SeniorCare is a prescription drug assistance
program for Wisconsin residents who are 65 year of age or older who meet the
eligibility criteria. The program, which began September 2002, is designed
to help seniors with their prescription drug costs.
What are the eligibility requirements?
You must be a Wisconsin resident.
You must be 65 years of age or older.
You must pay a $30 annual enrollment fee per person.
Assets, such as bank accounts, insurance policies, home
property, etc., are not counted
Your annual income determines the level of coverage
In addition, program participants are subject to
certain annual out-of-pocket expense requirements depending on their annual
What if program participants have other prescription
Individuals with prescription drug
coverage under other health plans are eligible to enroll in SeniorCare.
SeniorCare will coordinate benefit coverage with those plans. However,
individuals enrolled in Medicaid are not eligible for SeniorCare because
Medicaid already provides prescription drug coverage.
What is a Deductible?
A deductible is an amount that participants in
Levels 2a, 2b, and 3 pay annually for covered drugs before they are eligible
to participate at the co-payment levels. During the process of meeting the
deductible, a participant receives the SeniorCare rate when purchasing
What is a "SeniorCare Rate"?
A "SeniorCare Rate" is a discounted rate
for most covered drugs. During the process of meeting the deductible, a
participant receives the SeniorCare rate when purchasing covered drugs.
What is a Spenddown?
A spenddown is a dollar amount. It is the
difference between your gross annual income and 240% of the current Federal
Poverty Level. At Level 3 you have an annual spenddown requirement during
your benefit period.
After you have met the spenddown requirement you will also have an $850
deductible. However, while you are meeting this deductible you receive the
SeniorCare rate when purchasing covered prescription drugs.
What Expenses Can I Use to Meet a Deductible or a
Only SeniorCare covered drugs purchased at
the retail price can be used to meet a participant's spenddown.
Only SeniorCare covered drugs purchased at the SeniorCare rate can be used
to meet a participant's deductible.
Medical costs such as physician office visits or hospital services do not
count toward a participant's spenddown or deductible.
How do I apply?
apply for SeniorCare themselves or receive assistance at workshops
throughout Walworth County. Applications may be obtained at
- Walworth County Department of Health &
Human Services Center W4051 County Road NN
- Mercy Walworth Medical Center
Junction Highways 50 and 67
- Any Aurora Health Center
Applications may also be obtained by calling the
SeniorCare Customer Service Hotline at (800)
657-2038 or at the SeniorCare website at
If you are homebound and would like to arrange a home
visit to enroll in SeniorCare please call
Where can I receive more information about
Call the SeniorCare Customer Hotline at