Benefit Quick Check

By: Outagamie ADRC

Here is a list of resources available through Outagamie County that may help you in your caregiving journey.

FoodShare Wisconsin

Contact East Central Income Maintenance Partnership 1-888-256-4563 or access.wi.gov

• Provides supplemental income to purchase food from a Quest card.

• Gross monthly income limit - single $2,610 or couple $3,526

• No asset test. Minimum benefit per month is $24

BadgerCare Plus Medicaid

Contact East Central Income Maintenance Partnership 1-888-256-4563 or access.wi.gov

• Must be under age 65 and not determined disabled.

• Monthly Income Limit single $1,330 or couple $1,803.33

• Elderly, Blind or Disabled Medicaid

• Contact East Central Income Maintenance Partnership 1-888-256-4563 or access.wi.gov

• Must be age 65 or older, Blind, or Disabled

• Asset Limit: single $2,000 or couple $3,000

• Monthly Income Limit single $1,330 or couple $1,803.33

If applicants income is above the listed amount. Medicaid benefits are still available through

meeting deductible within a 6 month period. The deductible can be met with outstanding

medical bills or paying the deductible directly.

Medicaid Purchase Plan (MAPP)

Contact East Central Income Maintenance Partnership 1-888-256-4563 or access.wi.gov

Full Medicaid program for individuals determined disabled, working a minimum of 1 hour per month or enrolled into a health and employment counseling program.

Asset Limit: $15,000 applicant only.

Monthly Income Limit: single $3,325 or couple $4,508.33

A premium may be required depending on gross monthly income.

Medicare Premium Assistance Programs

Contact East Central Income Maintenance Partnership 1-888-256-4563 or access.wi.gov

Asset Limit: single $9,950 or couple $14,910

QMB (Qualified Medicare Beneficiary)

Monthly Income Limit single $1,330 or couple $1,803.33

QMB pays Medicare Part B premium and Part A and Part B deductibles & coinsurance

SLMB/SLMB+ (Specified Low-Income Medicare Beneficiary)

Monthly Income Limit single $1,795.50 or couple $2,434.50

SLMB/SLMB+ pays Medicare Part B premium

SeniorCare Prescription Assistance

Seniorcare Customer Service 1-800-657-2038

Age 65 or older, Wisconsin Resident, requires $30 annual enrollment fee per person.

$5 co-pay for each generic and $15 co-pay for each brand name prescription after deductible or spenddown is met. If level 2B or 3 may qualify for a Medicare Special Enrollment period to change your Medicare plan.

• Level 1 –Annual Income single $25,536 or less or couple: $34,624 or less

No deductible or spenddown.

• Level 2a – Annual Income single $25,537 - $31,920 or couple $34,625 - $43,280

$500 deductible per person.

Pay the SeniorCare rate for prescriptions until the $500 deductible is met, then

• Level 2b – Annual Income single $31,921 - $38,304 or couple $43,281 - $51,936

$850 deductible per person

Pay the SeniorCare rate for prescriptions until the $850 deductible is met, then

• Level 3 – Annual Income single $38,305 or greater or couple $51,937 or greater

Pay retail price for drugs equal to the difference between your income and

$37,561 per individual or $50,761 per couple. This is called a “spenddown.”

After spenddown is met, $850 deductible per person.

Low Income Subsidy (Extra Help)

Contact Social Security Administration 1-877-694-5495

Provides assistance with Medicare Part D premium, co-pays and deductible.

If receiving Medicaid, automatically approved for benefits.

Monthly income limit: single $1,995 or couple $2705

Asset limit: single $16,590 or couple $33,100

S.S.I. (Supplemental Security Income)

Contact Social Security Administration 1-877-694-5495.

Provides increased income and medical assistance/Medicaid.

Asset Limits: single $2,000 or couple $3000

Federal Benefit: single $994 or couple $1,491

State Supplement: single $92.16 or couple $145.26

Homestead Tax Credit

Contact Customer Service Bureau 1-608-266-2486

To apply see a tax professional or contact the ADRC if homebound

Annual Household Gross Income below $24,680.

Credit for some of your real estate taxes or rent paid if WI Resident for full year.

Energy Assistance (October 2025 – May 2026)

1-800-506-5596 for an appointment or energybenefit.wi.gov

Previous Monthly Income limit - single $3,201.75 or couple $4,186.92

Energy Assistance provides help with electric, gas, fuel and water bills.

Water bills assistance 1-833-426-9472

Weatherization 920-731-7566 This program can also be requested for an evaluation of your

home energy efficiency. Work performed often includes insulation, sealing air leaks,

installation of energy-saving products, and repair or replacement of inefficient furnaces or

other appliances.

Lifeline Program

https://nv.fcc.gov/lifeline to apply online or print an application

Free cell phone service may include data, text and a phone. Benefits vary by service provider

chosen. Applicants qualify if receiving FoodShare, Medicaid, Federal Public Housing

Assistance, Veterans pension and survivors benefit. Applicants can also qualify if household

income is below 135% FPL: single household $1795.50 and couple $2434.50 per month.

Local Hospital Assistance programs to help with unpaid medical costs.

Eligibility varies by plan.

Prescription Drug Assistance programs that work with Medicare to cover your high cost

medications. Eligibility varies by plan.

For additional information contact the Outagamie County Aging & Disability

Resource Center (ADRC) at 920-832-5178 or adrc@outagamie.org