State Government Insurance Programs Offered

Health Insurance Risk Sharing Plan (HIRSP) HIRSP Federal Plan Federal Program run by HIRSP

800-828-4777 608-221-4551

HIRSP: Offers five plan options. Covers hospital and physician care, prescription drugs and insulin, maternity care and other services. HIRSP-Fed: Covers broad range of benefits, including primary and specialty care, hospital care, and prescription drugs. Eligibility: HIRSP: Must be under age 65, a Wisconsin resident for at least 3 months, ineligible for employer- offered group health insurance or Medicaid or Badger Care Plus, and either: 1) Not eligible for Medicare, Lost your employer- offered group health insurance and did not voluntarily cancel coverage. In last 9 months was denied coverage due to health, or offered coverage with restricted benefits, or offered 2 coverages with premiums 50% or higher than a standard risk would be charged for the coverage, or diagnosed as HIV positive, or be eligible for Medicare due to disability. Or, 2) Be a HIPAA- eligible individual. HIRSP-Fed: Must be a U.S. citizen or legal alien, uninsured for 6 months prior to the HIRSP Federal Plan effective date, ineligible for employer-offered group health insurance or Medicaid or Badger Care Plus, and in last 9 months was denied coverage due to health, or offered coverage with restricted benefits, or offered 2 coverages with premiums 50% or higher than a standard risk would be charged for the coverage, or diagnosed as HIV-positive.

Badger Care Plus (BCP)

800-362-3002

Coverage: BCP: Comprehensive care including but not limited to doctor visits, mental, dental, prescriptions, hospitalization and more (offers same as Medicaid). Eligibility: BCP: Must be U.S. citizen or legal alien and resident of Wisconsin. Must be children under 19 years old without access to health insurance; or pregnant women with incomes up to 300% FPL; or parents or caretakers earning up to 200% FPL. Children under 19 years old with income greater than 200%, then you will be transferred to the Benchmark plan.

Well Woman Program

608-266-8311

Mammograms, Pap tests, certain other health screenings, and multiple sclerosis testing for women with high risk signs of multiple sclerosis

BadgerCare Plus Core & Basic Plans

800-291-2002

BadgerCare Plus Core & Basic Plan has suspended enrollment due to lack of space. There is now a waitlist and those on the waitlist will be able to enroll as space becomes available. Those currently enrolled in the plans will continue to be covered provided they maintain eligibility. Limited plans with basic services such as Doctor visits, Hospital services, Emergency room and ambulance, Emergency dental services, Prescription drugs, Therapy (physical, occupational therapy, and speech), Cardiac rehabilitation, Durable medical equipment, Disposable medical supplies, Dialysis/kidney-related services. Eligibility: BadgerCare Plus Core: Must be Wisconsin resident and U.S. citizen or qualified immigrant, age 19 to 64 years old, have income at or below 200% FPL. Must NOT be or have the following: Be pregnant. Have children under 19 living with you. Be eligible for or have BadgerCare Plus, Medicaid, Medicare. Have private health insurance in the last 12 months before and during the date you request Core Plan, unless you lost your health insurance for a good reason. Have access to employer-based insurance in the month you apply or next three months. Had access to employer-based health insurance in the last 12 months. BadgerCare Plus Basic: Must be on the BadgerCare Core waitlist to have the option to enroll in BagerCare Plus Basic.

Wisconsin Chronic Disease Program (WCDP)

866-908-1363

The Wisconsin Chronic Disease Program (WCDP) assists Wisconsin residents with chronic renal disease, hemophilia, and adult cystic fibrosis. It pays health care providers for disease-related services and supplies provided to certified patients in Wisconsin Chronic Disease Program after all other sources of payment have been exhausted.