Each person in your fami ly may qual i fy for a di fferent opt ion.
BadgerCare Plus (Wiscons in Med ica id )1.For adul ts and chi ldrenwith low or no income.
1-888-794-5722Northern Consort ium
The Marketplace (Obamacare)2.For people who don’ t have affordableheal th insurance at their job. Financialhelp is based on income.
Marketplace Cal l Center1-800-318-2596
Apply online: healthcare.gov
ID: 1234567890
Medicare4.For ages 65 or older, or have SocialSecur i ty Disabi l i ty, or end-stagekidney disease.
The Medigap Helpl ine1-800-242-1060
MEDICARE
NAME OF BENEFICIARY
MEDICARE CLAIM NUMBER
IS ENTITLED TO EFFECTIVE DATE
SEXMALE
1-800-MEDICARE (1-800-633-4227)
000-00-0000-A
JOHN DOE
HOSPITAL (PART A) 01-01-2018MEDICAL (PART B) 01-01-2018
SIGN HERE
HEALTH INSURANCEMEDICARE
NAME:
MEDICARE CLAIM NUMBER000-00-0000-A
JOHN DOE
SIGN HERE
HEALTH INSURANCE
I f you get SSI, you wi l l get Medicaid SSI. You don’ t need to apply for Medicaid.
3. Medicaid SSI Health insurance for people who get SSI (Supplemental Secur i ty Income). ID: 1234567890
ID: 1234567890
Apply online: access.wi.gov
Katie Beckett Program5.For chi ldren with a disabi l i ty or ser ious heal th needs.
715-682-7171 Ext 1032New Horizons North
Find In-Person Help!Need help wi th an appl icat ion?Dial 2-1-1 for local organizat ions.
Local help:
Health Insurance
Community Resources
Family Size
1234
Adults Kids & Pregnant Women
$0 - $1,012$0 - $1,372$0 - $1,732$0 - $2,092
$0 - $3,096$0 - $4,197$0 - $5,299$0 - $6,401
You may qual i fy i f income per month is :
Family Size123
Income per month$1,013 - $4,020$1,373 - $5,413$1,733 - $6,807
4 $2,093 - $8,200
You may get f inancial help i f income is:
PriceCounty
Look inside for more resources!
Food & Nutr i t ion Cash Assistance
Home & RentChi ld Assistance
Child Assistance
Visi t whsaonline.org for more informat ion3. Head Start /Early Head Start
Educat ion for young chi ldren and parents services.
Household Size Additional Persons
Income before taxes
$0 - $1,859per month
$0 - $2,504per month
$0 - $3,148per month
$0 - $3,793per month
$0 - $4,437per month
Add +$644 per month
1 2 3 4 5
Birth to 3 Program For chi ldren with delays or disabi l i t ies under age 3. For al l income levels.
1.
715-339-2158Program Coordinator
Wisconsin Shares Helps pay for chi ldcare.
2.Apply online: access.wi.gov
1-888-794-5722Northern Consort ium
You may qualify i f income is:
Food & Nutri t ion2. FoodShare (EBT or Food Stamps)
Gives you a QUEST card to buy food at stores and farmer ’s markets.
You may qualify i f income is:
Food Pantries Give food to anyone who needs i t . Dial 2-1-1 to f ind local pantr ies.
1.
Household Size Additional Persons
Income before taxes
$0 - $2,010per month
$0 - $2,707per month
$0 - $3,404per month
$0 - $4,100per month
$0 - $4,797per month
Add +$697per month
1 2 3 4 5
1-888-794-5722Northern Consort ium
4. Free/Reduced School Meals Cal l your chi ld ’s school for more informat ion.
3. WIC (Women, In fan ts , & Ch i ld ren)Gives food and support to pregnantwomen and kids under age 5.
715-339-3054Price County Heal th and Human Services SCHOOL
Apply online: access.wi.gov
QUESTMARY SMITH5077 0800 1234 5678
Cash Assistance
2. Supplemental Security Income (SSI )For older adul ts, people who are bl ind, or d isabled and have low or no income. You wi l l a lso get Medicaid SSI heal th insurance.
3. Social Security Disabil i ty Insurance (SSDI )For people wi th disabi l i t ies and some of their fami ly members.You had to work enough years and paid Social Secur i ty taxes.
Wisconsin Works (W-2 o r TANF)Short- term work program for low-income parents and pregnant women. You may get monthly payments and other services.
1.
Household Size Additional Persons
Income before taxes
$0 - $2,010per month
$0 - $2,707per month
$0 -$3,404per month
$0 - $4,100per month
$0 - $4,797per month
Add +$697per month
1 2 3 4 5
1-855-733-1311Forward Service Corporat ion
1-888-869-1781Rhinelander locat ion
You may qualify i f income is:
United States Treasury Social Security
0000 00000000000000
$000.00
00000000
Pay to: John & Jane Doe
Price County
Home & Rent1. Help with Rent & Shelters
You may be able to get a low rent apartment, sect ion 8, or publ ic housing.Dial 2-1-1 for local help.
2. Wisconsin Home Energy AssistancePays some of your heat ing and electr ic costs.
Go to homeenergyplus.wi.gov & c l ick on “where to apply” or call 1-866-432-8947
Home programs may depend on your income.
This handout was created by Cover ing Wisconsin and made possible by a grant f rom Anthem Blue Cross and Blue Shield.
Wisconsincovering
Addit ional Resources
Legal HelpFree legal help for people wi th low or no income.
5. 1-800-472-1638, press 5
Wisconsin Judicare
Aging and Disabil i ty Resource Center (ADRC)Local off ices help older adul ts and people wi th disabi l i t ies.
4. ADRC of the North
1-866-663-3607
6.
7.
1. Free Clinics and Community Health CentersFree cl in ics help people for f ree. Community Heal th Centers have f inancial help to lower the bi l l .
To f ind a locat ion, dial 2-1-1 or v is i tdhs.wi.gov/forwardhealth/cl inics.htm
Wisconsin Well Woman Program3.For women ages 45 – 64 with l i t t le or no heal th insurance. Tests for breast cancer and other women’s heal th services.
715-369-6119Oneida County Heal th Department
Family Planning Only Services2.For men, women, and teens to get sexual heal th check-ups, tests, and suppl ies to prevent pregnancy.
1-888-794-5722Northern Consort iumApply online: access.wi.gov
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