BadgerCare Plus and Medicaid SSI Benefits
We help make sure you and your family get all your Medicaid benefits. Plus, Anthem members get extra benefits at no cost!EnrollRenew
What you get with Anthem
Our benefits and services are designed to make a difference in your life. Most services are covered with no copays. For a full list of your benefits and services, see your member handbook.
Registered nurses are available anytime, day or night. They can:
- Advise you on where to go when you need care.
- Help you with any health questions you have.
Call the 24/7 NurseLine 24 hours a day, seven days a week at 1-855-690-7800 (TTY 711).
We’re here if you or a family member needs help. We have doctors, therapists, and counselors to help you with your behavioral health needs, like depression, anxiety, family issues, and substance use disorder. This includes:
- Inpatient mental health care
- Outpatient mental health care and/or care for substance use
- Partial hospitalization
- Intensive community-based treatment
- Mental health rehabilitative treatment services
Members in Kenosha, Milwaukee, Ozaukee, Racine, Washington and Waukesha County:
Dental benefits provided through DentaQuest
Call DentaQuest at 1-888-271-5210 (TTY 1-800-466-7566), or visit the DentaQuest website.
Members in all other Wisconsin counties:
Dental benefits provided through the state ($0.50 to $3 copay per service)
Call ForwardHealth Member Services at 1-800-362-3002, or visit the ForwardHealth website.
Your vision benefits includes the following once per year:
- Eye exam
- Eyeglass frames and lenses
- Eyeglass lens replacement
- Contact lenses (instead of frames and lenses for select members)
- Contact lens replacement (for select members)
For more information, call MARCH Vision Care at 1-855-516-2724 (TTY 1-877-627-2456), or visit the MARCH Vision Care website.
Your benefits include generic and brand-name prescription drugs and some over-the-counter (OTC) drugs.
- OTC drugs: $0.50
- Generic drugs: $1
- Brand-name drugs: $3
Copays are limited to $12 a month per member, per provider. OTC drugs do not count toward the $12 maximum. Members are limited to five opioid prescriptions per month.
Get your drugs from any pharmacy that accepts your ForwardHealth ID card.
Get no-cost rides to your health care appointments.
Health care can be overwhelming. We’re here to help you stay on top of it. Anthem members can get care management services at no cost. Get a care plan designed for you to help you meet your health care goals
As an Anthem member, you get extra benefits — beyond what you expect.These include:
- Anthem Community Resource Link: Find free or low-cost services for food, jobs, housing, and education near you. Search now.
- Baby essentials: Pregnant members can select baby catalog items, such as a car seat or a crib when they complete their prenatal visits.
- Blood pressure cuff: For members 18 and older with certain health conditions.
- Cellphone service: A no-cost cellphone with no-cost monthly minutes, data, and text messages through the federal Lifeline Assistance program.
- ChooseHealthy®: Access free educational health videos and over 1,000 online resources to help you live an active and fit lifestyle. Sign up through your secure account.
- Fresh fruit and vegetables: Up to three boxes of healthy food delivered to your home. For members 18 and older with certain health conditions.
- GED test vouchers: We’ll cover the cost of the test for members ages 18 and up.
- New Baby, New LifeSM program: Extra support during and after pregnancy.
- Personal care items: Receive shampoo, deodorant, and other personal products (up to $25 worth). Members must be 18 or older to qualify.
- WW® (formerly Weight Watchers): Vouchers to attend 13 wellness workshops near you and access to digital tracking tools. For members 18 and older.
Limits and rules apply. Benefits may change.
You can redeem some benefits online through your secure account. View the extra benefits you’re eligible for by logging in to your Anthem account and visiting the Benefit Reward Hub or call Member Services at 855-690-7800 (TTY 711) Monday to Friday from 8 a.m. to 5 p.m. local time.
Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. The program encourages you to get the care you need to create a healthy lifestyle. You can redeem these rewards through the Benefit Reward Hub.
- $25 for lead screening
- $60 for well-baby visits
- $20 for ADHD medication management
- $25 for breast cancer screenings
- $25 for a well-child visit
- $25 for getting your child’s childhood immunizations (shots) on time
- $25 for getting your child’s adolescent immunizations (shots) on time
- $25 for a diabetic A1c screening
- $25 for pregnant members who go to a prenatal visit in their first trimester or within 42 days of enrollment
- $25 for new moms who go to their postpartum visit 7-84 days after delivery
- $5 for a vaccination importance quiz
- $5 for a diabetes management quiz
- $25 for a follow-up visit with a provider after an emergency department visit for alcohol and substance abuse.
- $25 for a follow-up visit with a provider after an emergency department visit for mental health
- $25 for a 30-day follow-up after a behavioral health discharge.
Log in to the Benefit Reward Hub to redeem your healthy rewards. You can also call the Healthy Rewards Customer Service Line at 888-990-8681 (TTY 711), Monday to Friday from 9 a.m. to 8 p.m. Eastern time.Benefit Reward Hub
Monthly premiums for some childless adults
A premium is a set amount of money you pay each month to have health care coverage from BadgerCare Plus. To keep your BadgerCare Plus benefits, you’ll need to pay your premium monthly or all at once when you renew.
You will have to pay a monthly premium if your household income before taxes is more than:
- $531 per month for one person.
- $718 per month for a family of two.
These amounts change every year on February 1.
You don’t have to pay monthly premiums if you:
- Are an Alaskan native or American Indian.
- Were homeless at any point in the last 12 months.
- Were in a medical institution for at least 30 days.
- Have a disability.
$8 per household
You can lower your monthly premium to as low as $4 per household by taking an optional health survey. To take the survey, call 1-800-291-2002 or log in to the ACCESS website.
Your monthly premium will be due on the 10th of every month. ForwardHealth will send you a letter before your first payment is due.
How to pay:
You must pay the premium to keep your BadgerCare Plus benefits. You can pay your premium each month, or pay all of your premiums at once when you renew your benefits each year.
If you do not pay all owed premiums at your yearly renewal time or when your BadgerCare Plus coverage ends, you will not be able to reenroll for six months. In order to reapply for benefits, you can pay all of your owed premiums or wait for six months to apply again.
Get the most from your benefits
New to Anthem?
As a new member, we know you have questions, and we want you to get the most out of your benefits. Read our tips to help you get started with your new health plan.
Anthem member handbooks
Complete benefit information can be found in your member handbook.