SeniorCare: Apply for SeniorCare
Application materials
SeniorCare is a program for Wisconsin residents who are 65 or older and need help paying for medicine. The program helps seniors pay for prescription drugs and vaccines.
You can apply for SeniorCare the month you turn 65. Once you’re 65, you can apply at any time. Coverage begins the month after you apply.
Use these materials to apply:
- SeniorCare Application and Instructions, F-10076
- SeniorCare Authorization of Representative, F-10080 (PDF) (use this form if someone is completing the SeniorCare application for you)
Return the completed application form and $30 fee to:
SeniorCare
PO Box 6710
Madison, WI 53716-0710
If you have questions, contact SeniorCare Customer Service at 800-657-2038.
Tribal and county aging offices contact information
Contact your aging office to learn about services for older adults.