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. 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
Address: 101 E Wilson Street, Madison, WI 53703
Mailing Address: P.O. Box 7873 Madison, WI 53707-7873
Toll free: 800-236-8517
Local: 608-266-0103
TDD: 711 (ask for 608-266-3586)
Fax: 608-267-9451
Email: ocicomplaints@wisconsin.gov
Website: oci.wi.gov
If you have a hard time affording health coverage and have questions about Medicaid eligibility or benefits, go to:
Badger Care Plus Program
Phone: 800-362-3002
TTY: 888-701-1251
Website: www.dhs.wisconsin.gov/medicaid/index.htm
Local consumer assistance: www.dhs.wisconsin.gov/aboutdhs/our-locations.htm
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
Phone: 800-362-3002
TTY: 888-701-1251
Website: www.dhs.wisconsin.gov/medicaid/children.htm
Local consumer assistance: www.dhs.wisconsin.gov/aboutdhs/our-locations.htm
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)
Address: Wisconsin Department of Health Services
201 E. Washington Ave.
Madison, WI 53703
Phone: 800-242-1060
Fax: 608-246-7001
Email: boaltcmedigap@wisconsin.gov
Website: www.dhs.wisconsin.gov/benefit-specialists/medicare-counseling.htm
Local consumer assistance: www.dhs.wisconsin.gov/benefit-specialists/counties.htm or call your local aging and disability resource center (ADRC) at 844-WIS-ADRC (844-947-2372)
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.