What is SeniorCare?
SeniorCare is a prescription drug assistance program for Wisconsin residents who are 65 years of age or older and meet the enrollment requirements. Wisconsin’s SeniorCare prescription drug assistance program is considered “creditable coverage.” This means SeniorCare meets or exceeds the standard Medicare Part D plan, and you will not have a penalty if you choose SeniorCare instead of drug coverage through Medicare.
Is there an enrollment fee? When can I sign up?
Everyone who enrolls in SeniorCare must pay an enrollment fee. The enrollment fee is $30 per person enrolled in the program. There is no monthly premium with this program and you can sign up any time of year.
Who can enroll in SeniorCare?
To enroll in SeniorCare you must be:
• A Wisconsin resident
• U.S. citizen or have qualifying immigrant status
• 65 years of age or older.
Your annual income determines your level of coverage in SeniorCare and how much SeniorCare will cover. See the table below for out-of-pocket expenses and benefits for each level of participation.
Some other things to know about SeniorCare
SeniorCare is a program administered by the State of Wisconsin. Because of this SeniorCare will not work at pharmacies outside the state of Wisconsin. SeniorCare covers vaccines such as the Shingrix Shingles vaccine if you receive the vaccine at a pharmacy. (Keep in mind that the flu, COVID and pneumonia vaccine are covered by Medicare Part B). Lastly, if you received a bill for your drugs during a hospital stay you would not be able to receive reimbursement from SeniorCare for these drug costs.
Who might benefit from SeniorCare?
Deciding what type of coverage is best for you depends on a number of factors including your income, the medications you take and risk tolerance. Each person’s situation is different and what works well for one person may not be the same for the next. To find out if SeniorCare would be a good option for you contact:
• SeniorCare Customer Service Hotline 800-657-2038
• Prescription Drug Helpline 855-677-2783