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Health Insurance Coverage Options for 2015

Having health insurance coverage means better health and peace of mind. If you want to sign up for coverage through the federal Health Insurance Marketplace, the enrollment period is from November 15, 2014 to February 15, 2015. If you want insurance by January 1, 2015 you will need to sign up by December 15, 2014. BadgerCare Plus (Medicaid) enrollment for low income people is year-round.

Marketplace Plans (Affordable Care Act)

  • Marketplace plans are for U.S. citizens and legal residents who are not eligible for BadgerCare Plus or on other government health coverage, and not currently serving a term in jail or prison.
  • Dean Health Plan, Group Health Cooperative (GHC), Physicians Plus, and Unity Health Insurance offer plans through the federal Health Insurance Marketplace.
  • Most people get federal discounts to lower their costs when they sign up through the Marketplace. People who can get good and affordable insurance through their job or spouse's job may not get the discounts for a Marketplace plan.
  • To learn more about the Marketplace and sign up:
    • (800) 318-2596
    • healthcare.gov (November 15, 2014 to February 15, 2015 - after February 15th only in certain cases)
  • Call 2-1-1 to find out where to get free help to sign up.
  • Getting Health Insurance under the Affordable Care Act (PDF)

Other options for health insurance coverage are:

Badger Care Plus

  • Badger Care Plus is Medicaid health care coverage for Wisconsin residents with low income: children, pregnant women, parents, and adults without children.
  • It is very complete coverage, and those on BadgerCare Plus can choose their clinic and hospital.
  • To learn more and apply:
    • Capital Consortium (Dane County Human Services), (888) 794-5556
    • ACCESS (any time of year)

Health Connect (a United Way program)

  • Health Connect pays the insurance premiums (monthly cost) for some Dane County residents who sign up for certain Marketplace plans.
  • To learn more and apply:

Insurance Through Work

People who can get good and affordable insurance through their job or their spouse's job should take it. If insurance is not available or it is not considered affordable by the federal government, a Marketplace plan with discounts may be a good option.

Under 26 Years Old

Young adults can stay on a parent's health insurance until they turn 26, but they might be eligible for BadgerCare Plus or their own Marketplace plan that would save money.

Coverage for People with Disabilities and Older Adults

Other health coverage options are available for people with physical or mental disabilities and older adults. For information and guidance:

Coverage for Immigrant Children and Families in Wisconsin

For more information on health insurance coverage:

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new directions for phmdc

Chronic disease, preventable injury and mental and emotional well-being have become critical concerns to the social and economic well-being of communities across the country. In response to changing community needs, Public Health Madison & Dane County is responding in kind, investing in what the CDC, the Institutes of Medicine, and major national funding organizations have endorsed as ways to move toward addressing the root causes of illness and disease. This monograph outlines the blend of existing public health functions with new capacity we are building to boost prevention and community well-being over time.

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FLU VACCINE FOR UNINSURED CHILDREN AND ADULTS

The single best way to protect against the flu is to get vaccinated each year. Flu vaccine not only protects you, but also those around you.

Public Health Madison & Dane County (PHMDC) has flu vaccine for uninsured children, and for children with Medical Assistance. The supply includes injectable vaccine for children 6 months through 18 years, and nasal vaccine for children 2 through 18 years who do not have chronic health conditions.

Public Health also has injectable flu vaccine for uninsured adults.

Flu immunizations are available by appointment at Public Health Immunization Clinics in Madison, Middleton and Sun Prairie. Call 608-266-4821 for an appointment.

If you have insurance, you should call your regular medical clinic for information on their plans to offer flu shots this season.

Other sources of information about seasonal flu: