Currently have Medicaid? Changes are coming. Learn what you can do and sign up for alerts.

The Key To Accessing The Care You Deserve:

Health Insurance.

Not sure of the best health insurance option for you? Call a navigator for free help.

Getting Coverage Outside Of Open Enrollment (SEP).

Open enrollment is the time of year that you have the option to change and or renew your health insurance coverage. Outside of open enrollment, there are Special Enrollment Periods (SEP) and situations where you can get or change your coverage. Explore options below.

Lost your job-
based coverage.

  • You lost your job or you quit your job.

    Your hours were reduced, making you ineligible for your employer’s plan.

    Your employer stopped ordering coverage.

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov. CLICK HERE.

Job-based coverage
is too expensive.

  • Your employer stopped or reduced premium contributions for your plan, making premiums cost more than 9.78% of your projected income.

    Your family’s income falls, making your premiums more than 9.78% of your projected income.

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov CLICK HERE.

Were offered
COBRA.

  • You are still within 60 days of losing your job-based coverage, whether or not you enrolled in COBRA.

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov CLICK HERE.

 

Missed a SEP period
due to COVID-19.

  • You were affected by COVID-19 and it caused you not to claim your SEP, and you live in a state with a FEMA disaster declaration (as of 9.9.21 all states have a disaster declaration).

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov CLICK HERE.

Were previously
uninsured.

  • You experienced a change such as a permanent move or the birth of a child. Losing a job without also losing coverage does not result in an SEP.

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov CLICK HERE.

Have had a drop
in income.

  • You were enrolled in minimum essential coverage.

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov CLICK HERE.

Have low
income?

  • You have an income that is considered low.

  • Call a navigator and get free help at (414) 400-9489 or complete an application at HealthCare.gov CLICK HERE.

The lastest on health insurance…

Changes Coming to Special COVID-19 Rules for BadgerCare Plus and Medicaid. Stay informed about your health insurance to make sure you keep your coverage.

Special rules were put in place during the COVID-19 pandemic to allow more people to get and keep BadgerCare Plus and Medicaid benefits. In normal times, Wisconsin reviews member information and renews their Medicaid benefits if they still qualify. Right now, because of the pandemic Wisconsin has not been removing anyone from Medicaid programs, even if they have reported changes that mean they no longer qualify, or requiring people to renew their coverage.

The special rules will be ending in 2022, and the state of Wisconsin will resume the renewal process that was in place before COVID-19. But don’t worry - you will have plenty of time to renew or find new coverage.

Find out what can you do to prepare for Medicaid changes in 2022.

Explore Key Topics & Choice FAQs

Key Topics

  • The Marketplace (sometimes called Obamacare) is the health insurance exchange where you can shop for health insurance plans. The Marketplace was created as part of the Patient Protection and Affordable Care Act, passed by Congress in 2010.

  • HealthCare.gov is the website where you can learn more about types of Marketplace health insurance plans and sign up for coverage.

  • Open Enrollment is the period of time that you can sign up for a Marketplace health insurance plan through healthcare.gov or when working with an insurance assister. Open Enrollment is November 1, 2021, to January 15, 2022, for coverage in 2022.

  • Now, more than ever…. you need health care. Every health insurance plan on HealthCare.gov covers these essential benefits: doctor visits, preventive care, hospitalization, prescriptions, pregnancy and newborn care, children’s dental care, mental health services, and more.

Choices & Costs

  • It’s easier than ever before to afford quality health insurance plans on HealthCare.gov! No matter what you earn, you can get financial help to pay for health insurance. To find out if you can save or get no-cost health insurance, speak to an expert on the phone, or answer two quick questions with this online tool.

  • Yes! Free, expert help is available to help you start or finish an application. Call now to find an enrollment assister near you:

    Anywhere in Wisconsin: 2-1-1

    In Milwaukee: (414) 270-4677

  • A health insurance assister is a person trained and registered with the state of Wisconsin. This includes:

    • Navigators: Provide free, year-round help with Medicaid, BadgerCare, and Marketplace plans. They also help to resolve problems with coverage and medical bills. Navigators are federally trained and certified.

    • Certified Application Counselors (CAC): Provide free, year-round help with Medicaid, BadgerCare, and Marketplace. CACs are federally trained and certified.

    • Agents and brokers: Sometimes provide free, year-round help with Marketplace and other insurance like Medicare. They are contracted by insurance companies to help you. They should not charge you.

    Health insurance help should always be free.

  • Yes. Every year plan prices and options change. Also, the amount of financial help may change, so it is important to update your financial and household information. If your income goes down or you have a baby, you may qualify for additional financial help. If your income goes up, you’ll want to make sure you’re getting the most accurate information and benefits.

    Be sure to check to see if your favorite doctors, hospitals, medications, and pharmacies are still available if you renew your plan – sometimes provider networks change from year to year.

  • If you lose your health insurance benefits from work, you can sometimes keep that insurance for up to 18 months. This option is called COBRA. With COBRA, you usually pay the full cost of the plan through monthly premiums.

    Get free, expert help determining whether COBRA or a plan on HealthCare.gov is the best option for you.

  • You might be able to get low-cost or no-cost health insurance. You might also be eligible for Medicaid, also called BadgerCare Plus.

    The first step is to use our saver tool and then get connected to the next best resource or call (877) 947-2211.

  • Great! Select the option you want below and get started now.

Find the plan for you.

More people than ever now qualify due to financial assistance, nearly 4 out 5 people in Milwaukee! Not sure if you qualify?

Our saver tool helps you find out in less than 2 minutes if you can go the rest of the year with savings or no out-of-pocket costs on health.