Health Insurance Information
At Progressive Community Health Centers we accept nearly all types of insurance including BadgerCare Plus (Medicaid), Medicare and private/Marketplace insurance. We also offer a sliding fee program for un/under-insured patients.
What is the Affordable Care Act (i.e. Obamacare)?
Passed into law in 2010, the Affordable Care Act (ACA) was designed to expand access to insurance coverage for U.S. citizens. The law requires insurance companies to accept everyone, regardless of pre-existing conditions. People may also shop for private health insurance coverage on their own during each annual Open Enrollment Period. Recent federal government actions to repeal the ACA do not change the current health law. Affordable insurance coverage options are still available.
What is the Health Insurance Marketplace?
As part of the Affordable Care Act (ACA), the Health Insurance Marketplace was created to make buying health coverage easier and more affordable. The Marketplace is a website and call center where people can compare health insurance options, determine discounts for cost, and enroll in a plan that fits their needs. You can also find out if you qualify for BadgerCare Plus (Medicaid) on the Marketplace website.
What if I have recently lost my health insurance coverage due to COVID-19?
A Special Enrollment Period for the Health Insurance Marketplace was recently announced. You have until May 15, 2021 to switch health insurance plans or submit a new application. Visit HealthCare.gov to view your current eligibility. Have questions or need help applying? Call (414) 935-8000 to speak with one of our financial counselors who can help you review insurance options and complete an application. Our financial counseling services are offered free of charge, even if you are not a current patient.
I already have a Marketplace health insurance plan. Do I need to re-apply?
Yes. Marketplace plans change each year. Even if you already have a Marketplace plan, you must re-apply for coverage annually or you will be auto-enrolled in a plan.
What is BadgerCare Plus?
BadgerCare Plus is a health care coverage program for low-income Wisconsin residents. This Medicaid program provides low-cost insurance coverage for Wisconsin residents who meet certain family size, age and income requirements. There are also special options for the elderly, blind, or disabled and pregnant women. You can apply for BadgerCare Plus at any time throughout the year. Learn more here.
Sliding Fee Program
Our Sliding Fee Program helps people who have limited or no health insurance. Patients will be charged for services based on their income and the number of people in their household. To apply for the Sliding Fee Program, you must meet with a financial counselor and provide proof of income and proper identification.
To apply for the sliding fee program, you must provide the following documentation:
- Proof of income (one of the following)
- Check stub
- Letter from employer verifying wage
- Copy of your most recent federal tax return
- Identification (one of the following)
- Driver’s license
- State identification card