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How do I fill this out?
To fill out this application, start by carefully reading all instructions and sections relevant to you. Ensure you provide complete and accurate information about yourself and your family. Double-check for any required signatures before submission.

How to fill out the BadgerCare Plus Application Instructions?
1
Read the important information and rights sections.
2
Complete all applicable sections of the application.
3
Provide necessary proof documents as outlined.
4
Sign the application and any required attachments.
5
Submit the application via the method of your choice.
Who needs the BadgerCare Plus Application Instructions?
1
Individuals seeking health insurance coverage via BadgerCare Plus.
2
Families in need of assistance with family planning services.
3
Pregnant women needing healthcare support.
4
Low-income earners lacking access to employer health insurance.
5
Residents of Wisconsin looking for comprehensive healthcare support.
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What are the instructions for submitting this form?
To submit this form, you have multiple options: online submission can be completed at access.wi.gov by selecting 'Apply now'. For mail, send the completed application to MDPU in Milwaukee County or CDPU in Janesville, depending on your residence. Alternatively, you can fax your application to the designated numbers for your area.
What are the important dates for this form in 2024 and 2025?
Be aware of key deadlines for application submissions in 2024, including the renewal every 12 months for existing recipients. Keep an eye on changes in eligibility requirements and program updates in 2025, ensuring you remain enrolled in BadgerCare Plus.

What is the purpose of this form?
The primary purpose of this form is to facilitate access to BadgerCare Plus and related health services for Wisconsin residents. By filling out this application, individuals can apply for essential health insurance coverage. It also serves as a tool for determining eligibility and guiding applicants through the application process effectively.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Collects basic information about the applicant, including name and contact details.
- 2. Household Information: Requires details about all household members living together.
- 3. Income Details: Information to verify the financial status of the household.
- 4. Medical Coverage: Questions about existing health insurance and liabilities.
- 5. Signature Section: A place for the applicant or authorized representative to sign.
What happens if I fail to submit this form?
Failure to submit this application may result in loss of access to necessary health services. Without this form, individuals could miss vital deadlines for coverage and assistance. It is important to ensure that the application is submitted correctly to avoid disruptions in healthcare access.
- Loss of Healthcare Coverage: Without submission, individuals may remain uninsured, missing necessary health services.
- Delayed Benefits: Any delay in application can lead to postponed access to required healthcare support.
- Ineligibility for Programs: Failure to apply may result in missing out on eligibility for state-sponsored programs.
How do I know when to use this form?

- 1. Applying for BadgerCare Plus: Use this form to initiate the application process for health coverage.
- 2. Updating Information: Any changes in personal or household information require filling this out.
- 3. Renewing Coverage: Existing enrollees should use it to renew their application every 12 months.
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