Get Wisconsin Senior Care Renewal Application

Filling out the Wisconsin Senior Care Renewal Application online is an important step in maintaining your eligibility for benefits. This guide will provide clear, step-by-step instructions to help you complete the application accurately and efficiently.

Follow the steps to complete your renewal application easily

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Review the preprinted information on the Renewal Application for accuracy. This information reflects what SeniorCare has on file for you. If any details have changed or are incorrect, you must fill out the 'change' section to report the correct information.
3. Follow the on-screen prompts to answer the questions provided in the application. You will need to shade in circles to indicate your answers. Ensure that all responses are clear and legible.
4. Complete the income calculation worksheet included with your application to help verify your eligibility. Keep this worksheet for your records.
5. Before submitting your application, double-check that it is fully complete. Verify that the form has been signed by you or your designated representative.
6. Ensure that you have enclosed the required enrollment fee of $30 for each person. Write your Social Security Number and/or your spouse's Social Security Number on the payment method to avoid processing delays.
7. Save any changes made to the form. You can then download, print, or share the completed Renewal Application.
8. Finally, send the Renewal Application to the address specified: SeniorCare, P.O. Box 6710, Madison WI 53716-0710.

Complete your Wisconsin Senior Care Renewal Application online today to maintain your coverage.