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While we are not affiliated with the government in any way, our private company engaged writers to research the Unemployment Insurance program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
The Children’s Health Insurance Program (CHIP) provides comprehensive free or low-cost healthcare benefits to children whose parents or guardians do not qualify for Medicaid. CHIP is a federal program, and each state/territory has flexibility to design their own CHIP program within federal guidelines. Therefore, CHIP benefits may differ in each state/territory.
CHIP benefits may include annual check-ups, hospital visits, dental insurance, vision insurance and more. All services are provided through medical providers that participate in the CHIP program. Not all doctors and medical facilities accept CHIP patients.
Learn more about CHIP benefits here.
The Wisconsin state CHIP program is called the Wisconsin BadgerCare Plus. It is administered by the Wisconsin Department of Health and Welfare. For more information about the Wisconsin BadgerCare Plus, click here.
A child may receive CHIP benefits in Wisconsin for as long as he or she qualifies for the program. A participant’s qualifications are determined by their age and their household’s monthly gross income. To learn more about eligibility and qualifying for the Wisconsin BadgerCare Plus, click here.
If a child is eligible for CHIP, the following services will be covered:
Other services may also be covered depending on the child’s needs.
For more information about the services covered and what medical assistance you can receive, call the Health Services line at (800) 362-3002 or review the Wisconsin BadgerCare pdf here.
To qualify for CHIP in Wisconsin, a child must meet the following criteria:
For more information on Wisconsin’s household income limits and other eligibility criteria to qualify for CHIP, click here and take the brief assessment.
Depending on your gross household income, the premium may be $10 to $98 per month per child covered by the Wisconsin BadgerCare Plus in your household.
When your child receives covered medical services, your copay will be a maximum of $3.
For more information on the cost of CHIP benefits in Wisconsin, visit the Wisconsin BadgerCare Plus page here. Or call the Health Services line at (800) 362-3002.
Before applying for the Wisconsin BadgerCare Plus, complete the following three steps:
Learn about the income limits and other eligibility criteria in the BadgerCare Eligibility Handbook here.
To apply for CHIP online, you can create an account through the Wisconsin ACCESS Portal here.
To apply for CHIP in person, click here to find your nearest Wisconsin income maintenance office or tribal agency location.
To apply for CHIP by phone, call your local income maintenance office or tribal agency here.
To apply for CHIP by mail, fill out the BadgerCare Plus Application found here and send it to the following address if you are in Milwaukee County:
PO BOX 05676
Milwaukee, WI 53205
If you do not live in Milwaukee County, mail your completed application to:
PO BOX 5234
Janesville, WI 53547-5234
To apply for CHIP by fax, send your completed application to 1 (888) 409-1979 if you live in Milwaukee.
If you live outside of Milwaukee, fax your application to 1 (855) 293-1822.
For a copy of the Application in Spanish, click here.
*Wisconsin uses the same application for multiple benefit and self-reliance programs. Be sure to mark the correct program you are applying for in your application.
Depending on your method of application, you can check your application status in the following ways:
You will receive a determination letter in the mail notifying you of your eligibility for CHIP within 45 days of applying. This timeline may be extended if the Department of Health and Welfare requires more information from you to process your application.
If approved for CHIP, you will be sent a Wisconsin Health Insurance Identification Card within 2 weeks of your eligibility determination letter.
For more information about what happens after you apply for the Wisconsin BadgerCare Plus, you can contact the BadgerCare Services line at (800) 362-3002.
If you do not agree with the Wisconsin Department of Health and Welfare’s decision to deny you CHIP benefits, you can file an appeal within 90 days of when you receive your eligibility determination in the mail.
You can file your appeal by mail or by fax to the Health Insurance Marketplace.
To send your appeal by fax, fill out the appeal form here and dial 1 (877) 369-0130.
To send your appeal by mail, complete the appeal form and send it to the following address:
Health Insurance Marketplace
465 Industrial Blvd.
London, KY 40750-0061
After submitting your appeal, you will receive a decision by mail or email within 30 days.
If you have any further questions regarding the appeals process, you can contact the Marketplace Appeals Center at 1 (855) 231-1751. Or, you can contact the Wisconsin Division of Hearing and Appeals at (608) 266-7709.
To transfer your child from your current insurance to CHIP benefits, you will need to contact your current health insurance provider and ask a representative to discontinue their insurance coverage.
You can find your insurance company’s customer service number on your health insurance card.
If you have any questions about the insurance transfer process, contact the state’s health insurance marketplace or the Wisconsin Department of Health Services, at (608) 266-1865.
If you have any further questions about the Wisconsin BadgerCare Plus or CHIP, call the BadgerCare services line at (800) 362-3002.
You can also reach the Wisconsin Department of Health Services directly, at (608) 266-1865.
You can also contact your local Wisconsin income maintenance office or tribal agency for assistance. Find your nearest office location and contact information here.
Services are available Monday through Friday from 8:00 AM to 5:00 PM.
While we are not affiliated with the government in any way, our private company engaged writers to research the Children’s Health Insurance Program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Our free CHIP Guide is filled with helpful information about how to apply, program eligibility and how to get in touch with local offices. You can view or download our free guide here.