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Kangrunaan a Linaon

BadgerCare Plus

Medicaid

Our BadgerCare Plus plan includes a range of benefits. View the benefits below to see all that it offers. It's for pregnant women, children to age 19, families and adults.

More information on eligibility and enrollment can be found on the Wisconsin Department of Health Services website.

Dagiti Benepisio ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

Get the care you need to stay healthy — or to get better if you are injured or sick. And pregnant members get extra support to keep you and your baby healthy.

Some member benefits include:

  • Preventive Care. Well visits and a variety of health screenings to keep you healthy.
  • Doctor Visits. Find a doctor you trust in our network. Don't have a doctor? We will help you find one.
  • Hospital and Emergency Care. Your plan covers emergency room and inpatient hospital stays when needed.
  • Nurse Hotline. Speak with a registered nurse 24/7.
  • Lab and X-Rays. Lab tests, x-rays and diagnostic imaging are covered.

There is no copayment for covered well and sick care.

Nothing is more important than the health and well-being of a pregnant member and their child. Dayta ti rason a karaman kadagiti benepisio ti planomi ti:
  • Choice of Doctors. Find a doctor you trust in our network.
  • Prenatal Visits. Care for you before your baby is born.
  • Babyscripts. The Babyscripts program rewards you for going to your prenatal and postpartum visits. Earn gift cards for signing up and pregnancy care.
  • Choice of Birth Centers. Pick from a large network of hospitals across Wisconsin.
  • Text4baby. Receive text messages with helpful tips and reminders.
  • Wellhop for Mom & Baby. Connect with a community of moms. Get support and information as you welcome your baby.

There is no copayment for covered pregnancy care.

 

If you have asthma, diabetes, or another chronic condition, you can depend on us. Our plan provides the care, support and services you need. Some benefits include:

  • Mental Health. Counseling and other treatments are covered.
  • Substance Use Disorder. Counseling, Medication Assisted Treatment (MAT) and other treatments are covered. Also supported: care coordination with community and social supports, including Hub and Spoke (H&S) Integrated Recovery Support Services Health Homes for SUD.
  • Care Manager. Get personal help managing health conditions.
  • Disease Management. Focused care for those with chronic health needs like asthma and diabetes.

Behavioral health is just as important as physical health. Isu a sakupenmi dagitoy nga agpada.

Our plan supports your behavioral health by offering services such as:

  • Mental health counseling and other treatments.
  • Substance abuse (alcohol and drugs) counseling and other treatments.
  • Medication Assisted Treatment (MAT).
  • Coordination with community and social supports, including Hub and Spoke (H&S) Integrated Recovery Support Services Health Homes for SUD.
  • Online self-care tools, such as Sanvello.
  • Access to telehealth appointments for behavioral health treatment.
  • 24/7 access to behavioral health crisis support.

There is no copayment for covered behavioral health services
 

We help members keep their eyesight, smile and hearing at their best.

Some benefits include:

  • Vision Care. Exams and eyeglasses are covered.
  • Dental Care. For individuals and families living in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, dental services like cleanings, checkups and preventive dental work are covered by UnitedHealthcare. If you live in any other county, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State of Wisconsin, not UnitedHealthcare.
  • Hearing Care. Tests, checkups and hearing aids, if needed.

You get the medical care and equipment needed to live safely at home.

Some benefits include:

  • Equipment and Supplies. In-home medical and safety equipment are covered.
  • Home Health Care. Medical and personal care in your home, if medically needed.

There is no copayment for covered home care and supplies.

Sometimes members need a little extra help using their health plan.

For those times, they can rely on:

  • Tulong iti Lengguahe. Translated materials and interpreters who are ready to help.
  • Dagiti Serbisyo para ti Kameng. Available 7am-7pm (CST)
  • Member Advocate. Local advocates to get you information, services and care.
  • Babyscripts. Get extra support and rewards to keep you and your baby healthy.
  • Nurse Hotline℠. Makitungtong iti rehistrado a nars 24/7.
  • Reminder Programs. We will remind you about important health actions including diabetes testing, breast cancer screening, childhood immunizations and recertification. Some programs have incentives for completing needed health actions.

UnitedHealthcare members can get rides to their appointments through the state’s non-emergency transportation (NEMT) broker.

To schedule a ride, contact 866-907-1493.

BabyScripts

The Babyscripts program rewards you for going to your prenatal and postpartum visits. Members can earn gift cards for signing up and for receiving routine pregnancy care that leads to a healthy birth.
 

Tagimaton ti Taripato

Do you have a serious health problem? If so, our care managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate your doctor appointments.
  • Provide your care team with your medical records.

The care manager will stay close by throughout the medical journey. He or she will:

  • Think beyond your immediate health care needs.
  • Make sure you have support at home.
  • Help connect you with services and supports that help you live a healthier life, such as food, housing. and/or transportation resources.

Dagiti serbisio ti chiropractic

Whether chiropractor services are your primary or alternative treatment method, you're covered.

This benefit is provided by the State of Wisconsin and you can get chiropractic treatment by any chiropractor who will accept your ForwardHealth ID card.

There may be copayments for chiropractic services provided by the State of Wisconsin

Panagpili ti Paganakan

Where a pregnant person has their baby is an important choice. That's why pregnant people can pick from a large number of hospitals across Wisconsin.

We encourage parents-to-be to tour the hospital's birthing center. This way they will be familiar with it. And be more relaxed when they have their baby.

Ti Panagpili ti Doktor

Each member can choose a primary care physician (PCP). Use the "Doctor Lookup" tool to see if your doctor is in our network.

The PCP is your main doctor for:

  • Manglapped a panangaywan.
  • Panagagas no sika ket agsakit wenno nadunor.
  • Dagiti reperal kadagiti espesialista iti partikular a kondision.

For members who don't have a doctor or whose doctor is not in our network, we can help find a new one close by.

Pannakaaywan ti Ngipen

Exams and cleanings are covered to help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.

If you live in Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, your dental benefits are provided by UnitedHealthcare Community Plan. There is no copayment for covered dental services provided by UnitedHealthcare in these counties.

If you live outside of Kenosha, Milwaukee, Ozaukee, Racine, Washington or Waukesha Counties, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State, not UnitedHealthcare. There may be copayments for dental services provided by the State.

Panangimaton ti Sakit

Nu addaan ka ti nakaro wenno nangato a peggad ti saksakit, dagiti serbisyo ti panangimaton ti saksakit ket naaramid a mangsuporta kenka.

Adda dagiti naisangsangayan a programa para ti:

  • Agsubli-subli a sakit a panagpullat ti bara (COPD)
  • Coronary artery disease (CAD)
  • Congestive heart failure (CHF)
  • Diabetes
  • High Risk Pregnancy and NICU
  • Sickle Cell nga Sakit

Makinarya ken dagiti Suplay

Mabalin a masapul ti sumagmamano a miembro ti ekstra a suporta tapno makapagnaedda a natalged iti pagtaengan.

Sakupen ti planomi dagiti medikal nga instrumento nga ibilin ti doktormo wenno ti mangimatmaton iti kasom.

Mabalin a mairaman ditoy dagiti suplay kas koma iti:

  • Katre ti ospital.
  • Tangke ti oxygen.
  • Wheelchair wenno walker.

There is no copayment for covered medical equipment and supplies.

Federally Qualified Health Centers (FQHCs)

Your UnitedHealthcare Community Plan is proud to offer you access to Federally Qualified Health Centers (FQHCs) across the state.

Federally Qualified Health Centers (FQHCs) “are community-based and patient-directed organizations that deliver comprehensive, culturally competent, high-quality primary health care services to the nation’s most vulnerable individuals and families, including people experiencing homelessness, agricultural workers, residents of public housing, and veterans.” *

In addition to primary care, FQHCs provide access to important services such as pharmacy, mental health, substance use disorder treatments and oral health services (dental). This means that you may be able to get all of these important services at one place.

To find a FQHC in your community, the state of Wisconsin maintains a list of FQHCS in the state. You can also contact member services and they can help find a primary care provider within a FQHC to be your provider.

* https://bphc.hrsa.gov/about-health-centers/what-health-center

Taripato ti Saka

We provide the exams needed to help keep feet in great shape. And for those with diabetes, good foot care can help prevent much more serious problems.

Iti masakupan ti podiary a serbisyo iramanna iti:

  • Routine foot exams.
  • Singasing panggep iti panagtaripato ti saka ken panagpili iti umno a sapatos.
  • Impormasyon panggep kadagiti patigmaan nga senyales ti panagdadael iti urat.

There is no copayment for covered foot care visits.

Umuna nga Addang wenno Healthy First Steps®

Build a healthy future for you and your baby with Healthy First Steps. Tulongannakayo ti programami a mangaramid kadagiti umno nga addang tapno agtalinaedkayo ken ti maladagayo a nasalun-at.

Tulungandaka:

  • Mangpili ti maysa a tagapaay para iti masikog ken maysa pediatrician (doktor ti ubing)
  • Iyiskedyul dagiti panagbisita ken panagpaeksamen ken ikoordinar dagiti pagluganam nga agbisita.
  • Get supplies, including breast pumps for nursing pregnant members.
  • Connect with community resources such as Women, Infants and Children (WIC) services or Prenatal Care Coordination through a local, community-based agency.

Taripato ti Panagdengngeg

Trouble hearing can affect a person's life in many ways. Ti plano mi ket kairamanan dagiti serbisyo ken suporta a makatulong a mangprotekta ti panagdengngeg.

Sakupen mi:

  • Eksaminasion, terapi ken pannakaeksamen.
  • Hearing aid ken dagiti baterya.

There is no copayment for covered hearing care and equipment.

Panangtaripato ti Salun-at iti Pagtaengan

After surgery or a serious illness, you may need extra help with day-to-day tasks. Mabalin pay a masapulmo ti medikal a panagbisita iti uneg ti pagtaengan tapno ammuen no umim-imbagka met laeng.

With approval from your doctor, our plan covers:

  • In-home medical visits.
  • Medikal a ramit kas koma dagiti katre ti ospital, walker wenno wheelchair.
  • Disposable medical supplies
  • Help with personal care

There is no copayment for covered home health care visits

Pannakaospital

UnitedHealthcare Community Plan pays for expenses related to a hospital stay.

Sakupen mi:

  • Nursing care.
  • Kuarto ken makan.
  • Dagiti suplay ken makinarya.
  • Panagagas ken dagiti therapy.
  • Dagiti eksamen a diagnostic.

Ken kalpasan a rumuarka ti ospital, saaka nga agmaymaysa. Siguradoen mi nga adda ti follow-up a taripato tapno agtultuloy ka nga agimbag iti pagtaengam.

There is no copayment for covered hospitalizations.

Dagiti mangipatarus ti pagsasao

UnitedHealthcare offers services to help you talk with your doctor or other health care workers. You can get this service if you do not speak English or have hearing and speech barriers. You do not need a referral from your doctor to get these services.

Interpreter services are offered free of charge.

To ask for help with interpreter services, please call 1-800-504-9660, TTY 711. Representatives are available Monday through Friday from 7:00 AM -7:00 PM Central Time.

Lab ken X-rays

Ti panagammmo nu ania iti parikut ken panagduktal iti daytoy ti nasapa ket nalabit a makaaramid ti dakkel a pagdumaan.

Ti plano mi ket sakupen na:

  • Dagiti Lab ken eksamen.
  • Dagiti X-rays, scans ken dadduma nga imaging.

Tulungandaka nga mangala iti impormasyon a kasapulam tapno maparang-ay ti salun-at wenno tapno addaka ti nasayaat a kasasaad.

There is no copayment for covered lab and x-ray services.

Tulong ti Lenggwahe

You can receive information in your preferred language. Agdamag ka laeng. We also have people at our member service centers who speak more than one language. Nalabit adda maalami a makasao iti lengguahem.

Dagiti Agas

Prescriptions and certain over-the-counter items are provided by the State of Wisconsin.

You may receive a prescription from a UnitedHealthcare doctor, specialist or dentist. You can fill your prescription at any pharmacy that is a provider for BadgerCare Plus. Just show your ForwardHealth ID card to the pharmacy when you get your prescriptions filled. For questions about pharmacy, please contact the State of Wisconsin at 1-800-362-3002.

You may have copayments or have limits on covered medications that are administered by the State of Wisconsin.

Member Advocate

Bantayandaka. Our local member advocates can help solve problems, provide training and education, and work on issues that concern members. Local member advocates are available at 1-888-246-8140 Monday through Friday, 8:00 AM-4:30 PM Central Standard Time.

Our Member Advocates can:

  • Answer your questions about your benefits.
  • Tumulong kadagiti isyu wenno reklamo iti doktor.
  • Help you recertify your health care benefits.

Dagiti Serbisyo para ti Kameng

No dadduma mabalin a masapulmo ti bassit a tulong tapno maawatam dagiti pagpilian para iti pannakataripato ti salun-atmo. With us, you have someone you can call 24 hours a day, 7 days a week.

You can connect with one of our member call center advocates Monday through Friday from 7am to 7pm by calling 1-800-504-9660, TTY 711. Masungbatanmi dagiti saludsodmo iti simple ken kumpleto a wagas.

We can answer your questions about UnitedHealthcare benefits and coverage, and help you find:

  • A primary care provider for you and your family.
  • Mangipapaay panaripato iti pagtaengan.
  • Dentists and vision providers.
  • Adult day health centers.

In addition, when you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, at no cost to you via our Nurse Hotline 1-866-827-0806.

Hotline dagiti Nars

Medical questions and situations sometimes happen at bad times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week, at no cost to you

Dagiti narsmi ket:

  • Listen and learn about your symptoms.
  • Tumulong iti panangtaripato iti bukod a bagi.
  • Balakadan naka maipapan ti panangalam ti taripato iti panagbisitam iti doktor mo wenno iti urgent care center.
  • Tulongan naka a mang-ammo nu kaano ka a mapan ti emergency room.

 

Personal a Pannakataripato

Sometimes the basics are hard to do yourself in your home after an illness or injury.

No kasapulam, mangipaay kami iti maysa a tao a tumulong iti:

  • Panagsukat ti bago.
  • Panagdigos.
  • Pannangan.
  • Other eligible activities of daily living

There is no copayment for covered personal care services.

Panagbisita Sakbay ti Panaganak.

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

Amin dagiti nairekomendar a klinikal a panagbisita ti masikog ken eksamen ket sakupen ti planomi.

Kadagitoy a panagbisita, ti klinika ket:

  • Make sure both you and your baby are healthy.
  • Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
  • Sungbatan dagiti saludsod mo.

There are no copayments for covered prenatal visits and care

Panangisardeng ti Panagsigarilyo

Ammo ti kaaduan a tattao dagiti saan a nasayaat nga epekto ti panagsigarilyo iti salun-at. Ken ammoda a kayatda ti agsardeng. We support our members to help them quit. The only thing they won't get from us is a lecture.

When you are ready to make the change and are looking for more information, the Wisconsin Tobacco Quit Line can help you. Call 1-800-QUIT-NOW, text READY to “200-400” or log onto www.quitline.wisc.edu to learn more about supports and services that can help you quit.

Skilled Nursing Home Care

After a serious illness, surgery or injury, you may need extra nursing and therapy. In these situations, our plan covers short stays in a rehabilitation center where you can heal.

Mairaman dagiti sumaganad:

  • Skilled Nursing Home Care.
  • 24-nga-oras a pannaripato ti nars.
  • Tulong kadagiti aktibidad ti inaldaw a panagbiag.

There are no copayments for covered skilled nursing home care
 

Social Drivers of Health

Did you know that 80% of our health comes from where we work and play and not the doctor’s office? Food, housing, employment and education all play an important role in our health and the health of our families.

To help you and your family achieve their best health, we offer screenings to identify barriers to key social drivers of health such as food insecurity and poor housing. Based on your individual responses, we can help identify local community resources to help you address these barriers and access supports that will help you reach your health goals.

Dagiti Serbisio a Terapiya

Physical, occupational and speech therapy can help members recover from a serious injury or illness, or simply reach their full potential.

Our plan covers visits for:

  • Okupasyonal a therapy.
  • Pisikal a therapy.
  • Therapy ti panagbalikas.
  • Therapy ti pagnaedan.

There is no copayment for covered therapy visits.

Pagluganan

BadgerCare Plus provides non-emergency medical transportation to and from health care appointments through a transportation broker.

This benefit includes trips to:

  • Doctor and therapy visits.
  • Dagiti sentro iti naganat a taripato.
  • Diagnostic testing.

To schedule a ride, contact 866-907-1493.

Panagkita

You’ll get the care, eyeglasses and treatment that let you see life more clearly.

Iraman ti masakupan iti:

  • Regular exams.
  • Up to two pairs of eyeglass frames each year.
  • Prescription lenses for your eyeglasses.

There is no copayment for covered vision services.

Dagiti Panagbisita ti Nakaradkad

Ti panagbisita iti doktor para ti karadkad ket makatulong kenyam tapno agtalinaed ka a nasalun-at. Makatulong dagitoy a panagbisita tapno matakuatan a nasapa dagiti problema iti salun-at, tapno maagasan dagitoy.

Dagiti serbisyo ti panagsakbay ket kairamanan ti:

  • Panagpa-checkup para kadagiti nataengan ken ubbing.
  • Pannakataripato ti nasalun-at a maladaga.
  • Care for pregnant people expecting a baby.
  • Kadawyan a bakuna ken pannakaeksamen.
  • Dagiti Mammogram.

Awan ti copayment para iti pannaripato tapno maliklikan ti sakit.

Wellhop for Mom & Baby

Connect with other expectant parents. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.

Here’s how it works:

  • Join video conversations every other week with pregnant people who have similar due dates and a group leader.
  • Chat and share experiences with participants from your group on the Wellhop app or website.
  • Visit the Wellhop library. You’ll find articles, videos and more.

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