Insurance
ACCESS: Your Key to Health, Nutrition and Other Programs
https://access.wisconsin.gov
An easy-to-use internet tool that can help determine which low or no-cost health, nutrition or other programs a person might be eligible for; apply online for FoodShare; Medicaid/BadgerCare; and the Family Planning Waiver Program; get up-to-date information about the status of benefits; or get answers to common questions about benefits.
Automated Health Systems633 W. Wisconsin Avenue, Suite 301(Administrative Office)
Milwaukee, WI 53203
414-221-9300
www.automated-health.com
Enrollment Specialists assist recipients of Medicaid and BadgerCare in making unbiased and informed decisions about which HMO plan is best for them. Enrollment Specialists work with community-based organizations, local public health departments, county or tribal human services departments, and enrollee advocacy groups to provide education and outreach specific to enrollees' cultures and environments to increase awareness of the Managed Care Program.
Telephone HMO Enrollment Specialists
(weekdays 7 a.m.- 6 p.m.)
800-291-2002
Field Enrollment Staff
Milwaukee Department of Health and Human Services
1220 W. Vliet Street
Milwaukee, WI 53205
414-289-5900
BadgerCare 800-362-3002
http://dhfs.state.wi.us/badgercare
Wisconsin's program to provide health care coverage for uninsured families. Must have children under age 19 living with you; income must be within the guideline limits; must not be covered by health insurance. Some families will need to pay a premium. The amount depends on the family's income.
Community AdvocatesDisability Advocacy (SSI/SSD Program)
4906 W. Fond du Lac Avenue
Milwaukee, WI 53216
414-449-4777
Provides assistance for individuals with chronic disabilities through a review and referral process for Social Security Disability (SSD), Supplemental Security Income (SSI), and Interim Disability Assistance Program (IDAP).
Disability Rights Wisconsin
SSI Managed Care External Advocacy Program 6737 W. Washington Street, Suite 3230
Milwaukee, WI 53214
414-773-4646 or 800-708-3034
www.drwi.org
A service for adult SSI and/or SSD Medicaid recipients who are enrolled in a Managed Care Organization (MCO) or who may enroll in the future who have questions about or problems with the MCO or their medical, mental health or AODA providers and who are not satisfied with the answers or solutions the MCO has given them.
General Assistance Medical Program (GAMP)1220 W. Vliet Street (Administrative Office)
Milwaukee, WI 53205
414-289-5700
www.milwaukeecounty.org
Unlike traditional insurance, clients do not pre-enroll for coverage. Instead, the client must be seeking services or treatment due to a medical need. Coverage includes primary care but does not cover mental health or substance abuse. Requirements: Must have been a MilwaukeeCounty resident for the last 180 days; cannot be eligible or on any other entitlement program (T-19 or T-18) or any public or private insurance; Social Security number must be verifiable; and must meet income guidelines. Applications are taken at any GAMP-contracted community clinic, or:
MLK Heritage Center
2555 N. Martin Luther King Drive
414-372-8080
South Side Health Center
1639 S. 23rd Street
414-286-6011
Medicaid
800-362-3002 (For recipients, recipient advocates, and people interested in applying for Medicaid)
http://dhfs.wisconsin.gov/medicaid
A state/federal program that pays health care providers to deliver health care and long-term care services to frail elderly, people with disabilities, low-income families with dependent children, and certain other children and pregnant women. The Medicaid program in Wisconsin includes Medical Assistance, BadgerCare, and SeniorCare. Persons can apply at the Milwaukee County Department of Health and Human Services office or at certain clinics and community agencies. Call 414-289-6000 for locations.
Wisconsin Medicaid Recipient Telephone Numbers
HMO Enrollment Specialists - Assist recipients of Medicaid and BadgerCare in making unbiased and informed decisions about which HMO plan is best for them, 800-291-2002
Recipient Services, 800-362-3002
Ombudsmen - Provide advocacy and assistance to help enrollees understand their rights and responsibilities in the grievance and appeal process, 800-760-0001
SSI Managed Care Organizations (Milwaukee)
Abri, 414-847-1768
United Health Care, 414-443-4177
I-Care, 414-231-1076
Managed Health Services, 414-345-4620 x 23261
Medicare
1-800-MEDICARE (633-4227)
www.medicare.gov
Federal health insurance program for people age 65 and older; people under 65 with certain disabilities; people with End-Stage Renal Disease. For general information, ordering Medicare booklets, and information about health plans, call 1-800-MEDICARE 24 hours-a-day, 7 days-a-week. English and Spanish-speaking customer service representatives available. For questions about Medicare Part D or Medicare drug plans, contact one of the following:
For Medicare beneficiaries age 60 and older, call the Wisconsin Prescription Drug Helpline at 1-866-456-8211.
For persons under age 60 who receive Medicare coverage due to a disability, call the Disability Drug Benefit Helpline at 1-800-926-4862.
If you are age 60 or older, call the Milwaukee County Department on Aging at 414-289-6874.
Medigap Helpline800-242-1060
Can help with questions about health insurance, primarily: Medicare Supplements, Long-Term Care Insurance, and other health care plans available to Medicare beneficiaries. Medigap Helpline is provided by the State of Wisconsin Aging and Long-Term Care and is not connected with any insurance company.
Milwaukee County Department of Health and Human Services
Interim Disability Assistance Program1220 W. Vliet Street
Milwaukee, WI 53205
414-289-6842
County-funded program that provides a monthly payment to financially needy residents age18 and older and married couples without children who are unable to work due to a disability and have a high probability of receiving federal Supplemental Security Income (SSI). To qualify, an applicant must have submitted an application for SSI with the Social Security Administration. IDAP is not an entitlement benefit, but an interest-free loan and recipients must sign a contract to repay.
Social Security Administration310 W. Wisconsin Avenue, Suite 260
Milwaukee, WI 53203
800-216-3437
www.socialsecurity.gov
Takes applications for Social Security retirement, survivor's and disability benefits, as well as applications for Supplemental Security Income (SSI). SSI is available to those over age 65, blind or disabled persons, who have limited income and assets. Bilingual services: Spanish; Hmong.
Transitional Living Services
Winged Victory Program 1040 S. 70th Street
Milwaukee, WI 53214414-257-4817
www.tlservices.org
Helps eligible consumers navigate the application process; submit medical evidence to the Disability Determination Bureau; and access benefits such as Supplemental Security Income (SSI), Social Security Disability (SSDI), Medicare (Title 18), and Medicaid (Title 19). Also provides financial screening to determine which disability program a consumer is eligible for. Winged Victory staff are located at sites throughout the Milwaukee area, call for more information.
Wisconsin Department of Health and Family Services
Disability Determination BureauP.O. Box 7886
Madison, WI 53707
800-423-1938
800-462-8817 (TDD/TYY)
www.dhfs.wisconsin.gov/ddb/
In accordance with federal Social Security Administration regulations, the Wisconsin Division of Health Care Financing Disability Determination Bureau (DDB) determines if Wisconsin residents applying for disability benefits meet the criteria for any of the following: Social Security Disability (SSD), Supplemental Security Income (SSI), Medicaid, Katie Beckett Program, Medicaid Purchase Plan.
Wisconsin Department of Justice Crime Victim Compensation ProgramP.O. Box 7951
Madison, WI 53707
800-446-6564
www.doj.state.wi.us
Innocent victims of crime may be covered if injury occurs. For example, some prescription medications may be covered. This program is the payer of last resort. All other sources must be used first, but all innocent victims of crime may apply.
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