There are nominal copayments under the Standard Plan. BADGERCARE PLUS COVERED SERVICES Quartz is responsible to pay for all medically necessary covered services under BadgerCare Plus. Vision One exam & glasses per year MHS covers Hearing Full coverage MHS covers ... Benefits Summary BadgerCare Plus Core Plan This is a limited benefit plan with co-pays. Effective January 1, 2020, coverage for eyeglasses (frame and lenses) for eligible adult beneficiaries ages 21 or older are reinstated. BadgerCare Plus Plans BadgerCare Plus has two benefit plans, the Standard Plan and the Benchmark Plan. It does not have an open enrollment period, and people can apply at any time. Services must be medically necessary. Care4Kids Care4Kids provides health care coverage to children and youth in out-of-home care in Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties. BadgerCare Plus BadgerCare Plus is a program that provides health care coverage for eligible low-income Wisconsin residents. You must pay the premium to keep your BadgerCare Plus benefits. Eligible groups include: All children under age 19, regardless of income. The BadgerCare Plus plan specialists can answer questions and help you enroll. Full coverage is defined by Wisconsin law. American Disabilities Act … Please call Quartz Customer Service at (800) 362-3310 for detailed coverage information. 2. Medicaid typically does not cover contact lenses for adults when requested for cosmetic reasons – to improve appearance by replacing eyeglasses. Herslof Opticians provides vision services for BadgerCare Plus members. 1. If you are in need of glasses, contacts or just a checkup, we can help. You can pay your premium each month, or pay all of your premiums at once when you renew your benefits each year. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. BadgerCare Plus Health Plan: What’s Covered What is covered and what is not covered is the question our members ask first. However, your plan is more likely to include medically necessary contact lenses when needed to correct vision problems brought on by accidents or diseases. BadgerCare provides healthcare coverage programs for low-income Wisconsin residents who are not elderly, blind or disabled but still need healthcare coverage. To receive your vision services, contact Herslof Opticians for an appointment. Here is information on some key benefits and services you can get through Molina Healthcare. Routine eye exam and eyeglasses once every 24 months All beneficiaries are eligible for a routine eye exam which checks the health of the eyes and tests for an eyeglass prescription. The charts on these two pages show what is covered and list copay amounts. Milwaukee Scheduling: 414-462-2500; Toll-free: 1-800-822-7228 https://www.icarehealthplan.org/Members/Plans-Benefits/BCPLUS.htm Contact Lenses. • Standard Plan - Covers children, parents and caretaker relatives, young adults aging out of foster care, and pregnant women with incomes at or below 200% of the Federal Poverty Level (FPL). 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. Your eye health is important to us.
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