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38.1 Covered Services A covered service is any health care service that BadgerCare Plus will pay for an eligible member, if billed. The Division of Medicaid Services enrolls qualified health care providers and reimburses them for providing BadgerCare Plus covered services to eligible BadgerCare Plus members. Members may receive BadgerCare Plus services only from enrolled providers, except in medical emergencies. BadgerCare Plus reimburses emergency medical services necessary to prevent the death or serious impairment of the health of a member even when provided by a non-enrolled provider. This page last updated in Release Number: 13-02 Release Date: 10/25/13 Effective Date: 10/01/13 38.2 List of Covered Services and Copayments 38.2.1 Introduction A BadgerCare Plus member may be required to pay a part of the cost of a service. This payment is called a "copayment" or "copay." The following table shows some of the covered services and copayments under BadgerCare Plus. Services Description Chiropractic Services Full coverage.

Copayment $.50 to $3 per service (varies by service provided). Dental Full coverage of preventive, restorative and palliative services.

Copayment $.50 to $3 per service (varies by service provided). Disposable Medical Supplies (DMS) Full coverage.

Copayment $0.50 to $3 per service. Drugs (see also SECTION 38.7 IMPACT ON DUAL ELIGIBLE INDIVIDUALS) Comprehensive drug benefit with coverage of generic and brand name prescription drugs and some over-the-counter (OTC) drugs.

Members are limited to five prescriptions per month for opioid drugs.