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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-10076A (09/11) STATE OF WISCONSIN Section 49.688, Wis. Stats. Instructions for Application Form The SeniorCare application.

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SeniorCare is administered by the Wisconsin DHS (Department of Health Services) . Within DHS, the DMS (Division of Medicaid Services) is directly responsible for managing SeniorCare. Individuals enrolled in SeniorCare are called members.

What is a SeniorCare spenddown? Spenddown is the amount that a member of SeniorCare participation level 3 must pay for covered prescription drugs during a 12-month benefit period. A SeniorCare spenddown is equal to the difference between your gross annual income and 240% of the current federal poverty level (FPL).

Financial Requirements LevelIndividual Income LimitCouple Income LimitLevel 1Up to $23,328Up to $31,552Level 2A$23,329–$29,160$31,553–$39,440Level 2B$29,161–$34,992$39,441–$47,328Level 3$34,993or greater$47,329 or greater

It is equal to the difference between your annual income and 240% of the federal poverty level (FPL). In 2023, that's $34,992 for an individual, or $47,328 for a married couple living together.

SeniorCare is a program for Wisconsin residents who are 65 or older and need help paying for medicine. The program helps seniors pay for prescription drugs.

Who can enroll in SeniorCare? To enroll in SeniorCare you must be: • A Wisconsin resident. A U.S. citizen or have qualifying immigrant status. 65 years of age or older.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232