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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F10182 (04/14) STATE OF WISCONSIN APPLICATION PACKET HOW TO USE THIS FORM CHECK LIST Read the Important Information,
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How to fill out badgercare plus application packet

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How to Fill Out BadgerCare Plus Application Packet:

01
Obtain the application packet: The first step is to obtain the BadgerCare Plus application packet. You can either download it from the official Wisconsin Department of Health Services website or request a physical copy from your local county office.
02
Gather necessary documents: Before filling out the application, gather all the necessary documents and information required. This may include proof of income, identification documents, residency verification, and any other relevant paperwork. Refer to the checklist provided in the application packet to ensure you have everything you need.
03
Complete personal information: Begin by filling out the personal information section of the application. This includes your full name, address, social security number, date of birth, phone number, and other contact details. Make sure to provide accurate and up-to-date information as any errors can delay the processing of your application.
04
Provide household information: In this section, you will need to provide details about everyone living in your household, including family members, dependents, or other individuals who share your income and expenses. Include their names, dates of birth, social security numbers, and relationship to you.
05
Report income and employment: Provide accurate information regarding your income and employment status. This may include pay stubs, tax returns, or other documents that verify your income. It is important to report all sources of income for each member of your household to determine eligibility accurately.
06
Declare assets and resources: Disclose any assets or resources you or your household members may have, such as bank accounts, vehicles, property, investments, or other valuable possessions. This information helps assess your eligibility for BadgerCare Plus.
07
Answer eligibility questions: The application packet will include a series of eligibility questions that you must answer truthfully. These questions cover various topics such as health insurance coverage, disability status, pregnancy, and more. Answer each question accurately according to your circumstances.
08
Review and sign: Once you have completed filling out the application packet, review all the provided information carefully. Make sure there are no missing or incorrect details. Sign and date the application where indicated to certify that the information provided is true and accurate to the best of your knowledge.
09
Submit your application: After reviewing and signing the application packet, submit it by following the instructions provided. This may involve mailing it to the designated address or delivering it in-person to your local county office. Remember to include any required supporting documentation along with the application.

Who needs BadgerCare Plus Application Packet?

01
Individuals and families in Wisconsin who do not have access to affordable health insurance coverage may need the BadgerCare Plus application packet.
02
Low-income individuals or households who meet the income and other eligibility requirements set by the Wisconsin Department of Health Services can benefit from BadgerCare Plus.
03
Pregnant women, children, and adults may be eligible for BadgerCare Plus if they meet the income and other eligibility requirements.
04
Those seeking long-term care or assistance with nursing home expenses may need to submit a BadgerCare Plus application packet to determine their eligibility for these programs.
05
Individuals experiencing a change in circumstances, such as a loss of job, change in income, or change in households, may need to update their existing BadgerCare Plus enrollment or submit a new application.
Note: It is recommended to contact the Wisconsin Department of Health Services or your local county office for personalized assistance and guidance throughout the application process.
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The badgercare plus application packet is a set of forms and documents that must be completed in order to apply for the badgercare plus program in Wisconsin.
Individuals who meet the eligibility requirements for the badgercare plus program are required to file the application packet.
The application packet can be filled out online on the badgercare plus website or by requesting a paper application from the department of health services.
The purpose of the badgercare plus application packet is to gather information about the applicant's income, household size, and other relevant details in order to determine eligibility for the program.
The application packet will require information such as income, household members, current health insurance coverage, and other details that may affect eligibility.
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