Medicaid health plans in Crawford service area, WI

Member services: 855-690-7800

No rating available. See NCQA ratings ↗

• Dental care through DentaQuest

  Anthem provides dental services for Medicaid eligible members through the DentaQuest network.

• Vision care through MARCH

  Anthem provides vision services through MARCH Vision Care.

• Asthma and COPD relief items

  Members with asthma or COPD can choose one item from a product catalog, such as a spacer or a travel nebulizer.

• Anthem Blue Cross and Blue Shield Retrieved 2026-07-17
• Anthem Blue Cross and Blue Shield Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 800-482-8010

No rating available. See NCQA ratings ↗

• Dental care in six southeast counties

  Chorus administers dental services directly for members in Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties, with appointment access within 90 days. In other counties the state provides dental coverage.

• Free care management programs

  Free programs include asthma care, diabetes and nutrition support, prenatal and newborn care, behavioral health coordination, and social navigation help with housing, food, and transportation referrals.

• Chorus Community Health Plans Retrieved 2026-07-17
• Chorus Community Health Plans Retrieved 2026-07-17
• Chorus Community Health Plans Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 888-203-7770

No rating available. See NCQA ratings ↗

No extra benefits listed yet.

• Group Health Cooperative of Eau Claire Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 800-777-4376

No rating available. See NCQA ratings ↗

• Vision services through NVA

  iCare provides covered vision services through National Vision Administrators.

• Dental care in six southeast counties

  iCare covers dental services through DentaQuest in Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties. In other counties the state provides dental coverage.

• Independent Care Health Plan Retrieved 2026-07-17
• Independent Care Health Plan Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 888-713-6180

No rating available. See NCQA ratings ↗

• Dental exams and cleanings

  The plan covers an annual exam and cleaning, x-rays, fillings, and simple extractions. In Milwaukee, Waukesha, Racine, Kenosha, Washington, and Ozaukee counties members use an MHS Health dentist.

• Eye exam and glasses each year

  The plan covers one eye exam and one pair of standard glasses per year, with a 100 dollar allowance toward better frames or an 80 dollar allowance toward contact lenses.

• Rewards for healthy activities

  Members can earn reward dollars for completing healthy activities such as checkups and follow up appointments.

• Free cell phone program

  The Connections Plus program gives free pre-programmed cell phones to members who meet eligibility requirements.

• MHS Health Wisconsin Retrieved 2026-07-17
• MHS Health Wisconsin Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 888-999-2404

No rating available. See NCQA ratings ↗

• Dental care in six southeast counties

  Molina covers dental services in Milwaukee, Kenosha, Racine, Waukesha, Washington, and Ozaukee counties, with routine appointments within 90 days of a request. In other counties the state provides dental coverage.

• Vision care through VSP

  Molina partners with VSP for covered vision services, including a routine eye exam plus glasses or medically necessary contacts once every 12 months.

• 24 hour nurse advice line

  A nurse advice line is available 24 hours a day, every day, to connect members with a nurse in their language.

• Molina Healthcare of Wisconsin Retrieved 2026-07-17
• Molina Healthcare of Wisconsin Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 888-713-6180

No rating available. See NCQA ratings ↗

• Enhanced vision allowance

  The plan includes a 100 dollar allowance toward premium eyeglass frames or an 80 dollar allowance toward contact lenses.

• Rewards for healthy activities

  Members can earn reward dollars for completing healthy activities like checkups and screenings.

• Free cell phone program

  The Connections Plus program gives free pre-programmed cell phones to members who meet eligibility requirements.

• Community resource outreach

  The MemberConnections program reaches members by phone and at home to connect them with community resources for food, housing, and clothing.

• Network Health Plan Retrieved 2026-07-17
• MHS Health Wisconsin, administrator for Network Health Plan Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 800-362-3310

No rating available. See NCQA ratings ↗

• Care management team

  A team of nurses and social workers helps members with health goals, community supports, and moving from hospital to home, at no extra cost.

• Extended inpatient mental health coverage

  Quartz covers inpatient mental health stays in an institute for mental disease for members ages 22 to 64, up to 15 days per month.

• Quartz Retrieved 2026-07-17
• Quartz Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 800-791-3044

No rating available. See NCQA ratings ↗

• Care My Way virtual visits

  Members can have virtual visits with a nurse practitioner 24 hours a day, 7 days a week, for common ailments, with prescriptions sent to the pharmacy they choose.

• Personalized care management

  Nurses and social workers help members manage chronic conditions and ongoing health concerns.

• Security Health Plan of Wisconsin Retrieved 2026-07-17
• Security Health Plan of Wisconsin Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.

Member services: 800-504-9660

No rating available. See NCQA ratings ↗

• Healthy First Steps pregnancy program

  The program helps members choose a pregnancy provider and pediatrician, schedule visits, arrange rides, and get supplies including breast pumps.

• Rewards for pregnancy care

  The Babyscripts program gives gift card rewards for signing up and completing routine prenatal and postpartum visits.

• Pregnancy support community

  Wellhop for Mom and Baby is a peer support program for pregnant members and new moms.

• UnitedHealthcare Community Plan Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against two captured Wisconsin Department of Health Services sources: the BadgerCare Plus HMO Guide P-12020 (dhs.wisconsin.gov/publications/p1/p12020.pdf), which instructs members to go to access.wi.gov, log in, and use Manage My HMO or to call an HMO enrollment specialist at 800-291-2002, and the DHS BadgerCare Plus member information page (dhs.wisconsin.gov/badgercareplus/member-info.htm). All 22 service area roster facts (areas.<slug>.plans) are quote-gate verified against the captured member information page snapshot, which is DHS's own list of all 13 BadgerCare Plus HMOs with each HMO's counties. That source is organized per HMO with a Counties line, not per county with all its HMOs listed together, so each area's single verbatim_quote anchors one representative HMO's complete Counties line from the snapshot rather than a single contiguous quote spanning every HMO in that area's roster; the full roster in each fact's value field was compiled by parsing every HMO's county list on that same snapshot, cross checked so all 72 Wisconsin counties are accounted for exactly once across the 22 areas. Three HMOs (Anthem Blue Cross and Blue Shield, MHS Health Wisconsin, and UnitedHealthcare Community Plan) are listed by DHS as serving all counties. Per-plan member phone numbers come from the same DHS page (informal citation, the TX and CA convention that only load bearing enrollment and roster fields carry facts entries). Wisconsin pays the Medicaid prescription drug benefit fee for service through the state ForwardHealth program, verified independently on every plan's own site during this authoring pass, so no plan has a BadgerCare Plus formulary of its own; every plan's formulary_url therefore points to ForwardHealth's own covered drug search tool and each plan's quality note says so, the same convention NY.json uses for the NYRx carve out. Network Health Plan's BadgerCare Plus coverage is administered by MHS Health Wisconsin, confirmed on networkhealth.com, which is why the two share a phone number and directory. Provider directory URLs and extra benefits were verified live on each plan's own official Medicaid pages during this authoring pass but are not yet cited by a quote gated fact, with two caveats for a human reviewer: deancare.com blocks automated access (HTTP 403 to every crawler), so Dean's directory and plan site URLs are taken from the captured DHS member information page, which links both directly; and Group Health Cooperative of Eau Claire's own BadgerCare Plus page yielded only one thin verifiable extra benefit, so its extra_benefits stays empty rather than padded. The state as a whole stays unverified, the same standing as TX, CA, NY, and FL.