Unity Members
BadgerCare Plus Health Insurance Program

Welcome!

Thank you for being a Unity Health Insurance BadgerCare Plus member. Unity is a BadgerCare Plus HMO. We have a contract with the Wisconsin Department of Health Services (DHS).


As a member of Unity, you have the Unity BadgerCare Plus Network. You should only use the doctors and hospitals in this network. To find a doctor or clinic, go to Find A Doctor. Or, you can call Customer Service at 800​.362​.3310.

Complaints, Appeals and Grievances


Complaints or Grievances

We would like to know if you ever have a complaint about your care at Unity. Please call Unity’s ​Appeals Specialists at 800.362.3309 or write to us at the following address if you have a complaint –

Unity Health Insurance
840 Carolina Street
Sauk City, WI 53583-1374

If you want to talk to someone outside Unity about the problem, call the HMO Enrollment Specialist at 800.291.2002. The HMO Enrollment Specialist may be able to help you solve the problem or write a formal grievance to Unity or to the BadgerCare Plus program.

The address to file a complaint with the BadgerCare Plus program is –

BadgerCare Plus
Managed Care Ombuds
P.O. Box 6470
Madison, WI 53716-0470
800.760.0001

If your complaint or grievance needs action right away because a delay in treatment would greatly increase the risk to your health, please call Unity as soon as possible at 800.362.3310.

You will not be treated differently from other members because you file a complaint or grievance. Your health care benefits will not be affected.

Appeals

You have the right to appeal to the State of Wisconsin, Division of Hearings and Appeals (DHA), for a fair hearing if you believe your benefits are wrongly denied, limited, reduced, delayed, or stopped by Unity. An appeal must be made no more than 45 days after the date of the decision being appealed. If you make an appeal before the effective date, the service may continue. You may need to pay for the cost of services if the hearing decision is not in your favor. If you want a fair hearing, send a written request to –

Department of Administration
Division of Hearings and Appeals
P.O. Box 7875
Madison, WI 53707-7875


The hearing will be held with an administrative law judge in the county where you live. You have the right to be represented at the hearing or you can bring a friend for support. If you need a special arrangement for a disability or for language translation, please call 608.266.3096 (voice) or 608.264.9853 (hearing impaired).

You will not be treated differently from other members because you request a fair hearing. Your health care benefits will not be affected.


If you need help writing a request for a fair hearing, please call either the BadgerCare Plus Ombuds at 800.760.0001 or the HMO Enrollment Specialist at 800.291.2002.

 

 

This Member Kit is for members who have ​insurance through BadgerCare Plus.

If you have insurance through an employer group, the State of Wisconsin Group Health Insurance Program or have purchased an Individual and Family Plan, please select the correct member kit for information about your plan.