Drugs – this benefit is covered by the State
of Wisconsin
• Comprehensive drug benefit with coverage of generic and brand
name prescription drugs, and some over-the-counter (OTC) drugs
• Members limited to five prescriptions per month for opiod drugs.
• Copayments:
-
$0.50 for OTC drugs
-
$1.00 for generic drugs
-
$3.00 for brand
• Copayments are limited to $12.00 per member, per provider, per
month. OTCs are excluded from this $12.00 maximum.
Durable Medical Equipment (DME)
• Full coverage
• $0.50 to $3 copayment per item
• Rental items are not subject to copayment
Health Screenings for Children
• Full coverage of HealthCheck screenings and other services for
individuals under age 21 years
• $1 copayment per screening for 18, 19, and 20 year olds only
Hearing Services
• Full coverage
• $.50 to $3 per procedure
• No copayment for hearing aid batteries
Home Care Services (Home Health, Private
Duty Nursing and Personal Care)
• Full coverage of private duty nursing, home health services, and
personal care
• No copayment
Hospice Services
• Full coverage
• No copayment
Inpatient Hospital Services
• Full coverage
• $3 copayment per day with a $75 cap per stay
deancare.com
BadgerCare Plus Member Handbook
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