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Don’t lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
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.
Qorshahan waxaa laga heli karaa gobolada soo socda:
Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood.
- BadgerCare Plus
Hel bixiyeyaasha iyo caymiska loogu talagalay qorshahan.
Raadi dhakhaatiir, isbitaallo, iyo khabiiro.
Raadi bixiyayaasha, rugaha caafimaadka iyo xarumaha daawaynta.
Hel Dhartarka Ilkaha oo kuu dhow.
Macaashyada & Sifooyinka
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.
Care Manager
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.
Adeegyada duugista
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
Choice of Birth Center
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.
Dooqa dhakhtarka
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:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
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.
Daryeelka ilkaha
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.
Maareynta cudurada
If you have chronic or high-risk illnesses, our disease management services are designed to support you.
We have special programs for:
- Cudurka Sambabada Xira ee daba deerada (COPD)
- Coronary artery disease (CAD)
- Congestive heart failure (CHF)
- Sonkorowga
- High Risk Pregnancy and NICU
- Cudurka Unugga Dhiigga Cas uu Maqaalin u Ekaado
Qalabka iyo Saadka
Some members may need extra support to live safely at home.
Our plan covers medical equipment ordered by your doctor or case manager.
Tan waxaa ka mid noqon kara agabka sida:
- Hospital beds.
- Oxygen tanks.
- Wheelchairs or walkers.
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
Daryeelka cagaha
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.
Our podiatry coverage includes:
- Routine foot exams.
- Tips about foot care and choosing the right shoes.
- Information about nerve damage warning signs.
There is no copayment for covered foot care visits.
Healthy First Steps™
Build a healthy future for you and your baby with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy.
Waan ku caawin doonaa:
- Choose a pregnancy provider and a pediatrician (child’s doctor).
- Schedule visits and exams and arrange rides to your visits.
- 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.
Hearing Care
Trouble hearing can affect a person's life in many ways. Our plan includes services and support to help protect your hearing.
Waxaan daboolnaa:
- Exams, therapy and tests.
- Hearing aids and batteries.
There is no copayment for covered hearing care and equipment.
Daryeelka caafimaadka ee guriga
After surgery or a serious illness, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing.
With approval from your doctor, our plan covers:
- In-home medical visits.
- Medical equipment like hospital beds, walkers or wheelchairs.
- Disposable medical supplies
- Help with personal care
There is no copayment for covered home health care visits
Isbitaal Dhigista
UnitedHealthcare Community Plan pays for expenses related to a hospital stay.
Waxaan daboolnaa:
- Nursing care.
- Room and board.
- Supplies and equipment.
- Treatment and therapies.
- Diagnostic tests and exams.
Ka dib markaad isbitaalka ka baxdo, keligaaga ma tihid. We make sure you get follow-up care to continue healing at home.
There is no copayment for covered hospitalizations.
Interpreters
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 Ingiriisi 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 sn. -7:00 gn. Central Time.
Lab and X-rays
Ogaanshaha waxa khaldan iyo in la helo goor hore ayaa wax walba samayn karta.
Qorshahayagu waxa uu daboolaa:
- Shaybaarada iyo tijaabada.
- Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.
Waxaan kaa caawin doonaa inaad hesho macluumaadka loo baahan yahay si aad u hormariso caafimaadkaaga ama aad u noqoto sida kuugu fiican.
There is no copayment for covered lab and x-ray services.
Ka caawin Luqad
You can receive information in your preferred language. Adigu un weydii. We also have people at our member service centers who speak more than one language. Chances are, we have someone who speaks your language.
Daawooyinka
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
We're looking out for you. 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 sn.-4:30 gn. Central Standard Time.
Our Member Advocates can:
- Answer your questions about your benefits.
- Help with doctor issues or complaints.
- Help you recertify your health care benefits.
Member Services
Sometimes you might need a little help understanding your health care options. 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. We'll answer your questions simply and completely.
We can answer your questions about UnitedHealthcare benefits and coverage, and help you find:
- A primary care provider for you and your family.
- Home care providers.
- 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.
Khadka Taleefanka Kalkaaliyaha
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
Kalkaaliyeyaasheena way:
- Listen and learn about your symptoms.
- Kaa caawin doonaan is-daryeelka.
- Kaala talin doonaan ku helida daryeel booqashada dhakhtarka ama xarunta daryeelka degdegga ah.
- Kaa caawin doonaan inaad ogaato goorta aad aadi doonto qolka gargaarka degdega ah.
Daryeelka gaarka ah
Sometimes the basics are hard to do yourself in your home after an illness or injury.
If needed, we provide someone to help with:
- Dressing.
- Bathing.
- Feeding.
- Other eligible activities of daily living
There is no copayment for covered personal care services.
Prenatal Visits
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
- Make sure both you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
There are no copayments for covered prenatal visits and care
Joojinta Tubaakada iwm
Most people know the bad health effects of smoking. And they know they need to quit. 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.
Included are:
- Skilled Nursing Home Care.
- 24-hour nursing care.
- Help with activities of daily living.
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.
Adeegyada Daawaynta.
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:
- Occupational therapy.
- Physical therapy.
- Speech therapy.
- In-home therapy.
There is no copayment for covered therapy visits.
Gaadiid-raaca
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.
- Urgent care centers.
- Diagnostic testing.
To schedule a ride, contact 866-907-1493.
Aragga
You’ll get the care, eyeglasses and treatment that let you see life more clearly.
Coverage includes:
- Regular exams.
- Up to two pairs of eyeglass frames each year.
- Prescription lenses for your eyeglasses.
There is no copayment for covered vision services.
Booqashooyinka Wanaagsan
Well visits with your doctor can help keep you healthy. Booqashooyinkani waxay ku dhici karaan dhibaatooyin caafimaad goor hore, si loo daweeyo.
Adeegyada ka hortagga waxaa ka mid ah:
- Baaritaannada ku aaddan dadka waaweyn iyo carruurta.
- Daryeelka ilmaha wanaagsan.
- Care for pregnant people expecting a baby.
- Tallaalada joogtada ah iyo tijaabooyinka.
- Raajada naaska.
Ma jirto wax lacagta caymiska ee go'an ah oo laga bixiyo daryeelka ka hortagga ah.
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.
Wax Badan Ogow
BadgerCare Plus