Learn why you lost your healthcare and what you can do next to stay covered.
Ready to reapply now? See the steps to complete an application. You may still be eligible to come back to your previous plan and keep your same providers and benefits.
If you’re no longer eligible, but still need healthcare, we can connect you to coverage options. You can also learn about other benefits you’re eligible for, like food and childcare assistance.
Let's find out why you lost coverage
During the COVID-19 Public Health Emergency, all Medicaid members were able to stay enrolled, regardless of changes in eligibility or status. Now that renewals have resumed, you may have lost coverage for a variety of reasons.
Look at the questions below to see what happened for you, and what to do next.
You have to renew your benefits every year to keep them. Missing your renewal deadline, incomplete paperwork, or forgetting a step in the renewal process all put you at risk of losing coverage.
Completed renewal, but still lost your coverage?
Check your renewal status: Contact your state agency to see if your renewal has been processed and to make sure you didn’t miss anything.
Had other issues with your renewal?
You can reapply or contact your state agency for more help.
Renewal reminders and other information about your benefits are sent through the mail. If the state didn’t have your updated address on file, you may have missed some important notices.
Your maternity plan may have ended. Medicaid maternity plans cover you throughout your pregnancy and three months after you give birth. Reapply for a Medicaid plan for parents with the same providers you’re used to.
CHIP plans only cover you until age 18. Luckily, we offer Medicaid for adults with the same great benefits and providers, plus more to help protect your health — all at no cost.
Your Medicaid eligibility is based in part on your income. You may no longer qualify if you:
- Started a new job.
- Got a raise.
- Worked more hours.
- Took on additional work or started your own business.
Getting married, moving to a new state, or a new living situation could all impact your eligibility. Think about how your circumstances have changed since you joined Medicaid or CHIP.
Some plans have monthly premium payments or copays for certain services. All payments were paused but have now restarted. You may have lost coverage if you missed payments. Log in to your online benefits account to review and make payments.
Apply to come back to Medicaid or CHIP
You may still be eligible even though you lost your benefits. The only way to know for sure is to reapply. Follow these steps:
1 | Log in or register
Go to your state agency website. Log in or register your secure online account.
2 | Apply
Fill out the application or update missing or incorrect information in your account.
3 | Get notified
You’ll receive a notice from the state to let you know if you’re re-enrolled.
Had us as your plan before? If you apply within 60 days of the date you lost coverage and you’re still eligible, you’ll automatically come back to your previous health plan with your same providers and benefits. All set.
What happens if you no longer qualify?
There are other health plans available. We can help.
Individual and family health plans
We can connect you to affordable individual and family health coverage options, starting at $0, based on your income.1 Our health plans for individuals and families include:
- $0 preventive care visits2
- $0 virtual care visits3
- $0 for commonly used prescription drugs4
Just answer a few questions using our benefits eligibility checker for personalized guidance.
Call us at 833-901-1371 to learn more.
For additional information from WI DHS on affordable healthcare options, click here.
Medicare plans
If you’re 65 or older or have a certain medical condition and are under age 65, you may be eligible to enroll in Medicare. Explore your options and learn which plan is best for you.
Help
Have more questions or need help?
Call us at 855-690-7800 (TTY 711) Monday through Friday, 8 a.m to 8 p.m. local time.
We can:
- Answer your questions about our Medicaid or CHIP plans.
- Tell you how to apply or renew.
