customerhelp.

Table of Contents

Next — ForwardHealth Programs

P-00079 (04/11)

Last Revised: November 09, 2011