BadgerCare Plus Prenatal Plan

The BadgerCare Plus Prenatal Plan provides health care coverage for pregnant women who are not eligible for BadgerCare Plus because of their immigration status or because they are in prison or jail. It is designed to provide better birth outcomes.

If you have questions about the BadgerCare Plus Prenatal Plan, including questions about covered services, you can call ForwardHealth Member Services at 800-362-3002, Monday through Friday, from 8:00 a.m. to 6:00 p.m.

View a printer-friendly BadgerCare Prenatal Plan fact sheet, P-10026

Eligibility

To be eligible for the BadgerCare Plus Prenatal Plan, you must:

  • Live in Wisconsin.
  • Not have insurance or access to an employer-sponsored health insurance plan for which the employer pays 80% or more of the monthly premium.
  • Have family income at or below the monthly income limit for your family size. Your unborn baby or babies should be included in your family size.
Family Size Monthly Income Limit*
2 $4,312.06
3 $5,439.15
4 $6,566.24
More than 4 Add $1,127.09 per person to $6,566.24

These income limits are effective February 1, 2019. The income limits are based on federal guidelines, which may change each year.

Note: If you are not eligible for the BadgerCare Plus Prenatal Plan, you can apply for BadgerCare Plus Emergency Services instead. In this case, BadgerCare Plus Emergency Services would only cover labor and delivery costs.

Covered Services

The BadgerCare Plus Prenatal Plan covers services such as:

  • Prenatal care.
  • Doctor and clinic visits.
  • Prescription drugs (including prenatal vitamins).
  • Labor and delivery.

You may be eligible for BadgerCare Plus Emergency Services after your pregnancy ends. You should talk with your doctor about what services will be covered during the postpartum period.

Confidentiality

You do not have to provide a Social Security number to be eligible for the BadgerCare Plus Prenatal Plan. Any information you do provide will not be shared with U.S. Citizenship and Immigration Services (USCIS).

Your Right to a Fair Hearing

If you disagree with a decision made about your eligibility or benefits, you can ask for a fair hearing. A fair hearing gives you the chance to tell why you think there has been a wrong decision about your eligibility or benefits. At the hearing, a hearing officer will listen to you and your agency to find out if the decision about your eligibility or benefits was right or wrong. You can bring a friend, family member, or attorney with you to the hearing.

You can ask for a hearing using a letter or a Request for Fair Hearing form.

Fax your letter or the form to 608-264-9885, or mail your letter or the form to:

Division of Hearings and Appeals
PO Box 7875
Madison, WI 53707-7875

You can also get free legal help. To learn more about free legal help, call Legal Action of Wisconsin at 888-278-0633 or Wisconsin Judicare Inc. at 800-472-1638.

Last Revised: April 12, 2019