Health Care Reform means changes for members on BadgerCare Plus. Members who are currently a part of the BadgerCare Plus program may have changes to their coverage based on their income level. Parents/caretaker relatives and childless adults making more than 100% of the Federal Poverty Level (FPL) will now be directed to the Health Insurance Marketplace (Exchange) where you can select one of our plans which means you may continue to come to the same clinic and see the same doctors. Children and pregnant women above 300% of the FPL will also be directed to the marketplace. In addition, uninsured individuals waiting for BadgerCare Plus coverage may now be eligible.
Members affected will be contacted by the Department of Health Services regarding any coverage changes starting in late September 2013. You may have received one of these letters from DHS. We will reach out to our BadgerCare Plus members to help them identify their options and assist with keeping coverage.
The Health Insurance Marketplace is the place to start looking for insurance to replace your BadgerCare Plus plan. If you want to start looking right away, go directly to www.healthcare.gov to set up your account and get started with comparing and shopping for plans. The federal Health Insurance Marketplace is also known as the Exchange.
With the move to the Marketplace all existing plans (standard, benchmark, core/basic) will move under the Standard Benefit plan.
*Dean Health Plan is not the source for Medicaid eligibility; the Health Insurance Marketplace can help direct eligible individuals back to Medicaid and the State Department of Health Services will actually determine final eligibility.