BadgerCare Plus and Medicaid SSI

The State of Wisconsin's health insurance programs.

BadgerCare Plus & Medicaid SSI



Quality care you need, when you need it.

Group Health Cooperative of Eau Claire serves BadgerCare Plus and Medicaid SSI members in western and central Wisconsin. If you are seeking coverage through BadgerCare Plus, online applications and information are available through the ACCESS Website. If you are seeking coverage through Medicaid SSI, online applications and information are available through the federal Social Security Administration's website or the State of Wisconsin's Medicaid website. To learn more about these health care programs and other public services offered, please visit the Wisconsin Department of Health Services.

For more help, you can call our Member Services department at 1-715-552-4300 or 1-888-203-7770 (toll free).


Quick ACCESS

The Wisconsin Department of Health Services offers BadgerCare Plus and Medicaid members online access through their ACCESS website. ACCESS is a quick and easy way to get answers to your questions about health and nutrition programs.

  • Are you eligible for BadgerCare Plus or Medicaid SSI? Find out which low or no-cost health, nutrition and other programs you might be eligible for.
  • Apply for BadgerCare Plus, Medicaid SSI or other services. Apply online for FoodShare, BadgerCare Plus and the Family Planning Service Program.
  • Manage your benefits through MyACCESS account. Get up-to-date information about the status of your benefits. You can report a change online, such as your address or job, or get answers to common questions about benefits.
  • You must renew your enrollment once a year. Click here to learn how to renew your health benefits.
Login to ACCESS


Cooperative BadgerCare Plus and Medicaid SSI Members

As a Group Health Cooperative BadgerCare Plus or Medicaid SSI member, you have access to your health plan benefits online. Your Member Handbook outlines your health plan and includes benefit details, services covered, prior authorization guidelines, HealthCheck specifics and more. For a copy of the Member Handbook in Braille, or to request a copy translated into another language, please contact Member Services at 1-715-552-4300 or 1-888-203-7770 (toll-free).

In addition to the standard benefits, membership through the Cooperative also includes:

  • Personal, Local Service with a live person answering your call every time, usually within 7 seconds. Member services will answer all your questions and offer any additional information you may need.
  • Tobacco Cessation Tools to help you quit using tobacco products. Quitting can be difficult and tobacco use is a challenge to many people’s health and well-being


Fraud and Abuse

What is fraud and abuse? Fraud occurs when someone intentionally falsifies information or deceives someone to gain health care services or payment. Abuse occurs when doctors or suppliers don’t follow good medical practices, resulting in unnecessary costs to the public assistance program, improper payment, or services that aren’t medically necessary.

Group Health Cooperative of Eau Claire is dedicated to fighting health care fraud and abuse. Please contact us at the phone numbers provided below if you suspect health care fraud and abuse in the course of obtaining health care. For more information about fraud in public assistance programs, visit the Wisconsin Department of Health Services’ website.

Stay Informed with the Latest Medicaid Updates

Learn More

Member Materials and Resources

BadgerCare Plus Provider Directory Medicaid SSI Provider Directory  The COVID-19 Emergency Unwinding
 MyACCESS Mobile App WIC Resources Prenatal Care Coordination Resources School-based Mental Health Services School-based Services
2025 BadgerCare Plus/Medicaid SSI Handbook Release of Information  Wisconsin Medicaid Response to COVID-19 Outbreak  Ombuds Information Local Public Health Resources Birth to Three Program Resources Targeted Case Management Services

BadgerCare Plus and Medicaid SSI service area

Serving counties:

Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Chippewa, Clark, Columbia, Crawford, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Juneau, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Marathon, Marinette, Marquette, Menominee, Monroe, Oconto, Oneida, Outagamie, Pepin, Pierce, Polk, Portage, Price, Richland, Rock, Rusk,  Sauk, Sawyer, Shawano, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Washburn, Waupaca, Waushara, Winnebago, Wood

*DHS creates an annual BadgerCare Plus and Medicaid SSI Report Card to show performance in relation to other HMOs. This information is made available to members to help them choose an HMO to suit their healthcare needs.
 
This report card gives an evaluation of the quality of health care that Wisconsin Medicaid members receive from Medicaid HMOs each calendar year. The Report Card includes health care quality ratings for five major Areas of Care for BadgerCare Plus and four major Areas of Care for Medicaid SSI. The areas of care include: staying healthy, living with illness, mental health care, pregnancy and birth-related care, and hospital and emergency department readmissions. To see the full 2023 HMO Report Card click HERE.