Wisconsin Health Insurance Consumer Help

Wisconsin does not operate a Consumer Assistance Program under the Affordable Care Act. The consumer protections and benefits of the law still apply to you.

The agencies listed below can help you take advantage of some of these protections and benefits. They can answer your questions about different types of coverage.

If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder.  It will help you find and compare health care coverage options in your area.

If you have questions about insurance you bought for yourself or your family or you have insurance provided by an employer who does business only in Wisconsin, contact:

Wisconsin Office of the Commissioner of Insurance
125 South Webster Street
Madison, WI 53703
(800) 236-8517
TDD: 711 (ask for (608) 266-3586)
http://oci.wi.gov/consinfo.htm
ocicomplaints@wisconsin.gov

If you have a hard time affording health coverage and have questions about Medicaid eligibility or benefits, go to:  

Badger Care Plus (Wisconsin Medicaid)
(800) 362-3002
TTY: (888) 701-1251
https://www.dhs.wisconsin.gov/medicaid/adults.htm

If you are interested in applying for Wisconsin Medicaid in-person, please contact your Local County or tribal agency.

If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:

Badger Care Plus Program
(800) 362-3002
TTY: (888) 701-1251
https://www.dhs.wisconsin.gov/forwardhealth/apply.htm

If you are interested in applying for Wisconsin Medicaid in-person, please contact your Local County or tribal agency.

If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (usually a large company or one with locations in multiple states or countries), go to: 

U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 444-3272
http://www.askebsa.dol.gov

If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact:

Wisconsin Senior Health Insurance Information Program (SHIP)
Wisconsin Department of Health Services
1 West Wilson Street
Madison, WI 53703
(800) 242-1060
https://www.dhs.wisconsin.gov/benefit-specialsts/medicare-counseling.htm

If you are a veteran and have a question or concern about veterans’ health care benefits, go to: 

US Department of Veterans Affairs
(877) 222-VETS (8387)
https://www.va.gov/health-care/

If you have questions about your health insurance that are not covered by the above  resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.

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