Wi Affordable Care Act
Open enrollment is now OPEN
Open enrollment is the period of time during which individuals who are eligible to enroll in a Qualified Health Plan can enroll in a plan in the Marketplace. For coverage starting in 2017, the Open Enrollment Period is November 1, 2016–January 31, 2017. Individuals may also qualify for Special Enrollment Periods outside of Open Enrollment if they experience certain events. (See Special Enrollment Period & Qualifying Life Event)

Basic information on ACA:
  • For Wisconsin resources for Assisters, a state wide events calendar & statewide enrollment assistance directory visit www.enrollwi.org

To enroll on your own:
For Assistance:
Certified Application Counselors (CACs) are individuals who must complete state and/or federal training, must be working on behalf of an organization that is certified by the Center for Medicare & Medicaid Services (CMS), and CANNOT give advice on insurance plans

Navigators are organizations that are funded through CMS for outreach & enrollment, individuals must complete federal/state training and CANNOT give advice on insurance plans

Agents & Brokers are individuals who complete state and federal training and CAN give advice on insurance plans.
What to bring with:
Marketplace Application Checklist



If you want to talk to someone:
  • Federal: 1-800-318-2596
  • Local Resources: Great Rivers 2-1-1, simply dial 211

How can I get coverage outside of open enrollment?
Outside open enrollment, you can enroll in Marketplace insurance only if you have certain life events that give you a special enrollment period. You can apply for Medicaid or the Children's Health Insurance Program (CHIP) any time. If you're qualified you can enroll right away.

Buying a Marketplace Plan outside of open enrollment:
In order to buy a Marketplace health insurance plan outside the open enrollment period, you must have a qualifying life event. Qualifying life events that create a special enrollment period include:
  • Getting married
  • Having, adopting, or placement of a child
  • Permanently moving to a new area that offers different health plan options
  • Losing other health coverage (for example due to a job loss, divorce, loss of eligibility for Medicaid or CHIP or BadgerCare, expiration of COBRA coverage, or a health plan being decertified). Note: Voluntarily quitting other health coverage or being terminated for not paying your premiums are not considered loss of coverage. Losing coverage that is not minimum essential coverage is also not considered loss of coverage.)
  • For people already enrolled in Marketplace coverage, having a change in income or household status that affects eligibility for tax credits or cost-sharing reductions
Special Enrollment Periods
If you have a qualifying life event, you get a special enrollment period. This means you can enroll in or change your health insurance plan outside the open enrollment period. Most special enrollment periods last 60 days from the date of the qualifying life event.


Medicaid and CHIP: Enroll any time
In Wisconsin, the Medicaid & CHIP Program is called BadgerCare. You can enroll at any time—there is no limited enrollment period for these programs. Medicaid and CHIP provide health coverage to millions of families with limited incomes. You can find out if you qualify for Medicaid or CHIP by filling out a Marketplace application, or by visiting or calling your local Medicaid office.

Wisconsin did not expanded Medicaid but you may still be eligible, especially if you have children, are pregnant, or have a disability. Every state's eligibility rules are different. If it looks like you're eligible for Medicaid or CHIP, the Marketplace will pass along your information to your state agency, where you'll be able to enroll.

The Western Region for Economic Assistance is the Medicaid/CHIP/BadgerCare agency for Buffalo, Clark, Jackson, La Crosse, Monroe, Pepin, Trempealeau, and Vernon Counties. To apply you can complete an application on line or by calling their offices Monday-Tuesday-Thursday-Friday 8:30am-4:00pm and Wednesday 12pm-4pm     1-888-627-0430 or completing a paper application (available at the county offices or by printing it and mailing it to address listed on the first page). If you live in another county please check the following website to find your local Medicaid office.



The following agencies are part of the Western Region Enrollment Network and will continue to offer Certified Application Counselors (CACs) to help with applying for health insurance through the MarketPlace. If you need assistance please contact one of these local agencies:
  • Black River Memorial Hospital, 715-284-5361
  • Marshfield Clinic, 1000 N Oak Ave, Marshfield 800-782-8581 ext. 94475
  • Mayo Clinic, 700 West Ave, La Crosse, 1-866-789-4374
  • Memorial Medical Center, Neillsville, 715-743-3101
  • Scenic Bluffs Community Health Center, Cashton 608-654-5100
  • St. Clare Health Mission, 916 Ferry St., La Crosse 608-392-9546
  • Tomah Memorial Hospital, 321 Butts Ave, Tomah 608-374-6699
  • Workforce Connections, Wanda Palmer, 608-790-8136

Locate an insurance agent that can assist you and enter the county in which you live in the bottom left box to get a list of local agents.






Open Enrollment Events 2016-17 - Health Insurance Marketplace

All events start @ 4:00 p.m. & end 7:00 p.m. UNLESS STATED OTHERWISE


 

Buffalo County

 

Clark County

 

Crawford County

 

Jackson County

 

Juneau County

 

La Crosse County

 

Monroe County

 

Trempealeau
County

 

Vernon
County

Buffalo County, individual appointments, call Wanda 608-790-8136

11-9-16
Greenwood Fire Station,
1 pm – 7 pm

11-16-16
Abbotsford City Hall, 
1 pm – 7 pm

11-10-16
WCI Office 1304 Marquette Road,
Prairie du Chien, WI

11-14-16
Memorial Hospital 711 West Adams Street, Black River Falls, WI

11-22-16
WTC Mauston - 1000 College Avenue Mauston WI

11-9-16
Goodwill
Community Room
200 Theatre Road
Onalaska, WI

11-15-16
WTC Tomah Job Center, 120 East Milwaukee Street, Tomah, WI

12-6-16
WTC, 36084 Walnut Street, Independence, WI

11-7-16
Erlandson Office Bldg 318 Fairlane Dr Viroqua, WI

 

11-29-16
Memorial Medical Center (Neillsville), 1 pm – 7 pm

01-26-17
WCI Office 1304 Marquette Road,
Prairie du Chien, WI

12-12-16
Memorial Hospital - 711 West Adams Street, Black River Falls, WI
***430-7pm

01-17-17
WTC Mauston - 1000 College Avenue Mauston WI

11-30-16
Goodwill Community Room, 200 Theatre Road, Onalaska, WI

11-17-16
Lugar de Reunion  201 E Franklin St, Sparta, WI

01-9-17
WTC, 36084 Walnut Street, Independence, WI

11-21-16
Coon Valley Library, Coon Valley, WI
1pm – 3pm

 

12-14-16
Marieke Gouda, Thorp,
1 pm – 7 pm

 

01-3-17
Memorial Hospital, 711 West Adams Street, Black River Falls, WI

 

12-20-16
Goodwill community room - 200 Theatre Road, Onalaska

12-14-16
Lugar De Reunion, 201 E Franklin St Sparta, WI

 

12-5-16
Erlandson Office Bldg 318 Fairlane Dr  Viroqua, WI

 

1-10-17
Greenwood Fire Station,
1 pm – 7 pm

 

 

 

01-4-17
Goodwill community room, 200 Theatre Road, Onalaska WI

01-10-17
WTC Tomah Job Center, 120 E. Milwaukee Street, Tomah, WI

 

01-9-17
Erlandson Office Building, 318 Fairlane Dr  Viroqua, WI

 

1-18-17
Abbotsford City Hall, 
1 pm – 7 pm

 

 

 

01-11-17
Goodwill community room, 200 Theatre Road, Onalaska WI

01-12-17
Lugar De Reunion, 201 E Franklin St Sparta, WI

 

 

 

1-24-17
Memorial Medical Center (Neillsville), 1 pm – 7 pm

 

 

 

01-25-17
Goodwill community room, 200 Theatre Road, Onalaska WI

 

 

 



Western Region Enrollment Network (WREN) event contacts:

Buffalo County, individual appointments, 608-790-8136
Jackson, La Crosse, Trempealeau Counties, 608-790-8136

Clark County, Sue Lane, lanes@workforceresource.org

Monroe, Vernon Counties, Marina 608-654-5100
Pepin County, Julie Bruggenthies, bruggenthiesj@workforceresource.org

Other surrounding counties (not part of WREN)
Crawford, Juneau Counties, 608-790-8136


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