Page 80
BadgerCare Plus Standard Plan BadgerCare Plus Benchmark Plan
Hearing Services Full coverage Limited coverage of services provided by an audiologist.
Hearing aids, hearing aid batteries, cochlear implants and bone-anchored hearing devices are not covered.
Home Care Services (Home Health, Private Duty Nursing and Personal Care) Full coverage of private duty nursing, home health services, and personal care Full coverage of home health services Coverage limited to 60 visits per enrollment year.
Private duty nursing and personal care are not covered.
Hospice Services Full coverage Full coverage, up to 360 days per lifetime
Inpatient Hospital Services Full coverage Full coverage, with the following dollar amount limits per enrollment year:
- $6,300 for stays in a general acute care hospital for substance abuse - $7,000 for stays in an IMD (Institutes for Mental Disease) for substance abuse treatment
Hospital stays for mental health and substance abuse services have a 30-day limit
Mental Health and Substance Abuse Treatment* Full coverage (not including room and board) Coverage of this service is based on the Wisconsin State Employee Health Plan.
Covered services include outpatient mental health, outpatient substance abuse (including narcotic treatment), mental health day treatment for adults, substance abuse day treatment for adults and children, and child/adolescent mental health day treatment and inpatient hospital stays for mental health and substance abuse.
Services not covered are crisis intervention, community support program (CSP), Comprehensive Community Services
WISCONSIN
Effective Date:
Approval Date: 80