BadgerCare Plus & Medicaid SSI Provider Manual - Group Health ...

BadgerCare Plus & Medicaid SSI Provider Manual - GHC of Eau Claire May 2012
Service
End Stage Renal
Disease (ESRD)
HealthCheck – Ages
18 and Under
BadgerCare Plus Standard
Plan and Medicaid SSI
Full coverage with no
copayment
Full coverage of
HealthCheck screenings
and other services for
individuals under age 21.
BadgerCare Plus
Benchmark Plan
Full coverage with no
copayment
Full coverage of
HealthCheck screenings
and HealthCheck Outreach
and Case Management.
BadgerCare Plus Core Plan
Full coverage with no
copayment. Includes
dialysis and other kidneyrelated
services for
members with ESRD who
do not qualify for Medicare
ESRD services
Not Applicable
Your child should receive a
health check at the
following ages:
Birth
2 Months
4 Months
6 Months
9 Months
12 Months
15 Months
18 Months
24 Months
30 Months
3 years old through
age 20 should
receive a yearly
HealthCheck
No Copayment.
HealthCheck "other
services" and interperiodic
services are covered for
individuals under age 21.
Your child should receive a
health check at the following
ages:
Birth
2 Months
4 Months
6 Months
9 Months
12 Months
15 Months
18 Months
24 Months
30 Months
3 years old through
age 20 should
receive a yearly
HealthCheck
HealthCheck – Ages
19-21
Hearing Services
Full coverage of
HealthCheck screenings
and other services for
individuals under age 21.
Full coverage with no
copayment.
No Copayment.
Services may include
$15.00 copayment.
Limited coverage of services
provided by an audiologist.
Not Applicable
Not Covered.
Hearing aids, hearing aid
batteries, cochlear implants,
and bone-anchored hearing
devices are a covered
benefit for members 17
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