The Wisconsin Department of Health Services is requesting a three-year renewal of its Section 1115 Demonstration Project for the SeniorCare Prescription Drug Assistance Program to continue the program until December 31, 2018. Learn more about the Waiver on the SeniorCare Web.
New Prescription Policy for SeniorCare Members:
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 information.
- 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 rules.
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 with you.
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).