Wisconsin Medicaid Eligibility and Application Overview

If you do not have medical coverage and cannot afford your medical expenses, you may want to apply for Wisconsin Medicaid. Medicaid is a federally mandated yet state run program which offers medical coverage to individuals and families who meet eligibility requirements. There are a variety of Medicaid related programs in the state of Wisconsin which include Medical Assistance, BadgerCare and SeniorCare.

It is important to understand that Medicaid is not necessarily considered welfare, but should instead be seen as a health insurance program. According to state documentation, only a small percentage of individuals who receive Medicaid coverage also receive welfare assistance.

The Wisconsin Medicaid program offers medical coverage and assistance to low income seniors, disabled and/or blind individuals, families receiving welfare assistance, pregnant women, and children from low-income families. There are income requirements that must be met, however for certain groups like pregnant women, children, disabled individuals and senior citizens, the income requirements are lower. This makes it easier for groups who need coverage the most to qualify. There are other programs that are part of Wisconsin Medicaid which other families and individuals may qualify for as mentioned previously.

For example, BadgerCare is a health insurance program for low-income working families who have children. This program is available to families and their children who meet 185% of the federal poverty level. The SeniorCare program a prescription drug coverage program for seniors who meet 240% of the poverty level. This program helps seniors afford costly prescription medications that they may otherwise be unable to pay for.

Medicaid coverage helps pay for inpatient and outpatient care, preventative care, laboratory and diagnostic services, nursing home care, family planning and more. If you need to apply for Medicaid or have questions about the program, contact your local Department of Social Services. When you apply, you will need to complete an in-depth application and provide various documentation and verification. This may include proof of identity, citizenship, income and assets. You will be assigned a caseworker who can help you complete your application if necessary and answer all your questions about the Wisconsin Medicaid program.

6 Responses to Wisconsin Medicaid Eligibility and Application Overview

  • Linda Stumpner says:

    My family is in need of applying for assistance for our parents who are over 65. Please advise as to where to pickup the appropriate forms to apply for Medicare/Medicaid assistance. They currently gave Badgercare. My father is a veteran. We are needing assistance due to my mother having alzheimers. Please advise and thank you.
    Linda Stumpner

  • Connie Lemmens says:

    My father is looking for assistance. He is over 65 & a veteran. He now has Medicare but is wondering if he is eligible for Medicaid as well or any other assistance.
    Thank You,
    Connie Lemmens

  • Donna Verjinsky says:

    My sister who is 57 has advaned Parkinson’s and cannot walk or talk. She has some care in
    her home. Her Neurologist stated recently that
    she needs 24/7 care. The home care provider
    has told us that they cannot give her this amount of care.

    We have 3 nursing homes and several self care
    facilities in our community, however, with her limitations from the Parkinson’s the place where
    she receives the best care is in her own home.
    Is there any help for her? She is presently on Disability and has a Forward card.

    Thank you,
    Donna Verjinsky

  • Ken Steward says:

    Contact your local “Human Service Office”. They are very
    help full dedicated people.

  • Jennifer Anderson says:

    my 44 year old brother has been dignosed with cancer and does not have health insurance. Who can we contact to see what help there is for him in receiving treatment?

  • jackie vandenack says:

    we need to get help in paying the copays and other charges.we live on ss. and our house payment is over 700. plus wps on a budget 160 that takes a thousand just there then we have credit bills for other health(hearing aids etc. ) no dental insurance at all. we are very sorry to need this help . but we do need it .my husband is ready for strokes at any time . our address is 218 irene st. greenbay wis.54302 we need help thank you

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