New Prescription Policy for SeniorCare
As of July 15, 2013, the Department of Health Services has
implemented a new policy due to the Affordable Care Act for
SeniorCare members who get prescriptions. In order for SeniorCare to
reimburse pharmacies for prescriptions, the prescription must be
written by a physician enrolled with Wisconsin Medicaid. If your
physician is not enrolled with Medicaid and you are unable to get
your prescription filled, you can take the following action:
- Encourage your physician to enroll in Wisconsin Medicaid as
a Prescribing/Referring/Ordering Only Provider. Your physician
can call Provider Services at (800) 947-9627 for more
- Ask your provider to refer you to another physician who is
Medicaid-enrolled. You may also call Member Services to find a
provider who is Medicaid-enrolled at (800) 362-3002.
SeniorCare is Wisconsin's Prescription Drug Assistance Program for
Wisconsin residents who are 65 years of age or older and who meet enrollment
Do you need help paying for prescription drugs?
Do you know a Wisconsin
senior who does?
SeniorCare can help.
By making prescription drugs more affordable SeniorCare makes it easier for
seniors to obtain the medicine they need for a healthier life.
Enrollment Requirements Include:
Must be a Wisconsin resident.
Must be 65 years of age or older.
Please Note: Your application will not be accepted if you apply earlier than
the calendar month before your 65th birthday.
Must pay a $30 annual enrollment fee per person.
Only income is counted. Assets, such as bank accounts, insurance
policies, home property, etc., are not counted.
All program participants will need to pay an out-of-pocket expense
All seniors will be subject to certain out-of-pocket expense rules
depending on their annual income. There are different expense rules and
benefits based on your income and your spouse's income, if your spouse lives
If you think you might be able to enroll, contact your local
aging agency for more information. Or, call SeniorCare Customer Service at
1-800-657-2038 (TTY and translations services are available).
Date Last Revised:
January 16, 2014