SeniorCare is Wisconsin's State Pharmaceutical Assistance Program (SPAP), which is designed to help members cover the costs of prescription drugs and some vaccines. Anyone who is age 65 or older, a resident of WI, a U.S. Citizen (or has qualifying immigrant status) can enroll in SeniorCare. There is no monthly premium; rather, an annual, per-person enrollment fee.
There are four levels of coverage within the SeniorCare program (Levels 1, 2A, 2B, and 3). A person’s annual income determines which level of coverage they would have, including deductible and/or spend-down requirements, what drugs SeniorCare will cover, and what out-of-pocket expenses enrollees incur.
All levels of the SeniorCare program are considered “creditable coverage,” meaning SeniorCare coverage is as good as the standard Medicare Part D prescription drug plan. This "creditable coverage" allows the beneficiary to avoid accruing the Part D late enrollment penalty when enrolled in SeniorCare and later decides to enroll in a Medicare Part D plan. Although SeniorCare and Medicare Part D are independent programs, a person can be enrolled in both at the same time.
SeniorCare is an SPAP; maintaining a membership in SeniorCare gives a beneficiary a special enrollment period (SEP) to add or change their Medicare Prescription Drug Plan or Medicare Advantage Plan with a Prescription Drug Plan one time per year.
For more information about the Wisconsin SeniorCare program and for an application, visit Wisconsin SeniorCare (External Link).