What is Medicaid?
Wisconsin Medicaid is a joint federal and state program, operated by the state, that provides free or low-cost health care coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Medicaid offers benefits not normally covered by Medicare, like nursing home care and personal care services.
Supplemental Security Income (SSI)-Related Medicaid provides health care coverage for adults age 65 or older or for people determined blind or disabled by the Disability Determination Bureau. SSI-Related Medicaid is typically thought of as “Medicaid.”
Another Medicaid program is BadgerCare Plus which is a health care coverage program for low-income Wisconsin residents.
There are many other types of Medicaid programs. Each has different rules about age, income, and nonfinancial requirements. To learn more about the Medicaid programs available in Wisconsin visit:
Am I eligible for Medicaid?
You might be eligible for Medicaid based on your income, household size, disability, family status, and other factors. To see if you are eligible for Medicaid and how to apply, refer to Eligibility Management resources from the Department of Health Services.
How do I apply for Medicaid in Wisconsin?
To apply for Medicaid, contact the State of Wisconsin’s Medicaid program directly. Contact your Medicaid office in the county in which you live. You have the option to apply in person, by phone, or online. You will need to verify your income and resources with the Department of Health Services.
Department of Health Services
1 West Wilson Street
Madison, WI 53703
General phone number: 608-266-1865
TTY phone number: 711 or 800-947-3529
To see if you are eligible for Medicaid and how to apply, go to: https://www.dhs.wisconsin.gov/forwardhealth/apply.htm.
What will Medicaid pay for?
States establish and manage their own Medicaid programs. They determine the type, amount, duration, and scope of services within Federal guidelines. Federal law requires that states provide certain “mandatory” benefits and allows the states to choose which “optional” benefits they’ll provide.
For a list of Medicaid Benefits, go to https://www.medicaid.gov/medicaid/benefits/list-of-benefits/index.html
What is the difference between Medicaid and Medicare?
Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. For more information, visit www.Medicare.gov.
Medicaid is a federal program administered separately by each state and that provides health coverage if you have a very low income. The eligibility rules for Medicaid are different for each state. You can be eligible or Medicaid regardless of your age. They will work together to provide you with health coverage and lower your costs. For more information, visit www.Medicaid.gov.