Wisconsin Department of Health Services

BadgerCare Plus Wisconsin Txoj Kev Txuas Rau Kev Pab Them Nqi Kho Mob

WISCONSIN’S CONNECTION TO HEALTH CARE COVERAGE

BadgerCare Plus Yog Dab Tsi? BadgerCare Plus yog ib txoj kev pab them nqi kho mob rau Wisconsin cov pej xeem muaj nyiaj tsawg.

Leej twg thiaj rau npe koom tau? • Cov me nyuam • Cov poj niam cev xeeb me nyuam • Cov neeg laus (cov no xam cov neeg laus

hnub nyoog 18 xyoo txog 25 xyoos nyob rau hauv niam qhuav txiv qhuav tu xyuas thaum lawv nto 18 xyoo)

Kuv yuav ua li cas paub tias kuv rau npe koom tau nrog BadgerCare Plus? Tib txoj kev kom paub tias koj puas rau npe tau koom nrog BadgerCare Plus yog ua ntaub ntawv thov xwb. Koj thov tau BadgerCare Plus thiab lwm cov kev pab cuam txhua lub sij hawm saum huab cua ntawm access.wisconsin.gov. Los yog thov tau hauv ib lub chaw khiav dej num hauv koj zos tim ntsej tim muag, hauv xov tooj los yog ua tsab ntawv thov xa mus rau.

Xyuas nplooj 3 kom paub tus xov tooj rau lub chaw khiav dej num hauv koj zos kom paub thov tau tim ntsej tim muag, hauv xov tooj los yog ua tsab ntawv thov xa mus rau.

Vim BadgerCare Plus tsis muaj ib lub caij nyoog qhib txais npe, koj thov tau BadgerCare Plus txhua lub sij hawm.

Muaj cov hom kev pab kho kab mob kev nkeeg zoo li cas? BadgerCare Plus kam them rau cov kev kho kab mob kev nkeeg xws li: • Cov kev tshuaj ntsuam, cov tshuaj txhaj (tiv

thaiv nraub nrog cev), kev tu cev xeeb me nyuam, thiab lwm cov kev tiv thaiv kab mob kev nkeeg thiab kev ntsib xws kho mob txog kev noj qab nyob zoo.

• Cov sij hawm mus cuag tuam tsev kho mob kub ceev.

• Kev kho mob hauv tuam tsev kho mob loj. • Kev tu xyuas leej niam yug me nyuam thiab

tus me nyuam yug tshiab. • Kev puas siab ntsws, yam ntxwv thiab kev

pab kho txiav tshuaj yeeb dej caw. • Cov tshuaj sau. • Cov kev pab kho kom rov zoo thiab cov

khoom ciaj siv. • Cov kev tso roj ntsha ntsuas thiab xoo duab

hluav taws xob x-ray. • Cov kev tu xyuas qhov muag, xws li iav qhov

muag.

Yog kuv tsim nyog tau kev pab, kuv yuav tau BadgerCare Plus mus ntev li cas? Yog tias koj tsim nyog tau BadgerCare Plus, koj yuav muaj npe mus 12 lub hlis tshwj tsis yog muaj cov kev hloov uas cuam tshuam rau koj txoj kev tsim nyog tau BadgerCare Plus.

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Yuav tsum txuas ntaub ntawv kam pab them txhua lub xyoo. Xws li ib lub hlis ua ntej koj txoj kev pab kam them xaus, koj yuav txais ib tsab ntawv qhia koj rov txuas ntaub ntawv kam pab them rau koj.

Kuv yuav ua li cas thiaj tau kev pab them nqi kho mob yog kuv rau npe tsis tau nrog BadgerCare Plus? Yog koj rau npe tsis tau nrog BadgerCare Plus, tej zaum koj yuav muas tau kev pov hwm pab them nqi kho mob los ntawm tsoom fwv teb chaws Health Insurance Marketplace (Lag Luam Muag Kev Pov Hwm Pab Them Nqi Kho Mob).

Feem ntau, koj tsuas muas tau kev pov hwm pab them nqi kho mob ntawm lub Lag Luam ib xyoos ib zaug xwb rau thaum qhib txais npe rau caij nplooj ntoos zeeg. Tiam sis yog muaj kev hloov hauv koj lub neej, xws li tsiv mus nyob rau lub xeev txawv, xiam koj txoj hauj lwm, yug ib tug me nyuam tshiab, los yog sib yuav los yog sib nrauj, tej zaum koj yuav muas tau kev pov hwm pab them nqi kho mob thaum tsis yog caij qhib txais npe.

Xav paub ntxiv txog lub Lag Luam, mus rau healthcare.gov los yog hu rau 800-318-2596.

Cov Chaw Kho Mob Dawb thiab Tsub Nqi Tsawg Puav leej muaj cov tsev kho mob hauv Wisconsin uas muab kev kho mob rau cov tib neeg uas muaj kev pov hwm me ntsis los yog tsis muaj kev pov hwm hlo li. Cov tsev ko mob no muab cov thawj kev kho mob thiab kev kho mob tiv thaiv kab mob rau cov tib neeg txhua qib hnub nyoog, tsis hais lawv li rab peev xwm yuav them taus li cas.

Lawv tsub cov nqi kho raws li qib nyiaj muas ntawm koj lub tsev neeg thiab muaj pes tsawg leej.

Koj mus tau rau www.dhs.wisconsin.gov/forwardhealth/clinics.htm kom paub ntxiv txog cov chaw kho mob dawb thiab tsub nqi tsawg hauv Wisconsin.

Division of Medicaid Services P-10179H (02/2019)

Chiv Keeb Kev Sib Cuag Tau Chaw Khiav Dej Num Chiv Keeb Kev Sib Cuag Tau Chaw Khiav Dej Num teev muaj cov chaw tswj xyuas nyiaj txiag raws lawv lub npe thiab qhia lub chaw khiav dej num tus xov tooj nrog rau cov cheeb koog (yog tias tsim nyog) ntawm ib lub chaw khiav dej num twg. Bad River Band of Lake Superior Tribe of Chippewa Indians 715-682-7127 Bay Lake 888-794-5747 • Brown • Door

• Marinette • Oconto

• Shawano

Capital 888-794-5556 • Adams • Columbia

• Dane • Dodge

• Juneau • Richland

• Sauk • Sheboygan

Central 888-445-1621 • Langlade • Marathon • Oneida • Portage East Central Income Maintenance Partnership 888-256-4563 • Calumet • Green Lake • Kewaunee

• Manitowoc • Marquette • Outagamie

• Waupaca • Waushara • Winnebago

Forest County Potawatomi Community 715-478-4433 Great Rivers 888-283-0012 • Barron • Burnett • Chippewa

• Douglas • Dunn • Eau Claire

• Pierce • Polk • St. Croix

• Washburn

Lac Courte Oreilles Band of Lake Superior Tribe of Chippewa Indians of Wisconsin 715-634-8934 Lac du Flambeau Band of Lake Superior Tribe of Chippewa Indians 715-588-4235 Menominee Indian Tribe of Wisconsin 715-799-5137 MilES 888-947-6583 Milwaukee Moraine Lakes 888-446-1239 • Fond du Lac • Ozaukee

• Washington • Walworth

• Waukesha

Northern 888-794-5722 • Ashland • Bayfield • Florence

• Forest • Iron • Lincoln

• Price • Rusk • Sawyer

• Taylor • Vilas • Wood

Oneida Nation 920-490-6800 Red Cliff Band of Lake Superior Chippewa 715-779-3706 Sokaogon Chippewa Community 715-478-3265 Southern 888-794-5780 • Crawford • Grant

• Green • Iowa

• Jefferson • Lafayette

• Rock

Stockbridge-Munsee Community 715-793-4885 Western Region for Economic Assistance 888-627-0430 • Buffalo • Clark

• Jackson • La Crosse

• Monroe • Pepin

• Trempealeau • Vernon

Wisconsin’s Kenosha Racine Partnership (WKRP) 888-794-5820 • Kenosha • Racine

Nondiscrimination Notice: Discrimination is Against the Law – Health Care-Related Programs Wisconsin Department of Health Services ua raws cov kev cailij choj yuam siv ntawm Tsom Fwv Nrub Nrab Teb Chaw hais txog pej xeem cov cai (Federal civil rights laws) thiab tsis ciav-cais leejtwg vim nws hom neeg, nqaij tawv, lub tebchaws tuaj, hnub nyoog, kev tsis taus, los yog poj niam txiv. Department of Health Services tsis cais cov neeg los yog coj ntxawv rau lawv vim haiv neeg, xim tawv nqaij, tuaj teb chaws twg, hnub nyoog, kev tsis taus, los yog poj niam txiv.

Department of Health Services: • Pab nyiaj thiab muab kev pab rau cov neeg txuas lus tsis taus zoo nrog peb, xws li:

o Cov neeg txhais lus piav uas tsim nyog. o Tej ntaub ntawv ua lwm hom (tu ntawv loj, suab lus, tej hom siv tau hauv electronic, lwm lwm hom).

• Muab kev pab dawb txog lus hais rau cov neeg uas tsis hais lus Akiv, xws li: o Cov neeg txhais lus tsim nyog. o Tej ntaub ntawv ua lwm hom lus.

Yog koj xavtau cov kev pab no, thov hu rau Department of Health Services civil rights coordinator (844-201-6870).

Yog koj xavtau cov kev pab no, thov hu rau Department of Health Services tsis muab tau cov kev pab no los yog tau coj lwm hom kev ciav-cais saib raws haiv neeg, xim tawv nqaij, teb chaw tuaj, hnub nyoog, xiam oob qhab, los poj niam lossis txiv neej, koj tuaj yeem xa ib daim ntawv tsis txaus siab nrog: Department of Health Services, Attn: Civil Rights Coordinator, 1 West Wilson Street, Room 651, PO Box 7850, Madison, WI 53707-7850, 608-267-4955, TTY: 711, Fax: 608-267-1434, dhscrc@dhs.wisconsin.gov. Koj xa daim ntawv tsis txaus siab kiag tus kheej, raws kev xa ntawv, fev los yog email tuaj tau. Yog koj xav tau kev pab sau daim ntawv tsis txaus siab, Department of Health Services civil rights coordinator pab tau koj.

Koj kuj muaj peev xwm ua tau ib daim ntawv tsis txaus siab rau cov cai pej xeem mus rau Mekas Department of Health and Human Services (Thawj Fab Pab Kev Noj Qab Haus Huv thiab Pab Tib Neeg), Office for Civil Rights (Chaw Ua Hauj Lwm txog Pej Xeem Cov Cai), tshuab hluav taws xob los ntawm Office for Civil Rights Complaint Portal, nyob rau hauv https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, los yog xa ntawv lossis hu xovtooj ntawm:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 800-368-1019, 800-537-7697 (TDD)

Cov qauv ntawv tsis txaus siab muaj rau ntawm http://www.hhs.gov/ocr/office/file/index.html.