Badger Care Plus 


The goal of Badger Care Plus is to "ensure that 98 percent of Wisconsin residents have access to quality, affordable health care" (Badger Care Plus, 2008). To attain this goal, Badger Care Plus (BCP) is open to any child under 19 regardless of income, pregnant women, and families. Enrollment in BadgerCare Plus, and all state health programs it covers, currently exceeds 500,000 people (Associated Press, 2008). BCP has developed from the federal concept of the State Children's Health Insurance Program (SCHIP). Wisconsin has taken great strides in not only ensuring that all children have access to health care coverage, but also expecting mothers and families. Aside from children, parents with children in foster care, farmers, and self-employed families are also eligible for BCP. The only other criteria for BCP is that you must be a Wisconsin resident and have proof of citizenship and identity. 

Badger Care Plus has two programs that are based on income level, the Standard Plan and the Benchmark Plan. The Standard Plan covers families with incomes below 200% of the Federal Poverty Level (FPL), currently $35,199.96. The Benchmark plan, on the other hand, covers families above this mark. Wisconsin residents who already have Medicaid, Healthy Start, or BadgerCare are automatically enrolled in BCP.

BCP covers services such as doctor visits, prescription drugs, hospital/emergency room use, and other preventative services. There have been guidelines put in place under the BCP program to curb emergency room use. Limits have been set on emergency room use not only keep costs down, but to "provide the best service in the best place, provide services to more people...to avoid using the emergency room or ambulance rides unnecessarily" (Badger Care Plus, 2008). Emergencies are defined as situations/conditions that may cause serious bodily harm or even death.

Types of Plans


Standard Plan - same benefits as Medicaid/Badger Care. The co-payments for this program are very low, ranging from $.50-$3.00 for health care services. Included in these services are prescription drugs, doctor visits, and hospital/emergency room use. Also included in the Standard Plan are free well child check ups and other specific preventive services. Some people covered by the Standard Plan do have to pay a monthly premium. Exceptions to this rule include pregnant women and children below 100% of the FPL. Another note is that pregnant women with an income between 200%-300% of the FPL who are insured must keep their current insurance. 

Benchmark Plan - The Benchmark Plan also has co-payments, but they range from $2.00 per day for hospice service and up to $100 for a hospital stay. Although these rates are considerably higher, members still pay no co-payment for well child check ups and specific preventive services. If members of the Benchmark Plan fail to make their co-payments they can be denied services by their provider. 

For more information, please visit the following link badgercareplus.org


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