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Each person in your fami ly may qual i fy for a di fferent opt ion.

BadgerCare Plus (Wiscons in Med ica id )1.For adul ts and chi ldrenwith low or no income.

1-888-794-5722Northern Consort ium

The Marketplace (Obamacare)2.For people who don’ t have affordableheal th insurance at their job. Financialhelp is based on income.

Marketplace Cal l Center1-800-318-2596

Apply online: healthcare.gov

ID: 1234567890

Medicare4.For ages 65 or older, or have SocialSecur i ty Disabi l i ty, or end-stagekidney disease.

The Medigap Helpl ine1-800-242-1060

MEDICARE

NAME OF BENEFICIARY

MEDICARE CLAIM NUMBER

IS ENTITLED TO EFFECTIVE DATE

SEXMALE

1-800-MEDICARE (1-800-633-4227)

000-00-0000-A

JOHN DOE

HOSPITAL (PART A) 01-01-2018MEDICAL (PART B) 01-01-2018

SIGN HERE

HEALTH INSURANCEMEDICARE

NAME:

MEDICARE CLAIM NUMBER000-00-0000-A

JOHN DOE

SIGN HERE

HEALTH INSURANCE

I f you get SSI, you wi l l get Medicaid SSI. You don’ t need to apply for Medicaid.

3. Medicaid SSI Health insurance for people who get SSI (Supplemental Secur i ty Income). ID: 1234567890

ID: 1234567890

Apply online: access.wi.gov

Katie Beckett Program5.For chi ldren with a disabi l i ty or ser ious heal th needs.

715-682-7171 Ext 1032New Horizons North

Find In-Person Help!Need help wi th an appl icat ion?Dial 2-1-1 for local organizat ions.

Local help:

Health Insurance

Community Resources

Family Size

1234

Adults Kids & Pregnant Women

$0 - $1,012$0 - $1,372$0 - $1,732$0 - $2,092

$0 - $3,096$0 - $4,197$0 - $5,299$0 - $6,401

You may qual i fy i f income per month is :

Family Size123

Income per month$1,013 - $4,020$1,373 - $5,413$1,733 - $6,807

4 $2,093 - $8,200

You may get f inancial help i f income is:

PriceCounty

Look inside for more resources!

Food & Nutr i t ion Cash Assistance

Home & RentChi ld Assistance

Child Assistance

Visi t whsaonline.org for more informat ion3. Head Start /Early Head Start

Educat ion for young chi ldren and parents services.

Household Size Additional Persons

Income before taxes

$0 - $1,859per month

$0 - $2,504per month

$0 - $3,148per month

$0 - $3,793per month

$0 - $4,437per month

Add +$644 per month

1 2 3 4 5

Birth to 3 Program For chi ldren with delays or disabi l i t ies under age 3. For al l income levels.

1.

715-339-2158Program Coordinator

Wisconsin Shares Helps pay for chi ldcare.

2.Apply online: access.wi.gov

1-888-794-5722Northern Consort ium

You may qualify i f income is:

Food & Nutri t ion2. FoodShare (EBT or Food Stamps)

Gives you a QUEST card to buy food at stores and farmer ’s markets.

You may qualify i f income is:

Food Pantries Give food to anyone who needs i t . Dial 2-1-1 to f ind local pantr ies.

1.

Household Size Additional Persons

Income before taxes

$0 - $2,010per month

$0 - $2,707per month

$0 - $3,404per month

$0 - $4,100per month

$0 - $4,797per month

Add +$697per month

1 2 3 4 5

1-888-794-5722Northern Consort ium

4. Free/Reduced School Meals Cal l your chi ld ’s school for more informat ion.

3. WIC (Women, In fan ts , & Ch i ld ren)Gives food and support to pregnantwomen and kids under age 5.

715-339-3054Price County Heal th and Human Services SCHOOL

Apply online: access.wi.gov

QUESTMARY SMITH5077 0800 1234 5678

Cash Assistance

2. Supplemental Security Income (SSI )For older adul ts, people who are bl ind, or d isabled and have low or no income. You wi l l a lso get Medicaid SSI heal th insurance.

3. Social Security Disabil i ty Insurance (SSDI )For people wi th disabi l i t ies and some of their fami ly members.You had to work enough years and paid Social Secur i ty taxes.

Wisconsin Works (W-2 o r TANF)Short- term work program for low-income parents and pregnant women. You may get monthly payments and other services.

1.

Household Size Additional Persons

Income before taxes

$0 - $2,010per month

$0 - $2,707per month

$0 -$3,404per month

$0 - $4,100per month

$0 - $4,797per month

Add +$697per month

1 2 3 4 5

1-855-733-1311Forward Service Corporat ion

1-888-869-1781Rhinelander locat ion

You may qualify i f income is:

United States Treasury Social Security

0000 00000000000000

$000.00

00000000

Pay to: John & Jane Doe

Price County

Home & Rent1. Help with Rent & Shelters

You may be able to get a low rent apartment, sect ion 8, or publ ic housing.Dial 2-1-1 for local help.

2. Wisconsin Home Energy AssistancePays some of your heat ing and electr ic costs.

Go to homeenergyplus.wi.gov & c l ick on “where to apply” or call 1-866-432-8947

Home programs may depend on your income.

This handout was created by Cover ing Wisconsin and made possible by a grant f rom Anthem Blue Cross and Blue Shield.

Wisconsincovering

Addit ional Resources

Legal HelpFree legal help for people wi th low or no income.

5. 1-800-472-1638, press 5

Wisconsin Judicare

Aging and Disabil i ty Resource Center (ADRC)Local off ices help older adul ts and people wi th disabi l i t ies.

4. ADRC of the North

1-866-663-3607

6.

7.

1. Free Clinics and Community Health CentersFree cl in ics help people for f ree. Community Heal th Centers have f inancial help to lower the bi l l .

To f ind a locat ion, dial 2-1-1 or v is i tdhs.wi.gov/forwardhealth/cl inics.htm

Wisconsin Well Woman Program3.For women ages 45 – 64 with l i t t le or no heal th insurance. Tests for breast cancer and other women’s heal th services.

715-369-6119Oneida County Heal th Department

Family Planning Only Services2.For men, women, and teens to get sexual heal th check-ups, tests, and suppl ies to prevent pregnancy.

1-888-794-5722Northern Consort iumApply online: access.wi.gov

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